SoCCC Pre-Rounds: Bite-Sized Critical Care Cardiology Topics Delivered By Experts

Dr. Balim Senman, Dr. Elliott Miller, Dr. Simon Parlow, Dr. Anthony Carnicelli
  • 4.0 (5)
  • MEDICINE
  • UPDATED MONTHLY

SoCCC Pre-Rounds is your go-to for quick, high-yield insights in critical care cardiology, hosted by members of the Society of Critical Care Cardiology (SoCCC). With only 160 specialists in the U.S., mentorship is rare. This podcast bridges the gap with bite-sized episodes featuring clinical pearls, expert tips, and real-world answers on topics like cardiogenic shock, ECMO, and resuscitation. Perfect for pre-rounds, night shifts, or leveling up anytime. Listen in. Level up. Join the SoCCC community.

Episodes

  1. The Basics of the Pulmonary Artery Catheter with Dr. Aniket Rali

    FEB 6

    The Basics of the Pulmonary Artery Catheter with Dr. Aniket Rali

    Did you know that pulmonary artery catheters are crucial for patients with unclear shock etiology? In this episode of SoCCC Pre-Rounds, Dr. Elliot Miller sits down with Dr. Aniket Rali, a dual-trained critical care and heart failure cardiologist at Vanderbilt, for a deep dive into the art and science of pulmonary artery catheterization, also known as the Swan-Ganz catheter. Dr. Rali demystifies the PAC by walking us through the fundamentals of when to use it, who should not get one, and how to interpret and troubleshoot the data it provides. Whether you're a resident inserting your first swan or a fellow refining your hemodynamic assessments, this episode will elevate your bedside practice. From contraindications and waveform recognition to zeroing, troubleshooting, and avoiding wedge-related complications, Dr. Rali shares high-impact pearls grounded in real-world CICU experience. Key Takeaways Use PACs when shock etiology is unclear; they're diagnostic, not therapeutic Avoid PACs in patients with endocarditis, thrombus, or proximal PE Know your waveforms; it's your only guide during bedside placement Always level and zero the transducer for accurate pressures Justify PAC use daily and remove once it’s no longer needed Troubleshoot waveform loss by checking positioning, clots, or tubing Avoid repeated wedging; use diastolic-to-wedge trends when possible Use chest X-ray to confirm safe placement and prevent complications In This Episode [00:00] Introduction [01:16] Pulmonary artery catheter basics [02:04] Indications for PA catheter use [06:57] Special considerations: left bundle and pacemaker leads [08:12] Bedside placement preparation and checklist [11:33] Presenting PA catheter data on rounds [12:03] Ensuring data accuracy and daily safety checks [15:17] Sequence for presenting hemodynamic data [16:23] Cardiac output measurement methods [18:31] Choosing between Fick and thermodilution [20:04] Limitations in shunt physiology [20:58] Troubleshooting PA catheter issues Notable Quotes [02:17] "At the end of the day, a diagnostic tool is not going to treat your patient. But if it provides you with additional information that helps you reach the right diagnosis, then it becomes a valuable tool." — Dr. Aniket Rali [09:07] "I firmly believe that the more you sweat in peace, less you bleed in war. And that holds true of any procedure." — Dr. Aniket Rali [10:07] "You really should not be putting in a bedside swan unless you have mastered the waveforms, because the waveforms are your only guidance as to which cardiac chamber you are in." —Dr. Aniket Rali [12:31] "I encourage trainees, next time they have a patient with a SWAN Ganz catheter in, to just have them move their arm or move the catheter up by a foot and down by a foot and see how the pressure readings change." — Dr. Aniket Rali [27:28] "Long live the swan." — Dr. Aniket Rali Dr. Aniket Rali Dr. Aniket Rali is a heart failure and critical care cardiologist at Vanderbilt University. She’s known for her expertise in hemodynamics, real-world application of advanced monitoring, and thoughtful mentorship of trainees learning the art of bedside right heart catheterization. Resources and Links Become a member of the Community: https://www.soccc.org/subscribe Dr. Aniket Rali https://medicine.vumc.org/department-directory/Aniket-Rali https://www.linkedin.com/in/aniket-rali-md-facc-fccp-69ab15228 Dr. Elliot Miller https://x.com/ElliottMillerMD https://www.soccc.org/ Supported By: This episode is made possible by unrestricted support from Zoll LifeVest — thanks for keeping high-impact education free for our community. Disclaimer This podcast is not medical advice, just candid, practical discussions about what your hosts do every day in the CICU. Always consult your supervising team and current guidelines before applying any interventions.

