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Critical Care Time

Critical Care Time Podcast

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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. Thr ...
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Meaningful conversations with thought leaders on all things gut health, nutrition, beauty and more! We all have our journeys and the best tips to get us to the optimal health, mental health, and beauty from the inside out.
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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 l…
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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…
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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 phys…
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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 Mac…
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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 p…
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Today on Beauty & the Babble, we are excited to introduce Georgia Gibbs, an expert in Traditional Chinese Medicine (TCM), cycle awareness, women’s health, and holistic healing. Georgia offers our audience a unique insight into the world of Eastern medicine, which focuses on healing from the inside out by addressing the root cause of health issues. …
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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 Kh…
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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 …
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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 t…
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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 worr…
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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.…
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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 illn…
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On this week's episode of Critical Care Time, Cyrus & Nick are honored to be joined by palliative care expert, Dr. Anand Iyer. Together they explore the intricacies of palliation in the ICU, exploring the challenge and nuances of addressing this critical element of care amongst the sickest patients in the hospital. How do you begin these discussion…
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Today on Beauty & the Babble, we have Danielle Gronich and Kayleigh Christina, Founders of CLEARSTEM, a skincare line designed to treat acne holistically by addressing its root causes. CLEARSTEM® takes a whole-body approach, considering factors like mental health, physical well-being, diet, lifestyle, and nutrition. Rather than masking the issue wi…
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On this week’s episode, Cyrus & Nick tackle one of their biggest challenges yet: Acute Respiratory Distress Syndrome, more commonly known as ARDS.***WARNING*** this is no shorty! We cover all things ARDS from pathophysiology, diagnosis, treatments and things NOT to do. Dare we say, this is the definitive FOAM-ARDS experience for anyone and everyone…
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Get excited for a new episode jam-packed with Critical Care goodness! Nick & Cyrus deconstruct, demystify and unpack inotropes. These medications are essential in the world of critical care when we have to manage cardiogenic shock. What are the different inotropes? How can you decide which one is right for your patient? And... what's the difference…
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In this REBOOTED episodes of Critical Care Time, Cyrus and Nick go beyond the basics of vasopressor management. This thing is jam-packed with high-yield pearls, where we discuss important topics such as how to titrate vasopressors, what can be done when vasopressors seem to be failing and how to wean patients from vasopressors in order to successfu…
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In this REBOOTED episodes of Critical Care Time, Cyrus and Nick explore the basic in’s and out’s of vasopressors, providing a framework for understanding them and recommendations for the who, what, when, where and why as it pertains to their use! If you are new to the ICU or work anywhere that vasopressors may be used to treat your patients, this i…
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In this episode of Beauty & the Babble, we’re joined by Peter Crone, The Mind Architect, whose mission is to help humanity unlock its greatest potential. Peter is an expert in uncovering the limiting beliefs and subconscious narratives that shape every aspect of our lives. With experience guiding everyone from top athletes and famous singers to eve…
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On this week's release, Cyrus and Nick revisit one of their favorite topics: Pulmonary Embolism! In this episode - a follow up to our two-parter from season 1 - we sit down with Dr. Rick Channick of UCLA to talk about his approach to PE management with a focus on catheter directed therapies & PE response teams. This episode is packed full of expert…
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In this week's episode of Critical Care Time, Cyrus & Nick close out their discussion (for now anyway!) on difficult airways! Here we build upon episode 33 by working through some scenarios we've seen where we've needed to implement some of the strategies previously discussed. We close out by covering 10 pitfalls and pearls when it comes to anatomi…
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Today on Beauty & the Babble, we are excited to have Eric Roberts, an expert in astrology, human design, and alignment coaching. As the CEO & Founder of THE UNLOCK METHOD, Eric specializes in helping individuals discover their life purpose and achieve alignment in their personal and professional lives. Eric provides his clients with the clarity and…
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On this week’s episode of Critical Care Time, Nick & Cyrus return to talk about airway management in the ICU. In season 1 we focused on the physiologically difficult airway. Now we will begin to unravel the anatomically difficult airway. Today we will break things down by covering foundational concepts, discussing some of the physical and cognitive…
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On this week’s episode of Critical Care Time, Nick & Cyrus have the honor of hosting Dr. Thanh Neville, MD, MSHS (X @thanh_neville) the director of the 3 Wishes Program out of UCLA. In this moving discussion we explore the importance of dying with dignity when curative intent is no longer a realistic option. We dovetail this with an impassioned exp…
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Today on Beauty & the Babble, we are excited to have David Ghiyam, a multi-millionaire entrepreneur, co-founder of Mary Ruth Organics, and renowned Kabbalah teacher. David's journey is deeply rooted in spirituality and the teachings of Kabbalah, which have played a significant role in his personal and professional success. In this episode, we delve…
