All Audio iCritical Care

All-Audio iCritical Care offers access to all of the Society's podcasts. Rated among the top 20 medical podcasts on iTunes, iCritical Care Podcasts are a valuable resource listeners can take anywhere. 

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All Audio iCritical Care Latest Episodes
SCCM Pod-371 Treating Volume Overload in the ICU with RRT
Ranjit Deshpande, MD, speaks with Rajit Basu, MD, MS, FCCM, about treating volume overload in the intensive care unit with renal replacement therapy. Dr. Basu presented his talk at the 47th Critical Care Congress in San Antonio, Texas. Dr. Basu is an associate professor in the Department of Pediatrics at Emory University School of Medicine in Atlanta, Georgia. He is also the research director in the Department of Critical Care Medicine at Children’s Healthcare of Atlanta in Atlanta, Georgia. This podcast is sponsored by Baxter Healthcare Corporation.  Published: 9/26/2018
SCCM Pod-370 2018 Presidential Address: High-Value Care
Kyle B. Enfield, MD, speaks with SCCM President Jerry J. Zimmerman, MD, PhD, FCCM, about the 2018 presidential address on high-value care that Dr. Zimmerman presented at the Society’s 47th Critical Care Congress in San Antonio, Texas. Dr. Zimmerman is an attending physician in the pediatric intensive care unit at Seattle Children’s Hospital in Seattle, Washington. Published: 9/17/2018
SCCM Pod-369 Hospital Variation in Risk-Adjusted Pediatric Sepsis Mortality

Margaret Parker, MD, MCCM, speaks with Stefanie G. Ames, MD, about the article “Hospital Variation in Risk-Adjusted Pediatric Sepsis Mortality,” published in the May 2018 issue of Pediatric Critical Care Medicine. Dr. Ames discusses study findings regarding the development of a method to evaluate hospital pediatric sepsis performance and how to assess hospital variation in risk-adjusted sepsis mortality in a large state-wide sample. Dr. Ames is a pediatric critical care fellow at the University of Pittsburg School of Medicine in Pittsburg, Pennsylvania. She is working with the Clinical Research Investigation and Systems Modeling of Acute Illness (CRISMA) Center in the department of critical care medicine. Ped Crit Care Med. 2018; 19(5):390-396.

Published: 9/6/2018
SCCM Pod-368 Achieving Fluid Balance
Kyle Enfield, MD, speaks with Colin K. Grissom, MD, FCCM, and Matthew W. Semler, MD, about fluid management in the critically ill. Dr. Grissom presented his talk, entitled “Achieving Fluid Balance,” at the 47th Critical Care Congress in San Antonio, Texas. During this session he discussed the study by Semler et al. entitled “Balanced Crystalloids versus Saline in Critically Ill Adults,” published in the March 2018 issue of the New England Journal of Medicine. Dr. Grissom and Dr. Semler discuss the history of fluid management in the critically ill and how recent study findings are shaping future care. Dr. Grissom works as an attending physician at Intermountain Medical Center in Salt Lake City, Utah. Dr. Semler works as an attending physician at Vanderbilt University Medical Center in Nashville, Tennessee. Published: 8/9/2018
SCCM Pod-367 Variability in Antibiotic Use Across PICUs
Margaret Parker, MD, MCCM, speaks with Thomas V. Brogan, MD, about the article “Variability in Antibiotic Use Across PICUs,” published in the June 2018 issue of Pediatric Critical Care Medicine. Dr. Brogan discusses study findings regarding the variation in antibiotic use in pediatric intensive care units (PICUs) across institutions. He considers how overuse or inappropriate use can be addressed in PICUs in the future. Dr. Brogan is a Professor of Pediatrics in the Division of Pediatric Critical Care Medicine at the Seattle Children’s Hospital and the University Washington School of Medicine in Seattle, Washington. Ped Crit Care Med. 2018; 19(6):519-527.  Published: 7/25/2018
SCCM Pod-366 Predictors of In-Hospital Mortality After Rapid Response Team Calls
Ranjit Deshpande, MD, speaks with Matthew M. Churpek, MD, MPH, PhD, about the article, “Predictors of In-Hospital Mortality After Rapid Response Team Calls in a 274 Hospital Nationwide Sample,” published in the July 2018 issue of Critical Care Medicine. Dr. Churpek discusses predictors for in-hospital mortality for patients who had already been identified as high-risk by the rapid response team. Dr. Churpek is an assistant professor in pulmonary and critical care medicine in the Department of Medicine at the University of Chicago in Chicago, Illinois, USA. Shappell C, Snyder A, Edelson DP, Churpek MM; American Heart Association’s Get With the Guidelines-Resuscitation Investigators. Crit Care Med. 2018 Jul;46(7):1041-1048.  Published: 7/19/2018
SCCM Pod-365 Medications and RRT: We Know How to Dose, Right?
