94 episodes

Podcast by Sound Physicians

Critical Matters Sound Physicians

    • Science
    • 4.9 • 58 Ratings

Podcast by Sound Physicians

    Intubation & Hypotension

    Intubation & Hypotension

    In this episode of the podcast, we will discuss tracheal intubation-associated hypotension. Endotracheal intubation is a common procedure in the clinical care of critically ill patients. Tracheal intubation in the ICU is often associated with cardiovascular complications that can include hypotension, cardiac arrest, or death. A recently published clinical trial evaluating the impact of a 500ml- bolus of crystalloid solution intravenously on cardiovascular complications post-intubation is the catalyst for our discussion.

    Additional Resources
    Effect of Fluid Bolus Administration on Cardiovascular Collapse Among Critically Ill Patients Undergoing Tracheal Intubation. A Randomized Clinical Trial. The PREPARE II Investigators.
    https://jamanetwork.com/journals/jama/fullarticle/2793545

    Effect of a fluid bolus on cardiovascular collapse among critically ill adults undergoing tracheal intubation (PREPARE) a randomized controlled trial. The PREPARE Investigators. https://pubmed.ncbi.nlm.nih.gov/31585796/
    Previous episodes of Critical Matters discussing other Intravenous Fluid topics.
    Critical Matters_Fluid Responsiveness: https://bit.ly/3bBTOg7
    Critical Matters_Fluid BaSICS: https://bit.ly/3y99S0j

    Link to REBELEM post on Post Intubation Hypotension: The AH SHITE mnemonic.
    https://rebelem.com/post-intubation-hypotension-the-ah-shite-mnemonic/

    Link to PulmCrit Blog on PREPARE clinical trial.
    https://emcrit.org/pulmcrit/prepare/

    Books mentioned in this episode:
    Leonardo Da Vinci. By Walter Isaacson.
    https://amzn.to/3Nw0PfG

    Benjamin Franklin. By Walter Isaacson.
    https://amzn.to/3OM3N0C

    • 41 min
    Wonder Drug

    Wonder Drug

    In this episode of the podcast, we will discuss the science behind the benefits of being Other-Focused and of having a Live-to-Give attitude. Our guest is Dr. Stephen Trzeciak, a practicing intensivist, physician scientist, professor, and chair of medicine at Cooper Medical School of Rowan University in Camden, New Jersey. Dr. Trzeciak is the co-author of “Wonder Drug: 7 Scientifically Proven Ways That Serving Others Is the Best Medicine for Yourself”, a wonderful book soon to be published and the focus of our conversation today.

    Additional Resources
    Website for the book: Wonder Drug: 7 Scientifically Proven Ways That Serving Others Is the Best Medicine for Yourself: https://www.wonderdrugbook.com/
    Link to previous podcast episode with Dr. Trzeciak on Compassionomics: https://bit.ly/3tqBdJU
    Curricula for empathy and compassion training in medical education: A systematic Review. Patel s, et al: https://pubmed.ncbi.nlm.nih.gov/31437225/
    Need for compassion in prehospital and emergency care: A qualitative study on bus crash survivor’s experiences. Doohan I, et al: https://pubmed.ncbi.nlm.nih.gov/25257225/
    “Unsung Hero” a beautifully executed commercial of what it means to be Live to Giver: https://www.youtube.com/watch?v=uaWA2GbcnJU

    Books Mentioned in this Episode:
    Man’s Search for Meaning. By Viktor Frankl: https://amzn.to/3xv9n1J
    Against Empathy: The Case for Rational Compassion. By Paul Bloom: https://amzn.to/3MtzXg1

    • 1 hr 33 min
    Toxicology in the ICU (Part 2)

    Toxicology in the ICU (Part 2)

    We are taking a short break from recording new episodes this month. I hope you enjoy this previously released episode on Toxicology in the ICU. This is part two of a two part series. Today’s episode will focus on specific toxic ingestions and their management. Our guest is Dr. Jerrold B. Leikin. Dr. Leikin is the Director of Medical Toxicology at North Shore University Health System-OMEGA which includes several hospitals in Illinois. In addition, he is a Clinical Professor of Medicine at the Pritzker School of Medicine (University of Chicago) and Professor of Medicine and Pharmacology at Rush Medical College.

