WBM Emergency & Critical Care

WhiteBoard Medicine

WBM Emergency & Critical Care is an educational podcast focused on emergency medicine, critical care, and acute care topics. Through physiology-based discussions and evidence-informed reviews, we aim to help healthcare professionals strengthen their understanding of complex clinical concepts.  To contact us, email WBMECC@gmail.com WBM provides educational content for healthcare professionals and trainees. Content is intended for educational purposes only and should not be used as a substitute for independent clinical judgment. Full disclaimer: https://whiteboardmedicine.com/disclaimer/

  1. 1d ago

    #329 Decompensating Aortic Valvulopathies Masterclass: Aortic Stenosis and Aortic Regurgitation

    Decompensating aortic valve disease can lead to pulmonary edema, hypotension, cardiogenic shock, arrhythmias, and rapid hemodynamic collapse. In this masterclass episode, we compare severe aortic stenosis and severe aortic regurgitation, focusing on physiology, bedside recognition, hemodynamic differences, emergency management principles, and key clinical pitfalls. Topics covered include: • What aortic valvulopathies are • Aortic stenosis versus aortic regurgitation • Severe aortic stenosis physiology • Fixed left ventricular outflow obstruction • Pressure overload and left ventricular hypertrophy • Preload dependence and coronary perfusion • Severe aortic regurgitation physiology • Aortic valve insufficiency and regurgitant flow • Left ventricular volume overload • Diastolic runoff and low diastolic pressure • Acute versus chronic aortic regurgitation • Pulmonary edema and cardiogenic shock • Bedside recognition and diagnostic clues • Murmurs, pulse pressure, ECG, POCUS, and echocardiography • Vasopressor, inotrope, vasodilator, and fluid considerations • Key differences in emergency management • Valve intervention and definitive management Watch the full video on YouTube: https://www.youtube.com/watch?v=-7YRaZywRXQ  📚 Want More Emergency & Critical Care Medicine Education? Join the WhiteBoard Medicine Patreon community: https://www.patreon.com/WhiteBoardMedicine Patreon members receive access to: • Downloadable Study Guides • Clinical One-Pagers • Practice Questions • Mini-Courses • Comprehensive Clinical Reviews • Ad-Free Videos • Early Access Content 🌐 WhiteBoard Medicine Website Explore our growing library of critical care and emergency medicine content: https://www.whiteboardmedicine.com ⚠️ Educational Disclaimer: This content is intended for educational purposes only and should not be used as a substitute for clinical judgment, institutional protocols, specialist consultation, or individualized patient care. Full disclaimer: https://whiteboardmedicine.com/disclaimer

  2. 3d ago

    #328 Peak Pressure vs Plateau Pressure Masterclass: Airway Resistance, Lung Compliance, and Pressure

    Peak pressure and plateau pressure are foundational concepts in mechanical ventilation and ventilator troubleshooting. In this masterclass episode, we review airway resistance and lung compliance, then take a deeper dive into peak pressure, plateau pressure, ventilator pressure interpretation, and how these values help identify obstructive physiology, reduced compliance, and ventilator-related problems. Topics covered include: • Airway resistance basics • Lung compliance basics • Peak pressure basics • Plateau pressure basics • Difference between peak pressure and plateau pressure • How airway resistance affects peak pressure • How lung compliance affects plateau pressure • High peak pressure with normal plateau pressure • High peak pressure with high plateau pressure • Causes of increased airway resistance • Causes of decreased lung compliance • Inspiratory hold maneuver • Ventilator waveforms and pressure interpretation • Obstructive physiology and bronchospasm • ARDS, pulmonary edema, atelectasis, and low compliance • Practical ventilator troubleshooting • Bedside approach to peak and plateau pressure changes Watch the full video on YouTube: https://www.youtube.com/watch?v=RLIJKFpD1H4  📚 Want More Emergency & Critical Care Medicine Education? Join the WhiteBoard Medicine Patreon community: https://www.patreon.com/WhiteBoardMedicine Patreon members receive access to: • Downloadable Study Guides • Clinical One-Pagers • Practice Questions • Mini-Courses • Comprehensive Clinical Reviews • Ad-Free Videos • Early Access Content 🌐 WhiteBoard Medicine Website Explore our growing library of critical care and emergency medicine content: https://www.whiteboardmedicine.com ⚠️ Educational Disclaimer: This content is intended for educational purposes only and should not be used as a substitute for clinical judgment, institutional protocols, specialist consultation, or individualized patient care. Full disclaimer: https://whiteboardmedicine.com/disclaimer

