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Critical Care

ReachMD

science & medicine medicine

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00:00:00

Cardiac Care on Ice: Therapeutic Hypothermia for...

Critical Care ·

2010/01/19

Host: Janet Wright, MD Guest: Michael Mooney, MD Therapeutic hypothermia is a relatively new treatment option for patients who suffer cardiac arrest, that can significantly improve neurologic outcomes. What factors determine the success of cooling therapy for cardiac arrest, and what resources does the procedure require? Dr. Michael Mooney, Director of Interventional Cardiology, Minneapolis Cardiology Associates, at Minneapolis Heart Institute / Abbott Northwestern Hospital in

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A Race Against Time: Treating Burn Patients Injured...

Critical Care ·

2009/10/15

Guest: Kevin Chung, MD Host: Lisa Dandrea Lenell, PA-C, MPAS, MBA Guest: Charles Thompson, PA-C, RN The U.S. Army Burn Center at Brooke Army Medical Center, Ft. Sam Houston Texas, is one of the five busiest burn units in the country. These patients are out of the ordinary. They are military men and women who have been burned over at least 20 percent of their body while serving in Iraq and Afghanistan. Dr. Kevin Chung an intensivist at the unit and PA Charles Thompson join host

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A Multi-Disciplinary Team Approach at BAMC's Burn Unit

Critical Care ·

2009/10/15

Guest: Kevin Chung, MD Host: Lisa Dandrea Lenell, PA-C, MPAS, MBA Guest: Charles Thompson, PA-C, RN It takes a team of specialists, social workers, PAs, nurses and therapists to care for the burn patients at the US Army Burn Unitin Brooke Army Medical Center, Fort Sam Houston, Texas. Every day more than 30 medical professionals make rounds checking on the critically injured at the unit. Dr. Kevin Chung, intensivist at the burn center, and PA Charles Thompson explain to host

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NICE-SUGAR: Blood Glucose Levels in the ICU

Critical Care ·

2009/09/15

Guest: Irl Hirsch, MD, MACP Host: Steven Edelman, MD Lowering blood sugar levels in critically ill patients is a widely embraced practice. But according to the results of the NICE-SUGAR study, lowering blood glucose levels in ICU patients may not be safe. Join host Dr. Steven Edelman and his guest,Dr. Irl Hirsch,professor of medicine andthe Diabetes Treatment and Teaching chairat the University of Washington in Seattle, as they discuss the results of the NICE-SUGAR study and its

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Key Concerns When Administering Meds Via a Feeding Tube

Critical Care ·

2009/02/16

Guest: Nancy Toedter Williams, PharmD Host: Charles Turck, PharmD, BCPS, BCCCP For patients who are unable to receive nutrition or medications orally, enteral feeding tubes offer one alternative method of delivery. Successful administration through a feeding tube requires awareness of potential problems with drug efficacy, adverse symptoms or a clogged tube. Dr. Nancy Toedter Williams, associate professor of pharmacy practice at Southwestern Oklahoma State University College of

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Managing Psychological Distress Post-ICU Stay

Critical Care ·

2009/01/26

Guest: Dale Needham, MD, PhD Host: Lee Freedman, MD What complications in the ICU might lead to a patient experiencing post-traumatic stress disorder after an ICU stay? Is it better to keep ICU patients sedated to prevent pain, or is there an advantage to encouraging movement as soon as possible? Host Dr. Lee Freedman debates this question with Dr. Dale Needham, assistant professor in the division of pulmonary and critical care medicine at Johns Hopkins University. Are certain

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Endobronchial Ultrasound-Guided Transbronchial Needle...

Critical Care ·

2008/12/05

Guest: Andrew Haas, MD, PhD Host: Lee Freedman, MD Until recently, bronchoscopy has involved using cameras with CT guidance to determine abnormalities along the airway and lymph nodes. How is ultrasound now being used for bronchoscopic needle biopsies? What are other novel therapeutic applications for endobronchial ultrasound-guided transbronchial needle aspiration? Dr. Andrew Haas, assistant professor of medicine in the pulmonary, allergy and critical care division at the

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Surviving Sepsis: Early Diagnosis and Treatment

Critical Care ·

2008/12/04

Guest: Peter DeBlieux, MD Host: Shira Johnson, MD Who will benefit most from early intervention and treatment from the 750,000 patients hospitalized with sepsis each year? Dr Peter De Blieux, Pulmonary and Critical Care specialist from the Louisiana State University Health and Science Center, discusses early management and diagnosis including the importance of goal directed therapy. Dr Shira Johnson is the host as Dr De Blieux reviews common mistakes in sepsis management and

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From Bench to Bedside: Reducing Sepsis Mortality

Critical Care ·

2008/12/04

Guest: Peter DeBlieux, MD Host: Shira Johnson, MD Sepsis kills 210,000 patients each year. Dr. Peter DeBlieux, professor of medicine at Louisiana State University Health Science Center and director of emergency medicine services at the Medical Center of Louisiana, discusses the latest clinical practice guidelines. He is interviewed by Dr. Shira Johnson abouthow to improve sepsismortality with new therapies. Learn why early and agressive management isthe key.

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Consciousness During Cardiac Death: A Window to...

