Épisodes

  • 57. Venous Congestion, Volume Tolerance and Bedside Assessments

    57. Venous Congestion, Volume Tolerance and Bedside Assessments
    Sep 8 2025
    What is the microcirculation? How are terms like volume-status and fluid-responsiveness misleading? Join us as we sit down with Dr. Ross Prager to unpack and de-mystify the concepts of congestion and volume tolerance along with our survey of the tools of the trade as it relates to these terms. On this Critical Care Time episode we really get into the weeds on this stuff and even get theoretical at some points so it's NOT for the faint of heart! However, if you listen to us for the deep dives into physiology and if you want to level-up your ICU patient care, this is the episode for you! Listen, leave us some feedback and drop us a review!

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    1 h et 20 min
  • 56. Tales from the ICU: BRASH Syndrome

    56. Tales from the ICU: BRASH Syndrome
    Aug 25 2025
    This week, Nick & Cyrus try something a little different with Tales from the ICU. Here, we explore clinical reasoning in the ICU in the context of a mystery case! Don't worry, we'll reveal the diagnosis and go through all the pitfalls, pearls and pathophysiology! This way, you get to play along for a while AND learn some cool medicine. As this is a new episode format, PLEASE leave us feedback and let us know if you like it or if we should send this one to the crypt!

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    50 min
  • 55. Cirrhosis & Variceal Bleeds

    55. Cirrhosis & Variceal Bleeds
    Aug 11 2025
    On this week's episode of Critical Care Time, Dr. David Dulaney rounds out GI bleeds in the ICU by taking on cirrhosis & variceal bleeds! During this show we discuss the unique challenge associated with managing a patient with cirrhosis - specifically focusing on the coagulopathy of advanced liver disease. We then delve into the nuances associated with managing a variceal bleed, both in terms of the unique critical care elements but also the challenges faced by the endoscopist when trying to saves these patients in extremis. Tune in, leave us a review and most importantly - leave us some feedback!

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    1 h et 33 min
  • 54. Non-Variceal GI Bleeds

    54. Non-Variceal GI Bleeds
    Jul 28 2025
    Join us on this week's episode of Critical Care Time as we embrace blood-and-guts with Dr. David T. Dulaney, gastroenterologist-extraordinaire! Nick & Cyrus host David for a pearl-laden discussion on non-variceal GI bleeds where we talk guidelines, expert opinion and so much more. Who needs a scope? When do you scope them? Why is stabilizing your patient SO important before GI comes in to save the day? How can we work together effectively with our colleagues in GI to ensure the best outcomes for our patient? We tackle a ton of content on this episode so you'll definitely want to tune in... and maybe even take some notes! Make sure to leave us feedback and let us know what you think! Oh... and spoiler alert: cirrhosis and variceal bleeds is on deck for our next installment so keep your eyes peeled for that one too!

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    1 h et 53 min
  • 53. Lactate & Lactic Acidosis

    53. Lactate & Lactic Acidosis
    Jul 14 2025
    On this episode of Critical Care Time, Nick & Cyrus embark on a deep dive into the world of lactic acidosis! As it is the beginning of the academic year, we figured this would be a great topic to demystify and disambiguate for our listeners. We discuss why lactic acidosis matters, and deconstruct all the clinically relevant elements from diagnosis to management, so that you are fully equipped with the tools necessary to conquer your next case of lactic acidosis - or maybe your first!! Ring in this new season of CCT with a banger of an episode and let us know what you think!

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    1 h et 14 min
  • 52. Listener Mailbag #2

    52. Listener Mailbag #2
    Jun 30 2025
    This week on Critical Care Time, we’re turning the mic over to you, our brilliant listeners! In this special Q&A episode, Nick and Cyrus read your comments, tackle your toughest clinical questions, and share how your insights have sent them diving back into PubMed, Reddit, and beyond. Whether you’re commuting, charting, or on break in the ICU, this episode is packed with practical pearls, literature deep-dives, and the human stories that make critical care so rewarding. Thank you for helping us learn and grow—let’s jump right in!

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    51 min
  • 51. Sepsis

    51. Sepsis
    Jun 16 2025
    On this week's episode of Critical Care Time, Cyrus & Nick take a deep dive into the wide world of sepsis! This one has been a long time in the making so buckle up for a journey through the history of sepsis and critical care, culminating in a review of our approach to diagnosis and management in 2025 complete with some hot topics and controversies. Please give us a listen or a watch, leave us some feedback and share our show with your friends and colleagues!

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    1 h et 43 min
  • 50. Fever in the ICU

    50. Fever in the ICU
    Jun 2 2025
    We see fever every day in the ICU but what’s the best approach to diagnosis and when do we need to go on a Zebra hunt? In this episode, we’re joined by Dr. Luis Tatem, a physician triple-boarded in Internal Medicine, Infectious Diseases, and Critical Care — plus certified in Tropical Medicine from the London School of Hygiene & Tropical Medicine. We explore the diagnostic and therapeutic approach to fever in the ICU, including practical pearls for evaluating fevers in patients returning from global travel. We then walk through high-yield case vignettes that illustrate diseases like malaria, dengue, typhoid, leptospirosis, and more.

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    1 h et 39 min