Critical care grand rounds, with the methods left in.
Maryland CC Project shares critical care grand rounds talks, each introduced by a colleague and closed with an open call for questions. The speakers cover research from antibiotic timing in sepsis to prolonged ECMO outcomes, and they show the statistical machinery behind their findings.
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Maryland CC Project is built from critical care grand rounds, recorded one talk at a time. The shape holds steady across episodes. A colleague or one of the fellows introduces the speaker with a rundown of training and appointments, the speaker works through the slides, and the session ends with an open invitation for questions. Inside that frame, the range is wide. Dr. Adam Green, a critical care intensivist at Cooper University Healthcare, presents a prolonged ECMO study built on the ELSO database. Along the way he explains what the database collects, from pre-ECMO physiology to equipment and complications, and why its level of detail keeps centers willing to contribute data. Dr. Rachel Heckman takes on the heterogeneity of benefit from earlier antibiotics in sepsis, walking through a cluster analysis that found a larger mortality reduction in younger patients than in older ones. Dr. August Longineau makes the case for VExUS, a score assembled from Doppler readings of the hepatic vein, portal vein and renal vasculature, and cites work in which a grade of three beat central venous pressure at predicting kidney injury after cardiac surgery. He says plainly that teaching the technique is a different talk. Dr. Matthew Mart of Vanderbilt explains a pragmatic cluster randomized trial of oxygen targets, run under a waiver of consent, in which the SpO2 target switched every two months in a randomly generated sequence. Dr. Tishman, of University of Maryland Shock Trauma, describes tele-mentoring work in which surgeons performed fasciotomies on cadavers with a video tool or a remote mentor. He also notes that some surgeons, even when lost, would not use the help or argued with the mentor. Methods get real airtime here. In the talk titled 'RESCUE Me', Dr. Levin, a cardiac anesthesiologist at Mount Sinai Health System, sets out why his team used inverse probability of treatment weighting, why a reviewer still wanted the admitting unit included as a fixed effect, and why Poisson regression suits rates while log binomial models suit binary outcomes such as mortality. He also recounts how a study begun in July 2019 had to shut down when COVID reached New York City. Moments like that show how research actually unfolds, setbacks included. The talks are technical, but they have a human side. Dr. Green closes on his team's first VV ECMO patient with ARDS, a police officer who has fully recovered, gone back to work and been promoted. Dr. Mart thanks patients and families for consenting to research, then shows off his kids. Dr. Tishman ends with a plug for Sepsis Awareness Month and sketches a sepsis checklist with a timer and green, yellow and red status lights. The vocabulary is clinical throughout and assumes familiarity with ICU care. For a listener who wants critical care evidence with the study design still attached, that is exactly what each talk offers.
Made for: Suits a listener in or near critical care, such as a fellow, resident or practicing clinician, who wants research on sepsis, ECMO, bedside ultrasound and oxygenation explained with its study design and statistics intact.
What sets it apart: These are full grand rounds research talks, so the machinery stays in: registry design, propensity weighting, crossover allocation and regression choices. A listener hears how each finding was produced, setbacks included, and not just the headline.
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Short reviews from the PlayNext desk, based on the episodes we processed.
A clear, practical look at how ICU oxygen targets can be tested without taking everyday treatment decisions away from clinicians.
Oxygen targets turn into a design problem in this Critical Care Ground Rounds episode with Dr. Matthew Mart, an assistant professor at Vanderbilt who studies critical illness, brain dysfunction, and survivorship.
Dr. Adam Green connects ELSO database research with a vivid recovery story after prolonged ECMO for ARDS.
"Prolonged ECMO" follows Dr. Adam Green, a critical care intensivist and longtime member of Cooper's ECMO team, through the question of survival after prolonged ECMO for ARDS.
A practical look at using technology in critical care education while staying honest about human behavior.
Critical Care Education frames training as something shaped by systems, not just individual effort. The conversation moves from wider shifts in education to practical experiments with tele-mentoring, portable procedural videos, and mixed reality. Dr.
A measured grand rounds review of VExUS for bedside congestion assessment, with its promise and limits kept in view.
Fluid and volume status get a practical frame in this grand rounds review of VExUS, with Dr. August Longineau presenting ultrasound as a way to judge venous congestion at the bedside.
Earlier antibiotics may matter most when sepsis is already showing its highest-risk patterns.
Dr. Rachel Heckman's Critical Care Grand Rounds review of earlier antibiotics in sepsis resists turning the issue into a simple race against the clock.
Local medicine, told through physicians' lives.
Clinical oncology evidence, translated into treatment decisions.
In Maryland CC Project, Dr.
