An educational podcast presenting practical critical care scenarios. By Brandon Oto, PA-C and Bryan Boling, ACNP. New episodes weekly.
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Micro-learning all things about critical care medicine. The transition to practice is overwhelming. We’re here to educate, entertain, inform, and support new nurse practitioners as they cross the divide from seasoned nurse to novice nurse practitioner. Thoughts, stories, and perspectives from an expert ICU nurse practitioner, Dr. Sean P. Dent.
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Kali Dayton, DNP, ACNP-BC, is an ICU nurse practitioner and consultant on a mission to create Awake and Walking ICUs. She hands the microphone to ICU survivors and bedside caregivers to reveal the realities of ICU experience and patients' journeys after discharge. The big picture of sedation and immobility is discussed and we explore how to improve short and long-term patient outcomes. We shift the vision from transferring out of the ICU to walking straight home after the ICU. www.DaytonICUc ...
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The learning curve to becoming a nurse practitioner is steep. This podcast is hosted by Sean Dent, MSN ACNP-BC CCRN and Kati Kleber, BSN RN CCRN and features expert content from FreshNP.com. Fresh NP is a hub of resources for prospective, current and new nurse practitioners to support and facilitate their transition from student to new clinician. Our goal is to bridge the knowledge gap about all things related to becoming a new NP. From which program to choose, to working with physicians, to ...
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"Heavy lies the crown" is a common misquote of "uneasy lies the head that wears a crown" from Shakespeare's Henry IV, Part 2. It refers to the responsibility and insecurity of governing an entire kingdom. Likewise, "heavy lies the helmet" refers to the responsibility we face as critical care transport providers working in an autonomous and often unpredictable environment. Our minds are eased with education that better prepares us for any situation that we may encounter. That is exactly what ...
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Nursing Uncensored features candid conversations with nurses about topics that range from educational to explicit, from scholarly to scatological. NU will make you laugh, make you think, and might even make you blush with our bold opinions and dark humor. At the core of our mission is the education, advocacy, and empowerment of nurses and students. We believe in creating a space that uplifts and supports all individuals, highlighting what makes them unique and interesting. We honor HIPAA but ...
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A podcast that explores the unique role nurses and nurse practitioners play in practicing the healing art of functional medicine. The show explores many aspects of functional medicine practice, emerging research, and the unique blessings and challenges that RNs and NPs experience when practicing functional medicine. Hosted by Brigitte Sager- a family nurse practitioner, board certified functional medicine practitioner, and the creator and lead faculty of Functional Medicine for Nurses course ...
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Palliative Care Chat - University of MD Baltimore
Palliative Care Chat - University of MD Baltimore
Brought to you by the online Master of Science and Graduate Certificates in Palliative Care from the University of Maryland, Baltimore. graduate.umaryland.edu/palliative
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The Change of Shift Podcast offers a unique learning perspective on the nursing profession. We all learn the hard way that nursing is not easy. Each episode Sean hears from Nurses, students, educators, and professional influencers who have learned to survive the real world of nursing and its big brother the healthcare community at-large. As a profession, the “change of shift” is a moment Nurses have transformed into a malleable coping mechanism and buffering tool. A tool created to not only ...
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Interview with Rita Wadhwani, RN, MSN, ACNP, CNS, RNC-NIC
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1:09:42
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On this episode of the Functional Nurse Podcast, I interview Rita Wadhwani, NP. Rita is an acute care nurse practitioner, clinical nurse specialist, and integrative functional NP with her private practice in Southern California. We talk about everything from ayurveda to patient membership programs, but the main focus is on our common passion topic …
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My Key Takeaways From The Recent INCA Symposium
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On this episode of the Functional Nurse Podcast, I share 5 key takeaways from the 2024 INCA Symposium I recently attended in Miami, FL in April. So much of what they shared is relevant to functional nurses and nurse practitioners, so tune in! Hosted by Brigitte Sager, NP, a functional medicine nurse practitioner, nurse coach, and an RN and NP FM ed…
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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
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What is like to be intubated in your own ICU? Even when the environment and team are well known, what does an intensivist turned patient experience? Dr. Meta van der Woude shares with us her personal journey through the ICU. Www.daytonicuconsulting.com--- Support this podcast: https://podcasters.spotify.com/pod/show/walkinghomefromtheicu/support…
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Episode 73: POCUS for nephrology, with Abhilash Koratala
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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…
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A little teaser on what to expect from the podcast relaunch. --- Send in a voice message: https://podcasters.spotify.com/pod/show/criticalnp/message
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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
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Episode 168: I Was Reported to the Board of Nursing!
