iCritical Care Podcast

iCritical Care offers a wide selection of in-depth interviews on adult and pediatric topics. Learn more at http://www.sccm.org/iCriticalCare.
Creator: Society of Critical Care Medicine
Duration: 33:43
Michael Weinstein, MD, FACS, FCCP, speaks with Jonathan Elmer, MD, lead author on an article published in the August Critical Care Medicine, “Acute Respiratory Distress Syndrome After Spontaneous Intracerebral Hemorrhage.” Dr. Elmer and colleagues found that exposure to high tidal volume ventilation was actually the strongest predictor of development of acute respiratory distress syndrome in this patient population. Elmer is physician in the Department of Critical Care Medicine at the University of Pittsburgh Medical Center in Pittsburgh, Pennsylvania, USA. (Crit Care Med. 2013; 41(8):1992-2001).
Creator: Society of Critical Care Medicine
Duration: 27:21
Jeffrey Guy, MD, MSc, MMHC, speaks with Omar Badawi, PharmD, MPH, to discuss his article published in the December Critical Care Medicine, “Association Between ICU-Acquired Dysglycemia and In-Hospital Mortality.” Study results suggest severe ICU-acquired hyperglycemia, hypoglycemia and variability are associated with a higher risk of mortality. Badawi works for Phillips Healthcare in Baltimore, Maryland, USA. (Crit Care Med. 2012; 40[12]:3135-3139)
Creator: Society of Critical Care Medicine
Duration: 19:29

Michael Weinstein, MD, FACS, FCCP, speaks with J. Randall Curtis, MD, MPH, to discuss the article, “Hospital Variation and Temporal Trends in Palliative and End-of-Life Care in the ICU,” which was published in the July issue of Critical Care Medicine. Investigators found that there is significant variability in how palliative and end-of-life care is delivered hospital to hospital. Dr. Curtis is a professor in the Division of Pulmonary and Critical Care Medicine at Harborview Medical Center and the University of Washington in Seattle, Washington.

Creator: Society of Critical Care Medicine
Duration: 33:03
Michael Weinstein, MD, FACS, FCCP, speaks with Saqib A. Chaudhry, MD, lead author on an article published in the June Critical Care Medicine, “Impact of Advanced Healthcare Directives on Treatment Decision by Physicians in Patients With Acute Stroke.” Dr. Chaudhry is a clinical research fellow at Zeenat Qureshi Stroke Research Center at the University of Minnesota in Minneapolis, Minnesota. He is also associate editor for the Journal of Vascular and Interventional Neurology and co-investigator for implications and challenges of long term structured follow up in the management of acute stroke patients. (Crit Care Med. 2013; 41[6]: 1468-1475)
Creator: Society of Critical Care Medicine
Duration: 36:28
Michael Weinstein, MD, FACS, FCCP, speaks with David F. Gaieski, MD, lead author on an article published in the May Critical Care Medicine titled, “Benchmarking the Incidence and Mortality of Severe Sepsis in the United States.” The study found that there is substantial variability in incidence and mortality of severe sepsis depending on the method of database abstraction used (Angus, Martin, Dombrovskiy, Wang). Gaieski is an assistant professor in the Perelman School of Medicine at the University of Pennsylvania in Philadelphia, Pennsylvania, USA.
