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Critical Care Medicine Podcasts

Critical Care Medicine iCritical Care Podcast Latest Episodes

iCritical Care: Critical Care Medicine is a customized podcast feed that offers a portion of the iCritical Care podcasts, delivering only those related to the Society of Critical Care Medicine's premier peer-reviewed, scientific journal in critical care.

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SCCM Pod-417 COVID-19-Associated Acute Respiratory Distress Syndrome
Clinicians are working to understand and formulate an effective treatment for COVID-19-associated acute respiratory distress syndrome (Marini J. Crit Care Med. 2020 May 13; Epub ahead of print). Host Kyle B. Enfield, MD, FCCM, discusses specifics with John J. Marini, MD.

They also discuss the need to continue sharing clinical data, experience, and ideas. Dr. Marini is director of physiological and translational research at Regions Hospital in Saint Paul, Minnesota, USA. Published: 6/24/2020
SCCM Pod-416 COVID-19 Learning: Multiple Patients on a Single Ventilator
In a situation where ventilators are in short supply, multiple patients on a single ventilator could be a strategy of last resort. In this podcast, Arthur S. Slutsky, MD, discusses his article "Personalized Ventilation to Multiple Patients Using a Single Ventilator: Description and Proof of Concept" (Han J, et al. Crit Care Explor. 2020;2:e0118). A figure included in the article will provide a valuable visual aid to listeners.

Dr. Slutsky will discuss publishing information he hopes no one will ever have to use, but he encourages institutions to practice and test the proof of concept as an exercise in emergency preparedness.

The concept may also have benefit for resource-limited areas. Beyond the complexity of building the circuits, challenges related to alarms, infection control, and other complexities must also be considered.

"In a time of crisis where resources are limited, we introduce a system of multiple secondary breathing circuits driven by a ventilator in preference to that of simply splitting the breathing circuits, which has been shown to raise multiple risks for patients," he writes.

Dr. Slutsky is vice president or research at St. Michael's Hospital and professor of medicine, surgery, and biomedical engineering at University of Toronto in Ontario, Canada. Published: 5/28/2020
SCCM Pod-414 COVID-19 VIRUS Registry Aims to Identify Effective Treatment Strategies
Discovery, the Critical Care Research Network's Viral Infection and Respiratory Illness Universal Study creates a real-time COVID-19 registry of current ICU and hospital care patterns.

Explore the pressing need for this study, its current status and future goals, how it differs from other large registry datasets, and more (Walkey A, et al. Crit Care Explor. 2020;2:e0113) with host Ashish K. Khanna, MD, FCCP, FCCM, and co-principal investigator Allan J. Walkey, MD, MSc. Learn more about the registry.

Dr. Walkey is an associate professor at Boston University School of Medicine in the section of pulmonary, allergy, sleep, and critical care medicine in Boston, Massachusetts, USA. Published: 5/7/2020
SCCM Pod-413 COVID-19 Fact Versus Science Fiction
Explore the need for randomized COVID-19 clinical trials and the difficulties and potential consequences of misinformation (Ingraham N, et al. Crit Care Explor. 2020;2:e0108) with host Ashish K. Khanna, MD, FCCP, FCCM, and Nicholas E. Ingraham, MD.

Dr. Ingraham is a fellow and a part of the University of Minnesota's Department of Medicine in the Division of Pulmonary and Critical Care in Minneapolis, Minnesota, USA. Published: 5/1/2020
SCCM Pod-410 COVID-19 Neurologic Manifestations
Review neurologic manifestations of COVID-19 and other severe respiratory viral contagions (Robinson C, et al. Crit Care Explor. 2020;2:e0107) with host Ludwig H. Lin, MD, and author Christopher P. Robinson, DO, MS. In their discussion, they touch on identifying primary and secondary neurological manifestations associated with COVID-19, the main mechanisms of neurological injury, diagnostics, and possible treatments.

Dr. Robinson is assistant professor of neurology and neurosurgery at the University of Florida in Gainesville, Florida, USA. Published: 4/8/2020
SCCM Pod-409 SSC COVID-19 Guidelines
Explore the Surviving Sepsis Campaign's Guidelines on the Management of Critically Ill Adults with Coronavirus Disease 2019 (COVID-19) (Alhazzani W, et al. Crit Care Med. 2020 Mar 27; Epub ahead of print) with host Kyle B. Enfield, MD, and authors Mitchell M. Levy, MD, MCCM, and Waleed Alhazzani, MD, MSc, FRCPC.

