Maryland CC Project show

Maryland CC Project

Summary: This site & podcast was created by the University of Maryland Critical Care Fellows to share the amazing education we are receiving as well as a way to create a discussion about both cutting edge and core critical care topics.

Podcasts:

 Rothman: Beyond the Early Warning Score, The Rothman Index | File Type: audio/mpeg | Duration: 63:23

Today Michael Rothman, Ph.D., co-founder and chief science officer, PeraHealth is presenting his work on early detection of critical illness. After losing his mother to an undetected complication following a low-risk surgical procedure, Dr. Rothman was determined to develop a method to predict such travesties before they occurred. He accomplished this by leveraging over 30 years of data analysis and mathematical modeling experience to create a method of tracking patient progress, allowing detection of declining health, and allowing earlier intervention. These models are referred to as the Rothman Index and the pediatric Rothman Index, both of which are revolutionizing the way we care for critically ill patients.

 Galvagno: Patient-ventilator interactions, perfusion-protection strategies | File Type: audio/mpeg | Duration: 50:08

Today we welcome back Samuel M. Galvagno, DO, PhD, Associate Professor of Anesthesiology & Chief, Division of Critical Care Medicine, University of Maryland School Of Medicine. Dr. Galvagno has an extremely impressive resume, including a Ph.D. from The Johns Hopkins Bloomberg University School of Public Health as well as over 60 peer reviewed publications coupled with years of clinical expertise in airway and ventilator management. Today he is gracious to share some pearls of wisdom to guide the average intensivist in the management of a newly ventilated patient. There is so much information in this lecture that I am certain you will want to watch it multiple times!

 Hardy: HSCT for the intensivist: indications, interventions, & complications | File Type: audio/mpeg | Duration: 51:30

Today we have the pleasure to welcome Nancy Maureen Hardy, MD, MA, FACP, Associate Professor of Medicine at the University of Maryland Marlene & Stewart Greenebaum Cancer Center. Dr. Hardy originally trained at Duke University for her medical degree, her Internal Medicine residency, and an Oncology fellowship. Next she moved on to the NIH where she completed both an ID fellowship and Research Fellowship in Immunology. She then stayed on the NIH faculty for 10 years at the Experimental Transplantation and Immunology Branch of the National Cancer Institute until 2014. Now we have get genius gracing the halls of UMMC where she acts as the Director of Allogenic Transplantation and Cell Therapy Laboratories....

 McCarthy- Nutrition in the ICU, a vital update! | File Type: audio/mpeg | Duration: 45:18

Today’s special guest speaker, Paul J McCarthy MD, CNSC, is a new addition to the Maryland family. Dr. McCarthy recently practiced at the LSU Health Sciences Center, where he acted as an Assistant Professor of Medicine and Neurosurgery as well as the Assistant Director Neurosurgical Intensive Care Unit. Now he serves his time as an Assistant Professor in the Department of Internal Medicine here at the University of Maryland SOM and had been a constant presence in the MICU. Over his extensive career in medicine, Dr. McCarthy has been a voice of reason when it comes to ICU nutrition. Today he gives us a crash course in everything we need to know to keep our patients healthy and fed!

 Law: Hemophagocytic Lymphohistiocytosis, a critical care conundrum! | File Type: audio/mpeg | Duration: 47:51

Today we welcome Jennie Y. Law, M.D., Assistant Professor of Medicine here at the University of Maryland. Dr. Law is a true home grown talent, doing both her medical school and medicine residency here at the University of Maryland before leaving to do her fellowship in Hematology/Oncology at UT Southwestern down in Dallas, Texas. Today she is here to talk about Hemophagocytic Lymphohistiocytosis (HLH), a topic that has puzzled internists, intensivists, and hematologists alike. Review the pathophysiology, learn the criteria for diagnosis – both the HLH 2004 criteria and the newer HSCORE – and go through her treatment algorithms. See why and how you may be overlooking this important diagnosis in your patients!

 Tisherman- Hypothermia, coming to trauma bay near you! | File Type: audio/mpeg | Duration: 72:19

Today we are pleased to feature a groundbreaking talk by a recent addition to the Shock Trauma faculty, Samuel Tisherman, MD, FACS, FCCM. Dr. Tisherman is a Professor of Surgery and Director of the Division of Critical Care and Trauma Education here at the University of Maryland. He is also one of the worlds foremost experts on using hypothermia in the resuscitation of trauma patients. Today he gives a preface for his revolutionary EPR-CAT trail. You will want to be on the cutting edge of this revolutionary concept!

 Weiss: Informed consent- statutes and caselaw | File Type: audio/mpeg | Duration: 56:53

Today we welcome back Larry Weiss, M.D., J.D., Clinical Professor of Emergency Medicine at the University of Maryland and overall expert in the field of medico-legal issues. Dr. Weiss has been invited all over the United States to speak on the delicate aspects of practicing medicine in the legal mine fields of modern medicine. Today he focuses on the subtleties of the medical consent process. Although the laws and statutes are focused on the state he practices medicine, Maryland, the overall concepts are secure. It’s been said before, but these ideals are something you have to master to practice medicine successfully!

