Critical Care Scenarios

Critical Care Scenarios

An educational podcast presenting practical critical care scenarios. By Brandon Oto, PA-C and Bryan Boling, ACNP. New episodes weekly.

Episodes

Lightning rounds 66: ED vs ICU with Namita Jayaprakash

May 27, 2026 • 41 mins
We discuss the interface between ED and ICU and why we have trouble understanding each other, with Dr. Namita Jayaprakash, dual-trained EM and critical care physician, and medical director of her ED. Learn more at the Intensive Care Academy! References
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Lightning rounds 65: Global health with Kwame Boateng

May 13, 2026 • 47 mins
We learn about how to contribute to underserved communities abroad, with Kwame Akuamoh-Boateng, DNP, ACNP-BC, FCCM. Learn more at the Intensive Care Academy! References
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Lightning rounds 67: IV fluids

May 6, 2026 • 51 mins
We give our general take on IV fluids: when to use them, what to use, when to stop, how to bolus and when to use maintenance fluids, and more. Learn more at the Intensive Care Academy!
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Episode 101: Acalculous cholecystitis with Dennis Kim

April 29, 2026 • 44 mins
Dennis Kim, trauma surgeon and surgical intensivist of the Trauma ICU Rounds podcast, weighs in on the diagnosis and management of acalculous cholecystitis. Learn more at the Intensive Care Academy! Takeaway pearls
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Episode 100: Autoimmune encephalitis testing with Tammy Smith

April 15, 2026 • 47 mins
Tammy Smith, assistant professor of neurology at the University of Utah within the division of Neuroimmunology and Autoimmune Neurology, and a clinical consultant at ARUP Laboratories, gives us the inside scoop on testing for autoimmune encephalitis syndromes. Learn more at the Intensive Care Academy! CHEST’s Procedural Skills for the Critical Care Clinician, April 23-24 2026 … Continue reading "Epi...
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Lightning rounds 64: The new Surviving Sepsis guidelines with Hallie Prescott

March 30, 2026 • 54 mins
Hallie Prescott, pulm/crit physician and co-chair of the recent Surviving Sepsis guideline writing committee, gives some insight into the new document, including a few interesting additions and some points of controversy. For more thoughts, especially from an EM perspective, Scott Weingart also interviewed Hallie over at EMcrit. Learn more at the Intensive Care Academy! Takeaway … Continue reading "...
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Lightning rounds 63: How to be right, with Scott Weingart

March 25, 2026 • 54 mins
Scott Weingart, ED intensivist and seminal educator from the EMCrit podcast, shares his thoughts on how we should be finding truth nowadays: how to read journals, choose experts, use AI, and resolve disagreement. Learn more at the Intensive Care Academy! Takeaway pearls
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Episode 99: RV failure in the MICU

March 11, 2026 • 36 mins
We chat about managing a complex MICU patient with RV failure in the setting of renal failure and sepsis, with Amos Dodi, nocturnal intensivist at Einstein/Montefiore and author of a recent narrative review on the RV. Learn more at the Intensive Care Academy! CHEST’s Procedural Skills for the Critical Care Clinician, April 23-24 2026 References … Continue reading "Episode 99: RV failure in the MICU"...
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Lightning rounds 61: Credentialing and privileging, with Christopher Newman

February 25, 2026 • 64 mins
We dive into the confusing rabbit hole of medical staffing, credentialing, and privileging, particularly for the critical care APP, with Chris Newman, pediatric critical care PA and Vice Chair for Clinical Performance at the University of Colorado. Check out the REVIVE conference here! Check out the CHEST Procedural Skills for the Critical Care Clinician course … Continue reading "Lightning rounds 6...
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Lightning rounds 60: The nuances of insulin, with Melissa Nestor

February 11, 2026 • 62 mins
We chat with Melissa Nestor, clinical pharmacist in neurocritical care, about tho subtleties of glucose and insulin management in the ICU. Learn more at the Intensive Care Academy!
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Episode 98: Running rapid responses

