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…

Bryan and Jeff dive into Apple’s “Glow Time” Apple Watch, iPhone 16, AirPods, and Apple Intelligence announcements. They also have some things to say about the non-announcements Apple included in the event. SPONSOR: LinkedIn Jobs – Post your job for free at LinkedIn.com/ACM. Sources referenced in this episode: Introducing Apple Watch Series 10 Appl…

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

Bryan and Jeff dissect the report that Apple is laying off 100 employees from its Books and News service teams. Spoiler: This isn’t doom and gloom for Apple or its ebook service. They’re also shocked to discover Apple had 100 people on the Books team. Sources referenced in this episode: Apple lays off employees working on Books and News Apple job c…

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

A new report says Apple wants to put a robot on your counter so Bryan and Jeff look at what that device might really be. They also have some thoughts on Apple opening NFC to third parties in iOS 18.1. SPONSOR: LinkedIn Jobs – Post your job for free at LinkedIn.com/ACM. Sources referenced in this episode: Bloomberg: Apple targeting sub-$1,000 price …

Bryan and Jeff share their thoughts on the DOJ’s court win that Google is its monopoly status to unfairly dominate the online search market, and what impact that could have on Apple. Bryan shares his changing perspective on Kindle Unlimited and the single change that would get him to publish his books there. Sources referenced in this episode: Goog…

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…

Bryan and Jeff explore the ships of Starfleet in The Roddenberry Archive, note that Apple once again earned all the money, and share an app for tracking wildfire activity. They also talk about Jeff’s experience as a new D&D player. Sources referenced in this episode: The Roddenberry Archive APple Q3 2024 Earnings Report Watch Duty Mando’s mid-life …

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

Bryan and Jeff take a look at the ugly resurrection of The Unofficial Apple Weblog as an AI-generated content farm and the intentional misrepresentation that the writing team includes the staff from before the site shut down in 2015. They also talk about why Apple isn’t joining OpenAI’s board of directors after all, and Bryan shares a Mac app to he…

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

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…

It’s PSA time on The Context Machine. Bryan and Jeff discuss opting out of Meta using your content to train its AI model, along with Jeff’s favorite option for replacing Bartender on your Mac. Bryan also shares the services he’s found to help promote and distribute ebooks and audio books for indy authors. Sources referenced in this episode: flick.s…

Bryan and Jeff discuss the iOS 18, iPadOS 18, macOS Sequoia, and visionOS 2 announcements from this week’s Apple World Wide Developers Conference. They also look at what’s coming this fall with Apple Intelligence. SPONSOR: LinkedIn Jobs – Post your job for free at LinkedIn.com/ACM. Sources referenced in this episode: visionOS 2 watchOS 11 iOS 18 iP…

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…

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

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…

Bryan and Jeff take a look at Bryan’s new short story, King Liam, First of His Name. They also share their thoughts on the Apple Music top 100 albums list, chat about borbs, and offer a teaser for Jeff’s upcoming presentation at Macstock 8 in July. SPONSOR: LinkedIn Jobs – Post your job for free at LinkedIn.com/ACM. Sources referenced in this episo…

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

Bryan and Jeff catch up on reader email, and also take a look at two Apple TV+ shows: Sugar and Dark Matter. SPONSOR: LinkedIn Jobs – Post your job for free at LinkedIn.com/ACM. Sources referenced in this episode: Netflix Net Income 2010-2023 Cult Pens Dark Matter Sugar Bryan’s new book Accidental Intelligence Mason Truman on Threads Jeff is speaki…

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!…

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…

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

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

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

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…

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

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…

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

We learn about liver transplant with Dr. Meera Gupta, transplant surgeon at the University of Kentucky Healthcare Transplant Center, and surgical director of the Kidney and Pancreas Transplant Program. We discuss eligibility, triage, the peri-operative course, and important post-op complications. Find us on Patreon here! Buy your merch here! Takeaw…

Explaining the ultimate expression of prognosis: Morbidity = (Severity x Duration)/ReversibilityBy Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM

When should you…By Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM

Which site should you select for your central line placement? A discussion of some considerations.By Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM

We learn about pancreaticoduodenectomy (the Whipple) with Michael Cavnar (@DrMikeCavnar), surgical oncologist at University of Kentucky, with a fellowship in Complex General Surgical Oncology from Sloan Kettering. He specializes in GI surgical oncology (liver, pancreas, stomach, etc), with ongoing research in GI stromal tumors and hepatic artery in…