We chat with Nick Ghionni, pulm/crit attending at MedStar Baltimore Hospital, about identifying and combating cognitive biases in our clinical decision-making. Check out the Intensive Care Academy here! Find us on Patreon here! Buy your merch here!By Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM

We discuss the practical barriers to implementing the A-F ICU liberation bundle, with Kali Dayton, ACNP-BC (@daytonicu), host of the Walking Home from the ICU podcast, and consultant to ICUs working on these issues. Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here!…

We chat with Noelia Bischoff, recently off orientation in the medical ICU at Johns Hopkins as a nurse practitioner, about the transition from her role as a bedside ICU nurse. Check out the Intensive Care Academy here! Find us on Patreon here! Buy your merch here!By Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM

We discuss transfusion reactions, risks, and management, including infection, consent, TRALI, TACO, and hemolytic reactions—with Dr. Joe Chaffin (@bloodbankguy), the “Blood Bank Guy” and transfusion medicine specialist. Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here! Takeaway lessons…

Experts in critical care share their approach to post-intubation sedation. Contributors: Check out the Intensive Care Academy here! Find us on Patreon here! Buy your merch here!By Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM

Give us your thoughts on the episode here! Could the recent referee stoppage in the Junior Tafa vs. Valter Walker fight redefine the standards for fighter safety in the UFC? Join us on this episode of "Outside the Octagon" where Jude and I, Charleston Payne, break down everything you need to know about UFC 305. From the contentious call in Tafa vs.…

We talk the nitty-gritty of assessing the right heart using echocardiography, with our friend Matt Siuba (@msiuba), intensivist at the Cleveland Clinic and master of zentensivism. Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here! Takeaway lessonsBy Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM

Give us your thoughts on the episode here! What if resilience could outmatch a reach advantage in the octagon? Get ready to explore this compelling question as we break down UFC 305 with an in-depth analysis of Li Jingling vs. Carlos Prates. You’ll hear our contrasting takes—Jude champions Li’s toughness and UFC experience, while Charleston argues …

We explore the fascinating world of artificial intelligence and its role in medicine, with Nawar Shara (@NawarShara), PhD, Chief of Research Data Science at Medstar Health Research Institute and cofounding director of the AI Collab between Medstar and Georgetown. Check out the Intensive Care Academy here! Find us on Patreon here! Buy your merch her…

We share our grand new project, the Intensive Care Academy, an online, video-based, subscriber-only educational platform. Check it out at icu101.com!By Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM

We discuss the practicalities of using airway pressure release ventilation (APRV) with Dr. Rory Spiegel (@EMnerd_), emergency physician and intensivist at MedStar Washington Hospital Center (and EMNerd at Emcrit). Find us on Patreon here! Buy your merch here! Takeaway lessonsBy Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM

Give us your thoughts on the episode here! What does it take to be a warrior inside and outside the ring? In this episode, we're joined by the extraordinary Brandon Desrosier, also known as Mighty Mouse, and his feathered friend, as we uncover the layers behind his tough exterior. Brandon shares his life as a tow truck driver for AAA, his ambitions…

Give us your thoughts on the episode here! Ever wondered what it takes to transition from being a passionate viewer to a dedicated MMA fighter? In this thrilling episode of the Outside the Octagon podcast, we're joined live by our first in-person guest, Evan Harrington, straight from Bogies in Baton Rouge. Evan takes us through his gripping journey…

We learn about the training, role, and benefits of hospital chaplains, with Christine V. Davies, MDiv, MSW, Director of Chaplaincy at Robert Wood Johnson University Hospital. Find us on Patreon here! Buy your merch here!By Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM

Give us your thoughts on the episode here! Ever wondered what it's like to experience the thrill of MMA right from the front row? We've got you covered! Join Charleston Payne and Jude Starns as we recount our exhilarating night at BFC 68, held at the Pontchartrain Center in Kenner, Louisiana. Kicking things off with some light-hearted banter and a …

