Michael Morriss public
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The World of Critical Care podcast discusses medical topics in twenty minutes or less for professionals, new and seasoned, and families struggling to understand the care of their family member. Episodes tackle complex topics, helping to inform students, nurses, nurse practitioners, physicians assistants, and physicians alike in furthering their knowledge.
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The following episode covers the critical physiological functioning of magnesium. The episode covers lab values, hypomagnesemia and Hypermagnesemia. For further reading: I highly recommend Ak lectures for a serious physiological deep dive. https://aklectures.com https://emcrit.org/ibcc/hypomagnesemia/ https://emcrit.org/ibcc/hypermagnesemia/…
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Caring for post operative CVOR patients can be one of the most rewarding and challenging shifts for a CVICU/ICU nurse. The following episode covers the basics of pre-operative assessment, intra-operative analysis, and post-operative care. By no means comprehensive, the episode seeks to cover the basics and provide a steady foundation for growth.…
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This episode covers the history, mechanism of action, lab monitoring, indications, reversal and special considerations for Warfarin or otherwise known as Coumadin. One of the most common oral anticoagulants seen in critical care. For further reading: https://emcrit.org/ibcc/coag/ https://emcrit.org/emcrit/reversal-safe-smart/ https://emcrit.org/ibc…
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The following episode begins the discussion of anticoagulation. The discussion includes the mechanism of action, routes of administration, dosing, initiation consideration, lab values (aPTT vs Xa), side effects, and reversal. The episode also examines the difference between heparin and low molecular weight heparin. For further reading: https://emcr…
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The following episode specifically focuses on the role of platelets in coagulation. This episode builds upon the previous episode, which focused on the clotting cascade, with a detailed discussion of the formation of the platelet plug and its unique interaction with the fibrin mesh produced by the clotting cascade. The stage is now set for a discus…
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The following episode provides a general overview of the clotting cascade. Focus is given to understanding terms such as clotting factors, zymogens, enzymes, cofactors, and proteases. Emphasis is given to understanding the extrinsic, intrinsic, and common pathway. Below are a list of helpful visual explanations of the clotting cascade I have found …
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The following episode covers the basics of platelet administration in critical care. The episode focuses on the general function, measurement, and administration of platelets. Platelets have several unique administration requirements that need to be remembered! Next weeks episode will cover the clotting cascade and platelet function in much greater…
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PRBC's or packed red blood cells are one of the most common blood products administered in critical care. The following episode covers the importance of red blood cells, understanding hemoglobin and hematocrit levels, how lab levels are attained, some of the common reasons to transfuse, transfusion basics, and the critical transfusion associated co…
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The following episode considers the role crystalloids play in critical care. The episode considers how the mechanism of action differers from that of colloids. Considerations are given to understanding how tonicity and osmolality can influence the effect of crystalloid solutions in the body. Specific attention is given to saline solutions with the …
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Amidst the continual busyness of the ICU we often forget the power of taking time to pause with our patients and their families, to understand where we are at, and where we are going. Years in the ICU has taught me that often the most important reality of care is the perception of care by patients and their families. Taking time every shift to walk…
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Colloids are often misunderstood and take a backseat to crystalloids. The following episode dives into their mechanism of action and the critical role they play in maintaining colloidal osmotic pressure. Albumin takes center stage in the episode as one of the primary colloids administered in the ICU.…
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Amidst the continual busyness of the ICU we often forget the power of taking time to pause with our patients and their families, to understand where we are at, and where we are going. Years in the ICU has taught me that often the most important reality of care is the perception of care by patients and their families. Taking time every shift to walk…
  continue reading
 
After the initial two weeks in the ICU now the fun begins. Weeks 3-8 lay the critical foundations of ICU patient care. Often these weeks are the most difficult for new nurses as they constantly feel overwhelmed. Taking care of two ICU patients while also trying to understand the why behind everything. As a preceptor it often is equally difficult to…
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This episode covers your first two weeks in the ICU out of nursing school. Often these first two weeks are daunting, both for new nurses of those training them! The episode covers preparation before the first shift, essentials to bring on your first day, and lays out a potential path for each successive shift that best supports new nurses. This epi…
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Should you go right into the ICU out of nursing school? This is a question I get asked frequently as a professional preceptor in the ICU. Take a listen as I explain why new graduate nurses are the ideal ICU nursing candidates. Additionally the episode considers important aspects to consider when choosing the right ICU culture to support your profes…
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