 Gillard: Communicating with grieving families | File Type: audio/mpeg | Duration: 54:28

Today we welcome a very special guest, Ms. Erin Gillard, LCSW-C. Ms. Gillard is the Clinical Manager, Family Services at The Living Legacy Foundation of Maryland. Additionally, she is has over ten years of social work experience here at the University of Maryland. Most recently, she has broadened her expertise as a yoga therapy instructor with Yama Studio. Today Ms. Gillard will approach a topic that is often overlooked in standard critical care training, how to truly communicate with families when they dealing with a significant level of crisis and emotional distress. This is a topic that is truly cutting-edge in the modern ICU, so I assure you this will be a skill you will be expected to master!

 Weiss: EMTALA- What the Intensivist needs to know! | File Type: audio/mpeg | Duration: 39:07

Today we welcome the brilliant mind of Larry D. Weiss M.D., J.D. for an afternoon not to be missed. Dr. Weiss has been a staple for legal-based lectures for the last 16 years here at the University of Maryland where he acts as a Professor of Emergency Medicine. Although Dr. Weiss stopped actively practicing law years ago, he is one of the foremost experts in his field as he has been called to all corners of the world to speak on health policy and risk reduction. I highly recommend that you take the time to soak in only a brief sampling of his infinite wisdom!

 Allison: High flow like a pro!! | File Type: audio/mpeg | Duration: 53:00

Today we are excited to welcome back one of the smartest fellows we have ever graduated, Michael Allison, MD. Dr. Allison is a native New Yorker, training at SUNY Downstate College of Medicine before completing a rigorous EM/IM/CCM training program here at the University of Maryland. Since that time he has spent his days at St. Agnes Hospital located downtown in Baltimore, MD. Since his departure, Dr. Allison has spent countless hours researching the exact mechanisms of respiratory failure in an attempt to solve this problem before it ever develops. Today he takes us through his approach to using high flow nasal cannula for nearly every patient who walks into his ICU, and in doing so unlocks a few novel uses along the way. Trust me, this is a talk your patients cannot afford for you to miss!

 Chertow: Influenza, coming soon to an ICU near you! | File Type: audio/mpeg | Duration: 57:28

Today we are excited to present a Pulmonary Grand Rounds presentation from Daniel S. Chertow, M.D., M.P.H. Dr. Chertow is an Assistant Clinical Investigator in the Critical Care Medicine Department of the NIH and a Special Volunteer in the Viral Pathogenesis and Evolution Section, Laboratory of Infectious Diseases, NIAID. Over the last several years he has solidified his role as a world expert in the field of virology and today speaks on a topic he has published a great deal about, Influenza virus. Tis the season for influenza, and if you ever hope to survive it, you will listen to this talk!

 Netzer: Family Intensive Care Syndrome (FICUS) | File Type: audio/mpeg | Duration: 53:53

Today we welcome Giora Netzer M.D., M.S.C.E., Associate Professor of Medicine here at the University of Maryland Medical Center. Dr. Netzer was trained at the great bastion of intensive care medicine, the University of Pennsylvania, where he also earned a master’s degree in clinical epidemiology. Since joining the University of Maryland Pulmonary and Critical Care Medicine department he has proven to be one the greatest minds the ICU has to offer, earning him the title: Wiki-Netzer. His passion for knowledge led to his appointment as the Director of Clinical Research and has yielded a tremendous breadth of publications. Today he focuses on his true passion: how to assist family members care for their loved ones both in the ICU and in the post-ICU setting. Trust me, this is a topic that is often overlooked and one that can truly mean life or death for your patients!

 Lewin- Reversal agents in ICH, What you need to know! | File Type: audio/mpeg | Duration: 50:00

Today we welcome one of the gurus in anti-coagulant reversal, John J. Lewin. Dr. Lewin recently published one of the recent landmark articles in the field of Neurocritical care: "Guideline for Reversal of Antithrombotics in Intracranial Hemorrhage". Today he is gracious enough to spend 60 minutes with us, and not a second can be missed if you EVER expect to take care of a patient with a head bleed on AC!!

 Pallone- Acid-Base physiology, a tale of NH3 | File Type: audio/mpeg | Duration: 51:29

Today we welcome Dr. Thomas Pallone, Professor of Medicine in the Division of Nephrology here at the University of Maryland. In addition to being a brilliant clinician, Dr. Pallone also spent time doing research at the Medical Engineering Medical Sciences division of the HST program at the Massachusetts Institute of Technology. It is safe to say, he is one of the most brilliant minds we have at Maryland and today he takes an hour to give us a simplified look at the way the kidneys deal with acids and bases. This talk will give you a common sense look at renal physiology and just might give you the information you need to crack the next complex renal failure case!

 Chawla: Vasopressors- Time to target new receptors? | File Type: audio/mpeg | Duration: 54:32

Today we are very excited to host Dr. Lakhmir S. Chawla, nephrologist, intensivist, and international expert on the management of shock. Dr. Chawla has recently taken a sabbatical from his position as Professor of Critical Care Medicine, George Washington U to become the Chief Medical Officer of La Jolla Pharmaceuticals. It in this role he investigates an old and forgotten friend in the treatment of hypotension, and has become the chief researcher for the ATHOS (Angiotensin II for the Treatment of High-Output Shock) 3 trial. Today he takes a fascinating look at the way we treat shock-induced hypotension and asks one simple question: Can’t we do better?

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