Give us your thoughts on the episode here! What defines a Southern culinary experience? Join us on an exploration of the rich food culture in Louisiana and Texas, featuring stories from the legendary cut man, Brad Tate. From the mouthwatering boudin sausage at a Sinclair truck stop near Baton Rouge to the smoky allure of Texas barbecue and Whatabur…

We discuss the field of rehabilitation psychology, and how it can help patients with persistent critical illness, with Dr. Megan Hosey (@DrMeganHoseyPhD), clinical psychologist and assistant professor at Johns Hopkins School of Medicine, where she practices in the medical ICU. Find us on Patreon here! Buy your merch here! Takeaway lessons Resources…

Give us your thoughts on the episode here! Ready for some late-night UFC action? We’ve got an electrifying episode lined up as we channel that Pac-12 after dark vibe. Kick things off with us as we tease our upcoming chat with the incredible UFC cutman, Brad Tate. Prepare to be amazed by his behind-the-scenes stories and fun anecdotes that bring the…

We explore the profession of respiratory therapy in the US, including their role and training and how to optimize our clinical relationships, with Keith Lamb (@kdlamb1), RRT, RRT-ACCS, FAARC, FCCM. Keith is an RT at the University of Virginia in Charlottesville, working clinically in neuro/surgical/trauma critical care, who has been active in resea…

Give us your thoughts on the episode here! Ever wondered what it takes to rise through the ranks in the UFC's women's flyweight division? Tune in as we share our exhilarating recap of an exclusive interview with Miranda Maverick, currently holding the 16th spot. Her tales of grit and tenacity offer a fascinating glimpse into the life of a fighter w…

Responsible self-directed learning occurs in a zone between comfort and novelty. Find us on Patreon here! Buy your merch here!By Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM

Give us your thoughts on the episode here! Ever wondered how a UFC fighter balances the intense demands of the octagon with the serene world of artistic creation? Join us as we chat with the incredibly talented Miranda "Fear the" Maverick, who shares the remarkable story of her dual passions. From discovering her love for pencil sketches at age 11 …

We discuss the principles and application of automatic tube compensation (ATC) on modern ventilators, with its creator Ben Fabry. Dr. Fabry is a professor and chair of biophysics at University of Erlangen-Nuremberg, originally trained as an electrical engineer, who originally developed ATC as part of his PhD program. Find us on Patreon here! Buy yo…

Give us your thoughts on the episode here! Ever wondered who would top the list of the UFC's most aesthetic fighters? Prepare to flex your brain muscles as we reveal our curated list of the top 10 shredded warriors to grace the Octagon, from Diago Alves' sculpted presence to Georges St-Pierre's iconic form. The energy is electric, the debates are h…

Brandon summarizes his recent publication describing best practices for performing POCUS. Read the paper open access at POCUS Journal. Find us on Patreon here! Buy your merch here!By Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM

Give us your thoughts on the episode here! Hey fight aficionados! Charleston Payne here, with Jude Starnes riding shotgun, as we celebrate the eve of my 21st birthday with a podcast packed with punches and punditry that'll shake up your MMA world. We're giving a nod to the unsung hero of our show—the improved accuracy of our transcriptions (Charles…

Give us your thoughts on the episode here! Get ready to crack a smile and maybe even let out a hearty laugh as Charleston Payne and Jude Starns bring you the lighter side of the octagon. Our freshly-minted studio setup ensures your Friday mornings are met with crystal-clear banter and the most entertaining takes on the fight world. Buckle up for an…

Our collaboration with Sarah Lorenzini of the Rapid Response RN podcast, discussing a case and general principles for diagnosing and managing obstructive shock. Check out the other episodes on shock in the Nurses’ Podcrawl 2024! Find us on Patreon here! Buy your merch here!By Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM

We chat about pulmonary/critical care medicine fellowship with recent graduate Nicholas Ghionni (@pulmtoilet), a first-year attending at the MedStar Baltimore Hospital system. He completed PCCM fellowship at MedStar Washington Hospital Center where he also served as chief fellow. Find us on Patreon here! Buy your merch here!…

