Critical Care Time

Critical Care Time Podcast

Critical Care Time is the podcast for everyone who cares for the critically Ill. Whether you work in an ICU, a Med-Surg unit, an ED, a PACU or the back of an ambulance - Dr. Cyrus Askin & Dr. Nick Mark provide practical insights and useful tips to enhance your skillset.

They are triple board-certified intensivists who love patient care and teaching. Journey with them through deep dives into physiology and practical pearls, leaving no stone unturned in the world of critical care medicine.

Through their own insights, expert interviews and targeted reviews of the literature, Nick and Cyrus provide practical, relevant critical care pearls. If you bill for critical care time, you must make time for Critical Care Time!

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23 episodes
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Avg 1 hr 27 min
English

Episodes 23

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Monday · 1 hr 25 min
85. Brain Death with Dr Sean Marinelli
In this episode of Critical Care Time, neurointensivist Dr. Sean Marinelli joins Nick & Cyrus to tackle brain death/death by neurologic criteria. We break down the prerequisites, neurologic exam, apnea testing, ancillary studies, and the challenging situations where things get complicated—including confounders, ECMO, and families struggling to understand how someone with a beating heart can have died. This is essential knowledge for anyone caring for critically ill patients. Listen or watch now, and if you enjoy the episode, subscribe, leave us a review, and drop a comment with your thoughts! Hosted on Acast. See acast.com/privacy for more information.
August 31 · 2 hr 13 min
84. Acid Base Made Easy with Dr Sara Crager
Returning guest Dr. Sara Crager joins us again on Critical Care Time, this time to tackle one of the most important, and most commonly overcomplicated, topics in critical care: acid–base physiology. Rather than treating acid–base as a collection of equations and compensation formulas, Sara walks us through her practical State → Process → Story framework for rapidly interpreting blood gases and electrolytes at the bedside. We discuss how to distinguish acidemia from acidosis, interpret CO₂ in the context of bicarbonate, use the anion gap and strong ion difference to uncover mixed metabolic disorders, recognize the importance of chloride and albumin, and understand why a “normal” pH—or a “normal” CO₂—may be anything but normal. Along the way, we work through several real-world ICU cases involving chronic hypercapnia, DKA, vomiting, septic shock, renal failure, saline-induced hyperchloremia, and hypoalbuminemia. The goal isn’t more acid–base math. It’s a better mental model and a faster way to understand what your patient’s numbers are actually telling you. Hosted on Acast. See acast.com/privacy for more information.
August 17 · 1 hr 28 min
83. Back to Basics: Pulse Oximetry
On this week’s episode of Critical Care Time we had back to the basics again, this time with a focus on the ubiquitous Pulse Oximeter! We will talk all things Pulse Ox from how it generates values, how reliable those values are, what factors can confound your pulse ox and how best to use this powerful - yet imperfect - tool to deliver the best care possible for your patients. Check it out and let us know what you think! Hosted on Acast. See acast.com/privacy for more information.
August 3 · 1 hr 48 min
82. Stroke & Neurocritical Care with Dr Casey Albin
We've heard you guys and we are ready to deliver! We are proud to bring you guys our first of several episodes on Neurocritical Care! On this episode - our introductory show - we had the pleasure of hosting Dr. Casey Albin a neurologist & neurointensivist who introduces the topic of neurocritical care with a special focus on basic tenets of stroke management. What type of imaging should you order? What do you do with anticoagulation? Who get's seizure prophylaxis? We cover all this and more with Dr. Albin. Please take a listen and let us know what you think and what else you want to hear from us! Hosted on Acast. See acast.com/privacy for more information.
July 27 · 1 hr 56 min
REBOOT ARDS: Acute Respiratory Distress Syndrome
ARDS is one of the most important—and intimidating—topics in critical care, so we thought it was the perfect time to reboot one of our most comprehensive episodes. Whether you're hearing it for the first time or need a refresher on the latest evidence and core principles, this episode is packed with practical pearls that still hold up today. Check out the original show notes on our website. Hosted on Acast. See acast.com/privacy for more information.
July 20 · 1 hr 22 min
81. Airway Management & Awake Intubation with Dr. Jarrod Mosier
Welcome back to another airway episode! On this episode, Cyrus and Nick are joined by Dr. Jarrod Mosier to discuss advanced concepts of airway management to include a practical and effective approach to awake intubation. We will discuss who is an appropriate candidate for this technique, why and when it should be implemented and cover some important pitfalls and pearls. We hope you guys enjoy this episode and that it motivates you to check out the Difficult Airway Course: Critical Care! If you are interested, make sure you use our discount code CCTIME26 to get $200 off the November course in San Diego! Hosted on Acast. See acast.com/privacy for more information.
