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Critical Care Time

Critical Care Time Podcast

65 episodes

1 week ago

Critical Care Time is the podcast for everyone who cares for the critically Ill. Whether you work in an ICU, a Med-Surg unit, an ED, a PACU or the back of an ambulance - Dr. Cyrus Askin & Dr. Nick Mark provide practical insights and useful tips to enhance your skillset.

They are triple board-certified intensivists who love patient care and teaching. Journey with them through deep dives into physiology and practical pearls, leaving no stone unturned in the world of critical care medicine.

Through their own insights, expert interviews and targeted reviews of the literature, Nick and Cyrus provide practical, relevant critical care pearls. If you bill for critical care time, you must make time for Critical Care Time!

Hosted on Acast. See acast.com/privacy for more information.

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Health & Fitness

All content for Critical Care Time is the property of Critical Care Time Podcast and is served directly from their servers with no modification, redirects, or rehosting. The podcast is not affiliated with or endorsed by Podjoint in any way.

Critical Care Time is the podcast for everyone who cares for the critically Ill. Whether you work in an ICU, a Med-Surg unit, an ED, a PACU or the back of an ambulance - Dr. Cyrus Askin & Dr. Nick Mark provide practical insights and useful tips to enhance your skillset.

They are triple board-certified intensivists who love patient care and teaching. Journey with them through deep dives into physiology and practical pearls, leaving no stone unturned in the world of critical care medicine.

Through their own insights, expert interviews and targeted reviews of the literature, Nick and Cyrus provide practical, relevant critical care pearls. If you bill for critical care time, you must make time for Critical Care Time!

Hosted on Acast. See acast.com/privacy for more information.

Show more...

Health & Fitness

Episodes (20/65)

Critical Care Time

56. Tales from the ICU: BRASH Syndrome

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!

Hosted on Acast. See acast.com/privacy for more information.

1 week ago

49 minutes 34 seconds

Critical Care Time

55. Cirrhosis & Variceal Bleeds

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!

Hosted on Acast. See acast.com/privacy for more information.

3 weeks ago

1 hour 33 minutes 1 second

Critical Care Time

54. Non-Variceal GI Bleeds

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!

Hosted on Acast. See acast.com/privacy for more information.

1 month ago

1 hour 53 minutes 13 seconds

Critical Care Time

53. Lactate & Lactic Acidosis

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!

Hosted on Acast. See acast.com/privacy for more information.

1 month ago

1 hour 14 minutes 28 seconds

Critical Care Time

52. Listener Mailbag #2

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!

Hosted on Acast. See acast.com/privacy for more information.

2 months ago

51 minutes 5 seconds

Critical Care Time

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!

Hosted on Acast. See acast.com/privacy for more information.

2 months ago

1 hour 43 minutes 6 seconds

Critical Care Time

50. Fever in the ICU

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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3 months ago

1 hour 38 minutes 54 seconds

Critical Care Time

49. ARDS Imitators with Drs. Warren & Blagev

On this week's episode of Critical Care Time, we revisit ARDS... sort of! We are joined again by Dr. Whittney Warren & for the first time by Denitza Blagev for a dynamic discussion on ARDS imitators: Things that looks like ARDS but aren't technically ARDS - or are they? It's a bit of a confusing landscape as you'll see, where the lines are blurred and things get a bit murky. We'll unpack diagnoses like EVALI, DAH, AIP and more in the context of ARDS and help you guys come up with a framework for the "ARDS" patient who doesn't seem to respond to the tried and true approaches we discussed earlier this year on our ARDS Epic-sode!. As always, give it a listen and let us know what you think!

Hosted on Acast. See acast.com/privacy for more information.

3 months ago

1 hour 28 minutes 10 seconds

Critical Care Time

48. Interventional Pulmonary In The ICU with Dr. Joshua Boster, MD

In this episode of Critical Care Time, Dr. Joshua Boster joins Cyrus and Nick to explore how interventional pulmonary (IP) skills can be life-saving in the ICU. From managing malignant central airway obstruction with rigid bronchoscopy to navigating pleural disease, persistent air leaks, and even life-threatening hemoptysis, Dr. Boster shares practical insights from the front lines. Listeners will learn how IP tools can transform critical care decision-making and offer meaningful interventions when time and options are limited. Whether you're an intensivist, a trainee, or just IP-curious, this episode highlights procedures that not only restore patency—but restore hope. Give it a listen, leave us a review and let us know what you think!

Hosted on Acast. See acast.com/privacy for more information.

