SCCM
Log In
Forgot username or password?
New User? Sign Up Free.

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. 

Subscribe to the iCritical Care All-Audio podcasts on iTunes or Google Play. Don’t forget to rate us and leave comments!

All Audio iCritical Care Latest Episodes
SCCM Pod-418 COVID-19 Learning: Conversion of a Children’s Hospital to an Adult Hospital
Montefiore Medical Center in the Bronx, New York, USA, quickly converted a children’s hospital to an adult COVID-19 hospital. Hear Margaret M. Parker, MD, MCCM, talk with H. Michael Ushay, MD, PhD, FAAP, FCCM, about the process, challenges with staffing and personal protective equipment, and more. Dr. Ushay is professor of pediatrics, interim chief of the division of pediatric critical care medicine, and medical director of the pediatric critical care unit at the Children's Hospital at Montefiore and the Pediatric Hospital for Albert Einstein College of Medicine in the Bronx, New York, USA. Published: 7/9/2020
SCCM Pod-417 COVID-19-Associated Acute Respiratory Distress Syndrome
Clinicians are working to understand and formulate an effective treatment for COVID-19-associated acute respiratory distress syndrome (Marini J. Crit Care Med. 2020 May 13; Epub ahead of print). Host Kyle B. Enfield, MD, FCCM, discusses specifics with John J. Marini, MD. They also discuss the need to continue sharing clinical data, experience, and ideas. Dr. Marini is director of physiological and translational research at Regions Hospital in Saint Paul, Minnesota, USA. Published: 6/24/2020
SCCM Pod-416 COVID-19 Learning: Multiple Patients on a Single Ventilator

In a situation where ventilators are in short supply, multiple patients on a single ventilator could be a strategy of last resort. In this podcast, Arthur S. Slutsky, MD, discusses his article “Personalized Ventilation to Multiple Patients Using a Single Ventilator: Description and Proof of Concept” (Han J, et al. Crit Care Explor. 2020;2:e0118). A figure included in the article will provide a valuable visual aid to listeners. Dr. Slutsky will discuss publishing information he hopes no one will ever have to use, but he encourages institutions to practice and test the proof of concept as an exercise in emergency preparedness. The concept may also have benefit for resource-limited areas. Beyond the complexity of building the circuits, challenges related to alarms, infection control, and other complexities must also be considered. “In a time of crisis where resources are limited, we introduce a system of multiple secondary breathing circuits driven by a ventilator in preference to that of simply splitting the breathing circuits, which has been shown to raise multiple risks for patients,” he writes. Dr. Slutsky is vice president or research at St. Michael's Hospital and professor of medicine, surgery, and biomedical engineering at University of Toronto in Ontario, Canada.

