An educational podcast presenting practical critical care scenarios. By Brandon Oto, PA-C and Bryan Boling, ACNP. New episodes weekly.
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Hosted by Charleston K. Payne and Jude Starns, where every episode is the MAIN EVENT! The guys cover all MMA major events, previewing and recapping while also bringing in many MMA guests from all walks of life!
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Early investor in the blockchain since 2013 and leader in the crypto movement, Oto Gomes has forged his success with technical skill, endless curiosity, and his ability to connect. On the OG Crypto Show, Oto speaks with the brilliant minds and pioneers of technology, health, spirituality, business, and lifestyle to bring information, freedom, and wealth to all listeners. Tune in each week for new episodes, and become your most abundant self!
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"Undercover Journalism: Pf1z3r Whistleblower" w/ Justin Leslie
1:15:56
1:15:56
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Summary In this episode, host Oto Gomes interviews Justin Leslie, a scientist and whistleblower who worked at Pf1z3r during the CV19 p4nd3m1c. Justin shares his journey of awakening to the truth about the p4nd3m1c and the ph4rma industry. He discusses his experiences at Pf1z3r, including uncovering critical issues in the jab rollout. Justin also ta…
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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.…
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Episode 78: Echoing the RV with Matt Siuba
55:29
55:29
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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
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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 …
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Lightning rounds 43: AI in medicine, with Nawar Shara
56:43
56:43
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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…
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Special episode: The Intensive Care Academy
22:10
22:10
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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
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Episode 77: Mastering APRV with Rory Spiegel
1:02:11
1:02:11
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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
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Brandon Desrosier's Bare-Knuckle Journey
1:05:22
1:05:22
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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…
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"Real World Asset Tokenization" in $GEMS w/ Bob Reid "Everest & Limitless"
52:58
52:58
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Summary Bob Reid, co-founder of Everest.org, discusses the journey of Everest and their latest project, $GEMS. Everest is a regulated and licensed crypto custodian with a universal biometric-based multi-currency wallet platform. They started with a focus on identity and worked with governments and nonprofits to provide unique human identity attache…
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Evan Harrington: Embracing the Fight Game
45:06
45:06
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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…
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"The Future of Technology in Daylight" w/ Tristan Scott
1:06:03
1:06:03
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Summary Tristan Scott is an Electrical engineer, bitcoiner, and marketing lead for "Daylight" computer. A decentralized health advocate who’s main mission is to bring an increased level or sovereignty to the members of our society who want to pursue it. He is also host of Decentralized Radio, discusses the biological effects of non-native electroma…
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Lightning rounds 42: Hospital chaplains, with Christine V. Davies
47:49
47:49
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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
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Front Row Thrills: In-Depth Analysis of BFC 68 and UFC 303
31:12
31:12
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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 …
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"Classical History" w/ Brett "Classical Learner" Pike
1:15:04
1:15:04
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Episode Summary Brett Pike, also known as Classical Learner, discusses his journey in creating Classical Learner and Homeschools Connected. He emphasizes the importance of teaching children critical thinking and discernment, especially in the face of media literacy education that promotes outsourcing thinking to authority. Brett shares his unique a…
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A Melting Pot of Topics with UFC Cutman Brad Tate
45:06
45:06
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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…
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Episode 76: Rehabilitation psychology, with Megan Hosey
42:42
42:42
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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…
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Bobby Knuckles Spotlight and Fight Predictions Extravaganza
29:07
29:07
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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…
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"Maritime to Common Law" w/ Brandon Joe Williams
2:11:54
2:11:54
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Summary Brandon Joe Williams shares his journey of awakening, from red pill moments to creating his own nation. He discusses the challenges of accessing information, the impact of documentaries like Zeitgeist, and the need for a balanced approach to presenting information. He also talks about his experience with censorship and the creation of his o…
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Lightning rounds 41: Respiratory therapy with Keith Lamb
40:14
40:14
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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…
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"Republic of Slowjamastan" w/ Randy "The Sultan" Williams
1:12:46
1:12:46
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Summary Randy R. Dub Williams, also known as the Sultan, is an internationally syndicated love songs and dedications DJ. He recently created his own country, the Republic of Slowjamastan, as a fun project to bring people together. Randy's journey to creating his own country started with his curiosity and love for travel. He has visited all 193 coun…
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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…
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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
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Entrepreneurship Meets MMA: Miranda Maverick's Unique Path
36:08
36:08
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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 …
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"Lawful vs Legal" w/ Derek Loudermilk
1:08:00
1:08:00
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In this podcast episode, host Oto Gomes interviews Derek Loudermilk, a coach and thought leader, about his journey out of the matrix reality and into a world of freedom and sovereignty. They discuss topics such as astrology, the legal system, discharging debt, and the different jurisdictions of law. Derek shares his experiences with discharging cre…
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Episode 75: Automatic tube compensation, with Ben Fabry
56:54
56:54
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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…
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Flexing Minds and Muscles: Ranking UFC's Top Aesthetic Fighters
40:37
40:37
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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…
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TIRBO 61: How to use POCUS (our expert consensus)
23:06
23:06
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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
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Hot Topics Inside and Outside the Octagon
37:35
37:35
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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…
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Punchlines and Predictions in the World of MMA P4P Rankings
43:23
43:23
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43:23
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…
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Episode 74: Obstructive shock, with Sarah Lorenzini (Nurses’ Podcrawl 2024)
49:54
49:54
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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
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Lightning rounds 40: Critical care medicine fellowships with Nicholas Ghionni
39:10
39:10
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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!…
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Fists, Fury, and Fight Night Fever in the World of UFC
38:51
38:51
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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…
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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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Episode 73: POCUS for nephrology, with Abhilash Koratala
53:51
53:51
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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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From Marine to MMA Champion The Liz Carmouche Story
45:53
45:53
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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…
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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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Diving into UFC 300's Epic Showdowns and PFL Insights on Outside the Octagon
44:03
44:03
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44:03
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…
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Lightning rounds 39: Understanding flight medicine with Jace Mullen
52:09
52:09
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52:09
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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When do patients deaths bother us?By Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
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Unveiling the Strategic Art of MMA with Outside the Octagon
29:30
29:30
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29:30
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…
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Episode 72: CPR-induced consciousness with Jack Howard
41:21
41:21
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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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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
46:47
46:47
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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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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 71: Transplant medications with Olivia Philippart
54:52
54:52
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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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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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Lightning rounds 37: Weaning the deliriosedated patient (SCCM roundup)
9:13
9:13
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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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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
58:25
58:25
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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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Arterial lines are resuscitative tools.By Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
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