Creator: Society of Critical Care Medicine
Duration: 32:20
Jeffrey Guy, MD, MSc, MMHC, speaks with David R. Janz, MD, lead author on an article published in the December 2012 issue of Critical Care Medicine, “Hyperoxia is Associated with Increased Mortality in Patients Treated with Mild Therapeutic Hypothermia after Sudden Cardiac Arrest.” Investigators found that sudden cardiac arrest is associated with high hospital mortality and poor neurologic outcomes. Janz is a clinical fellow at Vanderbilt University School of Medicine in Nashville, Tennessee. (Crit Care Med. 2012; 40[12]: 3135-3139)
Creator: Society of Critical Care Medicine
Duration: 35:08
Jeffrey Guy, MD, MSc, MMHC, speaks with Christa A. Schorr, RN, MSN, FCCM, who is with us today to discuss implementing the Surviving Sepsis Campaign (SSC) guidelines. Schorr offers suggestions and key points for implementing SSC protocols in the hospital, as well as tips to gain administrative support for implementation. Dr. Schorr is the Director of Databases for Quality Improvement and Research and Program Director of Critical Care Research Trials at Cooper Hospital University Medical Center in Camden, New Jersey. She was also an active member on the 2012 Surviving Sepsis Campaign guidelines. (Crit Care Med. 2013; 41[2]: 580-637)
Creator: Society of Critical Care Medicine
Duration: 38:46
Jeffrey Guy, MD, MSc, MMHC, speaks with Juliana Barr, MD, FCCM, lead author on the Society of Critical Care Medicine's American College of Critical Care Medicine, “Clinical Practice Guidelines for the Management of Pain, Agitation, and Delirium in Adult Patients in the Intensive Care Unit,” published in the January Critical Care Medicine. The guidelines provide a roadmap for developing integrated, evidence-based, and patient-centered protocols for preventing and treating pain, agitation and delirium (PAD) in critically ill patients. Bundles included in the guideline link management strategies with other intensive care unit (ICU) interventions, such as spontaneous awakening trials and early mobility protocols. Barr is an Associate ICU Medical Director at the Veterans Affairs Palo Alto Health Care System in Palo Alto, California, and Associate Professor in Anesthesia at Stanford University. (Crit Care Med. 2013; 41[1]:263-306)
Creator: Society of Critical Care Medicine
Duration: 51:48
Michael Weinstein, MD, FACS, FCCP, speaks with Michael Klompas, MD, MPH, about his article, “Objective Surveillance Definitions for Ventilator-Associated Pneumonia,” published in the December issue of Critical Care Medicine. Investigators concluded that objective surveillance definitions are more logical and are subject to less interpretation and are used to provide [clinicians] the quality care that we want to at the beside, and to evaluate opportunities for performance improvement so that we ultimately can further care in the ICU and improve patient care for the future. Klompas is an infectious disease physician and associate hospital epidemiologist at Brigham and Women’s Hospital in Boston, Massachusetts. He is also an assistant professor in the Department of Population Medicine at Harvard Medical School and Harvard Pilgrim HealthCare Institute. (Crit Care Med. 2012; 40[12]:3154-3161)
Creator: Society of Critical Care Medicine
Duration: 18:12
SCCM Pod-194 CCM: Understanding Procalcitonin in Diagnosing Infection, Sepsis Use of Procalcitonin (PCT) for the diagnosis of infection has been studied extensively with conflicting results, in part because of the many different populations and clinical syndromes studied. This variability prompted Steven Reynolds, MD, FRCPC, and colleagues to report PCT values relative to baseline patient characteristics, ICU length of stay, infectious status and infecting organism. Dr. Guy delves into the conclusions of this article, “Longitudinal changes in procalcitonin in a heterogeneous group of critically ill patients,” with specific focus on why PCT is important when managing patients with suspected sepsis. Reynolds is a clinical assistant professor in the Department of Medicine at the University of British Columbia in Vancouver, British Columbia, Canada. (Crit Care Med. 2012; 40[10]:2781-2787) Released 9/27/12 Keywords: procalcitonin, outcome, infection