  3. 5d ago

    #327 Airway Resistance & Lung Compliance Explained: Peak Pressure, Plateau Pressure, Ventilator Basics

    Airway resistance and lung compliance are foundational concepts for understanding mechanical ventilation, peak pressure, plateau pressure, and ventilator troubleshooting. In this episode, we review what airway resistance and lung compliance mean, how they affect ventilator pressures, and how to interpret changes in peak and plateau pressure at the bedside. Topics covered include: • What airway resistance means • What lung compliance means • Peak pressure basics • Plateau pressure basics • Difference between peak pressure and plateau pressure • How airway resistance affects peak pressure • How lung compliance affects plateau pressure • High airway resistance patterns • Low lung compliance patterns • Common causes of increased airway resistance • Common causes of decreased lung compliance • Ventilator waveform basics • Practical interpretation of ventilator pressures • Introductory ventilator troubleshooting Watch the full video on YouTube: https://www.youtube.com/watch?v=rugnCUpH6S8  📚 Want More Emergency & Critical Care Medicine Education? Join the WhiteBoard Medicine Patreon community: https://www.patreon.com/WhiteBoardMedicine Patreon members receive access to: • Downloadable Study Guides • Clinical One-Pagers • Practice Questions • Mini-Courses • Comprehensive Clinical Reviews • Ad-Free Videos • Early Access Content 🌐 WhiteBoard Medicine Website Explore our growing library of critical care and emergency medicine content: https://www.whiteboardmedicine.com ⚠️ Educational Disclaimer: This content is intended for educational purposes only and should not be used as a substitute for clinical judgment, institutional protocols, specialist consultation, or individualized patient care. Full disclaimer: https://whiteboardmedicine.com/disclaimer

  4. Sep 26

    #326 PaO2 vs Oxygen Saturation vs Oxygen Content Explained: Key Differences in Oxygenation

    PaO2, oxygen saturation, and oxygen content are related but very different ways of understanding oxygenation and oxygen delivery. In this episode, we compare PaO2, SpO2/SaO2, and arterial oxygen content, focusing on what each value means, how they are measured, how they relate to hemoglobin, and why normal oxygen saturation does not always mean normal oxygen delivery. Topics covered include: • What PaO2 means • What oxygen saturation means • SpO2 versus SaO2 • What oxygen content means • The oxygen-hemoglobin dissociation curve • Relationship between PaO2 and oxygen saturation • Hemoglobin-bound oxygen versus dissolved oxygen • Arterial oxygen content and the CaO2 equation • Why hemoglobin concentration matters • Oxygen delivery and the DO2 equation • Anemia and oxygen content • Hypoxemia and oxygen saturation • Shock and impaired oxygen delivery • Practical clinical interpretation of oxygenation values Watch the full video on YouTube: https://www.youtube.com/watch?v=eMNinvf9hk8  📚 Want More Emergency & Critical Care Medicine Education? Join the WhiteBoard Medicine Patreon community: https://www.patreon.com/WhiteBoardMedicine Patreon members receive access to: • Downloadable Study Guides • Clinical One-Pagers • Practice Questions • Mini-Courses • Comprehensive Clinical Reviews • Ad-Free Videos • Early Access Content 🌐 WhiteBoard Medicine Website Explore our growing library of critical care and emergency medicine content: https://www.whiteboardmedicine.com ⚠️ Educational Disclaimer: This content is intended for educational purposes only and should not be used as a substitute for clinical judgment, institutional protocols, specialist consultation, or individualized patient care. Full disclaimer: https://whiteboardmedicine.com/disclaimer

  5. Sep 24

    #325 Decompensating Aortic Regurgitation Explained: Recognition, Hemodynamics, and Emergency Management

    Decompensating aortic regurgitation is a high-risk clinical scenario where severe aortic valve insufficiency can lead to pulmonary edema, hypotension, cardiogenic shock, and rapid hemodynamic collapse. In this episode, we review the physiology of aortic regurgitation, how acute and chronic aortic regurgitation can decompensate, key bedside recognition features, and the principles of emergency and critical care management. Topics covered include: • What aortic regurgitation is • Acute versus chronic aortic regurgitation • Aortic valve insufficiency and regurgitant flow • Left ventricular volume overload • Diastolic runoff and low diastolic pressure • Wide pulse pressure in chronic aortic regurgitation • Pulmonary edema in acute aortic regurgitation • Hypotension and cardiogenic shock • Why bradycardia can worsen aortic regurgitation • Afterload and forward flow considerations • Bedside recognition and diagnostic clues • Murmur findings and pulse pressure patterns • ECG, chest X-ray, point-of-care ultrasound, and echocardiography • Vasodilator, vasopressor, and inotrope considerations • Avoiding common management pitfalls • Valve intervention and definitive management Watch the full video on YouTube: https://www.youtube.com/watch?v=4yDoxqxgk1c  📚 Want More Emergency & Critical Care Medicine Education? Join the WhiteBoard Medicine Patreon community: https://www.patreon.com/WhiteBoardMedicine Patreon members receive access to: • Downloadable Study Guides • Clinical One-Pagers • Practice Questions • Mini-Courses • Comprehensive Clinical Reviews • Ad-Free Videos • Early Access Content 🌐 WhiteBoard Medicine Website Explore our growing library of critical care and emergency medicine content: https://www.whiteboardmedicine.com ⚠️ Educational Disclaimer: This content is intended for educational purposes only and should not be used as a substitute for clinical judgment, institutional protocols, specialist consultation, or individualized patient care. Full disclaimer: https://whiteboardmedicine.com/disclaimer

  6. Sep 22

    #324 Decompensating Aortic Stenosis Explained: Recognition, Hemodynamics, and Emergency Management

    Decompensating aortic stenosis is a high-risk clinical scenario where fixed left ventricular outflow obstruction can lead to hypotension, pulmonary edema, cardiogenic shock, arrhythmias, and rapid hemodynamic collapse. In this episode, we review the physiology of severe aortic stenosis, how decompensation develops, key bedside recognition features, and the principles of emergency and critical care management. Topics covered include: • What aortic stenosis is • Severe aortic stenosis physiology • Fixed left ventricular outflow obstruction • Pressure overload and left ventricular hypertrophy • Preload dependence and diastolic filling • Coronary perfusion considerations • Why tachycardia and hypotension are dangerous • Pulmonary edema in aortic stenosis • Syncope, angina, dyspnea, and heart failure symptoms • Decompensated aortic stenosis and cardiogenic shock • Bedside recognition and diagnostic clues • ECG, chest X-ray, point-of-care ultrasound, and echocardiography • Vasopressor and fluid considerations • Avoiding common management pitfalls • Valve intervention and definitive management Watch the full video on YouTube: https://www.youtube.com/watch?v=Idk53aRgELM  📚 Want More Emergency & Critical Care Medicine Education? Join the WhiteBoard Medicine Patreon community: https://www.patreon.com/WhiteBoardMedicine Patreon members receive access to: • Downloadable Study Guides • Clinical One-Pagers • Practice Questions • Mini-Courses • Comprehensive Clinical Reviews • Ad-Free Videos • Early Access Content 🌐 WhiteBoard Medicine Website Explore our growing library of critical care and emergency medicine content: https://www.whiteboardmedicine.com ⚠️ Educational Disclaimer: This content is intended for educational purposes only and should not be used as a substitute for clinical judgment, institutional protocols, specialist consultation, or individualized patient care. Full disclaimer: https://whiteboardmedicine.com/disclaimer

  7. Sep 20

    #323 Mechanical Ventilation Masterclass: Optimizing PEEP with Driving Pressure and Stress Index