January 28, 2026 • 59 mins
We discuss the practicalities of running a rapid response, including crowd management, coordinating with primary services, working outside the ICU, and rapidly obtaining and synthesizing diagnostic data. Learn more at the Intensive Care Academy!
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Lightning rounds 59: The nuances of nebulizers, with Keith Lamb

January 14, 2026 • 34 mins
We explore the practical intricacies of nebulized medications, including timing, dosing, types of devices, and more, with Keith Lamb (@kdlamb1), RRT, RRT-ACCS, FAARC, FCCM. Learn more at the Intensive Care Academy!
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Episode 97: Managing ICP crisis

January 7, 2026 • 63 mins
We explore the practical basics of managing an elevated ICP with impending herniation, including EVD troubleshooting, hyperosmolar therapies, and the role of craniectomy. Learn more at the Intensive Care Academy! References
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Episode 96: Understanding ammonia, with Prem Kandiah

December 24, 2025 • 55 mins
With Dr. Prem Kandiah, neurointensivist, transplant intensivist, and ammonia enthusiast, we explore the physiology of hyperammonemia, the nuances of its measurement and interpretation, and unpack some less-recognized causes, including infection by urease-producing organisms and malnutrition/gastric bypass. Learn more at the Intensive Care Academy! References and resources Acute Liver Failure Overall management of ALF CRRT in … Cont...
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Academy bites: Do you want to feel special?

December 10, 2025 • 15 mins
Learn more at the Intensive Care Academy!
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Lightning rounds 58: Steroids for septic shock with David Janz

November 26, 2025 • 54 mins
We dive into the common dilemma of when to give stress-dose corticosteroids in septic shock, with Dr. David Janz, pulm/crit intensivist with a Masters of Science in Clinical Investigation, former director of the Clinical Research Unit for the critical care section at LSU, founding member of the Pragmatic Critical Care Research Group, and associate Chief … Continue reading "Lightning rounds 58: Stero...
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Lightning rounds 57: Burn critical care with Clint Leonard

November 12, 2025 • 60 mins
We explore the fascinating intricacies and unique features of the burned critically ill patient, with Clint Leonard, NP in the burn ICU at Vanderbilt and ABLS instructor. Learn more at the Intensive Care Academy! Want to work at the University of Kentucky? UK’s Anesthesia Critical Care department is hosting a hiring webinar on November 20, … Continue reading "Lightning rounds 57: Burn critical care ...
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Episode 95: Spontaneous breathing trials with Martin Tobin

October 29, 2025 • 55 mins
We discuss the evidence and practicalities of spontaneous breathing trials and ventilator weaning with Martin Tobin, pulmonologist and intensivist, author of seven textbooks including “Principles and Practice of Mechanical Ventilation,” researcher, and pioneer of the entire concept of SBT as well as the RSBI (or “Tobin index”). Learn more at the Intensive Care Academy! References … Continue reading ...
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Episode 94: Mastering seizure pharmacology with Tom Bleck

October 15, 2025 • 60 mins
We explore the vagaries and nitty-gritty of drugs for seizure termination, including benzos and ASMs, with the great Tom Bleck, MD MCCM FNCS, neurointensivist, professor, and founding member of the Neurocritical Care Society. Check out the REVIVE conference here! Learn more at the Intensive Care Academy! More reading Takeaway lessons
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Episode 93: Fluid in sepsis and the FloPatch, with Jon-Emile Kenny

October 1, 2025
We dive into fluid resuscitation in sepsis, with Dr. Jon-Emile Kenny, pulmonary and critical care physician, author of the physiology textbook Heart-lung.org, and inventor of the FloPatch device. Disclosures: Dr. Kenny appears here as both a clinician as well as a representative of his company and product, and should be presumed to retain a degree … Continue reading "Episode 93: Fluid in sepsis and ...
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