    28 min
  2. Navigating the Initial Hours of Cardiogenic Shock with Dr. Rebecca Mathew

    JAN 2

    Navigating the Initial Hours of Cardiogenic Shock with Dr. Rebecca Mathew

    How do you diagnose cardiogenic shock quickly and accurately at the bedside? What should your first therapeutic move be? And how do you know if your resuscitation is working? In this episode of SoCCC Pre-Rounds, Dr. Simon Parlow sits down with Dr. Rebecca Mathew, Director of the Cardiac ICU at the University of Ottawa Heart Institute and co-principal investigator of the CAPITAL Research Group. Together, they break down a clear, real-world approach to diagnosing, stabilizing, and treating cardiogenic shock from the moment the patient arrives. Drawing from frontline CICU experience and landmark trials such as CAPITAL DOREMI, Dr. Mathew discusses why history and physical exam still drive the diagnosis, how to approach congestion and perfusion, when inotropes actually help, and how to integrate invasive hemodynamics when available. The episode offers practical, bedside-ready guidance for clinicians managing shock in any setting. Key Takeaways Cardiogenic shock is best diagnosed through history, exam, and perfusion assessment, not lactate or invasive data alone. SCAI is the most practical framework, but Stage D should be assigned only after a failed therapeutic trial. Use inotropes only if hypoperfusion persists after decongestion; dobutamine quickly shows responsiveness. Swan-Ganz catheters help when available, but most shock worldwide is managed without invasive hemodynamics. Avoid early prognostication in the first 24–48 hours to prevent harmful self-fulfilling assumptions. In This Episode [00:00] Introduction  [01:06] Importance of initial medical management in cardiogenic shock [02:53] Defining cardiogenic shock and SCAI classification [05:27] Phenotypes and subtypes of cardiogenic shock [07:23] Caveats in SCAI classification [07:49] Bedside diagnosis and risk stratification [09:53] Physical exam: hyperperfusion and congestion [11:54] Initial management approach: decongestion and inotropes [14:17] Therapeutic targets and monitoring response [15:24] Inotrope selection and individualized therapy [16:55] Ongoing research and future directions [17:55] Therapeutic targets: clinical and biochemical markers [19:47] Mean arterial pressure (MAP) targets [21:01] Prognostic factors and risk scores Notable Quotes [03:21] “I think in its most basic sense, I think of cardiogenic shock as a clinical syndrome of clinical and biochemical hyper perfusion that’s due to a primary cardiac disorder.” — Dr. Rebecca  [15:48] “People often ask me what inotrope I reach for, and despite having done the DoReMi trial and proving there’s no difference, I am anecdotally a big believer in dobutamine.” - Dr. Rebecca  [22:10] “Once you’re in the throes of shock, I think we just need to focus on the tsunami in front of us and manage that.” [23:26] “The most exciting thing about cardiac critical care and managing cardiogenic shock is you are basically seeing physiology in real time." — Dr. Rebecca Dr. Rebecca Mathew Dr. Rebecca Mathew is a critical care cardiologist and Director of the Cardiac ICU at the University of Ottawa Heart Institute. She leads major cardiogenic shock research programs, including the CAPITAL DOREMI trial published in the New England Journal of Medicine and the ongoing CAPI2 trial focused on early inotrope strategies. Her work spans clinical care, trial leadership, and translational shock physiology. Resources and Links Become a member of the Community: https://www.soccc.org/subscribe Dr. Rebecca Mathew https://www.ottawaheart.ca/profile/mathew-rebecca Dr. Simon Parlow https://www.ottawaheart.ca/profile/parlow-simon https://www.soccc.org/ Supported By: This episode is made possible by unrestricted support from Zoll LifeVest — thanks for keeping high-impact education free for our community. Disclaimer This podcast is not medical advice, just candid, practical discussions about what your hosts do every day in the CICU. Always consult your supervising team and current guidelines before applying any interventions.