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What happened when I was reported to the board of nursing for advocating for early mobility in the ICU? What are the roots of these concerns and this report? How does social media impact culture and practices in the ICU? Jess Hren, BSN, RN, Jenna Hightower, DPT, CCS, Phillip Gonzalez, MOT, OTR/L, BCPR discuss why I was reported to the board of nurs…
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Lightning rounds 39: Understanding flight medicine with Jace Mullen
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52:09
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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
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Exploring The WHY's Of Functional Medicine And Nursing
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On this episode of the Functional Nurse Podcast, we explore the WHYs of functional medicine and nursing. From knowing when to use functional medicine interventions with your patients to reflecting on your WHY you became a nurse. Hosted by Brigitte Sager, NP, a functional medicine nurse practitioner, nurse coach, and an RN and NP FM educator. To lea…
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When do patients deaths bother us?By Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
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Episode 167: Breaking Barriers with Walking with Trans-Femoral IABP/Devices- The Ramsey Protocol with Stephen Ramsey
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Is it save to mobilize patients with trans-formal devices such as balloon pumps, impellas, and ECMO? Who was the first person to dare to ask, "Why can't we mobilize patients with trans-femoral balloon pumps?" Stephen Ramsey, PT, DPT, CCS shares with us his journey to developing the Ramsey protocol and revolutionizing mobility in the CVICU. Episode …
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Episode 72: CPR-induced consciousness with Jack Howard
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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…
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Episode 118 - Trigger Warning: Angioedema
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46:54
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Angioedema is defined by upper airway swelling secondary to an immune response. The trigger and subsequent physiological response are how we categorize it. In this podcast, we discuss how to diagnose and treat both types: IgE/Histamine-mediated and Bradykinin-mediated. We also touch on how to address the difficult airway that may or may not lead to…
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Building a Business and a Legacy with Nurse Stephanee Beggs
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🌟Stop what you’re doing, because today we're diving into the life of the one and only Stephanee Beggs, CEO of RNExplained, Forbes 30 under 30 sensation, social media influencer, and ER nurse. Yeah, she does it all and she’s really cool, too. 🚀 In this episode, Steph tells Adrianne about how she unexpectedly transformed her personal study methods in…
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Interview with Melissa Armstrong, BSN RN HWNC-BC with Holistic Health LLC
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In this episode, I interview Melissa Armstrong. Melissa was an RN in the conventional medical model for 11 years and transitioned into holistic medicine for illness prevention and promotion of health and wellness 2 years ago. In 2023, she opened her own Functional Health and Wellness coaching business doing online health coaching to help women over…
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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
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Lightning rounds 38: Working in APP leadership, with Jason Wieland
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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
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Is Functional Medicine Covered By Insurance?
