Welcome to the origin story of PULMCRIT! 

In this episode, we cover how best to practically monitor the balance between oxygenation, oxygen delivery and oxygen consumption. Controversial to say the least.

Come take a listen, and learn about the pulsatility index, a space we should all be watching for in the future.

We are back! Come dust off our shows spot in your favourite podcast app, and listen to why its important to hunt for SBP like it's the Red October (forgive the Sean Connery reference, I had too). We cover diagnosis (aka tap-y-tap) and treatment. 

In this episode, we cover that scary presentation where your patient goes from seemingly well, to skin melting off and in multi organ failure.

Come take a listen for all things clinical presentation, anti-toxin antibiotics regimes, skin cut downs and surgical debridement.

In this episode, you get a two-for-one. Come for the hypophosphatemia, stay for the hyperphosphatemia.

Contrast induced nephropathy is the "white walker" of critical care and emergency medicine. Come take a listen as we discuss the potential error in creating a clinically non-meaningful entity, and how we should address this in our daily clinical work.

In this episode we cover all those big highlights for infective endocarditis. Come solidify your approach to clinical presentation of both left and right sided disease, approach to imaging, and empiric therapy. We've even got the hot topic of dual coverage down!

In this episode we cover the finer points of the high stakes resuscitation of VF / VT "Storm."

Come get a solid approach to identification, resuscitation and nuanced management.

Have you ever seen that patient with a bicarb of 6 and a lactate of 14, and they are just smiling at you and texting their spouse about taxes? In this episode, we explore the direct, indirect, and obscured role that metformin can play in your critical care patients. Come listen for all things diagnosis, classification and some special discussion around GIK, Methylene Blue and when to spin that dialysis machine.

This often mis-understood "penicillin allergy" can have far more dire impacts on the population you would think. Come take a listen and explore the pathophysiology of R1-side chain impact on true allergy, what to do about it, and how it impacts antimicrobial selection and use.

In this episode, we've got you covered for this hypertensive emergency that you need to know cold. Come take a listen for all things around diagnosis, risk factors, clinical presentation, labs and treatment. We've got your magnesium. We've got your labetolol. We even have a few new tricks for hemolysis.

Just like when you were a kid and that science fair volcano was spewing badness everywhere... an unchecked perfusion pressure can wreak havoc on your end organs. In this podcast, we cover the true primary emergency that results from too high of perfusion pressure. Come take a listen for all things diagnosis, treatment and even a nice coverage of PRES.

In this episode, we cover the often missed "abdominal compartment syndrome." Lace up those shoes, get ready for your commute, and let us review for you the diagnosis and treatment of this critical care quagmire.

In this episode we explore this rare but commonly seen entity of NMJ caused weakness. Come listen to review the patient population, identification and management of MG CRISIS.

We're back... maybe by popular demand? In this episode, we cover those two phenotypes of acute pulmonary edema: the hyper-acute sympathetic crashing acute pulmonary edema (SCAPE) patient, versus that fluid overload sub acute pulmonary edema (FOSPE). Come listen to all things NIV, nitro, and soothing calm clinical approach. 

In this episode, we start off with all those familiar aspects of APAP toxicity that you've heard about. Then we kick it up a notch and give you new pearls around Massive ingestions and high dose NAC infusions, when to Dialyze (you read that correctly) and even more great pearls! Come take a listen.

In this episode we will cover all the highlights you need to know about hypernatremia. Serum sodium... we see you yawning already! But if you want to level up your critical care skills, you need to pay attention to this often missed cause of serious morbidity in our ICUs.

Toxicology is fun. Salicylate overdoses can be intimidating, so come take a listen to get you ready for the next patient you see, so you can keep them out of that death-spiral!

In this episode, we cover the diagnosis of this must-not-miss-unicorn. Come take a listen for a lengthy discussion around management, including the controversial use of beta-blockade.

In this episode, we've got a great approach to low platelets in the ICU patient population. Come take a listen for approach, management, what not to miss, and all things HITT.

Here it is... it took a mythical amount of time to prepare, so we hope you enjoy this long format cast on the broad topic of antibiotics. We cover the highlights of all the usual suspects, beta-lactams, cephalosporins, aminoglycosides, macrolides and all the weird and wonderful.

Make sure you read the post before diving into this beast!

Every resuscitationist MUST have this basic approach down cold. Come take a listen to the foundation of our specialties in what the French like to say "Reanimation."

Approach and treatment for all those SICK looking patients.

ICU level Influenza. Very pertinent for this time of year. Come take a listen and explore clinical management pearls, and some bleeding edge discussion for adjuvant therapy on your hardcore viral patients.

Come take a listen to keep you regimented towards this must-not-mess-up presentation.

We've got classification, management and some juicy pearls. Arm yourself with the knowledge to stop ordering that FeNa!

Merry Christmas / Happy Holidays everyone!

Here is a little present for you during these cold times. For those of you who have seen this population, they can get sick, fast! However, when you've got your approach and management down, they can get better, just as fast! Come take a listen for the identification, microbiology and treatment or urosepsis.

It has been a hot minute, Josh blames Adam. Adam Blames existential crisis, wildfires and the Rona.

Come listen to this comeback cast: Hepatorenal Syndrome. We talk all things systemic dilation with renal constriction. We talk newish classification, albumin, pressers and more. So leave your Map goal of 60 behind you, and enjoy these pearls.

