WhiteBoard Medicine - Emergency And Critical Care

#100 Mechanical Ventilation Advanced - Double Triggering Versus Reverse Triggering | Clinical Medicine

In this advanced clinical medicine video, we break down two complex patient-ventilator asynchronies: double triggering and reverse triggering. These phenomena can compromise oxygenation, increase lung injury risk, and complicate sedation strategies—especially in critical care and ICU settings. We'll walk through the mechanisms, ventilator waveforms, patient physiology, and clinical implications, so you can recognize, interpret, and manage these two patterns.
Video:
https://www.youtube.com/watch?v=je0HDIIe4vA 
Mechanical Ventilation Playlist: https://youtube.com/playlist?list=PLf5bMa9_tvRgVjd6EYdHBcLnIiCTgGKD9&si=jwucIBjenR4bR28H
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DISCLAIMER THIS PODCAST DOES NOT PROVIDE MEDICAL ADVICE. The information, including but not limited to, text, graphics, images and other material contained on this website are for informational purposes only. No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read, watched, or listened to on this video, or any other videos, reports, texts tweets or other sources.

#98 Mechanical Ventilation Advanced - Driving Pressure (DP) | Clinical Medicine

Driving pressure (ΔP) is one of the most important predictors of mortality in patients with ARDS on mechanical ventilation—but it's often misunderstood or overlooked in clinical practice.
In this advanced mechanical ventilation podcast, we cover:
• What driving pressure is and how it’s calculated (ΔP = Plateau – PEEP)
• Why driving pressure may matter more than tidal volume or plateau pressure
• Clinical relevance in lung-protective ventilation and ARDS outcomes
• Evidence behind targeting low ΔP for improved survival
• Tips on how to optimize ventilator settings using driving pressure
• When and how to measure plateau pressure accurately
Mechanical Ventilation Playlist:
https://youtube.com/playlist?list=PLf5bMa9_tvRgVjd6EYdHBcLnIiCTgGKD9&si=jwucIBjenR4bR28H
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YouTube Video:
https://www.youtube.com/watch?v=QvRQrI2OLQ4 
 
The information, including but not limited to, text, graphics, images and other material contained on this website are for informational purposes only. No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read, watched, or listened to on this video, or any other videos, reports, texts tweets or other sources.

#97 Mechanical Ventilation Advanced - APRV Mode | Clinical Medicine

Airway Pressure Release Ventilation (APRV) is a unique and advanced ventilatory mode used sometimes used in patients with ARDS and refractory hypoxemia. In this podcast, we break down everything you need to know about APRV in clinical practice, including:
• What is APRV? Basic principles and how it differs from traditional modes
• Indications for APRV: ARDS, lung-protective strategies, spontaneous breathing
• Setting APRV parameters: PHigh, PLow, THigh, TLow
• Understanding time-controlled release and gas exchange mechanics • Benefits, limitations, and evidence behind APRV in critical care
• How to troubleshoot common issues in APRV mode
Mechanical Ventilation Playlist:
https://youtube.com/playlist?list=PLf5bMa9_tvRgVjd6EYdHBcLnIiCTgGKD9&si=jwucIBjenR4bR28H
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https://www.patreon.com/WhiteBoardMedicine
We appreciate the support!
YouTube Video:
https://www.youtube.com/watch?v=HKO-iUPYWLA
DISCLAIMER THIS DOES NOT PROVIDE MEDICAL ADVICE. The information, including but not limited to, text, graphics, images and other material contained on this platform are for informational purposes only. No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read, watched, or listened to on this video, or any other videos, reports, texts tweets or other sources.

