iiinova — where your digital self keeps evolving

The Critical Care Commute Podcast @criticalcummute.bsky.social · 23/09/2026

Season 6 opens live from CRUS WEST 2026. Is POCUS a therapy or a fire alarm? Must it cut mortality when the oximeter never did? Peter Brindley vs Brian Buchanan, Leo Smythe and Leon Byker. [episode link] #CriticalCare #FOAMcc #ICU #MedEd #TheCriticalCareCommute

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The Critical Care Commute Podcast @criticalcummute.bsky.social · 28/08/2026

“The patient's too sick for a vaccine.” Is it true? Data shows that if they're not floridly septic, not on B-cell depleting agents or transplant immunosuppression, seroconversion rates are good. Punt it outpatient and 50–70% never get it. Ep. S5E22. @antibioticdoc.bsky.social

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The Critical Care Commute Podcast @criticalcummute.bsky.social · 22/08/2026

Clinical pearl: measles has one of the highest secondary attack rates of any pathogen — up to 90% in susceptible contacts sharing airspace hours after exposure. It's not “just a fever and a rash.” @antibioticdoc.bsky.social explains why on S5E22.

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The Critical Care Commute Podcast @criticalcummute.bsky.social · 20/08/2026

NEW EPISODE: Vaccines have averted 154 million deaths across 194 countries over 50 years (Lancet, 2024) — yet uptake is falling. Prof. Lenora Saxinger @antibioticdoc.bsky.social joins us to unpack vaccines as hero and villain. Out now.

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The Critical Care Commute Podcast @criticalcummute.bsky.social · 27/07/2026

Clinical pearl: the 2026 Surviving Sepsis guidelines are moving harder against albumin for upfront resuscitation — no consistent mortality benefit, ~100x the cost of crystalloid. Balanced crystalloid (Ringers) now gets a conditional nod over saline. #CriticalCare #FOAMcc #ICU #MedEd

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The Critical Care Commute Podcast @criticalcummute.bsky.social · 21/07/2026

NEW EPISODE: 2026 Surviving Sepsis Campaign guidelines — 88 pages, 69 authors, 129 recommendations, only 17 "strong." Vice-chair Prof. Bram Rochwerg joins us to unpack what changed. Live now. #CriticalCare #FOAMcc #ICU #MedEd #TheCriticalCareCommute

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The Critical Care Commute Podcast @criticalcummute.bsky.social · 30/06/2026

New episode. First RN guest in 100 episodes — and she runs the VHF response program at our ICU. Sonia Hoag on Ebola PPE: donning, doffing, blood work, waste, codes. The practical stuff no one teaches. 🎙️ #CriticalCare #FOAMcc #ICU #MedEd #TheCriticalCareCommute

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The Critical Care Commute Podcast @criticalcummute.bsky.social · 29/06/2026

Ebola PPE in a non-climate-controlled facility: the biggest challenge isn't fear. It's heat. Dr. Fowler: if you cover your mucous membranes and avoid sharps injury, you're safe. The donning is easy — the doffing is where the risk lives. S5E19.

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Critical Care Reviews @criticalcarereviews.com · 27/06/2026

Today's Paper of the Day is: Optimising positive end-expiratory pressure in ARDS: a narrative review of approaches to titration criticalcarereviews.com/latest-evide... Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2026

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The Critical Care Commute Podcast @criticalcummute.bsky.social · 23/06/2026

With high-resource ICU care (ventilation, RRT, vasopressors), Ebola mortality drops to ~18%. Without it, it's the inverse. Monoclonals cut absolute mortality by 20% in the DRC trial. The Bundibugyo strain? We don't have those yet — trials are starting. #CriticalCare #FOAMcc #ICU

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The Critical Care Commute Podcast @criticalcummute.bsky.social · 16/06/2026

Listen to our timely podcast on Ebola Disease and find out more about the virus, disease, symptoms and treatments.

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The Critical Care Commute Podcast @criticalcummute.bsky.social · 16/06/2026

Ebola is in the news — so what actually matters? Dr. Rob Fowler joins us on S5E19 to cut through the noise on diagnosis, treatment, PPE, and what to do if a suspect patient walks in. #CriticalCare #FOAMcc #ICU #MedEd

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The Critical Care Commute Podcast @criticalcummute.bsky.social · 15/06/2026

Dropping tomorrow! Join us as we talk to Dr Rob Fowler about Ebola Virus Disease. Tune in to learn what he wants every acute care HCW to know!

