Tasty Morsels of Critical Care

Andy Neill

Bite size chunks of critical care medicine targeted at fellowship exam preparation

All Episodes

Welcome back to the tasty morsels of critical care podcast. Usually the topics here follow the well trodden path of Oh’s manual, but we’re looking at something primarily because it is  an ideal question for a fellowship exam. In this ... Read More »

Nov 29

6 min 22 sec

Welcome back to the tasty morsels of critical care podcast. There’s not a huge amount of notes on procedural stuff that I accumulated for the exams but I did collect some interesting bits on bronchoscopy, particularly because it was so ... Read More »

Sep 20

5 min 36 sec

Welcome back to the tasty morsels of critical care podcast. Sometimes the tasty morsels are exam sized snippets of my knowledge on a given topic. More frequently they are literally all I know on the subject. Today’s topic of parenteral ... Read More »

Sep 6

4 min 55 sec

Welcome back to the tasty morsels of critical care podcast. This is number 50, so for all 7 of you out there, well done for making it this far especially when you can’t even get CPD points for it. Today ... Read More »

Aug 2

9 min 26 sec

Welcome back to the tasty morsels of critical care podcast. Today we’ll look at everyone’s favourite yeast – Candida. Firstly, remember the distinction between yeasts and moulds. Yeasts, like Candida species are single celled critters whereas moulds like aspergillus are ... Read More »

Jul 26

6 min 3 sec

Welcome back to the tasty morsels of critical care podcast. Today we look at anaphylaxis. Oh’s Manual 67 forms the basis for most of this. In many ways this is fairly straightforward. You give adrenaline and they get better. However ... Read More »

Jul 5

5 min 48 sec

Welcome back to the tasty morsels of critical care podcast. This week we’ll make a fly by at part of Oh Chapter 100 looking at haemostatic failure. The understanding of the haemostatic system seems a little like the universe at ... Read More »

Jun 28

4 min 35 sec

Welcome back to the tasty morsels of critical care podcast. This week we’re looking at the other ACS, the surgical ACS, the old abdominal compartment syndrome. This is common, especially in the surgical population and does not always immediately jump ... Read More »

Jun 21

4 min 57 sec

Welcome back to the tasty morsels of critical care podcast. Oh dedicates an entire chapter, number 88 to CBRN issues. While not commonly seen you can rest assured that critical care will be expected to turn up and manage these ... Read More »

Jun 14

6 min 23 sec

Welcome back to the tasty morsels of critical care podcast. It is with trepidation that I approach any topic that involves the negative feedback loops of endocrine control as I really struggle to keep it all straight in my head, ... Read More »

Jun 7

5 min

Welcome back to the tasty morsels of critical care podcast. Condensing all of “inotropes and vasopressors” into a single 5 minute podcast is of course doomed to fail but that’s never stopped me before. The main reference for this is ... Read More »

May 31

5 min 47 sec

Welcome back to the tasty morsels of critical care podcast. In a further scandalous departure from Oh’s Manual today we’re going to look at a chapter of verified Irish Critical Care legend, Martin Tobin’s huge mechanical ventilation textbook. I have ... Read More »

May 24

4 min 1 sec

Welcome back to the tasty morsels of critical care podcast. Today we’re going to talk about a fairly rare and niche issue in critical care – gas embolism. The venerated stone tablets of Oh’s Manual do not mention it in ... Read More »

May 17

5 min 14 sec

Welcome back to the tasty morsels of critical care podcast. With extreme brevity we are going to try and cover Oh’s Manual Chapter 38 on respiratory monitoring. This is something of a hodge podge i must admit. I’ll start by ... Read More »

May 10

4 min 59 sec

Welcome back to the tasty morsels of critical care podcast. This is part of Oh’s Manual Chapter 77 on head injury and we covered ICP monitoring before in number 20. A key principle here is cerebral perfusion pressure or CPP. ... Read More »

May 3

7 min 53 sec

Welcome back to the tasty morsels of critical care podcast. A meandering monologue through critical care fellowship exam preparation. Oh’s Manual chapter 104 has a decent chapter on the intensive care aspects of lung transplant. A lot of this stuff ... Read More »