4 months ago

1 hour 25 minutes 46 seconds

Critical Care Time

47. Extubation: Tube Be or Not Tube Be

On this week's episode of Critical Care Time, Nick & Cyrus tackle extubation. Join them for a pragmatic, soup-to-nuts approach on liberation from mechanical ventilation. You'll learn about the pre-extubation assessment, pitfalls and pears of the RSBI, who benefits from extubation to positive-pressure support and so much more! Give us a listen and let us know what you think! Be sure to head over to www.criticalcaretime.com for show notes on this episode and many of our other recordings!

We are also happy to introduce our new, limited sponsorship with Airway Management Education Center: The Difficult Airway Course who is joining our Season 2 Platinum Sponsor Seastar Medical as an Executive Sponsor for a few episodes this season and next!

Hosted on Acast. See acast.com/privacy for more information.

4 months ago

1 hour 34 minutes 11 seconds

Critical Care Time

46. From Chaos to Clarity: Effective Communication in the ICU

It’s well known that many of the problems we encounter on a daily basis in medicine are related to ineffective communication. When caring for the critically ill, it’s vital that such lapses in communication are minimized. Join us along with Genae Christensen- a current MS-2, active critical care flight nurse and prior ECMO program coordinator as we delve into some important communication pitfalls and pearls. We will cover topics such as the authority gradient and how to navigate that, where misunderstandings may stem from, and how using structured communication systems may help you stay out of trouble. Give us a listen, let us know YOUR thoughts, share the show with your friends, and leave us a review!

Hosted on Acast. See acast.com/privacy for more information.

5 months ago

1 hour 23 minutes 25 seconds

Critical Care Time

45. Obstetric Emergencies with Dr. Stephanie Levine and Dr. Adam Mora

On Critical Care Time we are no strangers to topics that make us uncomfortable. There may be no topic in the world of critical care more stress provoking than OB emergencies! Now… We didn’t say we are tackling this alone! Join us as we explore the wide world obstetrics in the ICU with Drs. Stephanie Levine and Adam Mora! Together we review the physiologic changes in pregnancy, unique considerations when it comes to general ICU management of the OB patient and then we delve into some OB cases where we tackle things like postpartum hemorrhage, cardiac arrest and more! Give us a listen and let us know what you think!

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5 months ago

1 hour 38 minutes 29 seconds

Critical Care Time

44. Critical Partners: The Vital Roles of NPs and PAs in Critical Care

The critical care landscape is a dynamic one, filled with team members with all sorts of backgrounds who have various skill sets and experiences to bring to the table. In this episode of Critical Care Time we focus on the role NPs & PAs - sometimes referred to collectively as APPs - play in the ICU. To help us explore this we sat down with Gary Macy of Duke University a Critical Care NP in their Neuroscience ICU who has many years of experience working as an ICU NP. During our discussion we explored numerous topics such as the concerns regarding education, "turf wars" and what integrative models might best serve our patients. Give us a listen and let us know what you think!

Hosted on Acast. See acast.com/privacy for more information.

5 months ago

1 hour 3 seconds

Critical Care Time

43. ICU Mobility with Kali Dayton, DNP

The idea that movement is medicine doesn’t stop with the critically ill. On this week’s episode of Critical Care Time we sit down with Kali Dayton, a critical care NP with a passion for ICU mobility. We talk all things mobility in the critically ill: The roles of bedside nurses and clinicians, how we can implement best mobility practices with our patients, the financial and patient-care benefits of fostering a culture of movement in your ICU and what it means to be an “ICU Revolutionist” - along with so much more! If you truly care for the critically ill you cannot miss this episode!

Hosted on Acast. See acast.com/privacy for more information.

6 months ago

1 hour 36 minutes 2 seconds

Critical Care Time

42. Extracorporeal Membrane Oxygenation

On this week’s episode of Critical Care Time, we sit down with two brilliant early-career ECMOlogists for an “intro-plus” to VV and VA ECMO. Not only do we cover the basics, but we couldn’t help ourselves and went on some deep dives along the way that you guys will hopefully find interesting! With the help of our good friends Nick Villalobos and Kha Dinh, we review indications for ECMO, approaches to configuration and management, touch on some of the complications and… even spend some time demystifying the European unit for girth! We hope you guys will have as much fun listening to this as we did producing it. If so, leave us a review and let us know what you think!

Hosted on Acast. See acast.com/privacy for more information.