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The Critical Care Commute Podcast @criticalcummute.bsky.social · 11/06/2026

New episode dropping soon! We are going though changes, trying new things. This will be the first of many! @coreimpodcast.bsky.social @iccnursjournal.bsky.social @imcrit.bsky.social

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The Critical Care Commute Podcast @criticalcummute.bsky.social · 05/06/2026

Deep dive on hantavirus ↗ LinkedIn Viremia → prodrome → ARDS → collapse. Antivirals work early or not at all. Steroids, JAK inhibitors, icatibant are experimental. ECMO is not a last resort... it may be the plan! Full breakdown 👇

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The Critical Care Commute Podcast @criticalcummute.bsky.social · 01/06/2026

Our guest this week: Prof. Wendy Sligl — Critical Care & ID Specialist and one of the clearest thinkers on zoonotic disease we know. Wendy on hantavirus, cruise ships, ECMO, and why this isn't the next pandemic. 🎙️ Listen now 👇 #CriticalCare #FOAMcc #ICU #MedEd #TheCriticalCareCommute

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The Critical Care Commute Podcast @criticalcummute.bsky.social · 30/05/2026

Suspect hantavirus? Get an exposure history. Deer mice = prairies & western Canada. Incubation 14–42 days. Prodrome (fever, myalgia, GI sx) → rapidly progressive ARDS. Send IgM serology + whole-blood pan-hantavirus PCR. More with Prof. Sligl 👇

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Critical Care Reviews @criticalcarereviews.com · 28/05/2026

Troubleshooting Ionized Hypocalcemia in Patients on Continuous KRT with Regional Citrate Anticoagulation CCR Journal Watch criticalcarereviews.com/latest-evid…

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The Critical Care Commute Podcast @criticalcummute.bsky.social · 28/05/2026

Clinical Pearl Hantavirus cardiopulmonary syndrome = rapidly progressive ARDS + non-cardiogenic pulmonary oedema + circulatory collapse. - Triage to ECMO centre early. - Lean on vasopressors, not fluids. 🎙️ Episode with Prof. Wendy Sligl 👇 #CriticalCare #FOAMcc #ICU #MedEd

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The Critical Care Commute Podcast @criticalcummute.bsky.social · 26/05/2026

Timely! We have a new episode on Hantavirus infection! See link in comments.

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The Critical Care Commute Podcast @criticalcummute.bsky.social · 26/05/2026

New episode 🎙️ Hantavirus: from rodents to cruise ships to the ICU. Prof. Wendy Sligl joins us to break down transmission, clinical presentation, public health response & why ECMO centres matter. Listen now 👇 #CriticalCare #FOAMcc #ICU #MedEd #TheCriticalCareCommute

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The Critical Care Commute Podcast @criticalcummute.bsky.social · 19/05/2026

"Intubate at the Roadside?" brings together Dr. Amy Nelson and Dr. Julian Thompson to discuss their Lancet Respiratory Medicine paper on pre-hospital emergency anesthesia in major trauma.

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The Critical Care Commute Podcast @criticalcummute.bsky.social · 16/05/2026

Some of the biggest questions in critical care can’t be answered with an RCT. Pre-hospital trauma intubation is the classic example: the sickest patients get intubated, so observational studies have spent 40 years making intubation look harmful. Full Critical Care Commute episode ↓

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The Critical Care Commute Podcast @criticalcummute.bsky.social · 13/05/2026

40 years. No good evidence on pre-hospital intubation in major trauma. Until now. New @LancetRespMed causal modelling study — 6,000+ patients. 10% absolute mortality reduction with PHEA in the right patient. The methodology alone changes how we answer unanswerable questions.

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The Critical Care Commute Podcast @criticalcummute.bsky.social · 12/05/2026

For 40 years, pre-hospital intubation has been one of medicine's most consequential and least answered questions. We sat down with Dr. Amy Nelson & Dr. Julian Thompson to talk causal modelling, and the INTUBATE model #CriticalCare #FOAMcc #ICU #MedEd #TheCriticalCareCommute

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The Critical Care Commute Podcast @criticalcummute.bsky.social · 10/05/2026

Hantavirus cardiopulmonary syndrome kills within 24h of hospital admission — and there's no antiviral. New Lancet ID review: what every ICU clinician needs to know. Thread.