Dr. Fraser, MD, speaks with Bruce A. Mueller, PharmD, FCCP, FASN, about his talk presented at the 47th Critical Care Congress in San Antonio, Texas, entitled “Artificial Kidney Meets Mechanical Lung: Comanaging the Patient with Renal and Respiratory Failure.” Dr. Mueller discusses the concepts of drug dosing during renal replacement therapy. Dr. Mueller is a Professor and Associate Dean at University of Michigan College of Pharmacy in Ann Arbor, Michigan. Published: 7/12/2018
SCCM Pod-364 Characterization of Pediatric In-Hospital CPR Quality Metrics
Margaret Parker, MD, MCCM, speaks with Dana E. Niles, MS, about the article “Characterization of Pediatric In-Hospital Cardiopulmonary Resuscitation Quality Metrics Across an International Resuscitation Collaborative,” published in the May 2018 issue of Pediatric Critical Care Medicine. Dr. Niles discusses study findings regarding American Heart Association guidelines compliance and the landscape of pediatric in-hospital cardiac arrest chest compression quality metrics across an international pediatric resuscitation collaborative. Dr. Niles is the Research Program Manager at the Center for Simulation, Advanced Education and Innovation at the Children’s Hospital of Philadelphia in Philadelphia, Pennsylvania, and the Program Director for the Pediatric Resuscitation Quality Collaborative. Ped Crit Care Med. 2018; 19(5):421-432. Published: 7/5/2018
SCCM Pod-363 Hemodynamic Support of Pediatric and Neonatal Septic Shock
Margaret Parker, MD, MCCM, speaks with Joseph A. Carcillo, MD, about the article, "American College of Critical Care Medicine Clinical Practice Parameters for Hemodynamic Support of Pediatric and Neonatal Septic Shock," published in the June 2017 issue of Critical Care Medicine. Dr. Carcillo the revisions made to the 2014 guidelines and recommendations regarding use of 1) a “recognition bundle” containing a trigger tool for rapid identification of patients with septic shock, 2) a “resuscitation and stabilization bundle” to help adherence to best practice principles, and 3) a “performance bundle” to identify and overcome perceived barriers to the pursuit of best practice principles. Dr. Carcillo is a professor of Anesthesia, Critical Care Medicine, and Pediatrics at the University of Pittsburgh School of Medicine in Pittsburgh, Pennsylvania. Crit Care Med. 2017; 45(6):1061-1093. Published: 6/7/2018
SCCM Pod-362 Time of Admission to the PICU and Mortality
Margaret Parker, MD, MCCM, speaks with Michael C. McCrory, MD, MS, about the article, “Time of Admission to the PICU and Mortality,” published in the October 2017 issue of Pediatric Critical Care Medicine. Dr. McCrory discusses research findings examining how admissions and discharges to the pediatric intensive care unit (PICU) vary throughout the day and whether off-hours admissions or other factors lead to a higher rate of mortality in the PICU. Dr. McCrory is an associate professor and pediatric intensive care attending in the Department of Anesthesiology in the Section of Pediatric Critical Care Medicine at Wake Forest University School of Medicine in Winston-Salem, North Carolina. Ped Crit Care Med. 2017; 18(10):915-923.