Critical Care ·

2008/11/26

Host: Maurice Pickard, MD Guest: Sam Parnia, MD, PhD We are beginning to understand what happens when a patient in cardiac arrest, with no brain activity, later reports detailed perceptions, suggesting a high level of consciousness. What can we learn from the study of this phenomenon to help us improve resuscitation of the brain during cardiac arrest? What can it tell us about the experience of dying, and at what point consciousness ceases? Dr. Sam Parnia, a fellow in pulmonary and

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Ultra-Portable Ultrasound in the Critical Care Unit

Critical Care ·

2008/09/12

Guest: Eyal Herzog, MD, FACC Host: Jason Birnholz, MD So small, it is called the ‘pocket ultrasound,' Dr. Eyal Herzog, director of the cardiac care unit at St. Luke's-Roosevelt Hospital Center in New York, discusses with host Dr. Jason Birnholz the results of his research on the handheld portable ultrasound unit in the cardiac care department. Dr. Herzog reports no significant differences in image quality compared to the larger, high-end machine. The portability of the

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When a Fracture is More Than a Fracture

Critical Care ·

2008/08/14

Host: Lee Freedman, MD Guest: Samir Mehta, MD Dr. Samir Mehta, chief of orthopedic trauma at the Hospital of the University of Pennsylvania, discusses the role of the orthopedic traumatologist. What does this designation mean? What kind of special care or expertise do these specialists bring to the care of the patient? In what situations might an orthopedic traumatologist be called in for consultation? If you were in an accident, wouldn't you want this specialist called in to

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Delivering the Best Outcome in Critical Care

Critical Care ·

2008/07/24

Guest: Mitchell Levy, MD Host: Shira Johnson, MD Who delivers the best critical care, the critical care specialist or the physician without those credentials? Dr. Mitchell Levy, Professor of Medicine at Brown Medical School andMedical Director of the Medical Intensive Care Unitat Rhode Island Hospitaldiscusseshis recent study on the association between critical care management and patient mortality in the ICU. The answer may surpise you! Join host Shira Johnson.

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Can We Improve Outcomes With Sepsis Re-Education?

Critical Care ·

2008/07/24

Guest: Mitchell Levy, MD Host: Shira Johnson, MD What is the impact of re-education on outcomes in sepsis in an ICU? Host, Dr. Shira Johnson is joined by Dr. Mitchell Levy, professor of medicine at Brown Medical School andMedical Director of the Medical Intensive Care Unitat Rhode Island Hospital, who discusses the "Surviving Sepsis Campaign."Re-education of physicians and nurses in thisglobal study had a remarkable impact on reducing mortality and morbidity.Dr.Levy explains why

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Severe Brain Trauma: Lessons from Army Medicine

Critical Care ·

2008/06/25

Guest: Col. Leon Moores, MD Host: John Armstrong, MD Many brain trauma injuries suffered in the current conflicts abroad are unparalleled in severity. At the same time, procedural advances are allowing for unprecedented rates of survival and returns to functional quality of life. Col. Dr. Leon Moores, former chief of neurosurgery at Walter Reed Army Medical Center, joins host Dr. John Armstrong for a fascinating conversation about new techniques to alleviate brain swelling and

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Mass Casualty Management: Lessons from Army Medicine

Critical Care ·

2008/06/25

Guest: Maj. Colin Meghoo, MD Host: John Armstrong, MD Maj. Dr. Colin Meghoo, a general surgeon at Landstuhl Regional Medical Center in Germany, shares experiences in mass casualty management from Iraq with host Dr. John Armstrong. For care providers, a team-oriented approach is essential to expeditiously and safely treat a never-ending stream of patients, from local nationals to American service staff. Dr. Meghoo emphasizes practice drills and tested strategies toward maximizing

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Critical Care: Lessons from Army Medicine

Critical Care ·

2008/06/25

Guest: Lt. Col. Alexander Niven, MD Host: John Armstrong, MD Battlefield medicine can be boiled down to providing intensive care in intensive places. Lt. Col. Dr. Alexander Niven, director of respiratory care services and associate program director of internal medicine at Madigan Army Medical Center in Tacoma, Wash., talks with host Dr. John Armstrong about novel resuscitation techniques and infection control strategies, two fertile areas of combat care research. Additionally, Dr

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Trauma Care: Lessons from Army Medicine

Critical Care ·

2008/06/13

Guest: Col. David Burris, MD Host: John Armstrong, MD The history of trauma care can be followed through the history of war. With serious battlefield wounds demanding swift and immediate action, how has modern military medicine improved our ability to execute response protocol for these injuries? Col. Dr. David Burris, professor and chair of surgery at Uniformed Services University of the Health Sciences, details measures for training and oversight of our responding medical units

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Tools to Improve Prognoses for Traumatic Brain Injuries

Critical Care ·

2008/05/19

Guest: Jam Ghajar, MD, PhD Host: Mark Nolan Hill, MD Advances in diagnostics for traumatic brain injuries will soon allow us to evaluate these injuries immediately after they occur. With many of our troops suffering these injuries, the United States military is making a push to accelerate development of a new assessment device. Jamshid Ghajar, MD, PhD, president of the Brain Trauma Foundation, the organization working in partnership with the Defense Department, outlines this

00:00:00

Using Eye-Tracking Technology to Evaluate Traumatic...

Critical Care ·

2008/05/19

Host: Mark Nolan Hill, MD Guest: Jam Ghajar, MD, PhD Traumatic brain injuries are a major cause for concern for our troops returning home from military conflicts abroad. The development of a new eye-tracking device, initiated and funded, in part, by the United States Department of Defense, will soon provide an immediate assessment of traumatic brain injuries. How might this device change the entire evaluation process for these injuries? When will this device be ready for use? Host

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Critical Care

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