Show Notes
On this episode of Critical Care Time, we tackle the enigma - shrouded in mystery and caped in uncertainty - know as rheumatologic emergencies in the critically ill patient! We sit down with Dr. Marcela Ferrada - a QUADRUPLE boarded intensivist/rheumatologist/ID specialist and internist - who guides us through her approach to rheumatologic emergencies in the sickest of the sick. As we often do, we approach this via a pragmatic, cased-based journey for your listening pleasure. Please check it out, learn all you can, and as always - let us know your thoughts and leave a review!
Special thanks to returning sponsor, Seastar Medical for supporting us with this production! Hosted on Acast. See acast.com/privacy for more information.
More from Critical Care Time
Julie Corley expected to be home by lunchtime. Instead, a routine left-heart cath became a five-month ICU stay involving cardiac arrest, ECMO, terrifying delirium, and a recovery that would reshape her family’s life.
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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.
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.