Published: 5/28/2020
SCCM Pod-415 NIH COVID-19 Treatment Guidelines
The National Institutes of Health has released Coronavirus Disease 2019 (COVID-19) Treatment Guidelines. SCCM members Craig M. Coopersmith, MD, FACS, MCCM; Amy L. Dzierba, PharmD, FCCP, BCCCP; and Greg S. Martin, MD, MS, FCCM, served on the guidelines development panel after being invited by Anthony S. Fauci, MD, Director of the National Institute of Allergy and Infectious Diseases. They talk with host Margaret M. Parker, MD, MCCM, about the major critical care recommendations, how these guidelines differ from the Surviving Sepsis COVID-19 guidelines, future updates, and more. Published: 5/11/2020
SCCM Pod-414 COVID-19 VIRUS Registry Aims to Identify Effective Treatment Strategies
Discovery, the Critical Care Research Network’s Viral Infection and Respiratory Illness Universal Study creates a real-time COVID-19 registry of current ICU and hospital care patterns. Explore the pressing need for this study, its current status and future goals, how it differs from other large registry datasets, and more (Walkey A, et al. Crit Care Explor. 2020;2:e0113) with host Ashish K. Khanna, MD, FCCP, FCCM, and co-principal investigator Allan J. Walkey, MD, MSc. Learn more about the registry. Dr. Walkey is an associate professor at Boston University School of Medicine in the section of pulmonary, allergy, sleep, and critical care medicine in Boston, Massachusetts, USA. Published: 5/7/2020
SCCM Pod-413 COVID-19 Fact Versus Science Fiction
Explore the need for randomized COVID-19 clinical trials and the difficulties and potential consequences of misinformation (Ingraham N, et al. Crit Care Explor. 2020;2:e0108) with host Ashish K. Khanna, MD, FCCP, FCCM, and Nicholas E. Ingraham, MD. Dr. Ingraham is a fellow and a part of the University of Minnesota’s Department of Medicine in the Division of Pulmonary and Critical Care in Minneapolis, Minnesota, USA. Published: 5/1/2020
SCCM Pod-412 COVID-19 in Critically Ill Children
Gain valuable insight on the clinical management of COVID-19 and its relevance to the pediatric critical care provider (Ong J, et al. Pediatr Crit Care Med. 2020 Apr 7; Epub ahead of print) with host Elizabeth H. Mack, MD, MS, FCCM, and Jacqueline Ong, MB BChir, MMed (Paeds), MRCPCH. Preparedness activities that every pediatric ICU should perform are also explored. Dr. Ong is head of the paediatric ICU at National University Hospital in Singapore. Published: 4/29/2020
SCCM Pod-410 COVID-19 Neurologic Manifestations
Review neurologic manifestations of COVID-19 and other severe respiratory viral contagions (Robinson C, et al. Crit Care Explor. 2020;2:e0107) with host Ludwig H. Lin, MD, and author Christopher P. Robinson, DO, MS. In their discussion, they touch on identifying primary and secondary neurological manifestations associated with COVID-19, the main mechanisms of neurological injury, diagnostics, and possible treatments. Dr. Robinson is assistant professor of neurology and neurosurgery at the University of Florida in Gainesville, Florida, USA. Published: 4/8/2020
SCCM Pod-411 Clinician Moral Distress
Margaret M. Parker, MD, MCCM, and Christopher S. Parshuram, MBChB, PhD, discuss clinician moral distress in Canadian pediatric and neonatal intensive care units (Dryden-Palmer,K, et al. Pediatri Crit Care Med. 2020;21(4): 314-323). They dive into a discussion on depersonalization, potentially mitigating factors, and more. Dr. Parshuram is a pediatric critical care medicine physician at The Hospital for Sick Children and professor of pediatrics at the University of Toronto in Toronto, Ontario, Canada. Published: 4/8/2020
SCCM Pod-409 SSC COVID-19 Guidelines
