WhiteBoard Medicine - Emergency And Critical Care

#190 Distributive Shock Explained: Overview + Deep Dive Septic, Neurogenic, Anaphylactic & Endocrine

Distributive shock is a life-threatening form of shock characterized by severe vasodilation, relative hypovolemia, and impaired tissue perfusion despite normal or increased cardiac output.
In this episode, we provide a high-yield overview of distributive shock physiology, hemodynamic patterns, and bedside differentiation. We then deep dive into the major causes of distributive shock, including septic shock, neurogenic shock, anaphylactic shock, and shock due to endocrinopathies such as adrenal crisis and myxedema coma.
For each subtype, we review key pathophysiology, classic clinical findings, diagnostic clues, and evidence-based management strategies including fluid resuscitation, vasopressor selection, and definitive therapy.
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Playlist on Shock: https://youtube.com/playlist?list=PLf5bMa9_tvRjunk4I-rQZYPZn3qHqWFqW&si=kserFPPm7RYuhul-
DISCLAIMER THIS PODCAST DOES NOT PROVIDE MEDICAL ADVICE. The information, including but not limited to, audio, 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.

#189 Cardiac Arrest Explained: IHCA vs OHCA, Pathophysiology, Rhythms, Causes, and Management

Cardiac arrest remains a leading cause of mortality worldwide. In this comprehensive, high-yield overview, we break down cardiac arrest from presentation to management, with a focus on epidemiology, physiology, rhythm recognition, and outcomes.
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Critical Care Medicine 🚑 https://youtube.com/playlist?list=PLf5bMa9_tvRiZ85NNUGwk91YpqDWdIGvA&si=jGyrxrOcvQqTldFb
DISCLAIMER THIS PODCAST DOES NOT PROVIDE MEDICAL ADVICE. The information, including but not limited to, audio, 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.

#188 Shock Explained: Overview, Distributive, Cardiogenic, Obstructive & Hypovolemic | Critical Care

Shock is a life-threatening condition characterized by inadequate tissue perfusion and oxygen delivery. In this video, we provide a comprehensive, clinically focused review of the four major shock states: distributive, cardiogenic, obstructive, and hypovolemic.
We start with a high-yield overview of shock physiology, hemodynamic principles, and bedside differentiation. The video then transitions into deep dives on each shock subtype, with emphasis on underlying pathophysiology, classic clinical presentations, hemodynamics, and evidence-based management strategies.
Distributive shock is reviewed with special focus on septic, anaphylactic, and neurogenic shock. Cardiogenic shock is explored in the context of acute myocardial infarction, pump failure, and mechanical circulatory support. Obstructive shock is covered through pulmonary embolism, cardiac tamponade, and tension pneumothorax. Hypovolemic shock is reviewed with an emphasis on hemorrhagic shock, trauma, and massive transfusion principles.
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Playlist on Shock: https://youtube.com/playlist?list=PLf5bMa9_tvRjunk4I-rQZYPZn3qHqWFqW&si=kserFPPm7RYuhul-
DISCLAIMER THIS PODCAST DOES NOT PROVIDE MEDICAL ADVICE. The information, including but not limited to, audio, 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.

#187 Mechanical Ventilation Basics - Ventilator Induced Lung Injury (VILI) | Clinical Medicine

In this episode, we dive into Ventilator-Induced Lung Injury (VILI), a serious complication that can arise from mechanical ventilation in critically ill patients. Understanding the causes, mechanisms, and prevention strategies is crucial. We talk about multiple types of VILI including volutrauma, barotrauma, biotrauma, ergotrauma, atelectrauma. Learn all things VILI in this high yield episode!
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Pulmonology🫁 https://youtube.com/playlist?list=PLf5bMa9_tvRinTHdWwKFYBX7N5kfOBRHz&si=BKliNG26xrQqUNvx
DISCLAIMER THIS PODCAST DOES NOT PROVIDE MEDICAL ADVICE. The information, including but not limited to, audio, 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.

#186 Anaphylaxis Explained: Pathophysiology, Symptoms & Treatment + Anaphylactic Shock Deep Dive

Anaphylaxis is a life-threatening systemic hypersensitivity reaction that can rapidly progress to anaphylactic shock, airway compromise, and cardiovascular collapse. Early recognition and treatment are essential to prevent mortality.
In this episode, we provide a comprehensive review of anaphylaxis, beginning with epidemiology and underlying immunologic mechanisms including IgE-mediated mast cell and basophil activation. We review the pathophysiology of mediator release, vascular permeability, vasodilation, and bronchospasm that drive the clinical syndrome.
We then cover classic and atypical symptoms, diagnostic considerations, and bedside evaluation strategies in emergency and critical care settings. Management is presented step-by-step, emphasizing early intramuscular epinephrine, airway protection, fluid resuscitation, adjunctive therapies, and monitoring.
The second half of the episode focuses on a deep dive into anaphylactic shock, including hemodynamic profiles, refractory shock physiology, vasopressor selection, and escalation strategies for patients with persistent hypotension despite epinephrine.
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Playlist on Shock: https://youtube.com/playlist?list=PLf5bMa9_tvRjunk4I-rQZYPZn3qHqWFqW&si=kserFPPm7RYuhul-
DISCLAIMER THIS PODCAST DOES NOT PROVIDE MEDICAL ADVICE. The information, including but not limited to, audio, 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.

