An educational podcast presenting practical critical care scenarios. By Brandon Oto, PA-C and Bryan Boling, ACNP. New episodes weekly.
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The Heavy Lies the Helmet® Podcast is by critical care professionals, for critical care professionals. Hosted by Mike Boone, Dan Rauh, and Dr. Amanda Humphries, we dive deep into the realities of emergency and critical care medicine. Our conversations are raw, honest, and practical — cutting through the noise to focus on real-world challenges, clinical decision-making, and the human side of high-acuity care. Whether we’re unpacking complex patient scenarios, discussing the nuances of teamwor ...
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Kali Dayton, DNP, ACNP-BC, is an ICU nurse practitioner and consultant on a mission to create Awake and Walking ICUs. She hands the microphone to ICU survivors and bedside caregivers to reveal the realities of ICU experience and patients' journeys after discharge. The big picture of sedation and immobility is discussed and we explore how to improve short and long-term patient outcomes. We shift the vision from transferring out of the ICU to walking straight home after the ICU. www.DaytonICUc ...
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Micro-learning all things critical care medicine. The transition to practice is overwhelming. We’re here to educate, entertain, inform, and support new nurse practitioners as they cross the divide from seasoned nurse to novice nurse practitioner. Thoughts, stories, and perspectives from an expert ICU nurse practitioner, Dr. Sean P. Dent.
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The Coalition for Physician & APP Well-Being presents conversations with healthcare professionals who support wholeness within their organizations. Our guests understand that in the pursuit of wholeness we must encompass the physical, mental, social, and spiritual health care of each individual, in order to reinvigorate their purpose and meaning. Hosted by: Roy Reid, APR, CPRC
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Nursing Uncensored features candid conversations with nurses about topics that range from educational to explicit, from scholarly to scatological. NU will make you laugh, make you think, and might even make you blush with our bold opinions and dark humor. At the core of our mission is the education, advocacy, and empowerment of nurses and students. We believe in creating a space that uplifts and supports all individuals, highlighting what makes them unique and interesting. We honor HIPAA but ...
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Palliative Care Chat - University of MD Baltimore
Palliative Care Chat - University of MD Baltimore
Brought to you by the online Master of Science and Graduate Certificates in Palliative Care from the University of Maryland, Baltimore. graduate.umaryland.edu/palliative
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The Change of Shift Podcast offers a unique learning perspective on the nursing profession. We all learn the hard way that nursing is not easy. Each episode Sean hears from Nurses, students, educators, and professional influencers who have learned to survive the real world of nursing and its big brother the healthcare community at-large. As a profession, the “change of shift” is a moment Nurses have transformed into a malleable coping mechanism and buffering tool. A tool created to not only ...
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Britney Broyhill, DNP, ACNP-BC, FAANP • Live at the Summit
24:54
24:54
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24:54Britney Broyhill, DNP, ACNP-BC, FAANP, is the Senior Director of Advanced Practice for Atrium Health. Thanks for tuning in! Check out more episodes of The Well-Being Connector at www.bethejoy.org/podcast.By The Coalition for Physician & APP Well-Being
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Lightning rounds 52: Echo tips with Michael Lanspa
59:47
59:47
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59:47We chat with Dr. Michael Lanspa, intensivist and director of the Intermountain Critical Care Echocardiography Core Lab, about common pitfalls among bedside POCUS users and tricks for doing it better. Learn more at the Intensive Care Academy! Find us on Patreon here! Takeaway lessonsBy Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
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Episode 129 - Little Lung Problems w/Nate Brown
1:07:36
1:07:36
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1:07:36Wet or dry. Air in or out. Reactive or obstructive. The possibilities may seem endless when treating the pediatric patient with undifferentiated respiratory distress. It is confounded by the fact that pediatrics are outside the comfort zone of many novice critical care transport providers. In this podcast episode, neonatal/pediatric specialist Nate…
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Episode 89: Thrombectomy for stroke, with Justin Fraser
59:55
59:55
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59:55We explore the world of thrombectomy for acute ischemic stroke with Justin F. Fraser (@doctorjfred), MD, FAANS, FAHA, Professor and Vice-Chair of Neurological Surgery and Director of Cerebrovascular Surgery and Neuro-interventional Radiology at University of Kentucky, where he specializes in cerebrovascular, endovascular, skull base, and endoscopic…
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Episode 197: Raging Tigers and Merciful Angels- The Fight to Humanize Critical Care
38:30
38:30