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On this episode of the Functional Nurse Podcast, we discuss whether or not Functional Medicine is or can be covered under health insurance. You might also be interested in listening to this podcast regarding knowing your worth as a Functional Medicine nurse and charging accordingly: Know Your Worth As A Functional Medicine Nurse Hosted by Brigitte …
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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
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Episode 166: The Struggle of an ICU Revolutionist to Save Lives
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37:41
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What is it like for one lone ICU clinician to truly understand the risks of sedation and immobility? What it is like for them to try to implement interventions like awakening trials that have been supported by decades of research? How does lack of support and success increase moral injury, burnout, and the loss of expert and compassionate clinician…
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Episode 117 - Dye or Die: Methylene Blue w/Will Heuser
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When discussing methylene blue, management and treatment of methaemoglobinaemia is usually the first indication mentioned. But in this podcast, we challenge you to increase the size of your lense and focus on its benefits in other states (e.g., septic shock). Of course, we could not do this alone, so we invited a Flight Paramedic, Pharmacist, Toxic…
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Episode 71: Transplant medications with Olivia Philippart
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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…
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Episode 165: "Don't Turn Me Off" - A Survivor's Perspective Of a Medically-Induced Coma
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Are patients sleeping during medically-induced comas? Are they more comfortable and free of trauma while sedated? Can patients hear, feel, and understand their surroundings while in a medically-induced coma? Do patients know when sedation is turn up higher? Do they know which providers will let them wake up and which ones will try to "turn you off"…
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Episode 164: Antipsychotics in the ICU with Dr. Marie Rueve
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Antipsychotics have been a hot topic in the ICU. Do they treat delirium? Can they be used to replace continuous sedation? When and how can we utilize antipsychotics to optimize care and outcomes? Dr. Marie Rueve from episode 160 joins us again to clear the air on antipsychotics in the ICU. ***Early Mobility Conference April 14-16th in Orlando, FL**…
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Interview with Julie Davey, RN, MSN, ANP-C, ACNP-C
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In this episode, I interview Julie Davey, RN, MSN, ANP-C, ACNP-C. Julie is a nurse practitioner with over 25 years of experience in healthcare. She holds a faculty position at Emory University educating future nurse practitioners. Julie owns a virtual consulting practice helping clients get to the root cause of their symptoms through innovative cli…
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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
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Episode 163: Early Mobility During COVID19 in Switzerland with Sabrina Eggmann
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Sabrina Eggmann is a PhD physiotherapist with 17 years of experience. She shares with us how her team utilized their years of expertise in early mobility to preserve their practices for COVID19 patients in Switzerland. https://pubmed.ncbi.nlm.nih.gov/33492400/ Check out Sabrina's latest article in the Lancet Journal: https://www.thelancet.com/pdfs/…
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Lightning rounds 37: Weaning the deliriosedated patient (SCCM roundup)
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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
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In episode 132, David Richards shared with us the life-saving impact of his ICU diary. In this episode, Seth van der Meer from Post-ICU shares with us exciting technological advancements that can help make ICU diaries standardized and accessible for all patients. https://post-icu.com Episode transcriptions and citations at: www.daytonicuconsulting.…
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On this episode of the Functional Nurse Podcast, we discuss the many ways we can choose to refer to ourselves when practicing functional medicine. What should I call myself? We discuss terms you may choose to use to describe your offerings, as well as how you may choose to describe yourself to your patients and colleagues. Beyond this, we talk abou…
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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
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Episode 70: Airway evaluation for non-anesthesiologists, with Jed Wolpaw
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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…
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Episode 116 - Around the World: HEMS in México w/Daniel Peñaflor
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Though we have delved into foreign HEMS systems in the past (See Episode 61 – Down Under Dynamics w/Dr. Cliff Reid), we have not dedicated an entire series to it. Having now rubbed shoulders with many clinicians and operators around the world, it is evident that these conversations need to take place on a regular basis. Why? Because operating in a …
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Founders, Leaders And Futurists In Palliative Care Judy Knudson MS PA - C, BSN