    26 min
  3. ECPR: From Cannulation to Prognostication with Dr. Jason Bartos

    12/05/2025

    ECPR: From Cannulation to Prognostication with Dr. Jason Bartos

    Should we be using ECMO during cardiac arrest? In this episode of SoCCC Pre-Rounds, Dr. Balim Senman sits down with Dr. Jason Bartos, interventional and critical care cardiologist at the University of Minnesota and one of the nation’s leading voices on extracorporeal cardiopulmonary resuscitation (ECPR). Together, they break down when and why to consider ECMO in cardiac arrest, the patient selection puzzle, and what truly impacts outcomes in the field. Dr. Bartos shares pearls from the ARREST trial and offers hard-won insights into what it takes to build an ECPR program that saves lives from timing and volume to sedation, TTM, and neuroprognostication. Whether you’re a trainee encountering ECPR for the first time or a team leader building a resuscitation program, this episode delivers essential guidance grounded in real-world experience. Key Takeaways ECPR = ECMO during or shortly after cardiac arrest; best for patients with witnessed arrest and refractory shockable rhythms Avoid ECPR in patients with poor baseline function, irreversible comorbidities, or prohibitive vascular anatomy Outcomes depend on systems: high-volume centers, early activation, and streamlined protocols improve survival Don’t oversedate; sedation is not required for ECMO; prioritize comfort and cannula safety Use 37°C TTM with aggressive fever prevention; ECMO allows precise temperature control Neuroprognostication takes time; wait beyond 72 hours, and don’t withdraw care too early some patients recover even after 30 days In This Episode [00:00] Introduction [00:45] Episode introduction & guest welcome [01:25] What is ECPR? [02:14] Rationale and data behind ECPR [03:13] Key ECPR trials and outcomes [08:56] ECPR patient selection & center volume [10:15] Selection criteria details [13:06] Absolute and relative contraindications [15:11] In-hospital ECPR activation & information gathering [16:21] Standardizing in-hospital ECPR response [18:22] Timing and team mobilization for ECR [19:56] Post-ECMO management: sedation & temperature [21:40] Sedation practices on ECMO [23:28] Temperature management evolution [25:29] Neuroprognostication after ECPR [29:13] Early predictors of poor neurological outcome Notable Quotes [01:34] "ECPR is extracorporeal cardiopulmonary resuscitation. It's the use of ECMO for patients with cardiac arrest." — Dr. Jason Bartos [25:40] "The danger to the patients in the ICU post-arrest is us. We really have the task of trying to determine and predict and inform family members of how their loved one is going to do in this worst circumstance of their life." — Dr. Jason Bartos [25:29] "Neuroprognostication is near and dear to my heart, partly because I think it's honestly the most important thing we do in the ICU for any post-arrest patient, but particularly for this population." — Dr. Jason Bartos Dr. Jason Bartos Dr. Jason Bartos is an interventional and critical care cardiologist at the University of Minnesota. He leads one of the nation’s highest-volume ECPR programs and is a founding member of the Center for Resuscitation Medicine. He is nationally recognized for his leadership in post-arrest care, real-world ECMO implementation, and advancing cardiac arrest science. Resources and Links Become a member of the Community: https://www.soccc.org/subscribe Dr. Jason Bartos https://med.umn.edu/bio/jason-bartos https://www.linkedin.com/in/jason-bartos-b6898441 Dr. Balim Senman https://www.linkedin.com/in/balim-senman-7561436b/ https://x.com/BalimSenmanMD https://www.soccc.org/ Supported By: This episode is made possible by unrestricted support from Zoll LifeVest — thanks for keeping high-impact education free for our community. Disclaimer This podcast is not medical advice, just candid, practical discussions about what your hosts do every day in the CICU. Always consult your supervising team and current guidelines before applying any interventions.