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38:30In this powerful episode, we hear raw, heartfelt stories from ICU revolutionists who are bravely challenging the status quo in critical care. Amidst threats to their jobs, personal attacks, and widespread resistance, these clinicians refuse to turn a blind eye to the harm caused by sedation, immobilization, and dehumanization. From battling bullyin…
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Episode 87: Maternal-fetal monitoring with Stephanie Martin
51:42
51:42
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51:42We learn about the basics of fetal monitoring in the critically ill pregnant woman and how to integrate them into our ICU workflows, with Stephanie Martin, MFM obstetrician and host of the Critical Care Obstetrics podcast and teacher at the Critical Care Obstretrics Academy. Learn more at the Intensive Care Academy! Find us on Patreon … Continue re…
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Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here!By Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
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Episode 196: Delirium and Workplace Violence
1:03:32
1:03:32
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1:03:32Does sedation improve safety in the ICU? What is the relationship between delirium and workplace violence? Nurse and survivor of workplace violence, Kelsey Springer, MSN, RN, CCRN join us now to share her experiences and the research. Join me for the pre-conference delirium simulation training at ADS! https://americandeliriumsociety.org/events/ads-…
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We discuss the basics of EEG in the ICU, including when to do it, selecting the appropriate study, and the basics of bedside interpretation, with Carolina B Maciel, MD, MSCR, FAAN, triple boarded in neurology, neurocritical care, and critical care EEG. Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your … Continue reading "E…
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Episode 195: Public Opinion on Informed Consent and Medically-Induced Comas
31:38
31:38
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31:38If the choice between being sedated or awake and mobile was provided prior to intubation with the risks disclosed, what would the general public choose? Do patients and families have a right to know the risks of continuous sedation? I interviewed strangers in airports throughout the USA to learn more about their preferences. www.DaytonICUConsulting…
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Episode 128 - Keeping Trauma Close to the Chest
55:14
55:14
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55:14'Tis the season for trauma. (If there truly is a season.) Chest trauma, specifically, can vary in subtlety and severity, primarily due to the presence of multiple vital organs and vessels. In this podcast, we discuss these potentials while focusing on those injuries that are associated with the highest mortality rate. We also discuss why you should…
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Simiao Li-Sauerwine, MD, Kim Bambach, MD & Blair Creedle Reynolds, MD • Live at the Summit
34:57
34:57
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34:57Advocating for yourself is a crucial skill for well-being, professional identity formation, and career advancement as women in medicine. In this episode, our guest speakers touch on their RAFFT (Resident and Faculty Females Together) program, where participants learn tangible skills for building their own self-promotion toolkit. The program involve…
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Episode 194: Walking While Intubated with an IABP with Bob
28:04
28:04
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28:04What it is like to wake up intubated with an intra aortic balloon pump and then have Teia, your physical therapist, get you walking? Bob shares with us how the ABCDEF Bundle helped him walk home from the ICU. www.DaytonICUConsulting.com Need help making the business case for your hospital? Check out www.ABCDEFBundle.com !…
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Lightning rounds 51: Hemodynamic interfaces with Philippe Rola
43:43
43:43
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43:43Philippe Rola, intensivist, master of the VEXUS scan, and founder of the Hospitalist and Resuscitationist conference, shares his recent model of four hemodynamic interfaces to describe the entire circulatory system. Register for the H&R conference (May 22-23 2025) here with the discount code provided in the show. (No, we’re not sponsored, just a co…
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Episode 193: Empowering Respiratory Therapists with JJ the RT
53:08
53:08
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53:08What does JJ the RT have to say about last episode’s exploration of sedation and ventilator asynchrony? Are respiratory therapists prepared and empowered to optimize their role in Awake and Walking ICUs? How can create an environment that fosters RT excellence? JJ explores it all in this episode. Www.DaytonICUConsulting.com…
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Episode 88: ICU Liberation SCCM Congress 2025
13:55
13:55
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13:55A roundup from members of the SCCM’s ICU Liberation committee, recorded at SCCM Congress 2025. Included:By Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
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Episode 192: Debunking Myths- Sedation and Ventilator Asynchrony
27:22