Explore the Surviving Sepsis Campaign’s Guidelines on the Management of Critically Ill Adults with Coronavirus Disease 2019 (COVID-19) (Alhazzani W, et al. Crit Care Med. 2020 Mar 27; Epub ahead of print) with host Kyle B. Enfield, MD, and authors Mitchell M. Levy, MD, MCCM, and Waleed Alhazzani, MD, MSc, FRCPC. The guidelines discussed were created by the Surviving Sepsis Campaign (SSC), a joint collaboration of the Society of Critical Care Medicine (SCCM) and the European Society of Intensive Care Medicine (ESICM). Published: 4/3/2020
SCCM Pod-408 Vaping-Associated Respiratory Distress Syndrome
Kyle B. Enfield, MD, and Craig M. Lilly, MD, discuss the newly released guidance for vaping-associated respiratory distress syndrome, published in Critical Care Explorations (Lilly C, et al. Crit Care Explor. 2020;2(2): e0081). They explore screening and risk stratification, vaping exposure criteria, patient evaluation and monitoring, and more. Dr. Lilly is professor of medicine, anesthesiology, and surgery at UMass Memorial Medical Center in Worcester, Massachusetts, USA. Published: 3/13/2020
SCCM Pod-407 Life Following Pediatric Septic Shock
Margaret M. Parker, MD, MCCM, and Jerry J. Zimmerman, MD, PhD, FCCM, talk about the trajectory of long-term mortality and significant health-related quality of life disability among children encountering septic shock. This discussion is based on two articles Dr. Zimmerman recently published in Critical Care Medicine, Critical Illness Factors Associated With Long-Term Mortality and Health-Related Quality of Life Morbidity Following Community-Acquired Pediatric Septic Shock (Zimmerman J, et al. Crit Care Med. 2020;48(3):319-328) and Trajectory of Mortality and Health-Related Quality of Life Morbidity Following Community-Acquired Pediatric Septic Shock (Zimmerman J, et al. Crit Care Med. 2020;48(3):329-337). Dr. Zimmerman is professor of pediatrics and anesthesiology and a faculty member and emeritus division chief of pediatric critical care medicine at Seattle Children’s Hospital, Harborview Medical Center, and University of Washington School of Medicine in Seattle, Washington, USA. He has received research funding from National Institutes of Health, Immunexpress, and Seattle Children’s Research Institute, royalties from Elsevier Publishing as co-editor for Pediatric Critical Care, and travel reimbursement from SCCM. Published: 3/2/2020
SCCM Pod-406 Surviving Sepsis Campaign Children’s Guidelines
Margaret M. Parker, MD, MCCM, and Scott L. Weiss, MD, FCCM, discuss the release of "Surviving Sepsis Campaign International Guidelines for the Management of Septic Shock and Sepsis-Associated Organ Dysfunction in Children,” published in the February 2020 issue of Pediatric Critical Care Medicine (Weiss S, et al. Pediatr Crit Care Med. 2020;21(2);e52-e106). Dr. Weiss outlines the differences between the new pediatric Surviving Sepsis Campaign (SSC) guidelines and the 2017 “American College of Critical Care Medicine Clinical Practice Parameters for Hemodynamic Support of Pediatric and Neonatal Septic Shock” (Davis AL, et al. Crit Care Med. 2017;45:1061-1093), as well as key differences from the “Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock: 2016” (Rhodes A, et al. Crit Care Med. 2017;45:486-552). The challenges in implementing the pediatric guidelines in resource-limited areas and key recommendations for resuscitation of children with sepsis and septic shock are also covered. Dr. Weiss has served as the SCCM-appointed vice-chair of the SSC Guidelines Task Force. He is an attending physician at the Children’s Hospital of Philadelphia. Published: 2/7/2020
SCCM Pod-405 Acute Kidney Injury Biomarkers and the Challenges of Clinical Use 