    32 min
  4. The Hidden Heart Crisis: Managing Right Ventricular Failure with Dr. Ryan Tedford

    11/07/2025

    The Hidden Heart Crisis: Managing Right Ventricular Failure with Dr. Ryan Tedford

    In this episode, Dr. Anthony Carnicelli sits down with Dr. Ryan Tedford, a top expert on right ventricular (RV) failure, to break down everything you need to know about this tricky condition. RV failure happens when the right side of the heart struggles to pump properly, messing with blood flow through the lungs and raising pressure in the veins. It shows up in a bunch of serious illnesses like pulmonary hypertension, left heart failure, and sepsis. Dr. Tedford walks us through how to spot RV failure using key measurements from right heart catheterization, like right atrial pressure and the pulmonary artery pulsatility index (PAPi). He also shares a simple, practical approach to managing RV failure: avoid overloading the heart with fluids, lower the pressure, the right heart has to pump against with pulmonary vasodilators, and boost its strength with inotropes like dobutamine. And when things get really serious, mechanical support might be needed. The good news? The right ventricle is pretty resilient, and with the right care, patients can bounce back. Key Takeaways RV failure is a clinical syndrome due to dysfunction in any part of the right heart circulatory system, not just the RV itself. Don't skip hemodynamics: Right heart cath data is essential to distinguish RV from LV failure and guide therapy. Afterload reduction strategies include managing left-sided filling pressures and careful ventilator settings (avoid high PEEP and hyperinflation). The RV is more resilient than we think with the right therapy, recovery is often possible, even in severe cases. In This Episode [00:00] Introduction [01:39] Defining right ventricular failure [02:14] Importance of the right heart in critical care [03:57] Role of hemodynamic evaluation [04:12] Key hemodynamic metrics for RV failure [05:19] Echo vs. hemodynamics in RV failure [08:01] Treatment strategies: preload, afterload, and contractility [10:04] Avoiding hypotension and ischemia [11:16] Stepwise vs. immediate mechanical support [12:07] Prognosis and recovery of RV failure [13:50] Closing remarks and takeaways Notable Quotes [02:02] "Although the RV is one of the biggest and perhaps most important components of the right heart circulatory system, actually any part of the right heart circulatory system can contribute to overall right heart failure." — Dr. Ryan Tedford [02:43] "If you go back, you know, 30 years or 80 years, in fact, the right heart has been largely ignored." — Dr. Ryan Tedford [04:04] "A comprehensive hemodynamic evaluation is really key. And I would say you really can't get it right without the right heart catheterization." — Dr. Ryan Tedford Dr. Ryan Tedford Dr. Tedford is a Professor of Medicine/Cardiology and holds the Dr. Peter C. Gazes Endowed Chair in Heart Failure at the Medical University of South Carolina (MUSC). He directs the Advanced Heart Failure and Transplant Fellowship and serves as the section head of heart failure and medical director of cardiac transplantation. An internationally recognized researcher with over 200 publications, his work focuses on right ventricular function, pulmonary hypertension, and hemodynamics. Resources and Links Become a member of the Community: https://www.soccc.org/subscribe Dr. Ryan Tedford https://www.linkedin.com/in/ryan-tedford-7163aa6/ Dr. Anthony Carnicelli https://www.soccc.org/ https://www.linkedin.com/in/anthony-carnicelli-926a0b88/ Mentioned  Pragmatic approach to temporary mechanical circulatory support in acute right ventricular failure by Dr. Anthony Carnicelli Supported By: This episode is made possible by unrestricted support from Zoll LifeVest — thanks for keeping high-impact education free for our community. Disclaimer This podcast is not medical advice, just candid, practical discussions about what your hosts do every day in the CICU. Always consult your supervising team and current guidelines before applying any interventions.