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27:22For years we have been taught at the bedside that sedation “improves ventilator asynchrony”. We have believed that patients must be sedated to be compliant with the ventilator. Is that true? What does the research show? Sylvia Stefanos, PharmD, BCCCP joins us armed with the evidence and ready to debunk the myths. Want to share the financial benefit…
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Episode 191: Insights from SCCM Congress- Current State of Affairs
50:53
50:53
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50:53What do ICU clinicians really know about patient perspective of sedation and immobility? What are their personal wishes if they were intubated in the ICU? What do ICU providers really understand about the ABCDEF bundle and how is it going in the ICU community at large? I hit the halls at SCCM Congress to find out. www.DaytonICUConsulting.com…
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Lightning rounds 50: Mastering PA catheter placement with Matt Siuba
1:04:28
1:04:28
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1:04:28We learn the vanishing art of placing the PA (Swan-Ganz) catheter, with intensivist and friend of the podcast Matt Siuba (@msiuba). Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here! Takeaway points References Insertion video Wedge distance How measurement technique affects diagnosis Thermo in TR review POCUS fo…
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Episode 190: Healing From Post-ICU PTSD with UCF Restores
33:56
33:56
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33:56After 51 days of sedation and immobility in the ICU and on ECMO, Angela Leggett spent almost 2 decades battling post-ICU PTSD. She shares with us her journey and the impact of UCF Restores to give her a new chance at quality of life! UCF Restores Www.DaytonICUConsulting.com
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Arpita Gupta DePalma, MD • Live at the Summit
29:12
29:12
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29:12Arpita Gupta DePalma, MD founded Thought Work, MD to help physicians and professional women learn how to identify, manage, and then let go of what is not serving them through transformational mindset coaching. She helps powerful women learn how to stay ahead of their anger so that they show up calm, collected and in control, ready to lead and execu…
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Does your patient have high blood pressure? Are they seizing or showing other signs of a neurological disorder? It could be PRES! Unfortunately, Posterior Reversible Encephalopathy Syndrome (PRES) is difficult to diagnose unless you are aware of its existence. In this podcast episode, we discuss this infrequent condition and how can you appropriate…
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Episode 189: The ICU Revolution at Mercy San Juan Medical Center- Part 8 with Dr. Parimal Bharucha
44:58
44:58
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44:58What is the ethical and moral responsibility of a medical director to personally practice, lead, and support their ICU to keep patients as awake and mobile as possible? Dr. Parimal Bharucha shares with us the incredible revolution that has happened in his ICU. Www.DaytonICUConsulting.com
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Lightning rounds 49: The Vortex approach with Nicholas Chrimes
1:07:13
1:07:13
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1:07:13We learn about the Vortex approach to airway management, as well as airway algorithms and mental models in general, with Vortex creator and anesthesiologist Dr. Nicholas Chrimes, anaesthetist and cofounder of the Safe Airway Society. Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here! References…
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Episode 85: Tracheostomy basics with Vinciya Pandian
46:01
46:01
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46:01We discuss the basics of evaluation for tracheostomy placement, periprocedural care, and post-procedure complications with Vinciya Pandian, PhD, ACNP, FCCM, tracheostomy nurse practitioner and researcher. Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here!By Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
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Jenny Michel, DNP, APRN-CNP • Live at the Summit
26:18
26:18
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26:18Jenny Michel is the Director of Advanced Practice at Akron Children’s and works clinically as a nurse practitioner in the emergency department. She is currently the co-chair of the provider resilience committee, the Well-Being index APP champion, and an advocate for recognizing the importance of provider wellness and improving the health and wellne…
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Academy bites: You were here when we were not
15:40
15:40
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15:40Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here!By Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
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Episode 126 - Certification Versus Qualification
50:47
50:47
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50:47Do certifications accurately reflect an individual's qualifications? This is an ongoing argument depending on what side of the exam you are on. How much value should we on that piece of paper? And, regardless, how do we work towards obtaining and maintaining qualifications? In this podcast episode, we discuss it all including Dunning-Kruger Effect …
