By vanstrokepr on December 11, 2020
In this episode we cover the crucial approach to what drives hemorrhagic shock: lots of bleeding. Come take a listen for the nuances around an organized approach to 1:1:1 and may we be as bold to say… 1:1:1:1 (fibrinogen, YAY). All things hypocalcemia, hypothermia, acidosis and what lines to use.
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By vanstrokepr on December 4, 2020
We were actively trying to fill your life with non-covid things… but we just had to talk about these big new things. Come take a listen of aerosol transmission, why Remdesivir just doesn’t work in the real world, why not to make the same mistake with the -mab du jour, and a few other tid
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By vanstrokepr on December 1, 2020
In this episode, we cover that daily issue: Is this a VAP? Come take listen to level up beyond leukocytosis, inflammation, consolidation, worsening oxygenation and positive cultures. Viva la Piptazo – Linezolid/Vanco diad.
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By vanstrokepr on November 28, 2020
In this episode, we cover another great white whale in critical care: Hemophagocytic LymphoHistiocytosis (HLH). When your macrophages turn into paceman and start chomping your own cells, you’re in trouble. Com listen about genetic predisposition to unchecked immune response, and a conversation around immunomodulation.
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By vanstrokepr on November 16, 2020
In this episode we cover the big picture view of ileus, gastroparesis and colonic pseudo-obstruction. Come take a listen so summarize these issues you will encounter on the daily.
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By vanstrokepr on October 23, 2020
In this episode, we cover the DVT of the Brain… Cerebral Venous Thrombosis. Lace up your shoes, start washing those dishes, do whatever you need to do while we remind you about presentation, workup and most of all, treatment. As 1% of all strokes and the most common cause of stroke in young patients, you’ll
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By vanstrokepr on October 19, 2020
In this episode we cover the often overlooked topic of glycemic control in the ICU. What blood sugar should we be targeting? Is that hyperglycaemia a stress response? Insulin resistance? Iatrogenic? All of the above. Come listen to our discussion, and Josh’s attempt at clearing up a confused evidence base.
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By vanstrokepr on October 16, 2020
We’ve reached a milestone, 100 episodes! In this podcast, we cover ICU level thiamine deficiency, not just your white-whale of Wernicke encephalopathy. Come take a listen for dosing, clinical features and complications.
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By vanstrokepr on October 13, 2020
In this episode, we cover the approach to the not-so-rare cause of ICU level pancreatitis: hypertriglyceridemia. Come take a listen for nuances around insulin management, and second thoughts around using heparin and plasmapheresis.
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By vanstrokepr on September 14, 2020
In this episode we simplify the approach to covering your invasive fungal infections in critically unwell patients. Yeast vs Mold vs Endemic Mycoses Azoles vs Echinocandins vs Amphotericin
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By vanstrokepr on September 12, 2020
Its the rare occasion you go one complete day without treating Nausea and vomiting in the ICU. In this episode, we cover the ddx you can’t miss, and the multiple receptors to target in your patients.
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By vanstrokepr on August 28, 2020
In this episode, we cover the essentials of analgesia for your critically ill patients. Spoiler alert, multimodal approaches are the way to go. If your MAR only has opiates on it, there may be a problem. Come listen for a new twist on the ladder approach, all things ketamine / precedes and lidocaine… with
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