Creator: Society of Critical Care Medicine
Duration: 36:12
Jeffrey Guy, MD, MSc, MMHC, speaks with Theodore J. Iwashyna, MD, PhD, about his August Critical Care Medicine article, “The Incomplete Infrastructure or Interhospital Patient Transfer.” They address the daily challenges critical care providers at all levels face in identifying, negotiating and managing patient transfers. Iwashyna is an assistant professor of internal medicine at the University of Michigan in Ann Arbor, Michigan.(Crit Care Med. 40[8]:2470-2478) 8/23/12
Creator: Society of Critical Care Medicine
Duration: 20:24
Michael Weinstein, MD, FACS, FCCP, speaks with Joanne L. Hart, MD, to discuss her article published in the September Critical Care Medicine, “Perceptions of Organ Donation After Circulatory Determination of Death Among Critical Care Physicians and Nurses: A National Survey.” Hart is a pulmonary and critical care fellow at the Perelman School of Medicine at the University of Pennsylvania in Philadelphia, Pennsylvania.(Crit Care Med. 40[9]: 2595–2600) Released 8/30/12
Creator: Society of Critical Care Medicine
Duration: 21:58
Michael Weinstein, MD, FACS, FCCP, speaks with Constantine Manthous, MD, lead author of an article published in the August 2012 Critical Care Medicine titled, “Patient-Centered Critical Care Reconsidered : Ruminations on Bygone Continuity and Fear and Trembling.” (Crit Care Med 40[8]:2486-2487) Released: 7/26/12 Keywords: patient, continuous, care, end of life
Creator: Society of Critical Care Medicine
Duration: 13:34
iCritical Care associate editor Michael S. Weinstein, MD, FACS, FCCP, speaks with Ellen Cowen Meltzer, MD, MSc, about her article published in the May 2012 Critical Care Medicine. The article illustrates the benefits lip-reading interpretation can provide to improve communication with patients capable of mouthing words. Meltzer is an assistant professor of medicine and public health in the Division of Medical Ethics at Weill Cornell Medical College of Cornell University in New York, New York. She is also an assistant attending physician at New York-Presbyterian Hospital. (Crit Care Med 40[5]:1529-1531) Released: 5/31/12 Keywords: ethics, intubation, tracheostomy, communication, end of life, burns
Creator: Society of Critical Care Medicine
Duration: 32:14
Jeffrey Guy, MD, MSc, MMHC, speaks with Marek A. Mirski, MD, PhD, about his article published in the June 2012 Critical Care Medicine, “Safety, Efficiency, and Cost-Effectiveness of a Multidisciplinary Percutaneous Tracheostomy Program.” Mirski is a professor of anesthesiology and critical care medicine and is director of the Neuroscience Critical Care Units at Johns Hopkins Hospital in Baltimore, Maryland. (Crit Care Med. 40[6]:1827-1834) Released 6/7/12
Creator: Society of Critical Care Medicine
Duration: 25:07
iCritical Care associate editor Michael S. Weinstein, MD, FACS, FCCP, speaks with Craig M. Lilly, MD, about his article published in the June 2012 Critical Care Medicine ,“An Evaluation of the Diagnostic Accuracy of the 1991 ACCP/SCCM and the 2001 SCCM/ESICM/ACCP/ATS/SIS Sepsis Definition.” Lilly is a professor in the Division of Pulmonary, Allergy and Critical Care Medicine at the University of Massachusetts Medical School in Worcester, Massachusetts. He is also Vice-Chair of critical care operations and director of the eICU program at the University of Massachusetts Memorial Medical Center. (Crit Care Med. 40[6]:1700-1706. Released 6/8/12
Creator: Society of Critical Care Medicine
Duration: 27:43
Michael Weinstein, MD, FACS, FCCP, speaks with Peter M. Dodek, MD, MHSc, FRCPC, FACP, lead author of an article published in the May 2012 Critical Care Medicine titled, “The Relationship Between Organizational Culture and Family Satisfaction in Critical Care.” (Crit Care Med. 40[5]:1506-1512)
Creator: Society of Critical Care Medicine
Duration: 24:26
Michael Weinstein, MD, FACS, FCCP, speaks with Kenneth Christopher, MD, lead author of an article published in the May 2012 Critical Care Medicine titled, “Relationship Between Neighborhood Poverty Rate and Bloodstream Infections in the Critically Ill.” (Crit Care Med. 40[5]:1427-1436)