Apr 26

6 min 10 sec

Welcome back to the tasty morsels of critical care podcast. A meandering monologue through critical care fellowship exam preparation. This week: serotonin syndrome. Much talked about, very common in an exam, quite rare in real life. It doesn’t really get ... Read More »

Apr 19

6 min 51 sec

Welcome back to the tasty morsels of critical care podcast. A meandering monologue through critical care fellowship exam preparation. Today we’re talking a little about that most vital of gases – oxygen. This is going to be back to some ... Read More »

Apr 12

5 min 54 sec

Welcome back to the tasty morsels of critical care podcast. A meandering monologue through critical care fellowship exam preparation. Today we’ll talk about CRRT timing. When should your critically ill patient take a spin on the green machine? From an ... Read More »

Apr 5

5 min 16 sec

Welcome back to the tasty morsels of critical care podcast. A meandering monologue through critical care fellowship exam preparation. If you were tuning in to try and pick up some core exam level content then this is probably not it. ... Read More »

Apr 1

4 min 19 sec

Welcome back to the tasty morsels of critical care podcast. A meandering monologue through critical care fellowship exam preparation. Today we’re looking at Oh Chapter 64 covering some of the absolute basics of pre eclampsia. ICU level pre eclampsia is ... Read More »

Mar 22

5 min

Welcome back to the tasty morsels of critical care podcast. A meandering monologue through critical care fellowship exam preparation. Today’s podcast is mostly taken from Oh’s manual Chapter 96 covering critical care nutrition. Something we all know and love deeply ... Read More »

Mar 15

3 min 48 sec

Welcome back to the tasty morsels of critical care podcast. A meandering monologue through critical care fellowship exam preparation. GBS management can be nicely split into disease specific management and ICU supportive care. In terms of specific treatment this is ... Read More »

Mar 11

5 min 17 sec

Welcome back to the tasty morsels of critical care podcast. A meandering monologue through critical care fellowship exam preparation. GBS is a clinically important diagnosis for both the emergency department and the ICU. Its rareish but common enough that you ... Read More »

Mar 4

5 min 10 sec

Welcome back to the tasty morsels of critical care podcast. A meandering monologue through critical care fellowship exam preparation. We see C. Diff in the ICU in a couple of contexts. Firstly the poor unfortunate soul who starts with a ... Read More »

Feb 25

5 min 47 sec

Welcome back to the tasty morsels of critical care podcast. A meandering monologue through critical care fellowship exam preparation. HIV in the ICU is becoming a bit of a rare beast as the ID docs seem to have it so ... Read More »

Feb 18

4 min 20 sec

Welcome back to the tasty morsels of critical care podcast. Plasmapheresis (or PLEX) is one of the machines we tend not to have responsibility for in the ICU. Unlike CRRT we tend to defer to another specialty to do this. ... Read More »

Feb 11

5 min 31 sec

Welcome back to the tasty morsels of critical care podcast. SBS is not a common thing to find in the ICU and the most likely context here is going to be receiving someone from the operating theatre who has had ... Read More »

Feb 8

3 min 42 sec

Welcome back to the tasty morsels of critical care podcast. The commonest time we think of adrenocortical insufficiency in the ICU is probably in sepsis. This post will definititely not cover the beast that is steroid use in the intensive ... Read More »

Feb 4

4 min 28 sec

Welcome back to the tasty morsels of critical care podcast. A meandering monologue through critical care exam preparation. The aminoglycosides see themselves as a bit special. Not content with producing deafness and killing kidneys they’ve also demanded awkward dosing schedules, ... Read More »

Feb 1

4 min 32 sec

Welcome back to the tasty morsels of critical care podcast. Cardiac pacing comes in a variety of flavours in critical care but a reasonable list of class I indications for permanent pacing might include: 2nd/3rd block with symptoms and bradycardia, ... Read More »

Jan 28

5 min 30 sec

Welcome back to the tasty morsels of critical care podcast. Continuing along a theme of words with with too many i’s in them, (see TM 007 for more) today we look at necrotising fasciitis or “nec fasc” to its friends. ... Read More »

Jan 25

4 min 44 sec

Welcome back to the tasty morsels of critical care podcast. Ventilators remain one of the dark arts and hidden mysteries of critical care. Intensive care is a fairly generalist specialty overall and we share our core knowledge with a lot ... Read More »