July 13 · 1 hr 35 min
REBOOT The Physiologically Difficult Airway
We love airway management on Critical Care Time so we figured it was time to reboot a classic: The Physiologically Difficult Airway. On this episode, Nick and Cyrus discuss planning for those airways that may seem simple on your physical exam, but end up being some of the hardest to safely secure in the setting of hemodynamic instability. Also, we thought this would be a great prequel to a new release that is coming your way next week with Dr. Jarrod Mosier where we tackle advanced concepts in airway management and awake intubation. If you haven’t heard this one yet, or if you could use the refresher, give it a listen and let us know what you think! Hosted on Acast. See acast.com/privacy for more information.
July 6 · 1 hr 57 min
80. Back to Basics: Arterial Lines
Welcome to Season 4 of Critical Care Time! We are excited to be back for another year of exciting content and what better way to kick things off than with a brand new series! This year we're piloting our Back to Basics series where we will do deep dives on fundamental skills, tests, tools and so much more in the ICU. First up is Back to Basics: All Things Art Lines. On this inaugural episode we discuss why arterial blood pressure monitoring is so important in the ICU, how the place these lines, how to interpret the waveforms and cover a bunch of tips and tricks that you can tuck away for your next A-Line in the ICU! Let us know what you think: Send us a message on socials, drop us a comment or reach out via email! Hosted on Acast. See acast.com/privacy for more information.
June 29 · 1 hr 9 min
79. Listener Mailbag #3
It's that time of year again where Cyrus & Nick go through all the comments and questions from the last season and try to address them for the betterment of the Critical Care Time community! This year has been our most fun yet and hopefully you guys have really enjoyed what we've done so far and are looking forward to the future! On this episode we revisit beta blockers in septic shock, selective gut decontamination, the role of hemopurification in critical illness and so many more critical care potpourri items that piqued your collective interest. Thank you guys for being the best part of Critical Care Time and keep listening for more rockstar guests, expert insights and exciting new content! Hosted on Acast. See acast.com/privacy for more information.
June 15 · 1 hr 30 min
78. V-Tach Master Class with Dr. Sara Crager
Join us for this fun and exciting CCT episode where we are joined by the incredible Dr. Sara Crager for an all-expenses paid journey through the world of Ventricular Tachycardia! On this episode we explore the causes and pathophysiology of VT. Building upon that solid foundation, we also discuss different therapeutic approaches using a case-based format that's sure to leave a lasting impression. We hope you listen, learn and leave us a review! And if you feel so inclined, reach out on our socials and let us know what you think! Hosted on Acast. See acast.com/privacy for more information.
June 1 · 36 min
77. Zorses & Hebras #2
Ask and you shall receive! This week Nick & Cyrus bring back Zorses & Hebras from Season 1 - this time focusing on allergy and allergy-related concepts. Give it a listen and let us know what you think! Huge thanks to Integration Health for sponsoring this episode! Hosted on Acast. See acast.com/privacy for more information.
May 18 · 1 hr 16 min
76. ICU Sustainability with Dr Stephanie Maximos & Dr Hari Shankar
This week on Critical Care Time we take a slight departure from our usual content and turn an eye towards sustainability in the ICU. What low-hanging fruit exists in your ICU in the fight against medical waste? Why reach for a nebulizer when HFAs are so much more convenient? We had a great chat with Dr. Stephanie Maximos and Dr. Hari Shankar where we unpack this emerging concept and discuss options to take great care of your patients AND be mindful of waste and excess in your ICU! Listen, learn and let us know what you think!! Hosted on Acast. See acast.com/privacy for more information.
May 4 · 1 hr 31 min
75. Airway Pressure Release Ventilation Controversies with Dr Rory Spiegel and DR Max Hockstein
On this week’s episode, Cyrus and Nick host a spirited discussion with Drs. Rory Spiegel and Max Hockstein where we debate the merits of Airway Pressure Release Ventilation (APRV). What's the rationale for this? When is it appropriate? IS it appropriate… or is it witchcraft? Is it physiologically foolish or a perfectly logical option for hypoxemic respiratory failure? Good for all comer, good for a subset or does it belong with the vials of succinylcholine and DL blades? We may not have all the answers but on this episode we do our best to explore this ventilator mode and help you decide whether the juice is worth the squeeze! Check us out and let us know YOUR feelings while leaving us a review! Hosted on Acast. See acast.com/privacy for more information.
April 20 · 1 hr 30 min
74. Lung Transplantation with Dr Lara Jones and Dr Jason Gauthier