    15 min
  5. Post-Cath Instability: Rapid Evaluation and Management in the ICU

    10/03/2025

    Post-Cath Instability: Rapid Evaluation and Management in the ICU

    What do you do when a patient returns from the cath lab hypotensive and unstable? In this episode of SoCCC Pre-Rounds, critical care cardiologists Dr. Ann Gage and Dr. Zach Il'Giovine join host Dr. Elliott Miller to break down the management of post-catheterization hypotensive emergencies. This conversation delves into rapid assessment, differential diagnosis, and life-saving interventions in the acute care setting. The experts emphasize the importance of taking a moment to gather context before rushing to the bedside. Was it a PCI, EP study, or structural intervention? This pause allows for a more focused differential diagnosis, covering complications such as vascular issues (groin hematoma, retroperitoneal bleed), cardiac tamponade, and acute stent thrombosis. A standout takeaway: manual pressure is your first-line tool for managing bleeding, and don’t hesitate to call the proceduralist early. They also highlight when to order a CT scan (pro-tip: non-contrast first) and the principles behind massive transfusion protocols. This episode offers actionable insights for handling hypotensive emergencies with confidence and precision. Key Takeaways Build a differential based on the cath details: arterial, venous, pericardial? Retroperitoneal bleed is high on the list for sudden post-cath hypertension. First move: Is the patient in extremis? If yes, act. If not, think. Groin pain or back pain? Start with pressure and basic labs. For massive bleeds: use balanced transfusions and proper IV access. Most important treatment for groin bleeds? Manual pressure. In This Episode [00:00] Introduction [00:56] Meet the guests: Dr. Ann Gage and Zach Il'Giovine [02:09] Gathering info before seeing post-cath patient [03:46] Building the differential diagnosis [08:13] Physical exam and bedside assessment [09:57] Hemodynamic assessment and initial workup [16:00] Massive hemorrhage and transfusion protocols [17:05] Procedural complications and communication [19:55] Manual pressure crucial for groin bleeds [21:11] Conclusion and take-home messages Notable Quotes [04:06] "I was told once by a medicine resident that if you were a good resident, you would have two or three things on your differential, but if you were great, you would appear at the bedside with at least 10 things on your differential." — Dr. Ann [00:13:55] "Nothing really makes me madder than coming in the morning and seeing that the residents gave contrast to ten people, when if you've got a hemodynamically significant bleed, you do not need contrast." — Dr. Elliott [00:20:53] "On more than one occasion, manual pressure has saved lives." — Dr. Zach  Dr. Ann Gage Dr. Ann Gage is a critical care and interventional cardiologist at Centennial Heart in Nashville. She bridges the cath lab and CICU with expertise in both patient care and procedural nuance. Dr. Zach Il'Giovine Dr. Zach Il'Giovine is a heart failure and critical care cardiologist at Centennial Heart. He focuses on managing complex ICU patients, procedural complications, and bridging multidisciplinary care. Resources and Links Become a member of the Community: https://www.soccc.org/subscribe Dr. Ann Gage  https://centennialheart.com/ https://www.linkedin.com/in/ann-gage-b7036831 https://x.com/anngagemd?lang=en Dr. Zach IlGiovine https://centennialheart.com/ https://www.linkedin.com/in/zachary-il-giovine https://x.com/zilgiovinemd?lang=en Dr. Elliott Miller https://x.com/ElliottMillerMD https://www.soccc.org/ Supported By: This episode is made possible by unrestricted support from Zoll LifeVest — thanks for keeping high-impact education free for our community. Disclaimer This podcast is not medical advice, just candid, practical discussions about what your hosts do every day in the CICU. Always consult your supervising team and current guidelines before applying any interventions.