Jan 21

4 min 48 sec

Welcome back to the tasty morsels of critical care podcast. Like most spaces within the body, the contents within the cranium are under a certain degree of pressure. The skull being a rigid box can accommodate pressure much less than ... Read More »

Jan 18

5 min 15 sec

Welcome back to the tasty morsels of critical care podcast. Welcome back to what I hope will be the final little segment (boom boom) on liver transplant. Part 1 lives here. Though at this stage I certainly can’t rule out ... Read More »

Jan 14

3 min 55 sec

Welcome back to the tasty morsels of critical care podcast. Today we’re covering Oh’s Manual Chapter 103 looking at liver transplant. There are two types of liver disease that might put you in line for a transplant acute liver failure ... Read More »

Jan 11

4 min 20 sec

Welcome back to the tasty morsels of critical care podcast. Today we have one of the jewels of critical care exam preparation. Not only does this involve niche clinical contexts, the gamma glutamate cycle but also everyone’s favourite acid base ... Read More »

Jan 7

2 min 48 sec

Welcome back to the tasty morsels of critical care podcast. So, from the ultra broad topic of AKI in the last podcast to the super specific question of when we should pursue an open lung biopsy in an ICU patient. ... Read More »

Jan 4

3 min 22 sec

Welcome back to the tasty morsels of critical care podcast. This is a somewhat basic and general episode, even for this podcast which indulges in frequent generalisation and summaries of pre existing summaries. It covers Oh’s Manual Chapter 47 looking ... Read More »

Dec 2020

3 min 40 sec

Welcome back to the tasty morsels of critical care podcast. In a break from the not quite established tradition on this show, I’ve split this into two parts. Number 13 covers the process of putting them in. This one focusses ... Read More »

Dec 2020

4 min 22 sec

Welcome back to the tasty morsels of critical care podcast. In a breaking from what could only loosely be described as tradition at this point, this podcast is going to be in 2 parts. Intensivists have embraced the tracheostomy as ... Read More »

Dec 2020

4 min 54 sec

Welcome back to the tasty morsels of critical care podcast. This is a mammoth topic that listening to 5 mins of me rambling will in no way seriously prepare you to either practice clinically or write a semi coherent exam ... Read More »

Dec 2020

4 min 3 sec

Welcome back to the tasty morsels of critical care podcast. Thanks to the wonders of preemptive rasburicase (which i have a tendency to associate with Rasputin at this point) I don’t think this as common as it used to be. ... Read More »

Dec 2020

4 min 9 sec

Welcome back to the tasty morsels of critical care podcast. Critical illness in pregnancy is remarkably rare given the somewhat bonkers system for reproduction that we seem to have evolved over the past million or years. Improved care of complex ... Read More »

Dec 2020

2 min 43 sec

Welcome back to the tasty morsels of critical care podcast. As an EM trainee doing intensive care I will confess that I struggle to work up the enthusiasm to cover a nutrition guideline. With my deepest apologies to all the ... Read More »

Dec 2020

3 min 35 sec

Welcome back to the tasty morsels of critical care podcast. Just to be clear up front we’re going to be talking about taking the lid off for stroke, NOT taking the lid off for TBI. I will get to TBI ... Read More »

Nov 2020

4 min 4 sec

Welcome back to the tasty morsels of critical care podcast. Pneumocystis Jriovecii Pneumonia, the infection formerly known as Pneumocystis Carinii Pneumonia The official change in name from Carinii to Jirovecii was in the late 1990s to emphasise the distinct organism ... Read More »

Nov 2020

4 min 53 sec

Welcome back to the tasty morsels of critical care podcast. Today we’re talking about chylothorax, not something I’ve not had the joy of managing as yet. Chyle is produced through digestion and absorption of emulsified fats from the small intestine. ... Read More »

Nov 2020

3 min 11 sec

Welcome back to the tasty morsels of critical care podcast. One would think that the term drowning should be relatively straightforward, however there have been a plethora of descriptions including wet drowning, dry drowning and near drowning. These have all ... Read More »

Nov 2020

3 min 27 sec

Welcome back to the tasty morsels of critical care podcast. All of these posts are simplifications of much more complex topics but when it comes to the immunosuppressants used in solid organ transplant I’m wading out of my depth even ... Read More »

Nov 2020

4 min 5 sec