In this episode of Critical Care Time, we tackle one of the most complex and high-stakes corners of critical care: the lung transplant patient in the ICU. From evaluating candidates at the edge of respiratory failure to managing the crashing post-transplant patient, we break down the practical bedside decisions that matter most — including bridge strategies, hemodynamics, immunosuppression, infection, rejection, and the complications that can rapidly spiral if you miss them. Whether you work in a transplant center or occasionally inherit these patients in a general ICU, this episode is built to give you a sharper framework, clearer priorities, and more confidence when the stakes are highest. As is often the case, a heavy lift like this needs some back up and we are grateful to have Dr. Lara Jones, a transplant pulmonologist and her colleague, Dr. Jason Gauthier, a thoracic surgeon on to help us with this one! Thank you to Integration Health for sponsoring this episode. Integration Health is committed to supporting ECMO programs through high-fidelity training, start-up support and dynamic staffing assistance when you need it the most! Check them out at www.Integration.Health! Hosted on Acast. See acast.com/privacy for more information.
April 6 · 1 hr 29 min
73. Diabetic Ketoacidosis
On this week's episode of Critical Care Time, Cyrus & Nick go all-in on DKA and spend a little time talking about alcoholic and starvation ketosis too! In this jam-packed, clinically robust episode, the guys discuss the importance and pathophysiology of DKA before discussing all things treatment. After listening to this - and perusing the show notes - you'll be a DKA master! Check it out and let us know what you think. Special thanks to Integration Health and The Difficult Airway Course: Critical Care for supporting the production of this episode! Hosted on Acast. See acast.com/privacy for more information.
March 23 · 1 hr 53 min
72. ICU Toxicology with Dr. Adam Mora
On this week, Cyrus & Nick are joined again by intensivist extraordinaire, Dr. Adam Mora, for a long overdue episode on ICU Toxicology! Together, the three of us embark on a case-based journey covering some of the more common ICU toxidromes as well as some of the more unusual, but can't-miss diagnoses. This is a bit of a longer one but it's super high-yield and very practical for anyone who is studying for their boards and/or participating in the care of the critically ill! Thanks to our tag-team of sponsors for this episode: The Difficult Airway Course: Critical Care and our newest sponsor, Integration Health! Integration Health Website: https://bit.ly/IHxCCT LinkedIn: https://www.linkedin.com/company/integration-health/ Instagram: https://www.instagram.com/integrationhealth_ecls The Difficult Airway Course: Critical Care X (Twitter): @theairwaysite Instagram: @theairwaysite Facebook: @TheDAC.EMS LinkedIn: Airway Management Education Center (AMEC) Hosted on Acast. See acast.com/privacy for more information.
March 9 · 49 min
71. LIVE! From CHEST 2025: Cases in Cardiogenic Shock
We've been teasing this one for a while and now it's finally ready! This week we've released our first LIVE podcast from Chest 2025 where we cover cases in cardiogenic shock with our amazing panel of incredible clinicians. Nick & Cyrus moderate a discussion using a choose-your-own-adventure format, leveraging the expertise of our panelists in an hour long, fun-filled and practical discussion where we put some of our earlier CCT content to practice in some real world cases. Check out the YouTube channel or the website if you want to follow along with the slides. Please let us know how you like this!! Hosted on Acast. See acast.com/privacy for more information.
February 23 · 1 hr 39 min
70. Right Heart Failure with Dr Matt Siuba
Buckle up because on this week's episode of Critical Care Time we are treated to a master class on Right Heart Failure with world-class educator Dr. Matt Siuba. We are taking a deep dive on diagnosis, management and of course, sharing our love for the PAC! Make sure you clear your schedule and take notes for this one because as far as we are concerned, this is required listening for anyone who cares for the critically ill! Hosted on Acast. See acast.com/privacy for more information.
February 9 · 1 hr 45 min
69. Mechanical Circulatory Support with Dr. Bindu Akkanti
Folks this right here is a JAM PACKED episode of CCT goodness for you guys to enjoy! In this show for the ages we take a deep dive into the world of Mechanical Circulatory Support (MCS) and Cardiopulmonary Critical Care with one of the best in the biz, Dr. Bindu Akkanti! We will go through several fictional patients illustrating use cases, pitfalls and pearls of tools such as the balloon pump, ECMO and the microaxial flow devices used in ICUs all over the globe to help care for the sickest of the sick. If these tools ring a bell or if you are just interested in how we optimize care for these types of patients, give us a listen and let us know what you think! Hosted on Acast. See acast.com/privacy for more information.
February 2 · 1 hr 7 min
68. Sleep for ICU Clinicians: Functioning Better on Nights
On this week’s BONUS episode of Critical Care Time, Cyrus & Nick flip the coin on sleep and discuss the importance of sleep for those of us that have to work nights. We also discuss how to find ways to still get rest even when your whole world is flipped upside down! Be prepared to keep taking excellent care of your patients using some of the tricks we review here. Give it a listen - or a watch and let us know what you think! Hosted on Acast. See acast.com/privacy for more information.

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