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Founders, Leaders And Futurists In Palliative Care Judy Knudson MS PA - C, BSN by Palliative Care Chat - University of MD BaltimoreBy Palliative Care Chat - University of MD Baltimore
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Interview with Lindsey Buhl, RN, BSN with Revival Health
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In this episode, I interview Lindsey Buhl, RN, BSN a former hospital nurse of 15 years. After experiencing her own autoimmune health crisis, she began seeking answers and found those answers in functional medicine! She now works to educate and empower others to be informed consumers of healthcare and advocates as a partner with their healthcare tea…
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Arterial lines are resuscitative tools.By Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
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Lightning rounds 36: Nurses are from Venus
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43:04
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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
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Knowing Your Worth As A Functional Medicine Nurse
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On this episode of the Functional Nurse Podcast, we discuss the importance of recognizing your worth as a Functional Medicine nurse and pricing your services accordingly. Hosted by Brigitte Sager, NP, a functional medicine nurse practitioner, nurse coach, and an RN and NP FM educator. To learn more about the Functional Medicine for Nurses course of…
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TIRBO 52: Reliable is better than perfect
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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
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Episode 161: The Mad Hatter's Tea Party: A Nurse's Journey Through a Medically-Induced Coma
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As a nurse of 22 years, Lynn had been taught that patients were comfortably sleeping while sedated in medically-induced comas. She shares the horrific realities she suffered while intubated and sedated and the months of playing "Truth or Propofol?" after discharge. Episode transcript and citations found at www.daytonicuconsulting.com ***Early Mobil…
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We discuss head and neck surgery with Dr. Alexandra Kejner, otolaryngologist at the Medical University of South Carolina specializing in transoral robotic surgery, reconstructive surgery including microvascular free tissue transfer, salivary neoplasms, and sialoendoscopic procedures. Find us on Patreon here! Buy your merch here! Takeaway lessons Re…
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Does Functional Medicine Have A Branding Problem?
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On this episode of the Functional Nurse Podcast, we explore whether Functional Medicine has a branding problem and the role of nurses and nurse practitioners. Hosted by Brigitte Sager, NP, a functional medicine nurse practitioner, nurse coach, and an RN and NP FM educator. To learn more about the Functional Medicine for Nurses course offered throug…
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TIRBO 51: Critical care problems are syndromes
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The core disorders of critical care are mostly syndromes, not diseases. What should this mean to us?By Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
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How can inpatient psychiatrists help ICU teams prevent and treat delirium? How can their expertise help ICU teams minimize sedation, prevent trauma, and treat the psychiatric needs of ICU patients? Dr. Marie Rueve shares with us the role psychiatrists can play in transforming patient care and outcomes in the ICU. www.daytonicuconsulting.com ***Earl…
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Episode 115 - Me, My Self-Loading Baggage, and I w/Miles Dunagan and Brett Reeder
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"Self-loading baggage" is a derogatory term often used by pilots to describe lazy or disengaged medical crew members in the air medical industry. Whether intentional or not, this behavior sets a bad precedent for those of us that want to embrace aviation cross-training and be able to assist the pilot effectively. In this podcast episode, we are joi…
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Lightning rounds #35: Brain death updates, with Ariane Lewis and Matthew Kirschen
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Discussing the new 2023 AAN/AAP/CNS/SCCM Pediatric and Adult Brain Death/Death by Neurologic Criteria Consensus Practice Guideline, with the joint first authors: Dr. Ariane Lewis, neurointensivist, professor of neurology and neurosurgery at NYU Langone, director of neurocritical care, and chair of the Langone ethics committee, and Dr. Matthew Kirsc…
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In this episode, I interview Dr. Terry Wahls a clinical professor of medicine at the University of Iowa where she conducts clinical trials and instructs internal medicine residents. In addition to being a doctor, she is also a patient with chronic, progressive multiple sclerosis. Dr. Wahls restored her own health using a diet and lifestyle program …
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If you produce academic work, use the research to produce multiple products. Once is a waste.By Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
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What happens when resources and staffing are dedicated to providing high touch and high compliance with the ABCDEF bundle? How does adequate staffing, interdisciplinary team dynamics, and quality protocols impact patient outcomes and financial benefits? What is the "secret sauce" of successfully weaning patients from the ventilator? Sam Nimah and P…
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