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The Critical Care Commute Podcast @criticalcummute.bsky.social · 08/05/2026

Have you ever changed a vaccine-hesitant patient's mind? What actually worked? Drop it below. This is the conversation Ep 16 is built around. #CriticalCare #FOAMcc #ICU #MedEd #TheCriticalCareCommute

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The Critical Care Commute Podcast @criticalcummute.bsky.social · 04/05/2026

Meet @craigspencer.bsky.social — ER doc, Brown University professor, Ebola survivor, and the guy who walked into an anti-vaccine conference to actually listen.

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The Critical Care Commute Podcast @criticalcummute.bsky.social · 01/05/2026

When a patient expresses vaccine hesitancy, presenting more facts is rarely the answer. @craigspencer.bsky.social

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The Critical Care Commute Podcast @criticalcummute.bsky.social · 30/04/2026

Vaccine hesitancy is not new. It predates germ theory. The Lancet's Wakefield retraction was 2010 — the movement it spawned is still growing. Understanding the history is non-optional. Ep 16 w/ Dr. Craig Spencer. #CriticalCare #FOAMcc #ICU #MedEd #TheCriticalCareCommute

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The Critical Care Commute Podcast @criticalcummute.bsky.social · 29/04/2026

Presenting facts to a vaccine-hesitant patient rarely works. Why? Because they're not making a logical decision only, they're making a social one. Change your approach. #CriticalCare #FOAMcc #ICU #MedEd #TheCriticalCareCommute

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The Critical Care Commute Podcast @criticalcummute.bsky.social · 28/04/2026

What do you actually know about why people distrust vaccines? @craigspencer.bsky.social (Brown University) sat in the room. He listened. He paid attention. This is what clinicians need to hear. 🎧 #CriticalCare #FOAMcc #ICU #MedEd #TheCriticalCareCommute

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Critical Care Reviews @criticalcarereviews.com · 27/04/2026

Today's Paper of the Day is: Early Goal-Directed Hemostatic Therapy for Severe Acute Bleeding Management in the Intensive Care Unit Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2026 Link in bio

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The Critical Care Commute Podcast @criticalcummute.bsky.social · 27/04/2026

New episode is coming to The Critical Care Commute. You've listened. You've shared. Thank you. Episode 16 is in the works — and we think you'll want to hear it. Stay subscribed. 🎧 #CriticalCare #FOAMcc #ICU #MedEd #TheCriticalCareCommute

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The Critical Care Commute Podcast @criticalcummute.bsky.social · 24/04/2026

Full deep dive on IV Amox-Clav stewardship now on LinkedIn — spectrum, CLEAR data, when to use it, when not to. Everything from Ep 15 in one place. #CriticalCare #FOAMcc #ICU #MedEd #TheCriticalCareCommute

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Critical Care Reviews @criticalcarereviews.com · 22/04/2026

Temperature control in acute brain injury CCR Journal Watch criticalcarereviews.com/latest-evide...

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Critical Care Reviews @criticalcarereviews.com · 22/04/2026

Current evidence and future directions for prophylactic anticoagulation therapy after severe spontaneous intracerebral hemorrhage CCR Journal Watch criticalcarereviews.com/latest-evid…

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The Critical Care Commute Podcast @criticalcummute.bsky.social · 22/04/2026

thecriticalcarecommute 1m In case you missed it: Meningitis in 2026 — it's back and it's brutal. The Kent outbreak is a wake-up call. @CritCommute Ep 14 with Martin Beed, Peter Brindley & Andrew Conway-Morris. Don't wait. Listen now. Link below! #CriticalCare #FOAMcc #ICU #MedEd

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The Critical Care Commute Podcast @criticalcummute.bsky.social · 22/04/2026

In Episode 15, Dr. George Zhanel makes a compelling case that IV Amoxicillin-Clavulanate is being significantly underutilised as a de-escalation option from broader-spectrum agents like piperacillin-tazobactam.