Ludwig H. Lin, MD, and Michael G.S. Shashaty, MD, MS, discuss acute kidney injury (AKI) biomarkers and whether they are ready for clinical use. Current research, key takeaway points, the history of AKI biomarkers, and challenges to adoption are reviewed. Dr. Shashaty is an assistant professor of medicine at the University of Pennsylvania Perelman School of Medicine in Philadelphia, Pennsylvania, USA.

Published: 1/30/2020
SCCM Pod-404 Population-Based Epidemiology and Outcomes of Acute Kidney Injury in Critically Ill Children
Margaret M. Parker, MD, MCCM, speaks with Rashid Alobaidi, MD, on his article titled “Population-Based Epidemiology and Outcomes of Acute Kidney Injury in Critically Ill Children,” published in the January 2020 issue of Pediatric Critical Care Medicine (Alobaidi R, et al. Pediatr Crit Care Med. 2020 Jan;21(1);82-91). Dr. Alobaidi discusses the study and importance of enhanced surveillance for acute kidney injury (AKI) in critically ill children and the implementation of monitoring for AKI. Dr. Alobaidi is assistant professor of pediatrics at the University of Alberta Stollery Children’s Hospital in Edmonton, Alberta, Canada. This podcast is sponsored by Baxter Healthcare Corporation. Published: 1/15/2020
SCCM Pod-403 Sepsis: The Hour-1 Bundle, the Future of Research, and More
Margaret M. Parker, MD, MCCM, and Mitchell M. Levy, MD, MCCM discuss the Hour-1 Bundle, the controversies of the Surviving Sepsis Campaign, and the future of sepsis. Drs. Parker and Levy go beyond the bundle to talk about the challenges of the Campaign from data entry to resistance from physicians, sepsis in resource limited countries, and spreading quality improvement worldwide. Dr. Levy is professor of medicine and chief of pulmonary and critical care at Brown University in Providence, Rhode Island, USA. This podcast is part 5 of a series sponsored by Baxter Healthcare Corporation. Published: 12/18/2019
SCCM Pod-402 Early Palliative Care Consultations in the ICU
Kyle B. Enfield, MD, and Marin H. Kollef, MD, discuss the findings and design of the cluster randomized crossover trial on early palliative care consultation in the medical intensive care unit (ICU) published in the December 2019 issue of Critical Care Medicine (Ma J, et al. Crit Care Med. 2019;47;1707-1715). Dr. Kollef outlines the automatic triggers for palliative care consultations that were chosen for the study, the reactions of the transplant physicians and the nursing staff to the study, and the importance of communication in palliative care between the ICU staff, palliative care experts, patients, and families. Dr. Kollef is a professor of medicine at Washington University of Medicine in St. Louis Missouri, USA. This podcast is sponsored by Sound Critical Care. Published: 12/4/2019
SCCM Pod-401 Enteral Nutrition in the Critically Ill

Michael Smith, MD, and Jayshil Patel, MD, discuss the factors associated with managing malnutrition in the critical ill utilizing enteral nutrition and the stages of critical care illness and how it effects nutrition assessment. Dr. Patel explains various considerations for nutrition in critically ill patients including the benefit of early nutrition within the first 24 to 48 hours of intensive care unit admission outlined in the joint American Society for Parenteral and Enteral Nutrition and SCCM nutrition guidelines published in Critical Care Medicine in 2016. Dr. Patel is the associate professor of medicine in the division of pulmonary and critical care medicine at the Medical College of Wisconsin. This podcast is sponsored by Nestlé Health Science.

Published: 11/27/2019
SCCM Pod-400 Are AKI Biomarkers Ready for Clinical Use?

Kyle B. Enfield, MD, FCCM, and Azra Bihorac, MD, MS, FCCM, discuss best practices and complexities of implementing biomarkers for kidney stress and acute kidney injury (AKI) and what the future holds for AKI biomarker literature. Dr. Bihorac was a presenter on this topic at the Society’s 48th Critical Care Congress. Dr. Bihorac is the R. Glenn Davis professor of medicine, surgery, and anesthesiology in the division of nephrology, hypertension, and renal transplant within the department of medicine at the University of Florida in Gainesville, Florida, USA. This podcast is part 4 of a series sponsored by Baxter Healthcare Corporation.

Published: 11/20/2019
SCCM Pod-399 Risk for Mortality in Critically Ill Children Needing Renal Replacement Therapy
Margaret M. Parker, MD, MCCM, speaks with Danny Hames, MD, on his article titled “Risk Factors for Mortality in Critically Ill Children Requiring Renal Replacement Therapy ,” published in the November 2019 issue of Pediatric Critical Care Medicine (Hames D, et al. Pediatr Crit Care Med. 2019;20;1069-1077). Dr. Hames speaks about some of the challenges of monitoring patients with acute kidney injury, the implications of the study for pediatric intensivists, the importance of being mindful of renal function and fluid balance for ventilated patients, and areas that need further investigation.  Dr. Hames is an attending physician in the Division of Cardiovascular Critical Care in the Department of Cardiology at Boston Children’s Hospital and an instructor in the Department of Pediatrics at Harvard Medical School in Boston, Massachusetts, USA. Published: 11/13/2019
Disclaimer