The Internet Book of Critical Care Podcast

Adam Thomas & Josh Farkas

Brought to you by a partnership that transcends the 49th parallel. Join Adam Thomas and Josh Farkas in the podcast that accompanies The Internet Book of Critical Care.
The IBCC podcast will explore key points in each chapter. Initially the release of podcasts may lag a bit behind the chapters for logistic reasons. However, our goal is to eventually have a podcast for each chapter. Subsequently, the podcast will discuss updates to the IBCC based on new evidence.

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136 episodes
Updated May 13, 2023

Episodes136

Newest first

Jan 14, 2021 · 25 min
IBCC Episode 109 - Lithium Toxicity
In this episode, we cover the spectrum of lithium toxicity, from the acute ingestion, to the patient with saturated brain tissue. Come take a listen to explore the nuances around volume repletion, when or should you reach for dialysis, what SILENT is or does it exist.
Dec 23, 2020 · 37 min
IBCC Episode 108 - Toxic Shock Syndrome
In this episode we cover those super antigens that cause all the trouble with staph and strep infections. Come take a listen around pathophysiology, identification, antimicrobials and all things IVIG.
Dec 15, 2020 · 30 min
IBCC Episode 107 - BRASH Syndrome
In this episode, we cover the OG-Farkas description of the age-old interplay between bradycardia / renal failure / AV nodal blocking agent / Shock / and Hyperkalemia. Don't just try and snipe one off at a time, carpet bomb them all at once.
Dec 11, 2020 · 32 min
IBCC Episode 106 - Massive Transfusion Protocol
In this episode we cover the crucial approach to what drives hemorrhagic shock: lots of bleeding. Come take a listen for the nuances around an organized approach to 1:1:1 and may we be as bold to say... 1:1:1:1 (fibrinogen, YAY). All things hypocalcemia, hypothermia, acidosis and what lines to use.
Dec 4, 2020 · 20 min
IBCC COVID-19 Update #7
We were actively trying to fill your life with non-covid things... but we just had to talk about these big new things. Come take a listen of aerosol transmission, why Remdesivir just doesn't work in the real world, why not to make the same mistake with the -mab du jour, and a few other tid bits.
Dec 1, 2020 · 27 min
IBCC Episode 105 - Ventilator Associated Pneumonia
In this episode, we cover that daily issue: Is this a VAP? Come take listen to level up beyond leukocytosis, inflammation, consolidation, worsening oxygenation and positive cultures. Viva la Piptazo - Linezolid/Vanco diad.
Nov 28, 2020 · 36 min
IBCC Episode 104 - Hemophagocytic LymphoHistiocytosis (HLH)
In this episode, we cover another great white whale in critical care: Hemophagocytic LymphoHistiocytosis (HLH). When your macrophages turn into paceman and start chomping your own cells, you're in trouble. Com listen about genetic predisposition to unchecked immune response, and a conversation around immunomodulation.
Nov 16, 2020 · 30 min
IBCC Episode 103 - Gastrointestinal hypomotility in critical care
In this episode we cover the big picture view of ileus, gastroparesis and colonic pseudo-obstruction. Come take a listen so summarize these issues you will encounter on the daily.
Oct 23, 2020 · 22 min
IBCC Episode 102 - Cerebral Venous Thrombosis
In this episode, we cover the DVT of the Brain... Cerebral Venous Thrombosis. Lace up your shoes, start washing those dishes, do whatever you need to do while we remind you about presentation, workup and most of all, treatment. As 1% of all strokes and the most common cause of stroke in young patients, you'll want to know this one cold.
Oct 19, 2020 · 22 min
IBCC Episode 101 - Stress Hyperglycemia in the ICU
In this episode we cover the often overlooked topic of glycemic control in the ICU. What blood sugar should we be targeting? Is that hyperglycaemia a stress response? Insulin resistance? Iatrogenic? All of the above. Come listen to our discussion, and Josh's attempt at clearing up a confused evidence base.
Oct 16, 2020 · 20 min
IBCC Episode 100 - Wernicke encephalopathy
We've reached a milestone, 100 episodes! In this podcast, we cover ICU level thiamine deficiency, not just your white-whale of Wernicke encephalopathy. Come take a listen for dosing, clinical features and complications.
Oct 13, 2020 · 24 min
IBCC Episode 99 - Hypertriglyceridemic Pancreatitis
In this episode, we cover the approach to the not-so-rare cause of ICU level pancreatitis: hypertriglyceridemia. Come take a listen for nuances around insulin management, and second thoughts around using heparin and plasmapheresis.
Sep 14, 2020 · 25 min
IBCC Episode 98 - Antifungal Agents
In this episode we simplify the approach to covering your invasive fungal infections in critically unwell patients. Yeast vs Mold vs Endemic Mycoses Azoles vs Echinocandins vs Amphotericin
Sep 12, 2020 · 28 min
IBCC Episode 97 - Nausea & antiemetics
Its the rare occasion you go one complete day without treating Nausea and vomiting in the ICU. In this episode, we cover the ddx you can't miss, and the multiple receptors to target in your patients.
Aug 28, 2020 · 37 min
IBCC Episode 96 - Analgesia for the critically ill patient
In this episode, we cover the essentials of analgesia for your critically ill patients. Spoiler alert, multimodal approaches are the way to go. If your MAR only has opiates on it, there may be a problem. Come listen for a new twist on the ladder approach, all things ketamine / precedes and lidocaine... with much much more.
Aug 8, 2020 · 31 min
IBCC Episode 95 - Inhaled Pulmonary Vasodilators
In this episode we cover the widely use, but poorly supported inhaled pulmonary vasodilators: -Oxygen -Nitroglycerin / Nitric Oxide -Epoprostenol -Milrinone
Aug 6, 2020 · 23 min
IBCC Episode 94 - Hyperosmolar Hyperglycemic State
In this episode, we cover the more sinister twin of DKA... HONK aka HHS (Hyperosmolar Hyperglycemic State). Come listen to how not to blow up your patients brain in the tug-of-war between glucose and sodium.
Jul 28, 2020 · 31 min
IBCC Episode 93 - Guillain-Barre Syndrome
In this episode we cover Guillain-Barre Syndrome. Everything from presentation, to why you should stop checking negative inspiratory pressure and just stick with FVC. Read the post then come take a listen.
Jul 23, 2020 · 31 min
IBCC Episode 92 - Intracranial hemorrhage
In this episode we cover one of the most fatal and moribund conditions we see regularly, Intracranial hemorrhage. Etiology, diagnosis and treatment (of course we spend time on BP goals).
Jul 22, 2020 · 20 min
IBCC Episode 91 - Catastrophic Antiphospholipid Syndrome
In this episode we cover Catastrophic Antiphospholipid Syndrome. A very rare and often missed diagnosis. Come take a listen to brush up on high risk patient population, clinical diagnosis, labs, steroids / anticoagulation and more treatment options.