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Episode 84: Acute liver failure with Sergio Navarrete
56:39
56:39
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56:39We discuss assessment, monitoring, medical stabilization, and when to consider transplant of the patient with acute liver failure. We are joined by Dr. Sergio Navarrete, anesthesiologist and intensivist with fellowship training in transplant anesthesia. Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here! Takeaway…
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Episode 188: The ICU Revolution at Mercy San Juan Medical Center - Part 7 with Dr. Jodi Coates
54:49
54:49
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54:49When the harm of “normal practices” shifts the perspective of an ICU revolutionist and medical director, what is the next course of action? Dr. Jodi Coates shares how her personal convictions inspired her to lead her trauma ICU to radically transform their sedation and mobility practices. Want to help your ICU become an Awake and Walking ICU? Sched…
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Episode 83: Cardiac arrest with Scott Weingart
1:10:15
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1:10:15We talk about the nitty-gritty details of a well-run cardiac arrest, with Scott Weingart of Emcrit (@emcrit), ED intensivist. Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here! Takeaway lessons ResourcesBy Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
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Amber Orman, MD, DipABLM • Live at the Summit
30:17
30:17
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30:17Amber Orman, MD, DipABLM is a double board-certified radiation oncologist and lifestyle medicine specialist focusing on focusing on breast cancer treatment and prevention, providing holistic care that encompasses mind and body. She is the first ever Chief Wellness Office (CWO) of AdventHealth Medical Group, working to improve the well-being of her …
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Episode 187: The ICU Revolution at Mercy San Juan Medical Center - Part 6 with Ginger Manss
32:16
32:16
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32:16What is the role of the critical care director in leading ICU teams to become Awake and Walking ICUs? How can directors use the evidence to win executive leadership support for their teams to have what they need to succeed? Ginger Manss, DNP shares with us her key role as senior director of critical care in the revolution at MSJMC. Check out their …
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Lightning rounds 48: Complete airway closure with Thomas Piraino
1:13:45
1:13:45
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1:13:45We talk about the phenomenon of airway closure during mechanical ventilation, with Thomas Piraino, RRT, FCSRT, FAARC, adjunct lecturer for the Department of Anesthesia at McMaster University, editor of The Centre of Excellence in Mechanical Ventilation Blog, and a member of the editorial board of Respiratory Care. Learn more at the Intensive Care A…
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Episode 125 - Breaking the Case: The Point of Ultrasound
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45:05
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45:05Previously, we recorded a podcast episode about the utility surrounding Point of Care Ultrasound (POCUS). In this episode, we apply that knowledge to specific case scenarios as a continuation of our "Breaking the Case" series. We also ask the question, is POCUS really all it's cracked up to be, or should we be re-thinking our approach, particularly…
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Episodes 186: The ICU Revolution at Mercy San Juan Medical Center Part 5- Respiratory Therapy
48:04
48:04
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48:04What role do respiratory therapists play in creating Awake and Walking ICUs? How did Candace Wistrich, RRT, BSRT and Nelya Kapitula, RRT, BSRT lead their respiratory therapy department to move the revolution forward? They join us now to share their team’s journey! Vote for “Awake and Walking ICUs” as “best nurse innovation” and Kali Dayton as “best…
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Our approach to common problems and troubleshooting: Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here!By Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
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Episode 185: The ICU Revolution at Mercy San Juan Medical Center- Part 4 with the Trauma ICU RNs
59:00
59:00
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59:00How does the Awake and Walking ICU approach apply to the trauma ICU? How did education, training, leadership support, and deep compassion empower these experience trauma nurses to transform their ICU culture and practices? What successes have they had and how has keeping patients awake and mobile impacted their career fulfillment and team dynamics?…
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Lightning rounds 47: Post-op care transitions
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44:09
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44:09We chat about the post-op transition of care from the OR to the ICU, including questions to ask, workflows, and pitfalls. Check out the Intensive Care Academy here! Bryan’s textbook: Concepts in Surgical Critical Care Find us on Patreon here! Buy your merch here!By Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
