TIRBO 58: Difficult cases

We explore the fascinating intricacies and unique features of the burned critically ill patient, with Clint Leonard, NP in the burn ICU at Vanderbilt and ABLS instructor. Learn more at the Intensive Care Academy! Want to work at the University of Kentucky? UK’s Anesthesia Critica ... Show More

We discuss the evidence and practicalities of spontaneous breathing trials and ventilator weaning with Martin Tobin, pulmonologist and intensivist, author of seven textbooks including “Principles and Practice of Mechanical Ventilation,” researcher, and pioneer of the entire conce ... Show More

We explore the vagaries and nitty-gritty of drugs for seizure termination, including benzos and ASMs, with the great Tom Bleck, MD MCCM FNCS, neurointensivist, professor, and founding member of the Neurocritical Care Society. Check out the REVIVE conference here! Learn more at th ... Show More

<p>When is it simply avarice to profit at the expense of public health?</p> 

Nearly a decade since MPs in Westminster voted against allowing terminally ill people to end their own life, assisted dying is climbing back up the political agenda. The Health and Social Care Committee is due to publish the first report of its kind on the subject after a year-lo ... Show More

Each year, millions of people get sick or die from diseases caused by their own unhealthy behavior. Getting people to change their bad habits – to quit smoking, eat better, or exercise – can be extremely hard. But what if we paid them?  

<p>Every time we admit or care for a critically ill patient, we must consider their risk for deep venous thrombosis, or DVT.&nbsp;Many of our patients are at higher risk for DVT than the general population, but anticoagulants are not wholly benign drugs. What do we do? How do we ... Show More

It is winter and that means cardiac arrests coming in with extremely low body temperatures after environmental exposure. How do you treat these patients? How do you rewarm if you don't have bypass? 

When tragedies happen, it's easy to wonder if there's any meaning to suffering. 

When a hospital closes in a rural area, it’s a big deal. But are all patients affected equally? We look at new research on the unexpected outcomes of traveling farther for care. 

For most of the big moments in life, we have rituals — proposals, weddings, births, graduations, and anniversaries. We know how to talk about them, how to celebrate them, how to honor them. But there's one moment we all face that lots of people don't know how to deal with: dying. ... Show More

<p>Palliative physician B.J. Miller asks: Is there a better way to think about dying? And can death be beautiful? </p><br/> <p>Hosted by Simplecast, an AdsWizz company. See <a href="https://pcm.adswizz.com">pcm.adswizz.com</a> for information about our collection and use of perso ... Show More

When it comes to end-of-life medical care, getting it right can be hard — even for doctors.  Bapu Jena discusses surprising research on how we can live better - and maybe longer - before we die.