WhiteBoard Medicine - Emergency And Critical Care

WhiteBoard Medicine

We are a multi-platform medical education channel with a passion for all things emergency and critical care medicine! Our content spans all levels of learners ranging from the interested public to students to healthcare professionals. We got our start on YouTube and have grown to almost 100,000 subscribers. We try to label our content as a suggestion for possible targeted audience: Public Health - Interested public Clinical Medicine Basics - Interested public, students, early trainees Clinical Medicine Advanced - Advanced trainees and healthcare professionals We are new to the podcasting space and are looking forward to expanding our reach! YouTube - https://www.youtube.com/@WhiteboardMedicine Patreon - http://www.patreon.com/whiteboardmedicine Newsletter - https://whiteboarddoctor.m-pages.com/IAdAdI/wbdr-sign-up

  1. 12H AGO

    #252 Mechanical Power in Ventilation Explained | Preventing Ventilator Induced Lung Injury

    In this episode, we break down mechanical power in mechanical ventilation and its role in ventilator-induced lung injury (VILI). We walk through how ventilator settings—including tidal volume, respiratory rate, PEEP, and driving pressure—combine to deliver energy to the lungs, and why thinking in terms of total energy delivery may be key to preventing lung injury in critically ill patients. Rather than focusing on individual ventilator settings in isolation, this episode provides a framework for understanding how these variables interact and how to apply this knowledge to optimize lung-protective ventilation at the bedside. If you manage ventilated patients in the ICU or emergency department, this is an essential concept that connects physiology to real-world clinical decision-making. 🎥 Watch the full video here: https://www.youtube.com/watch?v=b4YZkQMDclI 🚀 Support WhiteBoard Medicine + Get Full Access Get the full study guide for this episode + complete emergency critical care curriculum: https://www.patreon.com/c/WhiteBoardMedicine Our Patreon includes: • 📄 Study guides for every episode • 🎓 Mini-courses (ventilation, shock, RRT & more) • ❓ Practice questions • 🚫 Ad-free content • 🧠 A structured ICU curriculum ⚠️ Disclaimer This content is for educational purposes only and is not intended to provide medical advice. Clinical decisions should be made based on individual patient circumstances, institutional protocols, and clinician judgment. This content does not represent the views of any affiliated institutions.

    21 min

  2. 2D AGO

    #251 TEG & ROTEM Explained | Choosing FFP, PCC, Cryo & Platelets ICU Guide

    TEG and ROTEM (viscoelastic testing) can fundamentally change how we approach coagulation — but only if we understand how to interpret them and act on the results. In this episode, we break down viscoelastic testing from the ground up, then walk step-by-step through how to choose the right blood product based on real physiology — not guesswork. We cover: What TEG & ROTEM actually measure How to interpret key parameters (R time, MA, LY30, etc.) When to use FFP vs PCC vs cryoprecipitate vs platelets How to move from protocol-driven transfusion → targeted, physiology-based resuscitation Practical bedside frameworks for critical care, trauma, and massive transfusion This episode is designed for medical students, residents, fellows, nurses, respiratory therapists, and practicing clinicians looking to build a clear, high-yield understanding of coagulation management in the ICU and ED. 🎯 Want the full breakdown? Get downloadable study guides, clinical frameworks, and a complete emergency critical care curriculum here: 👉 https://www.youtube.com/watch?v=MG9Kl2QBEPQ ⚠️ Disclaimer: This content is for educational purposes only and does not constitute medical advice. Clinical decisions should be based on individual patient context, institutional protocols, and professional judgment.

    1h 27m

  3. 4D AGO

    #250 Vasopressin Explained | From Basics to RV Failure ICU Deep Dive

    Vasopressin is often thought of as just a “second-line pressor” — but its physiology and clinical applications are far more nuanced. In this episode, we break down vasopressin from the ground up, starting with receptor-level physiology and how it differs from catecholamines, then build into a focused deep dive on one of its most important uses: right ventricular (RV) failure and pulmonary hypertension. We cover: V1, V2, and V3 receptor physiology How vasopressin affects systemic vs pulmonary vascular tone Differences from norepinephrine and other vasopressors Why vasopressin can be uniquely helpful in RV failure Practical bedside considerations in shock states This episode is designed for medical students, residents, fellows, nurses, respiratory therapists, and practicing clinicians looking to better understand vasopressor selection in emergency and critical care. 🎯 Want the full breakdown? Get downloadable study guides, clinical frameworks, and a complete emergency critical care curriculum here: 👉 https://www.youtube.com/watch?v=P0Ic2UY3A1Y ⚠️ Disclaimer: This content is for educational purposes only and does not constitute medical advice. Clinical decisions should be based on individual patient context, institutional protocols, and professional judgment.