    22 min
  6. The Basics of ECMO with Dr. Jason Katz

    09/05/2025

    The Basics of ECMO with Dr. Jason Katz

    In this episode of SoCCC Pre-Rounds, Dr. Simon Parlow sits down with Dr. Jason Katz,  advanced heart failure and transplant cardiologist, critical care leader, and president of the Society of Critical Care Cardiology, to dive into the real-world challenges of managing VA ECMO at the bedside. ECMO can be life-saving, but it’s also one of the most complex tools in the ICU. Dr. Katz breaks down what every trainee needs to know: the difference between VV and VA ECMO, when and how to decide who’s a candidate, and why every cannulation must come with an “exit strategy.” He shares practical insights on navigating the first critical days, staying vigilant for complications like Harlequin syndrome, and when left ventricular venting makes sense. If you’ve ever felt overwhelmed by the idea of managing a patient on VA ECMO, this episode gives you a clear, practical roadmap so you feel more prepared the next time you see an ECMO consult roll into the CICU. Key Takeaways The difference between VV and VA ECMO and why VA supports both the heart and lungs. Classic indications for VA ECMO: when to consider it for refractory cardiogenic shock or cardiac arrest. How to decide if your patient has a viable exit strategy, bridge to recovery, bridge to transplant, or bridge to decision. Harlequin syndrome (differential hypoxemia): What it is, how to detect it, and what to do about it. Pearls on left ventricular venting and unloading: when to consider a balloon pump, Impella, or atrial septostomy. Why multi-disciplinary shock teams are essential for real-time ECMO decision-making. In This Episode [00:00:00] Introduction   [00:00:45] Episode sponsor & guest introduction   [00:01:57] Defining and differentiating VV and VA ECMO   [00:04:47] Indications and patient selection for VA ECMO   [00:06:49] VA ECMO as a bridge and contraindications   [00:10:02] Early management and complications of VA ECMO   [00:14:14] Differential hypoxemia (Harlequin syndrome)   [00:18:18] Left ventricular venting and unloading   [00:22:34] Episode wrap-up and closing  Notable Quotes [05:28] "If there's one thing that is consistent about places that are using VA ECMO is that there is no consistency." — Dr. Jason Katz [10:18] "You need to think about how you're going to get off the device, again, whether you're hoping for recovery or it's a bridge to an exit strategy like durable VAD or transplantation." — Dr. Jason Katz [13:48] "Transplantation as an exit strategy. But again, the longer these patients are on these devices, the ECMO is certainly the case. But for every temporary MCS device, the longer they're on these devices, the higher their risk for getting one of these complications." — Dr. Jason Katz [19:40] "Everything that unloads the heart or unloads the left ventricle is going to vent the left ventricle, but not everything that vents the left heart will necessarily unload or reduce the myocardial oxygen consumption." — Dr. Jason Katz Dr. Jason Katz Associate Chief of Cardiology, Bellevue Hospital; Program Director for Advanced Heart Failure and Transplant Fellowship, NYU; President, Society of Critical Care Cardiology. Nationally recognized leader in advanced heart failure, critical care cardiology, and mechanical circulatory support. Resources and Links Become a member of the Community: ⁠⁠https://www.soccc.org/subscribe⁠⁠ Dr. Jason Katz https://x.com/jasonkatzmd?lang=en https://hfsa.org/jason-n-katz-md-mhs Dr. Simon Parlow https://www.soccc.org/ Supported By: This episode is made possible by unrestricted support from Zoll LifeVest — thanks for keeping high-impact education free for our community. Disclaimer This podcast is not medical advice, just candid, practical discussions about what your hosts do every day in the CICU. Always consult your supervising team and current guidelines before applying any interventions.