#96 Listeria Monocytogenes Basics - Clinical Manifestations, Treatment, Prognosis | Clinical Medicine

Listeria monocytogenes is a gram-positive intracellular bacterium responsible for serious infections in neonates, pregnant patients, the elderly, and the immunocompromised.
In this podcast, we cover the basics of Listeria in clinical medicine, including:
• Common clinical syndromes: meningitis, bacteremia, sepsis, and neonatal listeriosis
• Risk factors and pathogenesis in vulnerable populations
• Diagnosis and differential
• First-line antibiotic treatment strategies (ampicillin, gentamicin)
• Prognosis, complications, and prevention tips
• How Listeria differs from other foodborne pathogens
Infectious Disease🦠
https://youtube.com/playlist?list=PLf5bMa9_tvRj4G9ApK7nw-7V2Ye31_MR9&si=C-_5_1x7RXrzaTMs
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YouTube Video:
https://www.youtube.com/watch?v=0sFQ5ZLAMGs 

#95 Mechanical Ventilation Advanced - Obstructive Lung Disease Strategies | Clinical Medicine

In this clinical deep dive, we break down the strategies and concepts behind ventilating patients with COPD, asthma exacerbations, and other obstructive lung diseases in the ICU and ED.
You’ll learn:
• Key pathophysiology behind air trapping & dynamic hyperinflation
• How to set ventilator parameters (I:E ratio, tidal volume, PEEP)
• The role of permissive hypercapnia and prolonged expiratory time
• Troubleshooting high peak pressures and auto-PEEP
• Weaning mechanical ventilation
This video is tailored for medical students, residents, critical care fellows, respiratory therapists, and clinicians managing complex ventilated patients.
Mechanical Ventilation Playlist:
https://youtube.com/playlist?list=PLf5bMa9_tvRgVjd6EYdHBcLnIiCTgGKD9&si=jwucIBjenR4bR28H
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YouTube Video:
https://www.youtube.com/watch?v=5wU4ShVrDB0 
 

#94 Heart Failure Basics - Overview, Causes, Diagnosis, Management, Prognosis, More | Clinical Medicine

In this comprehensive podcast, we break down heart failure—a key condition in internal medicine, cardiology, and clinical practice. Learn the essential facts about heart failure types, causes, workup, clinical presentation, diagnosis, management strategies, acute exacerbations, hospitalization, and prognosis. We also cover important topics like risk factors, diagnostic tests (e.g., BNP, echocardiogram), pharmacological treatments, and lifestyle interventions.
📘 Topics Covered:
- Types of heart failure: HFrEF vs HFpEF
- Causes and risk factors (CAD, HTN, DM, etc.)
- Clinical signs and symptoms of heart failure
- Diagnostic workup (e.g., BNP, echocardiogram, chest X-ray)
- First-line treatments: ACE inhibitors, ARNI, beta-blockers, MRA, diuretics, and more
- Management of acute exacerbations and hospitalization
- Advanced management (AICD, CRT, LVAD, transplant, device therapy)
- Prognosis and long-term management strategies
- Heart failure and lifestyle modifications (e.g., diet, exercise)
Cardiology and ECG🫀
https://youtube.com/playlist?list=PLf5bMa9_tvRh2JoODgpLapjGDYXSW1q0h&si=jnr41duxoNnMw4ss
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YouTube Video:
https://www.youtube.com/watch?v=AnNBx8cttvY 

#93 Pneumonia Basics - Overview, Symptoms, Etiology, Diagnosis, Treatment, Prognosis | Clinical Medicine

In this podcast, we cover everything you need to know about pneumonia. We break down a comprehensive overview in a clear and concise format. We talk about community acquired, hospital acquired, ventilator associated. We talk about the different bacterial etiologies. We dive into epidemiology, etiologies, high risk groups, differential diagnosis, clinical presentation, diagnosis, risk stratification tools, management, prognosis, prevention.
🔍 What you'll learn in this video:
- Epidemiology and risk factors for pneumonia
- Common bacteria in different populations
- Key features of CAP (Community-Acquired Pneumonia), HAP (Hospital-Acquired Pneumonia), and VAP (Ventilator-Associated Pneumonia)
- How to differentiate pneumonia from other respiratory conditions
- Initial workup: labs, imaging, and clinical signs
- First-line antibiotics and treatment options
- Risk stratification tools and prognosis
- How to approach pneumonia like a clinician
Infectious Disease🦠
https://youtube.com/playlist?list=PLf5bMa9_tvRj4G9ApK7nw-7V2Ye31_MR9&si=C-_5_1x7RXrzaTMs
👍Become a WhiteBoard Medicine member for additional perks!
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YouTube Video:
https://www.youtube.com/watch?v=86KAoKvk8X8 
 