6 months ago

1 hour 59 minutes 36 seconds

Critical Care Time

41. Cardiogenic Shock

If you thought ARDS was a long episode... get ready for a marathon! This week on Critical Care Time, Cyrus and Nick take on the unenviable task of trying to cover everything you need to know about cardiogenic shock - at least in broad strokes - in ONE episode! That's right, this is your one-stop-shop for all things cardiogenic shock. While we will have some deep dives on RV and LV failure, as well as ECMO and other mechanical circulatory support options - this episode has a little bit of it all to wet your whistle and then some! We deconstruct the epidemiology of cardiogenic shock, do a deep dive on the SCAI classes of cardiogenic shock, talk pathophysiology (duh!) and then move on to treatment considerations - both medical and mechanical - followed finally by some cases to cement all the learning. We know this is a long one so feel free to listen/watch in chunks. However you decide to enjoy it, we are certain you will walk away from it ready to conquer the next CGS case you come across! Once you've finished this epic - leave us a review and let us know how we did!

Hosted on Acast. See acast.com/privacy for more information.

7 months ago

2 hours 42 minutes 55 seconds

Critical Care Time

REBOOT 1. Undifferentiated Shock Part 1

In anticipation of some exciting new content where we take deep dives into shock physiology and treatment modalities, we wanted to wet appetites, prime engines and get any of our new listeners up to speed by rebooting some of our heavy hitters from Season 1.

In critical care medicine - it's not just a priority, but it's critical that you know how to identify, assess and stratify shock. Join Nick & Cyrus in Part 1 of a 2-part, deep-dive into undifferentiated shock. On this episode we discuss how we define and assess a patient in shock; laying down the foundation for our shock framework.

Hosted on Acast. See acast.com/privacy for more information.

7 months ago

48 minutes 25 seconds

Critical Care Time

REBOOT 2. Undifferentiated Shock Part 2

In anticipation of some exciting new content where we take deep dives into shock physiology and treatment modalities, we wanted to wet appetites, prime engines and get any of our new listeners up to speed by rebooting some of our heavy hitters from Season 1.

We've already discussed how to identify shock, or how to assess a patient whom you are worried may be in shock... but what's next? Listen as Nick & Cyrus discuss the Pump, Pipe & Tank framework for determining the type of shock your patient is suffering from. In this episode we discuss the pathophysiology of the different types of shock, the tools you can use to help differentiate one type of shock from another, and scratch the surface on some initial treatment considerations.

Hosted on Acast. See acast.com/privacy for more information.

7 months ago

42 minutes 15 seconds

Critical Care Time

40. CCT Goes to the Moon with Dr Shawna Pandya

On this end-of-year episode, Nick & Cyrus boldly go where no Critical Care Podcasters have gone before - into space! Join us, as we adventure into the great beyond with astronaut extraordinaire, Dr. Shawna Pandya - the first female Canadian commercial astronaut, who also happens to be a rural emergency medicine physician among SO many other things. We spend an hour with her discussing space physiology, medical applications of space tech, chatting about ICU corollaries, her experiences training for her upcoming mission, and exploring the challenges facing space exploration in 2025 and beyond. Hop aboard and and enjoy this exciting content and let us know what you think. This super accessible episode is loads of fun for ICU junkies and space-nerds alike so kick back, give it a listen, and as always, let us know what you think!

Hosted on Acast. See acast.com/privacy for more information.

8 months ago

1 hour 10 minutes 27 seconds

Critical Care Time

39. Beneath the Drape with Drs. Alin Gragossian & Paul Wischmeyer

On this week's episode of Critical Care Time, Cyrus & Nick sit down with Dr. Alin Gragossian - intensivist, patient advocate, acclaimed blogger and heart transplant recipient and Dr. Paul Wischmeyer - a prior guest on CCT who is a world-renowned intensive care nutrition expert, tenured professor and no stranger to prolonged bouts with critical illness and life-threatening disease. These two incredible people share their stories and perspectives as physicians who have spent considerable time both behind the drape and beneath the drape: Being on the receiving end of countless procedures and life-saving interventions. They share with us their thoughts on where we are succeeding as a healthcare team, and where we can strive to improve at the bedside. Join us as we embark on this emotional and thoughtful journey with Alin & Paul. We hope you will listen to their stories and come away with a new appreciation for the patient experience and how privileged we are to care for the patients we care for.

Please be sure to check out Alin's blog www.achangeofthe.art and follow her on Instagram (@a_change_of_heart_blog). Give Paul some follows where he's most active on Instagram (@paulwischmeyermd), X (Paul_Wischmeyer) and LinkedIn (Paul Wischmeyer). As always, listen and let us know what you think, and make sure to leave us a 5-star review on your favorite podcast app!

Hosted on Acast. See acast.com/privacy for more information.

8 months ago

1 hour 43 minutes 46 seconds