    45 min

  4. 6D AGO

    #249 VExUS Ultrasound | How to Assess Venous Congestion at the Bedside

    In this episode, we break down VExUS ultrasound (Venous Excess Ultrasound Score) and how to assess venous congestion at the bedside in critically ill patients. We walk through the physiology of venous congestion and how to integrate IVC ultrasound, hepatic vein Doppler, portal vein Doppler, and renal venous Doppler into a practical framework for evaluating fluid tolerance vs fluid overload. This is a powerful tool for clinicians managing patients in the ICU and emergency department who are trying to decide when to give fluids—and when to stop. If you’ve ever struggled with fluid status assessment, this episode will help you move beyond isolated measurements and toward a more comprehensive, physiology-based approach. 🎥 Watch the full video here: https://www.youtube.com/watch?v=aeXJxP-emWk 🚀 Support WhiteBoard Medicine + Get Full Access Get the full study guide for this episode + complete emergency critical care curriculum: https://www.patreon.com/c/WhiteBoardMedicine Our Patreon includes: • 📄 Study guides for every episode • 🎓 Mini-courses (ventilation, shock, RRT & more) • ❓ Practice questions • 🚫 Ad-free content • 🧠 A structured ICU curriculum ⚠️ Disclaimer This content is for educational purposes only and is not intended to provide medical advice. Clinical decisions should be made based on individual patient circumstances, institutional protocols, and clinician judgment. This content does not represent the views of any affiliated institutions.

    27 min

  5. APR 14

    #248 Viscoelastic Testing Explained | TEG and ROTEM Made Simple (ICU Guide)

    Viscoelastic testing with TEG (thromboelastography) and ROTEM (rotational thromboelastometry) is changing how we approach coagulopathy, bleeding, and massive transfusion in the ICU and trauma setting. In this episode, we break down TEG and ROTEM in a simple, practical way so you can confidently interpret results and apply them at the bedside. We cover: The fundamentals of viscoelastic testing physiology Key TEG parameters: R time, K time, alpha angle, MA, LY30 ROTEM equivalents and how they compare EXTEM, INTEM, FIBTEM, APTEM How to recognize patterns of coagulopathy (platelet dysfunction, fibrinogen deficiency, hyperfibrinolysis) Using TEG/ROTEM to guide massive transfusion protocols (MTP) Practical applications in trauma, surgery, and critical care This episode is part of our emergency critical care series focused on making complex ICU physiology and decision-making simple, visual, and clinically actionable. 🔥 Master emergency critical care with our full curriculum + downloadable study guides: https://www.youtube.com/watch?v=LbxDwh7jQlo ⚠️ Disclaimer: This podcast is for educational purposes only and does not constitute medical advice. The views expressed are those of the creators and do not represent any affiliated institutions. Clinical decisions should be made based on individual patient context, current evidence, and institutional protocols.

    31 min

  6. APR 12

    #247 ICU Stress Ulcer Prophylaxis Explained | Indications, Medications, Pros, Cons, & Evidence

    Stress ulcer prophylaxis is one of the most common interventions in the ICU — but also one of the most overused and misunderstood. In this episode, we break down when stress ulcer prophylaxis is actually indicated, what medications to use, and what the evidence really shows so you can make better bedside decisions. We cover: The pathophysiology of stress-related mucosal disease (SRMD) and GI bleeding Which ICU patients are truly high risk (shock, coagulopathy, critical illness) Evidence-based indications for prophylaxis vs overuse PPIs vs H2 blockers — mechanisms, benefits, and risks Potential harms including pneumonia, C. difficile, and unnecessary continuation When to start and stop therapy based on ICU course and risk factors Current evidence suggests stress ulcer prophylaxis should be targeted to high-risk patients rather than applied universally, with discontinuation once risk factors resolve. This episode is part of our emergency critical care series focused on making ICU pharmacology and physiology simple, practical, and clinically applicable. 🔥 Master emergency critical care with our full curriculum + downloadable study guides: https://www.youtube.com/watch?v=PPBoXHIPKnE ⚠️ Disclaimer: This podcast is for educational purposes only and does not constitute medical advice. The views expressed are those of the creators and do not represent any affiliated institutions. Clinical decisions should be made based on individual patient context, current evidence, and institutional protocols.