The guidelines discussed were created by the Surviving Sepsis Campaign (SSC), a joint collaboration of the Society of Critical Care Medicine (SCCM) and the European Society of Intensive Care Medicine (ESICM). Published: 4/3/2020
SCCM Pod-408 Vaping-Associated Respiratory Distress Syndrome
Kyle B. Enfield, MD, and Craig M. Lilly, MD, discuss the newly released guidance for vaping-associated respiratory distress syndrome, published in Critical Care Explorations (Lilly C, et al. Crit Care Explor. 2020;2(2): e0081).

They explore screening and risk stratification, vaping exposure criteria, patient evaluation and monitoring, and more. Dr. Lilly is professor of medicine, anesthesiology, and surgery at UMass Memorial Medical Center in Worcester, Massachusetts, USA. Published: 3/13/2020
SCCM Pod-407 Life Following Pediatric Septic Shock
Margaret M. Parker, MD, MCCM, and Jerry J. Zimmerman, MD, PhD, FCCM, talk about the trajectory of long-term mortality and significant health-related quality of life disability among children encountering septic shock.

This discussion is based on two articles Dr. Zimmerman recently published in Critical Care MedicineCritical Illness Factors Associated With Long-Term Mortality and Health-Related Quality of Life Morbidity Following Community-Acquired Pediatric Septic Shock (Zimmerman J, et al. Crit Care Med. 2020;48(3):319-328) and Trajectory of Mortality and Health-Related Quality of Life Morbidity Following Community-Acquired Pediatric Septic Shock (Zimmerman J, et al. Crit Care Med. 2020;48(3):329-337).

Dr. Zimmerman is professor of pediatrics and anesthesiology and a faculty member and emeritus division chief of pediatric critical care medicine at Seattle Children's Hospital, Harborview Medical Center, and University of Washington School of Medicine in Seattle, Washington, USA. He has received research funding from National Institutes of Health, Immunexpress, and Seattle Children’s Research Institute, royalties from Elsevier Publishing as co-editor for Pediatric Critical Care, and travel reimbursement from SCCM. Published: 3/2/2020
SCCM Pod-402 Early Palliative Care Consultations in the ICU
Kyle B. Enfield, MD, and Marin H. Kollef, MD, discuss the findings and design of the cluster randomized crossover trial on early palliative care consultation in the medical intensive care unit (ICU) published in the December 2019 issue of Critical Care Medicine (Ma J, et al. Crit Care Med. 2019;47;1707-1715).

Dr. Kollef outlines the automatic triggers for palliative care consultations that were chosen for the study, the reactions of the transplant physicians and the nursing staff to the study, and the importance of communication in palliative care between the ICU staff, palliative care experts, patients, and families.

Dr. Kollef is a professor of medicine at Washington University of Medicine in St. Louis Missouri, USA. This podcast is sponsored by Sound Critical Care. Published: 12/4/2019
SCCM Pod-396 Post-ICU Clinics and Peer Support Groups to Reduce Post-Intensive Care Syndrome (PICS)
Kyle B. Enfield, MD, and Kimberley J. Haines, PhD, BHSc, discuss implementing post-ICU clinics and peer support groups following critical illness to help reduce the burden of post-intensive care syndrome.

Dr. Haines participated in the Society of Critical Care Medicine’s (SCCM) THRIVE Collaborative which is an ongoing initiative to provide resources and education for ICU patient survivors and families following their ICU stay.

Drs. Enfield and Haines clarify qualitative methods used in the study published in the September 2019 issue of Critical Care Medicine (Haines K, et al. Crit Care Med. 2019;47:1194-1200), and navigate ways to overcome some of the barriers in implementing post-ICU clinics.

Dr. Haines is a senior ICU physiotherapist and physiotherapy researcher lead at Western Health in Melbourne, Australia.

Dr. Haines discloses that her research team was funded by SCCM and that she was the recipient of an SCCM THRIVE Research Grant.

This podcast is sponsored by Sound Critical Care. Published: 10/7/2019