    PEEP optimization is a key part of lung-protective mechanical ventilation, especially when managing hypoxemia, atelectasis, ARDS, overdistension, tidal recruitment, and ventilator-induced lung injury. In this episode, we review how driving pressure and stress index can help guide PEEP decisions and support a more physiologic approach to ventilator management. Topics covered include: • What PEEP is • Why PEEP optimization matters • Alveolar recruitment and derecruitment • Overdistension and lung stress • Driving pressure and respiratory system compliance • Plateau pressure, PEEP, and tidal volume relationships • Stress index and pressure-time waveform interpretation • Stress index less than 1 • Stress index equal to 1 • Stress index greater than 1 • Using driving pressure to guide PEEP • Using stress index to guide PEEP • Balancing recruitment and overdistension • Lung-protective ventilation in ARDS • Practical bedside approach to PEEP optimization • Limitations and clinical context Watch the full video on YouTube: https://www.youtube.com/watch?v=7TYioPC4_lo  📚 Want More Emergency & Critical Care Medicine Education? Join the WhiteBoard Medicine Patreon community: https://www.patreon.com/WhiteBoardMedicine Patreon members receive access to: • Downloadable Study Guides • Clinical One-Pagers • Practice Questions • Mini-Courses • Comprehensive Clinical Reviews • Ad-Free Videos • Early Access Content 🌐 WhiteBoard Medicine Website Explore our growing library of critical care and emergency medicine content: https://www.whiteboardmedicine.com ⚠️ Educational Disclaimer: This content is intended for educational purposes only and should not be used as a substitute for clinical judgment, institutional protocols, specialist consultation, or individualized patient care. Full disclaimer: https://whiteboardmedicine.com/disclaimer

  8. Sep 18

    #322 Refractory Shock Masterclass: Nitric Oxide Scavengers, Methylene Blue, and Hydroxocobalamin

    Methylene blue and hydroxocobalamin are rescue therapies sometimes considered for vasoplegic shock and refractory vasodilation. In this episode, we compare methylene blue with hydroxocobalamin, focusing on mechanisms of action, nitric oxide-mediated vasodilation, hemodynamic effects, dosing considerations, adverse effects, and practical clinical use. Topics covered include: • What vasoplegic shock is • Refractory vasodilation and shock physiology • Nitric oxide-mediated vasodilation • Methylene blue mechanism of action • Hydroxocobalamin mechanism of action • Hemodynamic effects of methylene blue • Hemodynamic effects of hydroxocobalamin • Clinical scenarios where these agents may be considered • Dosing and administration considerations • Adverse effects and monitoring • Interference with labs, pulse oximetry, and dialysis machines • Methylene blue versus hydroxocobalamin comparison • Practical bedside considerations in vasoplegic shock Watch the full video on YouTube: https://www.youtube.com/watch?v=D77f6YsQhbs  📚 Want More Emergency & Critical Care Medicine Education? Join the WhiteBoard Medicine Patreon community: https://www.patreon.com/WhiteBoardMedicine Patreon members receive access to: • Downloadable Study Guides • Clinical One-Pagers • Practice Questions • Mini-Courses • Comprehensive Clinical Reviews • Ad-Free Videos • Early Access Content 🌐 WhiteBoard Medicine Website Explore our growing library of critical care and emergency medicine content: https://www.whiteboardmedicine.com ⚠️ Educational Disclaimer: This content is intended for educational purposes only and should not be used as a substitute for clinical judgment, institutional protocols, specialist consultation, or individualized patient care. Full disclaimer: https://whiteboardmedicine.com/disclaimer

About

WBM Emergency & Critical Care is an educational podcast focused on emergency medicine, critical care, and acute care topics. Through physiology-based discussions and evidence-informed reviews, we aim to help healthcare professionals strengthen their understanding of complex clinical concepts.  To contact us, email WBMECC@gmail.com WBM provides educational content for healthcare professionals and trainees. Content is intended for educational purposes only and should not be used as a substitute for independent clinical judgment. Full disclaimer: https://whiteboardmedicine.com/disclaimer/

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