Critical Care Time

Critical Care Time Podcast

A podcast about medicine

  • 1 hour 3 seconds
    44. Critical Partners: The Vital Roles of NPs and PAs in Critical Care

    The critical care landscape is a dynamic one, filled with team members with all sorts of backgrounds who have various skill sets and experiences to bring to the table. In this episode of Critical Care Time we focus on the role NPs & PAs - sometimes referred to collectively as APPs - play in the ICU. To help us explore this we sat down with Gary Macy of Duke University a Critical Care NP in their Neuroscience ICU who has many years of experience working as an ICU NP. During our discussion we explored numerous topics such as the concerns regarding education, "turf wars" and what integrative models might best serve our patients. Give us a listen and let us know what you think!







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    10 March 2025, 8:00 am
  • 1 hour 36 minutes
    43. ICU Mobility with Kali Dayton, DNP
    The idea that movement is medicine doesn’t stop with the critically ill. On this week’s episode of Critical Care Time we sit down with Kali Dayton, a critical care NP with a passion for ICU mobility. We talk all things mobility in the critically ill: The roles of bedside nurses and clinicians, how we can implement best mobility practices with our patients, the financial and patient-care benefits of fostering a culture of movement in your ICU and what it means to be an “ICU Revolutionist” - along with so much more! If you truly care for the critically ill you cannot miss this episode!

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    24 February 2025, 8:00 am
  • 1 hour 59 minutes
    42. Extracorporeal Membrane Oxygenation
    On this week’s episode of Critical Care Time, we sit down with two brilliant early-career ECMOlogists for an “intro-plus” to VV and VA ECMO. Not only do we cover the basics, but we couldn’t help ourselves and went on some deep dives along the way that you guys will hopefully find interesting! With the help of our good friends Nick Villalobos and Kha Dinh, we review indications for ECMO, approaches to configuration and management, touch on some of the complications and… even spend some time demystifying the European unit for girth! We hope you guys will have as much fun listening to this as we did producing it. If so, leave us a review and let us know what you think!

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    10 February 2025, 8:00 am
  • 2 hours 42 minutes
    41. Cardiogenic Shock
    If you thought ARDS was a long episode... get ready for a marathon! This week on Critical Care Time, Cyrus and Nick take on the unenviable task of trying to cover everything you need to know about cardiogenic shock - at least in broad strokes - in ONE episode! That's right, this is your one-stop-shop for all things cardiogenic shock. While we will have some deep dives on RV and LV failure, as well as ECMO and other mechanical circulatory support options - this episode has a little bit of it all to wet your whistle and then some! We deconstruct the epidemiology of cardiogenic shock, do a deep dive on the SCAI classes of cardiogenic shock, talk pathophysiology (duh!) and then move on to treatment considerations - both medical and mechanical - followed finally by some cases to cement all the learning. We know this is a long one so feel free to listen/watch in chunks. However you decide to enjoy it, we are certain you will walk away from it ready to conquer the next CGS case you come across! Once you've finished this epic - leave us a review and let us know how we did!

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    27 January 2025, 8:00 am
  • 42 minutes 15 seconds
    REBOOT 2. Undifferentiated Shock Part 2

    In anticipation of some exciting new content where we take deep dives into shock physiology and treatment modalities, we wanted to wet appetites, prime engines and get any of our new listeners up to speed by rebooting some of our heavy hitters from Season 1.


    We've already discussed how to identify shock, or how to assess a patient whom you are worried may be in shock... but what's next? Listen as Nick & Cyrus discuss the Pump, Pipe & Tank framework for determining the type of shock your patient is suffering from. In this episode we discuss the pathophysiology of the different types of shock, the tools you can use to help differentiate one type of shock from another, and scratch the surface on some initial treatment considerations.


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    13 January 2025, 8:00 am
  • 48 minutes 25 seconds
    REBOOT 1. Undifferentiated Shock Part 1

    In anticipation of some exciting new content where we take deep dives into shock physiology and treatment modalities, we wanted to wet appetites, prime engines and get any of our new listeners up to speed by rebooting some of our heavy hitters from Season 1.


    In critical care medicine - it's not just a priority, but it's critical that you know how to identify, assess and stratify shock. Join Nick & Cyrus in Part 1 of a 2-part, deep-dive into undifferentiated shock. On this episode we discuss how we define and assess a patient in shock; laying down the foundation for our shock framework.