Give us your thoughts on the episode here! Hey fight aficionados, Charleston Payne here with the indomitable Jude Starnes, and we’re throwing punches in our latest podcast episode that you won’t want to miss! We’re unpacking the historic UFC 300, where we saw Cody Garbrandt tussle with Figueiredo and Jim Miller showcase his unyielding spirit in the…

The difference between people and institutions. Find us on Patreon here! Buy your merch here!By Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM

We discuss the role of point-of-care ultrasound in evaluating the patient with kidney injury and assessing volume status, with Abhilash Koratala (@nephroP), nephrologist, Director of Clinical Imaging for Nephrology at the Medical College of Wisconsin, and champion of nephrology-focused ultrasound. Find us on Patreon here! Buy your merch here! Takea…

Give us your thoughts on the episode here! Embark on a captivating journey with Liz Carmouche, an MMA trailblazer and former Marine, as she recounts her ascent to the top of the Professional Fighters League. Her story begins with a BJ Penn book in the sands of Iraq, leading to her current quest for the PFL's million-dollar bounty. With candid revel…

The nuts and bolts of how we produce the show. Find us on Patreon here! Buy your merch here!By Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM

Give us your thoughts on the episode here! Welcome to the electrifying launch of Outside the Octagon, where the pulse-pounding world of MMA takes the spotlight. Charleston Payne here, alongside the ever-insightful Jude Starns, to break down the monumental UFC 300 event, providing you with expert predictions and analyses that'll keep you hooked. But…

We explore critical care transport medicine from both a clinical and career perspective, including helicopters (HEMS), fixed wing jet, and ground ambulance transports, with Jace Mullen, flight paramedic and airway educator out of Denver. Find us on Patreon here! Buy your merch here!By Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM

When do patients deaths bother us?By Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM

Give us your thoughts on the episode here! Step into the octagon with us, Charleston Payne and Jude Starns, as we launch a knock-out punch with our new podcast, Outside the Octagon. Tune in and uncover the tenacity and brains it takes to conquer the unforgiving world of MMA. With every anecdote and expert breakdown, we're peeling back the layers of…

Find us on Patreon here! Buy your merch here! We discuss the phenomenon of CPR-induced consciousness (i.e. patients demonstrating awakeness during resuscitation) with Jack Howard, Intensive Care Paramedic at Ambulance Victoria in the northern suburbs of Melbourne, Australia, and first author on a recent literature review and Delphi-derived expert g…

Should you use volume or pressure control ventilation? Find us on Patreon here! Buy your merch here!By Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM

We talk about working in critical care APP leadership positions, with Jason Wieland, PA, Lead Pulmonary & Critical Care APP at WakeMed Health System in Raleigh, NC. Find us on Patreon here! Buy your merch here!By Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM

You poked through the deep wall of a vessel. Now what? Find us on Patreon here! Buy your merch here!By Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM

We discuss the medications typically used after organ transplant, their impact on critical illness, and how to manage them when these patients show up sick—with Olivia Philippart, transplant clinical pharmacist specializing in liver and kidney transplant at University of Kentucky HealthCare. Find us on Patreon here! Buy your merch here! Takeaway le…

How I make patients poop. Find us on Patreon here! Buy your merch here!By Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM

A roundup of opinions from attendees at SCCM’s 2024 Critical Care Congress in Phoenix on strategies for rescuing the patient stuck in a loop of deep sedation and agitation. Thanks to Pat Posa, Martha Roberts, Juliana Barr, Kelly Drumright, and Ben Lassow for their input. ResourcesBy Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM

How to document your ultrasound findings. Find us on Patreon here! Buy your merch here!By Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM

We discuss assessing patients prior to intubation or other airway management, including both elective and emergent circumstances, with Dr. Jed Wolpaw, anesthesiologist and intensivist from Johns Hopkins, anesthesiology residency program director, and host of the ACCRAC podcast. Find us on Patreon here! Buy your merch here! Takeaway lessons Referenc…

Arterial lines are resuscitative tools.By Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM

Bedside nurses and providers (physicians, PAs, NPs) tend to see the world differently, much of it driven by their training and the systems they work within. We chat about reconciling this and how to best function as a team.By Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM

In general, medical decisions that avoid error are better than those that optimize care.By Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM