An educational podcast presenting practical critical care scenarios. By Brandon Oto, PA-C and Bryan Boling, ACNP. New episodes weekly.
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The Critical Care Commute Podcast is grateful for your ears, insights and feedback. In return its hosts- Peter Brindley and Leon Byker, two ICU doctors in Alberta, Canada- offer up knowledge and debate with some of the most qualified, interesting, enlightened and provocative folks in Critical Care Medicine, and beyond. We strive to keep it practical and concise. Like you, our overriding goal is to get better, do better and feel better.
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Discussing ventilator management in the Prehospital transport environment. We discuss scenario based content coupled current evidence-based literature to provide the latest and best content to our listeners. Our goal and vision is to strengthen the providers in our industry by helping provide an interactive learning platform.
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A podcast exploring Social Work practice through stories & critical reflection.
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Bridging the gap between literature and practice in pediatric intensive care. Featuring guests from around the world and pediatric intensive care specialists Greg Kelly (Westmead Children's Hospital Sydney), Peta Alexander (Boston Children's Hospital), Karen Choong (McMaster Children's Hospital Canada) and Mike Clifford (Royal Children's Hospital Melbourne) Pediatrica intensiva won’t tell you the answers, because no one knows what they are, but we can give you a chance to hear respected expe ...
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In Engineering Your Best Retirement, authors Kurt Biederman and Shon Peil explain in simple language and through real stories how to eliminate the confusion associated with designing for your retirement. Each chapter focuses on one of the primary areas you need to address to navigate through the sometimes-turbulent environment of retirement as you assemble the pieces of your own Retirement Shield. By addressing each area properly, you’ll be able to identify the headwinds and use them to gain ...
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In The Five Retirement Nightmares, national best-selling authors Scott Schuett and Shon Peil explain in simple language and through real stories how to shield yourself from a disastrous future. Each chapter focuses on one of the five primary areas you need to address for a safe and secure retirement. By addressing each properly, the authors guide you through the process of creating what they call a Retirement Shield. Inside you’ll learn about the Primary Retirement Shield areas: > Social Sec ...
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Recovery Stories: Peer support for Connection and Compassion Enabling Recovery from Alcohol and drugs
Lucia D’Ambruoso
This podcast series shares community empowerment experiences from peer supporters working with Turning Point Scotland in Aberdeenshire helping communities dealing with alcohol and drug problems. Practitioners and peer support workers share how they have used their personal experiences to help at-risk groups supporting recovery from addiction through processes of connection and compassion. Communities play critical roles in public health. The active participation of communities in health serv ...
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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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Inside the COVID Command Centre with Dr Andrew Baker
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In this episode, join us for an in-depth conversation with Dr. Andrew Baker, as he reflects on his time as the incident Commander of the Ontario Critical Care COVID Command Centre, during the COVID pandemic. Dr. Baker offers a firsthand account of the establishment and operation of this crucial hub in the battle against the pandemic, highlighting t…
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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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Lightning rounds 39: Understanding flight medicine with Jace Mullen
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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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When do patients deaths bother us?By Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
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Discharge planning: Social justice in action - Ep.88
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Hey! Social Worker!! If you listen to this episode you'll never think of 'discharge planning' as simply admin again... it'll become an act of social justice each and every time! Enjoy. SIDE NOTE: In this episode, Mim refers to Pamela Trevithick's work. Here's the reference: Trevithick, P. (2012). Social work skills and knowledge: a practice handboo…
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Atrial Fibrillation in the ICU - Dr Stephanie Sibley
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Welcome to our latest episode, recorded live at the Critical Care Forum in Canada. We're joined by Dr. Stephanie Sibley and Dr. Michal Cwhalek, a Critical Care Trainee, to discuss Atrial Fibrillation, the most commonly sustained cardiac arrhythmia in critical care. Dr Stephanie Sibley is an Assistant Professor in the Department of Critical Care Med…
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Podcast #23 - Happy Birthday to us! We've been here a year! Recap...
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In this episode, we reflect on our podcast journey over the last year and the global reach of our show. We discuss the importance of training and knowledge in using ventilators effectively. We recap the basic ventilator settings and emphasize the need to monitor and meet the patient's needs as well. We engage in a slight debate about SIMV vs. AC mo…
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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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Talking A.I. with Drs. Shelly Dev and David Maslove.
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Welcome to the 2nd episode in our Critical Care Forum Canada 2023 podcast series, where we interview leading Canadian experts. In this episode, we explore the intersection of artificial intelligence and critical care medicine with Dr. Shelly Dev and David Maslove, recorded after a panel discussion held at the Conference in Toronto. Dr Dev is no str…
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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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Welcome to the inaugural episode of our podcast series, recorded live at the Critical Care Canada Forum meeting of 2023. In our first episode, we are again joined by the esteemed Dr. Hannah Wunsch, expert in critical care medicine with a keen interest in the historical lessons we can glean from medical breakthroughs of the past. Today, we will cont…
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Episode #22 - Pediatric Transport Case Study
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In this case study, we delve into the intricate care of a pediatric patient facing the daunting challenge of chest trauma. Through our discussion, we illuminate crucial ventilator strategies, meticulous fluid management, and the nuanced considerations surrounding medication administration. Embedded within our discourse is an unwavering call to arms…
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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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How an aged-care social worker uses dignifying practice as covert resistance - Ep.87
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Lis called this episode, "A classic!" and Mim said, "This is going straight onto my University Readings List." So, you know it's going to be worth the listen! We hope that you enjoy. SIDE NOTE: In this episode, Lis refers to a journal article on 'covert activism'. Here's the reference: Greenslade, L., McAuliffe, D. & Chenoweth, L., 2015, 'Social wo…
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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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Summary In this episode, we discuss various topics related to ventilator management. They answer mailbag questions and provide insights on transporting and transitioning LTAC patients. They also explain how to measure plateau pressure on a Hamilton T1 ventilator and discuss the importance of understanding different ventilator modes. Additionally, t…
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Preserving Antibiotics for Tomorrow: A Conversation with Dame Sally Davies
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Welcome to our first episode of season three! We are kicking off with what is probably one of the most important topics to be discussed in modern medicine today: The rational use of antibiotics. In this episode, we have the honor of hosting Dame Sally Davies, a renowned figure in global public health and former Chief Medical Officer for England. Da…
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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)
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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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Episode #20 - Adaptive Support Ventilation with Jesse Carroll of Hamilton Medical - Part 2
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Summary – Part 1 & Part 2 In this episode, we would like to introduce Jesse Carroll, the EMS accounts manager for Hamilton Medical. We discuss ASV (Adaptive Support Ventilation) on the Hamilton T1 ventilator and address misconceptions and myths about the mode. We want to highlight the benefits of ASV in reducing cognitive load for clinicians and pr…
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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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Resilient Healthcare Systems and Patient Safety with Dr Neil Spenceley
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In our latest episode, we sat down with Dr. Neil Spenceley, pediatric intensivist and Safety expert. Listen as Dr. Spenceley unpacks safety and proposes a shift from a binary safety approach (safety 1 and safety 2) to resilient engineering and system performance. Dr. Neil emphasizes the holistic view encompassing efficiency, efficacy, safety, and s…
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Complex Airway Surgery - Airways That Scare Me
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Children with complex airway surgery are airways that truly scare us. Though a small number of patients in pedsICU, they can stay a long time and are at risk of death and morbidity from their underlying conditions, co-existing conditions, their treatment and ICU acquired problems. Managing these patients requires a high level of understanding, comm…
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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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"Don't just believe what you read on my file": Re-authoring patient stories - Ep. 86
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Welcome back to the Social Work Stories podcast. This is the first episode released for 2024, and boy-oh-boy do we have a doozy for you!! In this episode, you'll join Lis and Mim in hearing from an anonymous social worker using a practice innovation in an Emergency Department setting. This is a riveting story and discussion, not to be missed! SIDE …
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Episode #19 - Adaptive Support Ventilation with Jesse Carroll of Hamilton Medical - Part 1
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Summary – Part 1 & Part 2 In this episode, we would like to introduce Jesse Carroll, the EMS accounts manager for Hamilton Medical. We discuss ASV (Adaptive Support Ventilation) on the Hamilton T1 ventilator and address misconceptions and myths about the mode. We want to highlight the benefits of ASV in reducing cognitive load for clinicians and pr…
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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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Decoding Neuroprognostication with Dr. Julie Kromm
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Welcome to our next episode! In this episode, we again delve into the world of neuroprognostication with none other than Dr. Julie Kromm. Dr Kromm is a neurointensivist, who brings a wealth of expertise to the table and was one of the authors on the Canadian Position Statement for Neuro Prognostication after cardiac arrest. Neuroprognostication is …
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Lightning rounds 36: Nurses are from Venus
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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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Elliot Sprague: The Internist's Internist. Being a Cancer Thriver.