  Published: 4/3/2018
SCCM Pod-361 Antibiotic Therapy in Comatose Mechanically Ventilated Patients Following Aspiration
Dr. Fraser, MD, speaks with Jean Baptiste Lascarrou, MD, about the article, “Antibiotic Therapy in Comatose Mechanically Ventilated Patients Following Aspiration: Differentiating Pneumonia from Pneumonitis,” published in Critical Care Medicine. He discusses results from his team’s prospective observational study to determine the proportion of patients with documented bacterial aspiration pneumonia among comatose ICU patients with symptoms suggesting either bacterial aspiration pneumonia or non-bacterial aspiration pneumonitis. Dr. Lascarrou is a physician in the Medical Intensive Care Unit at CHU Nantes in Nantes, France. Crit Care Med. 2017; 45(8):1268-1275. Published: 3/22/2018
SCCM Pod-360 Alarm and Alert Fatigue in Critical Care
Todd Fraser, MD, speaks with Bradford D. Winters, PhD, MD, FCCM, about alarm and alert fatigue in critical care. Alarm fatigue is the desensitization that clinicians experience to frequent alarms, particularly those that do not provide useful clinical information, or false alarms. Dr. Winters discusses the psychology of alarm fatigue, associated risks, and the growing need to filter alarms to reduce the impact of alarm fatigue on providers, patients, and families without missing true events. Dr. Winters is an Associate Professor of Anesthesiology and Critical Care Medicine at Johns Hopkins, and a core faculty member of the Armstrong Institute for Patient Safety and Quality in Baltimore, Maryland. Crit Care Med. 2018; 46(1):130-137. Crit Care Med. 2017; 45(9):1481-1488. Published: 2/15/2018
SCCM Pod-359 Early Mobility in Critically Ill Patients
Kyle Enfield, MD, speaks with Wes Ely, MD, MPH, about his talk presented at the 2017 Multiprofessional Critical Care Review: Adult course in Rosemont, Illinois entitled, “Early Mobility in Critically Ill Patients: More to Come.” Dr. Ely discusses landmark studies that have shown that ICU ventilator weaning protocols, maintaining light levels of sedation in ICU patients, and early mobility protocols can improve patient outcomes and survivorship. He shares his experiences with the ABCDEF Bundle Improvement Collaborative and ICU Liberation Initiative, and provides best practices for implementing the ABCDEF Bundle. Dr. Ely is a professor of medicine and critical care at Vanderbilt School of Medicine’s Center for Health Services Research. He is also the Associate Director of Aging Research at the VA Geriatric Research Education and Clinical Center in Nashville, Tennessee. Visit www.iculiberation.org for more information. 
  Published: 2/8/2018
SCCM Pod-358 Liberal Glycemic Control in Critically Ill Patients With Type 2 Diabetes
Ludwig Lin, MD, speaks with Palash Kar, MBBS, about the article, “Liberal Glycemic Control in Critically Ill Patients With Type 2 Diabetes: An Exploratory Study," published in Critical Care Medicine. In this article, Dr. Kar and coauthors found that in critically ill patients with type 2 diabetes and chronic hyperglycemia, liberal glycemic control appears to attenuate glycemic variability and may reduce the prevalence of moderate-severe hypoglycemia. Dr. Kar is a senior registrar in intensive care at Royal Adelaide Hospital in South Australia. Dr. Kar has no relevant disclosures. Crit Care Med. 2016; 44(9):1695-1703. 