Don't know what immune checkpoint inhibitors are? Don't worry, neither did I until Farkas through some major knowledge on me. Come take a listen about what this class of drugs can do to every organ in your body!

In this short podcast, we cover the identification, workup and treatment of that often missed cause of vasodilatory shock: adrenal insufficiency.

Come take a listen for all things population, ACTH stim-test and how to manage these patients.

These patients can truly be the sickest of the sick. Come take a listen for the summary of a chapter that is bound to be one of your go-to resources.

ROSC management

TTM

Sedation

Steroids

We've got it all.

In this episode we tackle the identification & treatment of central nervous system infections, aka badness. You'll be equipped with a standard treatment regime for your patients with meningitis or that brain-melting encephalitis. 

Do those squiggly lines on the ECG monitor have you patient down in the hypotensive dumps? Don't know what to do? Well we have you covered. Identification, common causes and treatment of TDP can all be found in this one podcast.

Whether its your first day seeing patients, or your last, you need to have a solid approach to hyperK.  Come check out the cast for all things hyperkalemic bombs, and a plea to STOP the madness with kayexalate.

We've got you covered for identifying, evaluating and treating this all to common (and sometimes missed) syndrome. Take a listen, and go to the post to discuss the controversies of atypical antipsychotics, regular use of melatonin, and the elixir of the gods (dexmedetomidine).

Is your patient's low hemoglobin got you down? We've got you covered then. Come take a listen for all things related to diagnosis, transfusion targets and special populations. This one is sure to be a treat for halloween.

In this episode, we summarize the sometimes intimidating topic of pancreatitis. We've got your education needs covered when it comes to identification, workup and treatment of this common presentation.

Join your regular hosts in exploring all things cardiogenic shock. Warm & Dry to Cold and Wet. We've got an approach strategy for you.

In this episode, we cover that variable response to when the lab calls with a culture positive for candida. Lines, blood, Urine. Labs, Anti-fungals, imaging... we got it all. 

Welcome to the 6th podcast, it will not disappoint. Hypoglycemia is something you MUST know cold. So grab a coffee, and give this one a listen.

Bradycardia can be scary. Especially when your cardiac output is being pulled down by that slow rate. Take a listen to hone your resuscitation skills in the electrical and medical arms of the bradycardia treatment.

Have you been confused with your approach to CAP/HAP/VAP? Here is a stepping stone to the approach from a new perspective: Community onset pneumonia.

Here we outline the definition, approach and management including antimicrobial selection, triaging, HFNC and so much more.

In this episode we summarize the approach to the patient with a bleeding GI tract. Whether its upper, lower, or anything in between... we've got you covered.

In this episode, Josh takes us through how to approach the type 1 versus type 2 acute coronary syndrome in the ICU. In other words, take a listen to find out what to do with that ECG and troponin.

In this episode, we cover the anatomy of a DKA resuscitation. Check the post out for some juicy pearls.

As always, the pitfalls:

• Missing an underlying cause of DKA, especially sepsis.  The primary cause of death among patients admitted with DKA isn't the DKA itself, but rather associated conditions (mostly sepsis).
• Bolusing large volumes of normal saline will make the patient more acidotic.  This is generally not a major problem, but it can be for the patient who starts out severely acidotic at baseline.

In this episode, we aim to arm you with a basic approach to the rhythm that loves to make the monitors go ping: atrial fibrillation. The age old argument: rate vs rhythm control. What rate is acceptable? Who gets all of the drugs? Why do we love amiodorone? When do you dust off old sparky? Come join us for 42 minutes of Josh giggling and educating us all.

In this episode we cover one of the hallmarks of the poisoned patient, that ECG tracing with a widening QRS. After reading the post, come listen for the nuances around all things hypertonic bicarb for sodium delivery, preventing acidosis with isotonic bicarb, how those sneaky-brilliant toxicologists will use lidocaine, and when to push the "panic button" on intra-lipid.

In this episode we cover the obvious, and subtleties around Valproic Acid toxicities. We talk everything from cerebral edema, giving that L-Carnitine and when to spin that IHD machine. 

In this episode we summarize the new COVID Chapter (well not so new, but spot on predictions from Jan 26th).

Steroids = Yes. Dose... 6mg and keep going up?

Toci / Bari = maybe

Cocktails / Plasma = Nope

Come take a listen for all things anticoagulation, immune modulation and organ support.

In this episode we continue on the path of DIC: the scary sub-phenotype that is Purpura Fulminans. When your patient is necrosing everything, you need to act quickly before they start losing organs and digits. Come listen for identification, anticoagulation, protein C and all its goodness, when to give Vitamin K, and why to really be careful about Warfarin.

In this episode, we cover disseminated intravascular coagulation. It sounds bad, because it is. Come listen and refresh your skills around supporting the bleed-bleedy versus the cloth-clotty, how to differentiate DIC and chronic liver failure and a few more juicy clinical pearls.

Annnnnnnnd We are back. Sorry, but after Andor has finally finished we have now got time to discuss the old type 1 MI, aka STEMI aka Occlusive Myocardial Infarction. Come listen for all those basics and some nuances around myocardial infarction in critically unwell patients. We talk when to DAPT, who gets full anticoagulation, hemodynamic support, and when to wake our Cardiology friends up in the night. 

In this episode, we cover the spectrum of lithium toxicity, from the acute ingestion, to the patient with saturated brain tissue. Come take a listen to explore the nuances around volume repletion, when or should you reach for dialysis, what SILENT is or does it exist.