    31 min

  7. APR 10

    #246 Vasopressin in Right Ventricular Failure | When & Why It Works (ICU Guide)

    Vasopressin plays a unique and often underutilized role in the management of right ventricular (RV) failure, particularly in patients with pulmonary hypertension, massive pulmonary embolism, and RV shock. In this episode, we break down why vasopressin works differently from other vasopressors, how it affects pulmonary vs systemic vascular resistance, and when it may be the preferred agent in right heart dysfunction. We cover: The physiology of right ventricular failure and afterload sensitivity Why traditional vasopressors may worsen RV function The mechanism of vasopressin in pulmonary circulation Clinical scenarios where vasopressin is most useful A practical framework for vasopressor selection in RV shock This episode is part of our broader emergency critical care series focused on making complex ICU physiology simple, practical, and clinically applicable. 🔥 Master emergency critical care with our full curriculum + downloadable study guides: https://www.youtube.com/watch?v=_6vpXlsAu_Y ⚠️ Disclaimer: This podcast is for educational purposes only and does not constitute medical advice. The views expressed are those of the creators and do not represent any affiliated institutions. Clinical decisions should be made based on individual patient context, current evidence, and institutional protocols.

    22 min

  8. APR 8

    #245 ICU Pharmacology Explained | Sedation, Vasopressors & Fluids Made Simple

    ICU pharmacology can feel overwhelming—sedation, vasopressors, fluids, and dozens of medications interacting in critically ill patients. In this episode, we break down ICU pharmacology into three foundational domains that form the backbone of bedside critical care: Sedation and analgesia (propofol, fentanyl, dexmedetomidine) Vasopressors and inotropes (norepinephrine, vasopressin, epinephrine, dopamine, dobutamine) Intravenous fluids (crystalloids, colloids, and fluid resuscitation strategies in shock) This is not a comprehensive review of all ICU medications, but a practical, physiology-driven framework to help you understand how these therapies work together in real patients. We focus on hemodynamics, perfusion, sedation strategies, and fluid management—with an emphasis on septic shock, respiratory failure, and emergency critical care applications. 🎥 Watch the full video version here: https://www.youtube.com/watch?v=bjvdOucsAQY 📚 Want to go deeper? Full ICU curriculum + study guides: • Downloadable PDF study guides • Mini-courses on shock, ventilation, and critical care • Practice questions for boards and bedside learning • Structured emergency critical care curriculum • Ad-free content 👉 https://www.patreon.com/c/WhiteBoardMedicine 👩‍⚕️ Who this episode is for: Medical students, residents, fellows, nurses, respiratory therapists, and practicing clinicians in emergency medicine and critical care. ⚠️ Podcast Disclaimer: This podcast is for educational purposes only and is not intended to provide medical advice. The views expressed are those of the hosts and do not represent any affiliated institutions. Clinical decisions should always be made based on individual patient circumstances, current evidence, and institutional protocols.

    53 min
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About

We are a multi-platform medical education channel with a passion for all things emergency and critical care medicine! Our content spans all levels of learners ranging from the interested public to students to healthcare professionals. We got our start on YouTube and have grown to almost 100,000 subscribers. We try to label our content as a suggestion for possible targeted audience: Public Health - Interested public Clinical Medicine Basics - Interested public, students, early trainees Clinical Medicine Advanced - Advanced trainees and healthcare professionals We are new to the podcasting space and are looking forward to expanding our reach! YouTube - https://www.youtube.com/@WhiteboardMedicine Patreon - http://www.patreon.com/whiteboardmedicine Newsletter - https://whiteboarddoctor.m-pages.com/IAdAdI/wbdr-sign-up

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