  Published: 1/25/2018
SCCM Pod-357 Initial Crystalloid Resuscitation in Sepsis and Septic Shock
Ludwig Lin, MD, speaks with Daniel E. Leisman, BS, about the article, “Patterns and Outcomes Associated With Timeliness of Initial Crystalloid Resuscitation in a Prospective Sepsis and Septic Shock Cohort,” published in Critical Care Medicine. Mr. Leisman addresses the controversy of the role of fluids in management of sepsis. Study findings showed that earlier crystalloid initiation was associated with better patient outcomes, including decreased mortality, mechanical ventilation, ICU utilization, and length of stay. Comorbidities and severity did not modify this effect. Mr. Leisman is a clinical researcher in the Department of Emergency Medicine at Hofstra-Northwell School of Medicine, and MD/MSCR candidate at Mount Sinai School of Medicine in New York, New York. Crit Care Med. 2017; 45(10):1596-1606.  Published: 1/11/2018
SCCM Pod-356 Repeated Critical Illness and Unplanned Readmissions to PICUs
Margaret Parker, MD, MCCM, speaks with Jeffrey D. Edwards, MD, MA, MAS, about the article, “Repeated Critical Illness and Unplanned Readmissions Within 1 Year to PICUs,” published in the August 2017 issue of Critical Care Medicine. Dr. Edwards discusses how critical illness impacts children with complex chronic conditions and how these medically complex children impact critical care services. Dr. Edwards is an Assistant Professor in the Division of Pediatric Critical Care in the Department of Pediatrics at Columbia University College of Physician and Surgeons in New York. Crit Care Med. 2017; 45(8):1276-1284.  Published: 1/2/2018
SCCM Pod-355 The Epidemiology of Hospital Death Following Pediatric Severe Sepsis
Margaret Parker, MD, MCCM, speaks with Scott L. Weiss, MD, MSCE, about the article, “The Epidemiology of Hospital Death Following Pediatric Severe Sepsis: When, Why, and How Children With Sepsis Die,” published in the September 2017 issue of Pediatric Critical Care Medicine. Dr. Weiss discusses research findings regarding when, why, and the mode in which children with sepsis die, and how understanding these factors is important in setting appropriate clinical and research priorities. Dr. Weiss is an Assistant Professor in the Division of Critical Care Medicine in the Department of Anesthesiology and Critical Care at The Children’s Hospital of Philadelphia and the University of Pennsylvania Perelman School of Medicine in Philadelphia, Pennsylvania. Pediatr Crit Care Med. 2017; 18(9):823-830 Published: 12/12/2017
SCCM Pod-VCCR11 Workup, Management, and Critical Sequelae of Burn Injuries
Richard Iuorio, MD speaks with Laura Johnson, MD, and Jim Reilly, MD, about the workup, management, and critical sequelae of burn injuries. Using a fictional burn case as an example, Dr. Johnson talks about airway considerations, resuscitation protocols, and fluid properties. The team then speaks about the use of antibiotics, and weighs the respective merits of colloids vs. crystalloids before ending the podcast with a discussion on ventilation strategies and indications for emergent escharotomy. Dr. Johnson is a trauma surgeon and burn specialist at MedStar Washington Hospital Center in Washington, District of Columbia. Dr. Reilly is an Emergency Medicine resident at Lincoln Medical Center in the South Bronx. Published: 11/28/2017
SCCM Pod-354 The Septic Shock 3.0 Definition and Trials
Ranjit Deshpande, MD, speaks with James A. Russell, MD, about the article, “The Septic Shock 3.0 Definition and Trials: A Vasopressin and Septic Shock Trial Experience,” published in the June 2017 issue of Critical Care Medicine. Dr. Russell discusses findings from his retrospective analysis of the Vasopressin and Septic Shock Trial (VASST) using the Septic Shock 3.0 definition, and implications for trial design in septic shock. Dr. Russell is a professor of medicine at the University of British Columbia, and principal investigator at the Centre for Heart Lung Innovation at St. Paul’s Hospital in Vancouver, BC, Canada. Crit Care Med. 2017; 45(6):940-948. Published: 11/16/2017
SCCM Pod-VCCR10 Pathophysiology and Management of AKI
Richard Iuorio, MD, speaks with Kianoush Kashani, MD and Jim Reilly, MD about the pathophysiology and management of acute kidney injury. Dr. Kashani delves into novel biomarkers and resuscitation of the sepsis-associated AKI, and he gives his expert opinion on the administration of radiographic contrast in the setting of acute nephropathy. Dr. Kashani is an intensivist, renowned nephrologist, and hypertension specialist at the Mayo Clinic in Rochester, Minnesota. Dr. Reilly is an Emergency Medicine resident at Lincoln Medical Center in the South Bronx. He completed his undergraduate degree in Biochemistry at the University of California, Davis, and then attended Boston University School of Medicine. His academic interests lie mainly in critical care, and he hopes to continue his training as a critical care fellow in New York City. Published: 11/14/2017