Critical Care Time
Critical Care Time Podcast
Critical Care Time is the podcast for everyone who cares for the critically Ill. Whether you work in an ICU, a Med-Surg unit, an ED, a PACU or the back of an ambulance - Dr. Cyrus Askin & Dr. Nick Mark provide practical insights and useful tips to enhance your skillset. They are triple board-certified intensivists who love patient care and teaching. Journey with them through deep dives into physiology and practical pearls, leaving no stone unturned in the world of critical care medicine. Through their own insights, expert interviews and targeted reviews of the literature, Nick and Cyrus provide practical, relevant critical care pearls. If you bill for critical care time, you must make time for Critical Care Time! Hosted on Acast. See acast.com/privacy for more information.
Episodes
Mentioned books
12 snips
Mar 23, 2026 • 1h 53min
72. ICU Toxicology with Dr. Adam Mora
Dr. Adam Mora, an intensivist and clinical toxicology educator, guides a case‑based tour of ICU toxicology. He covers opioid overdose management and naloxone strategies. Airway and sedation decisions after overdose are discussed. Recognition and treatment of serotonin syndrome and other hyperthermic toxidromes are reviewed. Practical guidance on toxic alcohols, lithium, TCA and bupropion toxicities, dialysis indications, and system‑level planning is provided.
20 snips
Mar 9, 2026 • 50min
71. LIVE! From CHEST 2025: Cases in Cardiogenic Shock
Nick Hodgman, a pulmonary and critical care physician from El Paso, joins a live CHEST 2025 panel to dissect challenging cardiogenic shock cases. They walk through invasive hemodynamics, SCAI staging, device choices like Impella and ECMO, and team-based escalation for LV and RV failure. Real-world cases include post-MI VSD management and ARDS with RV collapse.
54 snips
Feb 23, 2026 • 1h 39min
70. Right Heart Failure with Dr Matt Siuba
Dr Matt Siuba, a medical intensivist at the Cleveland Clinic who focuses on right ventricular failure and pulmonary vascular care. He explains why the right ventricle matters, contrasts RV versus LV physiology, and walks through bedside monitoring and when to use pulmonary artery catheters. Practical strategies for ventilation, hemodynamics, and escalation to mechanical support are also highlighted.
35 snips
Feb 9, 2026 • 1h 46min
69. Mechanical Circulatory Support Master Class with Dr. Bindu Akkanti
Dr. Bindu Akkanti, Assistant Dean and Heart Failure ICU director with expertise in cardiopulmonary critical care and mechanical circulatory support. She walks through use cases for IABP, Impella and VA‑ECMO using clinical cases. Discussions cover device selection, complications, monitoring (including PA catheters), venting strategies and combined support approaches like Ecpella and LAVA.
14 snips
Feb 2, 2026 • 1h 8min
68. Sleep for ICU Clinicians: Functioning Better on Night Shifts
Practical tactics to survive night shifts, including timed light exposure, blackout strategies, and sleep environment tweaks. Tips on strategic naps, caffeine timing, and pre-shift sleep banking. Discussion of chronotypes, exercise and meal timing as circadian cues. Review of supplements and medications to aid adaptation and system-level fixes like predictable schedules and nap rooms.
40 snips
Jan 26, 2026 • 1h 19min
67. Sleeping in the ICU: Why is it critical and how do we help our patients get more of it?
A lively dive into why sleep is vital for ICU patients and how biology like the glymphatic system and circadian cues matter. They outline how ICU care fragments REM and deep sleep and list common disruptors such as light, noise, meds, and care activities. Practical fixes are explored, from clustering care and adjusting ventilator settings to timed light, temperature, feeding, and cautious use of melatonin or dexmedetomidine.
33 snips
Jan 12, 2026 • 1h 31min
66. Rheumatology Emergencies with Dr. Marcela Ferrada
Dive into the world of rheumatologic emergencies with Dr. Marcela Ferrada, who highlights crucial signs that intensivists must recognize. From the importance of quick diagnostics using organ-based approaches to balancing infection with immunosuppression, the discussion is packed with essential insights. Real case studies, including scleroderma crises and ANCA vasculitis, showcase the urgency of intervention. Plus, learn about cutting-edge therapies like IL-1 inhibition for juvenile arthritis. Perfect for those in the critical care arena!
7 snips
Dec 29, 2025 • 29min
65. Journal Club: The RSI Trial
Dive into the exciting world of critical care as hosts discuss the newly released RSI Trial. They explore whether ketamine or etomidate is superior for intubation in critically ill adults. Key topics include operator experience and its impact on outcomes, the nuances of drug dosing, and implications for practice. Interesting insights emerge on intubation times, mortality rates, and the role of vasopressors. Ultimately, they emphasize that the right dose may outweigh the choice of drug. A thought-provoking listen for medical professionals!
30 snips
Dec 15, 2025 • 1h 21min
64. Journal Club: End of 2025 Roundup
This week features a fascinating journal club exploring whether A-lines should be discarded and the efficacy of bicarbonate for treating metabolic acidosis in AKI. The discussion dives into the selective decontamination trial, revealing no mortality benefit but interesting microbiology insights. We also learn about the EVERDAC trial, which challenges the need for early arterial lines. Lastly, a new approach to shock management using capillary refill guidance shows promise in personalized care, promoting tailored interventions while reducing unnecessary treatments.
35 snips
Dec 1, 2025 • 1h 13min
63. Leading in the ICU… and Beyond!
Joshua Hartzell, MD, a retired Army colonel and infectious disease physician, shares insights on leadership in healthcare. He contrasts caring leadership with top-down approaches, emphasizing the importance of self-care, boundaries, and delegation. Hartzell highlights respect and genuine listening within ICU teams to combat burnout, while advocating for physical presence in challenging situations. He encourages developing leadership in small teams and recommends daily acts of gratitude and feedback to foster a positive culture among colleagues.