#185 Acute Respiratory Distress Syndrome (ARDS) Advanced - Management | Clinical Medicine

In this episode, we explore the management of Acute Respiratory Distress Syndrome (ARDS), with a focus on evidence-based strategies and insights from the respective medical studies. ARDS is a critical condition that requires timely and precise intervention to improve patient outcomes. Whether you're a healthcare professional, a medical student, or someone interested in respiratory care, this video provides an in-depth analysis of the best practices and latest research in ARDS management.
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Acute Respiratory Distress Syndrome (ARDS) Playlist! https://youtube.com/playlist?list=PLf5bMa9_tvRjiYBmr3Vo83Jx6IXpwH_U3&si=J-PJQue9lCOgkx4B
DISCLAIMER THIS PODCAST DOES NOT PROVIDE MEDICAL ADVICE. The information, including but not limited to, audio, 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.

#184 Hemorrhagic Shock Explained: Trauma, GI Bleeding, and Massive Transfusion

Hemorrhagic shock is a form of hypovolemic shock caused by acute blood loss, leading to decreased preload, reduced cardiac output, and impaired tissue perfusion. It is one of the most common and rapidly fatal shock states encountered in trauma and emergency medicine.
In this episode, we break down the pathophysiology of hemorrhagic shock, classic clinical presentation, and key hemodynamic patterns. We review ATLS hemorrhage classes, laboratory and bedside clues, and the physiologic cascade that leads to the lethal triad of acidosis, hypothermia, and coagulopathy.
Management concepts including early hemorrhage control, massive transfusion protocols, balanced 1:1:1 resuscitation, permissive hypotension, and the evidence behind tranexamic acid are covered using landmark trials such as CRASH-2, PROPPR, and MATTERs.
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Playlist on Shock: https://youtube.com/playlist?list=PLf5bMa9_tvRjunk4I-rQZYPZn3qHqWFqW&si=kserFPPm7RYuhul-
DISCLAIMER THIS PODCAST DOES NOT PROVIDE MEDICAL ADVICE. The information, including but not limited to, audio, 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.

#183 Acute Respiratory Distress Syndrome (ARDS) Advanced - Pathophysiology | Clinical Medicine

In this episode, we explore the advanced pathophysiology of Acute Respiratory Distress Syndrome (ARDS), diving deep into the molecular mechanisms and cellular processes that drive the progression of this life-threatening condition. Understanding ARDS at the pathophysiological level is critical for effective management and treatment in clinical settings.
📚 MINI COURSES, STUDY GUIDES, PRACTICE QUESTIONS, AD FREE VIDEOS, EDUCATIONAL DISCUSSIONS in our WBM Emergency Critical Care Patreon Community - Join Today!! https://www.patreon.com/c/WhiteBoardMedicine
Acute Respiratory Distress Syndrome (ARDS) Playlist! https://youtube.com/playlist?list=PLf5bMa9_tvRjiYBmr3Vo83Jx6IXpwH_U3&si=J-PJQue9lCOgkx4B
DISCLAIMER THIS PODCAST DOES NOT PROVIDE MEDICAL ADVICE. The information, including but not limited to, audio, 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.

#182 Anaphylactic Shock Explained: Recognition, Hemodynamics, and Emergency Treatment

Anaphylactic shock is a severe, life-threatening form of distributive shock caused by systemic hypersensitivity reactions and massive release of vasoactive mediators. It is characterized by hypotension, airway compromise, bronchospasm, and cutaneous findings such as urticaria and angioedema.
In this episode, we break down the pathophysiology of anaphylactic shock, classic clinical presentation, key hemodynamic patterns, and evidence-based management. We focus on early recognition, the critical role of intramuscular epinephrine, airway management, fluid resuscitation, and treatment of refractory shock.
We also review how to differentiate anaphylaxis from septic and neurogenic shock, discuss adjunctive therapies, and highlight major guideline recommendations from WAO, AAAAI, and NIAID/FAAN.
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Playlist on Shock: https://youtube.com/playlist?list=PLf5bMa9_tvRjunk4I-rQZYPZn3qHqWFqW&si=kserFPPm7RYuhul-
DISCLAIMER THIS PODCAST DOES NOT PROVIDE MEDICAL ADVICE. The information, including but not limited to, audio, 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.

#181 Acute Respiratory Distress Syndrome (ARDS) Advanced - Phenotypes | Clinical Medicine

In this episode, we explore the different phenotypes of Acute Respiratory Distress Syndrome (ARDS), with a focus on severity, clinical, biomarker, and physiologically derived phenotypes. We dive into hyper inflammatory and hypo inflammatory phenotypes including their morbidity, mortality, and management differences. ARDS is a critical condition that requires timely and precise intervention to improve patient outcomes. Whether you're a healthcare professional, a medical student, or someone interested in respiratory care, this video provides an in-depth analysis of the best practices and latest research in ARDS phenotypes.
📚 MINI COURSES, STUDY GUIDES, PRACTICE QUESTIONS, AD FREE VIDEOS, EDUCATIONAL DISCUSSIONS in our WBM Emergency Critical Care Patreon Community - Join Today!! https://www.patreon.com/c/WhiteBoardMedicine
Acute Respiratory Distress Syndrome (ARDS) Playlist! https://youtube.com/playlist?list=PLf5bMa9_tvRjiYBmr3Vo83Jx6IXpwH_U3&si=J-PJQue9lCOgkx4B
DISCLAIMER THIS PODCAST DOES NOT PROVIDE MEDICAL ADVICE. The information, including but not limited to, audio, 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.