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Episode 184: The ICU Revolution at Mercy San Juan Medical Center- Part 3 with Luke Stratigates
44:29
44:29
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44:29Safe patient handling(SPH) is a fairly new and rapidly growing field. Mercy San Juan Medical Center is fortunate to have a strong SPH department and leadership. Luke Strategates, DPT shares with us the key role he plays in the ICU Revolution as the safe patient handling leader. Want to bring the revolution to your ICU? Schedule a consultation at ww…
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Episode 124 - Canine Care w/George Tarver III
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56:54
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56:54Humans are easy. That's why we are able to do what we do as prehospital providers. But what happens when your patient is a canine? These working dogs are highly regarded by their handlers and require care just like anyone else that may be ill or injured. Considering that, are you equipped to care for them? If not, how can you successfully start and…
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Episode 183: The ICU Revolution at Mercy San Juan Medical Center- Part 2 with Dr. Lawrence Bistrong
37:14
37:14
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37:14What happens when a medical director really sees the reality of “normal practices” and becomes a revolutionist? Dr. Bistrong shares his personal conversion and the key role he has playing in his team’s transformation. Www.DaytonICUConsulting.com
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Episode 81: Bacterial meningitis with Casey Albin
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58:42
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58:42We talk about diagnosis, treatment, and subsequent care of the patient with bacterial meningitis, with Emory neurointensivist Casey Albin, MD (@caseyalbin). Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here! Takeaway lessons ResourcesBy Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
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Episode 182: The ICU Revolution at Mercy San Juan Medical Center- Part 1 with Jeana Flakes
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44:50
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44:50Standardized sedation and immobility are rooted in a gap in education. What is the power of a nurse educator in transforming knowledge, culture, and practice in the ICU? Jeana Flakes, MSN, RN shares how she helped lead the ICU Revolution as a nurse educator at Mercy San Juan Medical Center. Www.DaytonICUConsulting.com…
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Lightning rounds 46: Nick Ghionni on combating cognitive bias
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55:40
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55:40We chat with Nick Ghionni, pulm/crit attending at MedStar Baltimore Hospital, about identifying and combating cognitive biases in our clinical decision-making. Check out the Intensive Care Academy here! Find us on Patreon here! Buy your merch here!By Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
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What do physicians understand of the ABCDEF bundle? What are their perceptions of early mobility? How are their teams practicing the ABCDEF bundle in their own units? What do physicians need to be able to lead an Awake and Walking ICU approach in their units?I interviewed physicians while attending the CHEST conference to find answers to these ques…
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This is Part II of a special two-part series on the Coalition for Physician Well-Being. Note: This episode was recorded in September 2024, prior to the landfall of Hurricane Helene in the continental United States. The Coalition is dedicated to supporting the residents of western North Carolina and will produce the 2025 Joy & Wholeness Summit respo…
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Episode 123 - To Treat or Not to Treat: Hypertension
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1:00:03
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1:00:03It can be difficult to determine whether you should treat undifferentiated hypertension or not. Many clinicians are distracted the number rather than focusing on the patient in front of them. Asymptomatic hypertension, in particular, is often benign. In fact, treating asymptomatic hypertension in a patient who a primary medical history of hypertens…
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Episode 80: Implementing the A-F bundle with Kali Dayton
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58:08We discuss the practical barriers to implementing the A-F ICU liberation bundle, with Kali Dayton, ACNP-BC (@daytonicu), host of the Walking Home from the ICU podcast, and consultant to ICUs working on these issues. Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here!…
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Episode 180: Leading the ABCDEF Bundle in Bangledash
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35:48
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35:48What happens when a visionary physician in a low-resource hospital in Bangledash leads his team to practice the ABCDEF bundle? How did this passionate team of ICU clinicians transform their care from automatic sedation and immobility to standardized mobility three times a day? How did they come to treat mobility as important and optional as an anti…
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