#92 Streptococcal Pharyngitis (Strep Throat) Basics - Comprehensive Overview | Clinical Medicine

This podcast provides a comprehensive overview of streptococcal pharyngitis (strep throat). We break down the epidemiology, etiology, clinical features, Centor criteria, diagnosis, treatment, and potential complications of this common but important condition.
📘 Topics Covered:
- What causes strep throat? (Group A Streptococcus)
- Epidemiology and transmission
- Clinical signs and symptoms
- Differential diagnosis: viral vs bacterial pharyngitis vs non-infections causes
- Using the Centor criteria to guide testing
- Diagnostic tests (rapid strep, throat culture)
- Antibiotic treatment and supportive care
- Possible complications suppurative vs non-suppurative (rheumatic fever, PSGN, peritonsillar abscess)
- Prognosis and follow-up
Infectious Disease🦠
https://youtube.com/playlist?list=PLf5bMa9_tvRj4G9ApK7nw-7V2Ye31_MR9&si=C-_5_1x7RXrzaTMs
👍Become a WhiteBoard Medicine member for additional perks!
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YouTube Video:
https://www.youtube.com/watch?v=9l70RSsP9dI 

#91 Mechanical Ventilation Basics - How To Present Mechanical Ventilation On Rounds | Clinical Medicine

In this podcast, we teach you how to present a mechanically ventilated patient on clinical rounds, whether you're a medical student, resident, nursing student, or PA/NP trainee. You’ll learn how to structure your presentation, what ventilator settings and parameters to report, incorporating chest x-ray and arterial blood gas, and how to confidently discuss vent mode, oxygenation, ventilation, and alarms at the bedside or on ICU rounds.
📘 Topics Covered:
- Key ventilator terms to know (TV, RR, FiO₂, PEEP, etc.)
- Ventilator modes (AC, PC, PSV)
- How to describe oxygenation and ventilation
- Presenting FiO₂, tidal volume, minute ventilation, ABGs, and chest x-ray
- Discussing patient ventilator synchrony
- Common pitfalls during ventilator presentations - Tips for impressing on ICU or medicine rounds
Playlist Mechanical Ventilation:
https://youtube.com/playlist?list=PLf5bMa9_tvRgVjd6EYdHBcLnIiCTgGKD9&si=_rVvLbCKoWLemL4t
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YouTube Video:
https://www.youtube.com/watch?v=ONWBS39lV1s 
 

#90 Mechanical Ventilation Basics - Modes, Settings, Alarms, Troubleshooting | Clinical Medicine

This podcast covers the fundamentals of mechanical ventilation for medical students, residents, nurses and students, RTs, and new clinicians. Learn the most important ventilator modes (AC, PC, PSV, CPAP), how to adjust vent settings (PEEP, FiO2, TV, RR, inspiratory pressure, I:E), respond to common ventilator alarms (high pressure, low pressure), and troubleshoot issues at the bedside.
Whether you're on your ICU rotation or prepping for boards, this video gives you the practical knowledge to feel confident managing a ventilated patient.
📘 Topics Covered:
- Key ventilator modes (AC, PC, PSV)
- Initial ventilator settings (RR, TV, FiO2, PEEP)
- Common alarms (high pressure, low pressure, apnea)
- Troubleshooting ventilation problems
- Indications for intubation
- Weaning and extubation basics
Playlist on Mechanical Ventilation:
https://youtube.com/playlist?list=PLf5bMa9_tvRjT_2FeKdzsQ2F_xwY7iAiX&si=oqi0ZcYUyFa9xrty
👍Become a WhiteBoard Medicine member for additional perks! https://www.youtube.com/channel/UCiMhM7xCTT8b5SJRnhpH7Ag/join
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YouTube Video:
https://www.youtube.com/watch?v=Xh1aZPMI-Ms