    23 min
  7. VT Storm: Taming the Electrical Tempest with Dr. Elliott Miller

    08/08/2025

    VT Storm: Taming the Electrical Tempest with Dr. Elliott Miller

    Welcome to the first episode of SoCCC Pre-Rounds, your new source for focused, practical conversations in critical care cardiology. In this episode, Dr. Balim Senman sits down with  Dr. Elliott Miller to take you inside the real-world management of ventricular tachycardia (VT) storm, a high-risk emergency that demands both quick action and nuanced decision-making. They break down what defines a true VT storm, why recognizing polymorphic vs. monomorphic VT changes everything, and how to rapidly assess patient stability when every second counts. You’ll hear how to choose and dose first-line antiarrhythmics, why procainamide is still guideline-preferred but underused, and when lidocaine plays a role, plus what to watch for with toxicity. The conversation goes deeper than algorithms, highlighting when sedation, intubation, and mechanical support can help break the cycle, and when to escalate to advanced options like stellate ganglion blocks, overdrive pacing, or VT ablation. Real bedside pearls make this episode especially relevant for trainees and anyone wanting to feel more prepared during a cardiac emergency. Walk away with a clear, actionable framework to tackle VT storm with confidence, and practical reminders to always treat the root cause, not just the arrhythmia. Key Takeaways: Understand what VT storm really is and why the type (polymorphic vs. monomorphic) matters. How to assess if a patient is truly unstable and when immediate defibrillation is needed. How to choose first-line antiarrhythmics for stable VT, and why procainamide isn’t used as often as the guidelines suggest. When lidocaine is useful, and how to recognize early signs of lidocaine toxicity. What a stellate ganglion block is and when it’s a practical option for refractory cases. When to think about mechanical circulatory support or early VT ablation for patients not responding to meds. In This Episode: [00:00] Introduction [00:45] Episode topic introduction: VT storm [01:19] Definition of VT storm [02:36] Initial management: stable vs. unstable [03:00] Unstable VT: immediate actions [04:46] Stable VT: first-line medications [07:26] Lidocaine use and toxicity [10:48] Beta blockers in VT storm [11:27] Third-line and advanced interventions [12:05] Stellate ganglion block explained [15:07] Pacing and anti-tachycardia pacing [17:54] Episode wrap-up and closing Notable Quotes [05:31] "Amiodarone seems to drop from the sky and be in the fountains." — Dr. Elliott Miller [14:14] "I remember room 4 vividly. So this is HIPAA safe room 4 of my CICU, a patient in his 60s with sarcoid and he would VT on anything but procainamide anytime we tried to switch him off." — Dr. Elliott Miller [16:51] "Double sequential external defibrillation... I think it’s something you can keep in your back pocket for someone that’s in refractory V fib." — Dr. Elliott Miller Our Guest Dr. Elliott Miller Dr. Elliott Miller is an Assistant Professor of Medicine at Yale School of Medicine and Medical Director of the Cardiac Intensive Care Unit at Yale New Haven Hospital. He specializes in critical care cardiology, with research focused on cardiac arrest, mechanical circulatory support, and CICU systems improvement. A nationally recognized educator, he has received multiple teaching awards and leads efforts to advance care for critically ill cardiovascular patients. Resource & Links Become a member of the Community: https://www.soccc.org/subscribe Dr. Elliott Miller https://x.com/ElliottMillerMD https://www.soccc.org/ Dr. Balim Senman https://www.soccc.org/ https://www.linkedin.com/in/balim-senman- Supported By: This episode is made possible by unrestricted support from Zoll LifeVest — thanks for keeping high-impact education free for our community. Disclaimer This podcast is not medical advice, just candid, practical discussions about what your hosts do every day in the CICU. Always consult your supervising team and current guidelines before applying any interventions.

    19 min

  8. SEASON 1 TRAILER

    SoCCC Pre-Rounds Trailer

    Hosted by members of the Society of Critical Care Cardiology (SoCCC) Pre-Rounds delivers bite-sized, high-yield episodes designed for medical students, residents, fellows, early-career cardiologists, allied health professionals and all enthusiasts of critical care cardiology  navigating the complexities of the field. With only 160 critical care cardiologists in the U.S., mentorship is limited. SoCCC Pre-Rounds fills the gap with expert insights, clinical pearls, and real-world guidance on topics like cardiogenic shock, ECMO, and resuscitation. In short bite sized episodes, top leaders in the field answer key clinical questions—perfect for pre-round prep, night shifts, or sharpening your skills. Listen in. Level up. Join the SoCCC community.

    2 min

Trailer

Ratings & Reviews

4
out of 5
5 Ratings

About

SoCCC Pre-Rounds is your go-to for quick, high-yield insights in critical care cardiology, hosted by members of the Society of Critical Care Cardiology (SoCCC). With only 160 specialists in the U.S., mentorship is rare. This podcast bridges the gap with bite-sized episodes featuring clinical pearls, expert tips, and real-world answers on topics like cardiogenic shock, ECMO, and resuscitation. Perfect for pre-rounds, night shifts, or leveling up anytime. Listen in. Level up. Join the SoCCC community.

Information