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Critical Care Scenarios

Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM

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

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  • 22 episodes
  • fortnightly
  • Avg 49 min
  • English

Episodes 22

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  • September 2 · 33 min

    Lightning rounds 71: The story of HFOV, with Brian Cuthbertson

    Dr. Brian Cuthbertson, anesthesiologist and intensivist and lead author of the OSCAR trial, shares with us the fascinating history of high frequency oscillatory ventilation. Check out the Intensive Care Academy here! References

  • August 5 · 43 min

    Lightning rounds 69: Does PRVC suck? with Nick Ghionni

    We step into the ring with Nick Ghionni, pulm/crit attending at MedStar Baltimore Hospital, who tries to convince us that the pressure-targeted, volume-titrated vent mode known as “PRVC” actually sucks. Check out the Intensive Care Academy here!

  • July 22 · 39 min

    Lightning rounds 68: Setting PEEP in the obese with Olivia Serigano

    EM intensivist Olivia Serigano tells us about their recent publication in Anaesthesia Critical Care & Pain Medicine evaluating the use of two rules (BMI/3 or PEEP 10 in everyone) for setting PEEP in obese patients on the ventilator. Learn more at the Intensive Care Academy! Takeaway pearls

  • July 8 · 1 hr 1 min

    Episode 103: Basic intracranial hemorrhage

    We review the basic care and workflow of caring for bread-and-butter intraparenchymal hemorrhage. Learn more at the Intensive Care Academy! Takeaway pearls

  • June 24 · 52 min

    Episode 102: Tox files #1 with Andrew Sheen and Jerry Snow

    We hear a mystery tox case from Jerry Snow, director of the toxicology fellowship at Banner University Medical Center in Phoenix, and one of his med tox fellows Andrew Sheen. Learn more at the Intensive Care Academy! Takeaway pearls References PATHOPHYSIOLOGY & CLASSIFICATION 1. Lalau JD, Kajbaf F, Protti A, et al. Metformin-associated lactic acidosis … Continue reading "Episode 102: Tox files #1 with Andrew Sheen and Jerry Snow"

  • June 11 · 51 min

    Lightning rounds 67: IV fluids

    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!

  • May 27 · 41 min

    Lightning rounds 66: ED vs ICU with Namita Jayaprakash

    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

  • April 29 · 44 min

    Episode 101: Acalculous cholecystitis with Dennis Kim

    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

  • April 15 · 47 min

    Episode 100: Autoimmune encephalitis testing with Tammy Smith

    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 "Episode 100: Autoimmune encephalitis testing with Tammy Smith"

  • March 30 · 54 min

    Lightning rounds 64: The new Surviving Sepsis guidelines with Hallie Prescott

    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 "Lightning rounds 64: The new Surviving Sepsis guidelines with Hallie Prescott"

  • March 25 · 54 min

    Lightning rounds 63: How to be right, with Scott Weingart

    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

  • March 11 · 36 min

    Episode 99: RV failure in the MICU

    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"

  • February 25 · 1 hr 4 min

    Lightning rounds 61: Credentialing and privileging, with Christopher Newman

    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 61: Credentialing and privileging, with Christopher Newman"

  • January 28 · 59 min

    Episode 98: Running rapid responses

    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!

  • January 7 · 1 hr 3 min

    Episode 97: Managing ICP crisis

    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

  • Dec 24, 2025 · 55 min

    Episode 96: Understanding ammonia, with Prem Kandiah

    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 … Continue reading "Episode 96: Understanding ammonia, with Prem Kandiah"

Showing 1–20 of 22 episodes