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The Critical Care Commute Podcast @criticalcummute.bsky.social · 20/04/2026

🚨 BONUS EP — live with ICS Cast. Meningitis. Kent outbreak. Young lives lost. Jonny + Martin Beed, Peter Brindley & Andrew Conway-Morris. Antibiotics early. Vaccines matter. No delay. This one's urgent. Listen now. 🎧 #CriticalCare #FOAMcc #ICU #MedEd #TheCriticalCareCommute

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The Critical Care Commute Podcast @criticalcummute.bsky.social · 20/04/2026

Meet Dr. George Zhanel — 1200+ manuscripts, CLEAR registry lead, Max Rady College of Medicine. He joined us for Ep 15 and his perspective on antibiotic stewardship is genuinely refreshing. 🎧 #CriticalCare #FOAMcc #ICU #MedEd #TheCriticalCareCommute

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The Critical Care Commute Podcast @criticalcummute.bsky.social · 18/04/2026

Clinical pearl: IV Amox-Clav covers gram-positives, gram-negatives, AND anaerobes — making it a legitimate de-escalation option from pip-tazo in community-acquired infections. 85%+ success in CLEAR data. #CriticalCare #FOAMcc #ICU #MedEd #TheCriticalCareCommute open.spotify.com/episode/0Obc...

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The Critical Care Commute Podcast @criticalcummute.bsky.social · 18/04/2026

🎙️ NEW EP — Could IV amoxicillin-clavulanate replace pip-tazo? We sit down with Dr. George Zhanel — 1200+ manuscripts, CLEAR registry data, and a fresh take on antibiotic stewardship. Listen now. 🎧 #CriticalCare #FOAMcc #ICU #MedEd #TheCriticalCareCommute open.spotify.com/episode/0Obc...

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Antibiotic Stewardship: IV Amoxiclav with Dr George Zhanel

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The Critical Care Commute Podcast @criticalcummute.bsky.social · 30/03/2026

New episode out! 🎙️Prof. Sheldon Cheskes breaks down advanced defibrillation - double sequential defibrillation, vector change & refractory VF. Worth your commute. 🎧 open.spotify.com/episode/77wV...

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Dose VF: Defibrillation Done Right! With Prof. Sheldon Cheskes

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The Critical Care Commute Podcast @criticalcummute.bsky.social · 12/03/2026

New Episode! Drs. Brindley and Caulfield highlight why clear science communication matters—calling out misinformation, predatory journals, and “scienceploitation.” Their message: stay humble, stay critical, and defend good science. Listen here: open.spotify.com/episode/2Hdk...

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Science Communication and the Certainty Illusion - Prof Tim Caulfield

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The Critical Care Commute Podcast @criticalcummute.bsky.social · 26/02/2026

ICU workforce reform is messy, urgent, and unavoidable. Prof. Peter Kruger talks with Drs. Peter Brindley and Leon Byker about shortages, rural gaps, training, and how colleges and governments can actually work together. Listen here: open.spotify.com/episode/00kJ...

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Critical Care Workforce: Where We Are, And Where We're Going with Prof. Peter Kruger

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The Critical Care Commute Podcast @criticalcummute.bsky.social · 11/02/2026

Our latest episode with Prof. John Myburgh on research, precision medicine, fluid therapy, sepsis trials, and the future of critical care is well worth the listen! Listen here: open.spotify.com/episode/1dnA...

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Steroids, Fluids, Interleukins, COVID 19 and lots of Professorial Wisdom with Prof. John Myburgh

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The Critical Care Commute Podcast @criticalcummute.bsky.social · 16/01/2026

In our new episode, Dr Marcus Peck reflects on a tough critical care case, legal scrutiny, moral distress, and the power of community support in medicine. Emotionally charged and worth the listen! Listen here: open.spotify.com/episode/1Nxx...

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Spotify – Web Player

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The Critical Care Commute Podcast @criticalcummute.bsky.social · 18/12/2025

New episode! We spotlight Australia’s tradition of Acknowledgement of Country - a powerful gesture of respect for First Nations peoples. Featuring Dr. Campbell from Alice Springs, sharing insights shaped by the unique culture & healthcare of the Northern Territory.

open.spotify.com

Acknowledgement of Country with Dr Lewis Campbell

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