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Welcome to another episode of "The Critical Care Commute" podcast! In this episode, Peter Brindley and Leon Byker sit down with special guest Elliot Sprague. Elliot Sprague is an internist known for his unique perspective on healthcare and his remarkable journey through a recent health challenge. In this episode, Elliot reflects on the shock of bei…
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Episode #18 -Neonatal/Pediatric Ventilation Series Part 2
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Summary In this episode, we discuss the challenges of neonatal and pediatric ventilation. We also want to emphasize the importance of experience and knowledge in handling ventilators for these patients. We’re covering topics such as ventilator settings for neonates, the significance of inspiratory time, ventilation strategies for different lung dis…
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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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The Healthy Exchange: Navigating Healthcare Communication with Andre Picard
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Welcome to the Critical Care Commute Podcast, as we delve into the world of healthcare communication with one of the most esteemed voices in the field – Andre Picard. Andre Picard, a renowned health columnist for The Globe and Mail, brings his wealth of knowledge and experience, providing insights into the vital role that effective communication pl…
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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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Episode #17 -Neonatal/Pediatric Ventilation Series Part 1
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Summary In this episode, we discuss the challenges and considerations for neonatal and pediatric intubation. We emphasize the need for proper training and reference materials for healthcare professionals who may be called upon to transport neonates and pediatric patients. The discussion covers topics such as ET tube sizes and placement, securing th…
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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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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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Difficult Airway Cases: Letting the panel take us through scenarios.
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Welcome back to our second podcast from sunny San Diego! Stay classy, San Diego! Peter and Leon are again joined by Matteo, Jarrod, and Calvin for rapid fire cases! In this episode they discuss approaches to: Rapid Fire Scenario 1 - Tracheostomy tube displacement. Rapid Fire Scenario 2 - Hypoxemic patient going into Cardiac arrest Topicalization Te…
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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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In this episode, the hosts tackle questions from listeners. They discuss the differences between ABGs and VBGs, the applications of dead space in ventilating patients, and how to calculate ideal body weight and tidal volume for patients with congenital deformities. The hosts emphasize the importance of individualized approaches in medicine and pati…
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The Difficult Airway: Panel discussion with Faculty
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In this episode, we have the privilege of hosting three luminaries in the field of airway management: Drs. Jarrod Mosier, Calvin Brown, and Matteo Parotto. As distinguished leaders from the Difficult Airway Course, they bring incredible insights to managing the acute care airway. Whether you're a seasoned practitioner or a healthcare enthusiast, th…
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Episode 68: Liver transplant with Meera Gupta
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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…
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Explaining the ultimate expression of prognosis: Morbidity = (Severity x Duration)/ReversibilityBy Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
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Chris Nickson from Life in the Fast Lane: "Are we training intensivists for the future?"
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Welcome to the Critical Care Commute Podcast! In today's episode, we delve into the field medical education. Joining us is Dr. Chris Nickson, to explore the question: "Are we training intensivists for the future?" As advancements in medical technology and our understanding of critical care continue to evolve, it's essential to assess whether our cu…
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