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Tele-health is blowing up in 2024 and that is as true for critical care as it is for other fields of medicine! On this episode of Critical Care Time, Nick and Cyrus interview Drs. Bill Beninati and David Guidry: Two experts in the world of tele critical care. We cover all the in’s and out’s of delivering critical care service from afar with a focus…
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Join Nick and Cyrus as they teach a master class on hypoxemia for everyone and anyone who is ICU adjacent! We discuss why oxygen is so crucial, share some very interesting animal physiology and - perhaps most importantly- discuss the 6 causes of hypoxemia you MUST know… and what you can do about them! Take a listen, let us know what you think, and …
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Join Michael Chernow as he shares his inspiring journey from addiction to wellness and entrepreneurship. Discover how spirituality, discipline, and healthy habits transformed his life and led to the creation of The Meatball Shop, Seamore’s, and Kreatures of Habit. Listen now for insights on overcoming addiction, achieving personal growth, and maint…
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On this episode - part 2/2 if you will - we continue our discussion of pleural disease with a focus on hemothorax & management of bronchopleural fistulas. Small tube or large tube? When do you call in the reinforcements? What about endobronchial valves for persistent air leaks? Learn the answers to these questions - and so much more -n with Dr. Mik…
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In this episode, we dive deep with Lindsay, a board-certified pharmacist, functional medicine practitioner, wellness expert, and career coach, who is here to unveil the science behind functional medicine versus pharmaceutical medicine. Lindsay shares her transformative career journey, highlighting her shift from traditional pharmacy to functional m…
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On this episode of Critical Care Time, Nick & Cyrus revisit the pleural space! We had SO much great content we opted to split the episode into two parts. We also figured it would be nice to get an interventionalists take on this and we thus recruited Dr. Mike Sobieszczyk to help navigate this complex topic! Here we discuss things like hepatic hydro…
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Join Melissa as she explores the fascinating world of entrepreneurship with Chris Ducker, a bestselling author, successful entrepreneur, business mentor, podcaster, and speaker. In this insightful conversation, Chris shares his inspiring entrepreneurial journey, detailing the highs and lows of his career. Chris opens up about his personal struggles…
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Join Cyrus and Nick as they review listener questions and feedback from season one of Critical Care Time! Where did we goof up? Where did we hit the "Mark"? Give this episode a listen as we investigate a potpourri of clinically relevant topics courtesy of YOU - our incredible audience whom we are so thankful for. Hosted on Acast. See acast.com/priv…
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Extra Extra - Read All About It!! It is our pleasure to bring to you - hot off the presses - the results from the PREOXI Trial which looks at whether or not preoxygenation with non-invasive positive pressure ventilation results in better peri-intubation outcomes versus non-pressurized preoxygenation strategies. Joining us is the primary author on t…
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Sharing their personal experiences with poor gut health, stress, and finding balance, Melissa and holistic health coach Dr. Kristina Telhami discuss how eliminating stressors in your life can lead to better overall health. Dr. Telhami explains how mental stability can impact hormone balance, gut health, digestion, and sleep. In this episode, we lea…
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Diuretics are essential tools used by clinicians to manage volume status in ambulatory patients and in the critically ill… but are we using them correctly? Join Nick & Cyrus as they explore principles of fluid balance and teach a masterclass on how to approach diuresis in the critically ill patient. You won’t want to miss this high-yield episode di…
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Join Melissa Boloña in an insightful conversation on maternal health as she sits down with doula Carson Meyer to delve into her journey into doula work and the essential building blocks for healthy conception, delivery, and post-birth care. Discussing the historical context of women's healthcare during delivery, the importance of preparing your bod…
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Thrombocytopenia is a puzzling, yet common problem in the ambulatory setting, on the wards and certainly in critically ill patients! Having an understanding of why it matters, why it can happen and what we should do about it, is of paramount importance to you if you are committed to excellent patient care. Given that patient care is first and forem…
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Dive into this week’s incredible episode of Beauty and the Babble with host Melissa Boloña as she engages in a captivating conversation with biohacker and health optimization expert Kayla Barnes. Together, they explore the intricate workings of the brain, uncovering strategies to break bad habits, cultivate good ones, and rewire neural pathways for…
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On Critical Care Time we are - of course - HUGE fans of POCUS. On this episode, Nick and Cyrus take this love for POCUS to the next level with our discussion on Resuscitative Transesophageal Echocardiography (Resus-TEE) with Canadian intensivist, Dr. Ross Prager (@ross_prager), Resus-TEE expert aficionado! On this show, we discuss the basics of Res…
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Dr. Terry Wahls shares her powerful story about her battle with multiple sclerosis and her miraculous recovery. As a doctor herself, now helping hundreds of other patients with their own autoimmune or mobility struggles, Dr. Wahls shares her recommendations to set patients on their own path towards recovery. Discussing a redesigned paleo diet, vita…
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Like that time the Jetsons met the Flintstones or the more recent colab between Lululemon and Peloton, join us for an epic pairing between Critical Care Time hosts Cyrus & Nick and the PulmPEEPS - Drs. Dave Furfaro and Kristina Montemayor. On this show we use a case based approach to answer the question: How can a bronchoscope save your @$$ in the …
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In this episode, Melissa sits down with holistic nutritionist, Elissa Goodman as she shares her inspiring journey of battling lymphoma and losing a loved one and how she embraced a holistic approach to reclaim her health. From the transformative power of spiritual grounding, yoga, meditation and plant medicine, Elissa delves into the various practi…
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On this MEGAsode of Critical Care Time, Cyrus & Nick are joined by world-renowned expert in ICU nutrition, Dr. Paul Wischmeyer (X: Paul_Wischmeyer & IG: paul_wischmeyermd) to discuss all things ICU nutrition. This episode is highly fortified with practice changing pearls from soup to nuts! In addition to getting to know who Paul is and why he does …
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