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    13 January 2025, 8:00 am
  • 1 hour 10 minutes
    40. CCT Goes to the Moon with Dr Shawna Pandya
    On this end-of-year episode, Nick & Cyrus boldly go where no Critical Care Podcasters have gone before - into space! Join us, as we adventure into the great beyond with astronaut extraordinaire, Dr. Shawna Pandya - the first female Canadian commercial astronaut, who also happens to be a rural emergency medicine physician among SO many other things. We spend an hour with her discussing space physiology, medical applications of space tech, chatting about ICU corollaries, her experiences training for her upcoming mission, and exploring the challenges facing space exploration in 2025 and beyond. Hop aboard and and enjoy this exciting content and let us know what you think. This super accessible episode is loads of fun for ICU junkies and space-nerds alike so kick back, give it a listen, and as always, let us know what you think!

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    30 December 2024, 8:00 am
  • 1 hour 43 minutes
    39. Beneath the Drape with Drs. Alin Gragossian & Paul Wischmeyer

    On this week's episode of Critical Care Time, Cyrus & Nick sit down with Dr. Alin Gragossian - intensivist, patient advocate, acclaimed blogger and heart transplant recipient and Dr. Paul Wischmeyer - a prior guest on CCT who is a world-renowned intensive care nutrition expert, tenured professor and no stranger to prolonged bouts with critical illness and life-threatening disease. These two incredible people share their stories and perspectives as physicians who have spent considerable time both behind the drape and beneath the drape: Being on the receiving end of countless procedures and life-saving interventions. They share with us their thoughts on where we are succeeding as a healthcare team, and where we can strive to improve at the bedside. Join us as we embark on this emotional and thoughtful journey with Alin & Paul. We hope you will listen to their stories and come away with a new appreciation for the patient experience and how privileged we are to care for the patients we care for.

    Please be sure to check out Alin's blog www.achangeofthe.art and follow her on Instagram (@a_change_of_heart_blog). Give Paul some follows where he's most active on Instagram (@paulwischmeyermd), X (Paul_Wischmeyer) and LinkedIn (Paul Wischmeyer). As always, listen and let us know what you think, and make sure to leave us a 5-star review on your favorite podcast app! 


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    16 December 2024, 8:00 am
  • 1 hour 23 minutes
    38. Palliative Care in Critical Illness: Intentional & Compassionate Palliation with Dr. Anand Iyer
    On this week's episode of Critical Care Time, Cyrus & Nick are honored to be joined by palliative care expert, Dr. Anand Iyer. Together they explore the intricacies of palliation in the ICU, exploring the challenge and nuances of addressing this critical element of care amongst the sickest patients in the hospital. How do you begin these discussions? How do you ensure your patients and families feel heard? How do you help them realize palliation is part of the care process and not that you are giving up on a loved one? What terms should we avoid using? We cover all of this and more with Dr. Iyer so make sure to give this episode a listen and leave us some feedback!

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    2 December 2024, 8:00 am
  • 1 hour 56 minutes
    37. ARDS: Unpacking Acute Respiratory Distress Syndrome from Pathophysiology to Treatment Approaches
    On this week’s episode, Cyrus & Nick tackle one of their biggest challenges yet: Acute Respiratory Distress Syndrome, more commonly known as ARDS.***WARNING*** this is no shorty! We cover all things ARDS from pathophysiology, diagnosis, treatments and things NOT to do. Dare we say, this is the definitive FOAM-ARDS experience for anyone and everyone who cares for people suffering from ARDS. Give it a listen and as always, send us your feedback!!

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    18 November 2024, 8:00 am
  • 1 hour 1 minute
    36. Inotropes
    Get excited for a new episode jam-packed with Critical Care goodness! Nick & Cyrus deconstruct, demystify and unpack inotropes. These medications are essential in the world of critical care when we have to manage cardiogenic shock. What are the different inotropes? How can you decide which one is right for your patient? And... what's the difference between an Inotropic and an Ionotropic agent? You'll learn all this and so much more on this week's episode of Critical Care Time: The Podcast for Everyone Who Cares for the Critically Ill!

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    4 November 2024, 8:00 am
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