The Internet Book of Critical Care Podcast

IBCC Episode 109 - Lithium Toxicity

IBCC Episode 108 - Toxic Shock Syndrome

IBCC Episode 107 - BRASH Syndrome

IBCC Episode 106 - Massive Transfusion Protocol

IBCC COVID-19 Update #7

IBCC Episode 105 - Ventilator Associated Pneumonia

IBCC Episode 104 - Hemophagocytic LymphoHistiocytosis (HLH)

IBCC Episode 103 - Gastrointestinal hypomotility in critical care

IBCC Episode 102 - Cerebral Venous Thrombosis

IBCC Episode 101 - Stress Hyperglycemia in the ICU

IBCC Episode 100 - Wernicke encephalopathy

IBCC Episode 99 - Hypertriglyceridemic Pancreatitis

IBCC Episode 98 - Antifungal Agents

IBCC Episode 97 - Nausea & antiemetics

IBCC Episode 96 - Analgesia for the critically ill patient

IBCC Episode 95 - Inhaled Pulmonary Vasodilators

IBCC Episode 94 - Hyperosmolar Hyperglycemic State

IBCC Episode 93 - Guillain-Barre Syndrome

IBCC Episode 92 - Intracranial hemorrhage

IBCC Episode 91 - Catastrophic Antiphospholipid Syndrome