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 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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Episode 92: PRIS and propylene glycol toxicity, with Jerry Snow

September 16, 2025
We discuss propofol infusion syndrome (PRIS) and propylene glycol toxicity from lorazepam infusions, with medical toxicologist Dr. Jerry Snow, director of the toxicology fellowship at Banner University Medical Center in Phoenix. Learn more at the Intensive Care Academy! Takeaway lessons
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Episode 91: A simulated goals of care conversation

September 3, 2025 • 66 mins
Brandon and Bryan mock up a goals of care discussion for a critically ill patient, and reflect on the right and wrong ways to execute this complex procedure. Learn more at the Intensive Care Academy! Resources Center to Advance Palliative Care The Conversation Project
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Episode 90: Sugammadex in the ICU, with Sara J Hyland

August 20, 2025
We chat about neuromuscular blockade, monitoring, and reversal in the ICU, including why sugammadex isn’t more widely used, with Sara J Hyland, PharmD, BCCCP, FCCP, researcher and clinical pharmacist in perioperative and emergency medicine. Learn more at the Intensive Care Academy! Takeaway lessons References
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Lightning rounds 56: The CHEST Critical Care APP cert, with Leeah Sloan

August 6, 2025
We chat with Leeah Sloan, PA-C, co-chair of the Critical Care APP Steering Committee for the American College of CHEST Physicians (CHEST), about the newly available CHEST critical care certification for APPs. The Vandalia CAMC Charleston APP critical care fellowship Learn more at the Intensive Care Academy!
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Special announcement: ICA 1-year anniversary

July 30, 2025
Learn more at the Intensive Care Academy!
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Academy bites: Specialization is breadth, not depth

July 23, 2025
Learn more at the Intensive Care Academy!
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Lightning rounds 55: APP fellowships with Melissa Bridges

July 9, 2025
Melissa Bridges, director of PA fellowships at Atrium Health and president of the Association of Post-graduate PA Programs (APPAP), chats with us (Bryan is president of APGAP, the Association of Post Graduate APRN programs) about PA/NP residencies/fellowships in critical care. Learn more at the Intensive Care Academy!
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Lightning rounds 54: Medical musicians with Andrew Schulman

June 25, 2025
Andrew Schulman, medical musician, former ICU patient, and president of the Medical Musician Initiative, tells us how music can help the critically ill. Learn more at the Intensive Care Academy!
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Lightning rounds 53: GI Q&A with Elliot Tapper

June 11, 2025
From constipation to hepatorenal syndrome. Fan favorite Elliot Tapper (@ebtapper, @ebtapper), gastroenterologist, transplant hepatologist, academic chief of hepatology, and director of the cirrhosis program at the University of Michigan, returns to answer a grab-bag of GI questions. Learn more at the Intensive Care Academy! Takeaway lessons
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Special announcement: Academy CME accreditation

June 1, 2025
Visit the Intensive Care Academy
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Lightning rounds 52: Echo tips with Michael Lanspa

May 28, 2025 • 59 mins
We chat with Dr. Michael Lanspa, intensivist and director of the Intermountain Critical Care Echocardiography Core Lab, about common pitfalls among bedside POCUS users and tricks for doing it better. Learn more at the Intensive Care Academy! Find us on Patreon here! Takeaway lessons
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Episode 89: Thrombectomy for stroke, with Justin Fraser

May 14, 2025 • 59 mins
We explore the world of thrombectomy for acute ischemic stroke with Justin F. Fraser (@doctorjfred), MD, FAANS, FAHA, Professor and Vice-Chair of Neurological Surgery and Director of Cerebrovascular Surgery and Neuro-interventional Radiology at University of Kentucky, where he specializes in cerebrovascular, endovascular, skull base, and endoscopic transsphenoidal surgery. Learn more at the Intensive Care Academy! Find us on Patreo...
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Episode 87: Maternal-fetal monitoring with Stephanie Martin

April 30, 2025 • 51 mins
We learn about the basics of fetal monitoring in the critically ill pregnant woman and how to integrate them into our ICU workflows, with Stephanie Martin, MFM obstetrician and host of the Critical Care Obstetrics podcast and teacher at the Critical Care Obstretrics Academy. Learn more at the Intensive Care Academy! Find us on Patreon … Continue reading "Episode 87: Maternal-fetal monitoring with St...
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Academy bites: The power of disagreeing

April 23, 2025 • 8 mins
Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here!
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Episode 86: EEGs in the ICU with Carolina Maciel

April 16, 2025
We discuss the basics of EEG in the ICU, including when to do it, selecting the appropriate study, and the basics of bedside interpretation, with Carolina B Maciel, MD, MSCR, FAAN, triple boarded in neurology, neurocritical care, and critical care EEG. Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your … Continue reading "Episode 86: EEGs in the ICU with Carolina Maciel"
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Lightning rounds 51: Hemodynamic interfaces with Philippe Rola

April 2, 2025 • 43 mins
Philippe Rola, intensivist, master of the VEXUS scan, and founder of the Hospitalist and Resuscitationist conference, shares his recent model of four hemodynamic interfaces to describe the entire circulatory system. Register for the H&R conference (May 22-23 2025) here with the discount code provided in the show. (No, we’re not sponsored, just a cool event.) … Continue reading "Lightning rounds 51: ...
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