    Additional Resources:
    Link to the website for the American Association of Poison Control Centers: https://aapcc.org/
    A three part review series published in CHEST on Toxicology in the ICU:
    https://www.ncbi.nlm.nih.gov/pubmed/21896525
    https://www.ncbi.nlm.nih.gov/pubmed/21972388
    https://www.ncbi.nlm.nih.gov/pubmed/22045882

    Albums Mentioned in this Episode:
    The Beatles Live at the BBC: Dr. Leikin’s recommendation for the one album he would take on a deserted island: https://amzn.to/2vIrX5M

    • 1 hr 12 min
    Toxicology in the ICU (Part 1)

    Toxicology in the ICU (Part 1)

    We are taking a short break from recording new episodes this month. I hope you enjoy this previously released episode on Toxicology in the ICU. This is part one of a two part series. Today’s episode will focus on an overview of toxic ingestions and their general management. Our guest is Dr. Jerrold B. Leikin. Dr. Leikin is the Director of Medical Toxicology at North Shore University Health System-OMEGA which includes several hospitals in Illinois. In addition, he is a Clinical Professor of Medicine at the Pritzker School of Medicine (University of Chicago) and Professor of Medicine and Pharmacology at Rush Medical College.

    Additional Resources:
    Link to the website for the American Association of Poison Control Centers: https://aapcc.org/
    A three-part review series published in CHEST on Toxicology in the ICU.
    https://www.ncbi.nlm.nih.gov/pubmed/21896525
    https://www.ncbi.nlm.nih.gov/pubmed/21972388
    https://www.ncbi.nlm.nih.gov/pubmed/22045882

    Books mentioned in this episode:
    Biographies on Louis Armstrong:
    https://amzn.to/3wsdT0z
    https://amzn.to/38DfEP5
    Albums by Louis Armstrong: https://amzn.to/3Pt40qO

    • 54 min
    Neuroprognostication after Cardiac Arrest

    Neuroprognostication after Cardiac Arrest

    Patients who survive a cardiac arrest often sustain a severe anoxic brain injury. Determining their neurological prognosis is a critical component of post-cardiac arrest care. In this episode of the podcast, we will discuss best practices for Neuroprognostication after Cardiac Arrest. Our guest is Dr. Neha Dangayach, a neurocritical care physician at Mt. Sinai Medical Center in New York. Dr. Dangayach is an Assistant Professor of Neurology and Neurosurgery at the Icahn School of Medicine at Mt. Sinai.

    Additional Resources:
    Predicting outcome from hypoxic-ischemic coma. Levy DE, et al. JAMA 1985: https://pubmed.ncbi.nlm.nih.gov/3968772/
    Prediction of poor neurological outcome in comatose survivors of cardiac arrest: a systematic review. Sandroni C et al. Intensive Care Medicine 2020: https://pubmed.ncbi.nlm.nih.gov/32915254/

    Books Mentioned in this Episode:
    How to Win Friends & Influence People. By Dale Carnegie: https://amzn.to/3Lk9rpn
    Dare to Lead. By Brene Brown: https://amzn.to/3vi1dse
    Think Again. By Adam Grant: https://amzn.to/3OB3l6a

    • 1 hr 12 min
    End of Life Care in the ICU (Encore)

    End of Life Care in the ICU (Encore)

    This is an encore for a previous episode of Critical Matters. One in five US residents receives ICU care at the end of life. In this episode, we discuss different aspects of end of life care in the ICU. Our guest is Dr. BJ Miller, a physician, author, and speaker. He is a practicing hospice and palliative medicine physician and is best known for his 2015 TED Talk, "What Really Matters at the End of Life." BJ has been on the teaching faculty at UCSF School of Medicine since 2007. He is a powerful advocate for the role of our senses, community, and presence in delivering palliative care and for ushering in a new perspective on living with death.

    Additional Resources:
    What really matters at the end of life, BJ Miller presented at TED 2015: https://bit.ly/3EcOslB
    Clinician-Family Communication About Patients' Values and Preferences in Intensive Care Units.
    Scheunemann LP et al, JAMA Internal Medicine, 2019: https://bit.ly/3jzNqqD
    A Beginner's Guide to the End: Practical Advice for Living Life and Facing Death. BJ Miller and Shoshana Berger: https://amzn.to/3rpl6LM
    Vital Talk courses, a set of online and in person courses designed to equip clinicians with the tools to have difficult conversations with patients and families: https://www.vitaltalk.org/courses/

    Books Mentioned in this Episode:
    Man’s Search for Meaning. Viktor Frankl: https://amzn.to/37l3Mk9
    Mortally Wounded: Stories of Soul Pain, Death and Healing. Michael Kearney: https://amzn.to/3xsyAKI
    Bering Mortal: Medicine and What Matters in the End. Atul Gawande: https://amzn.to/3Jz3OlG
    The Denial of Death. Ernest Becker: https://amzn.to/3vfQ22e

    • 1 hr 9 min

Customer Reviews

4.9 out of 5
58 Ratings

58 Ratings

J Amar ,

Initial management of ARDS

Excellent discussion and very helpful to bedside clinicians in early management of identifying and treating ARDS!!

HAHassaballa ,

Excellent Podcast

The topics are fantastic. Very well done and very helpful to my clinical practice.

fr2034 ,

Stoic mentality

Excellent podcasts

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