Gabriel Bosslet, an Indiana University pulmonary and critical care physician, describes how the COVID-19 pandemic changed his work, family life, and public-health involvement.
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Maryland CC Project features Jason Rose, an associate professor at the University of Maryland and CEO of Globin Solutions, discussing heme-protein therapeutics for carbon monoxide poisoning.
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Maryland CC Project features Ryan Maves, a Wake Forest professor of critical care medicine and infectious diseases, discussing meningitis and encephalitis in the ICU.
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Tyson Shulin of Brook Army Medical Center explains massive transfusion from critical-care practice, using military deployments and resource-limited hospitals such as rural Oklahoma as examples.
David Hager of Johns Hopkins explains intermediate care as a hospital level between the ICU and ward, generally using one nurse for three patients with continuous pulse oximetry and telemetry.
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James Manning, an adjunct professor at the University of North Carolina and former emergency-medicine clinician, explains selective aortic arch perfusion, a balloon-catheter technique developed in the 1980s to direct oxygenated blood toward the heart and brain during cardiac arrest.
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David Rowe of the Columbia Cornell Program explains why intracerebral hemorrhage is the deadliest major stroke type, with 40% mortality and severe disability among 75% of survivors.
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A medical lecture on invasive mechanical ventilation for obstructive lung disease, focusing on waveform analysis and respiratory mechanics.
A medical lecture on pleural effusion diagnosis and management in the ICU setting.
A medical lecture on the definition, etiologies, and management of massive hemoptysis for pulmonary fellows.
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Captain Dan Chertow of NIH's emerging pathogens section outlines how ICU clinicians can recognize severe viral illness through host, pathogen, and environmental risk factors.
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Oxygen targets in the ICU are not standardized, and Dr.
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August Longineau uses a Grand Rounds lecture to argue that venous congestion, not just low arterial pressure, should change bedside decisions in heart failure, AKI, and sepsis.
Maryland CC Project's "Prolonged ECMO" asks when VV ECMO for ARDS stops being a bridge and starts becoming a long-run support decision.
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Hannah Nobleza of the University of Tennessee Health Science Center presents mentorship as one part of a professional-development system for women in critical care medicine.
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The Maryland CC Project episode "Turner – Using AI in Medical Education" explains how Alan Turing’s question about machine thought now connects to medical training, clinical decision-making, and generative AI.
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Lane Smith, a critical care medicine specialist at Atrium Health’s Carolinas Medical Center, explains refractory distributive shock and the use of angiotensin II.
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Maryland CC Project’s “Munroe & Gershengorn – Peripheral Vasopressor Administration” transcript examines capacity strain, hospital-onset sepsis, and antimicrobial timing in inpatient care.
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Tamar Schiff and Stephen Wall of NYU examine combining ECMO-assisted CPR with normothermic regional perfusion for organ preservation after circulatory death.
Sarah Walster, an Associate Professor of Neurology at the University of Washington, examines mechanical ventilation in acute brain injury, a population comprising roughly 20% to 25% of ventilated patients but often excluded from trials.
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Matt Shuba of Cleveland Clinic calls the right ventricle “the people’s ventricle” and examines why it is often underrecognized in ARDS.
Maryland CC Project hosts Nick Bosch, an assistant professor in Boston University's pulmonary division, on whether transfusing at hemoglobin 7 improves outcomes in critically ill patients.
In Maryland CC Project’s “Marini – VILI Risk,” Dr.
Christopher Cox of Duke University argues that ICU-based palliative care should respond to patient and family needs rather than rely mainly on prognosis or referral triggers.
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Nick Villalobos, a staff physician at San Antonio Brook Army Medical Center, teaches renal POCUS for ICU clinicians, covering kidney size, hydronephrosis, cysts, infection, Doppler, and VEXUS.
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Maryland CC Project presents a 2023 lecture on what multidisciplinary aortic teams can offer patients across open, endovascular, and hybrid procedures.
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In the Maryland CC Project episode “Law – Survivorship After the ICU,” Annika Law of Boston University explains how ICU survivorship includes persistent cognitive, psychiatric, and physical impairments.
Tyson Shulin, Deputy Chief of Critical Care Medicine at Brook Army Medical Center, explains massive transfusion through military deployments to Afghanistan and Iraq and resource-limited hospitals in rural Oklahoma.
David Hager, Johns Hopkins medical ICU director, defines intermediate care as a level between ICU treatment and ward capacity, typically using continuous telemetry and more frequent assessments.
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JP Kress, a University of Chicago professor of medicine, reviews the 2018 PADIS guidelines for pain, sedation, delirium, early mobility, and family involvement in mechanically ventilated patients.
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Matthew Schreiber, a MedStar Health critical care provider and ethics committee chair, uses ICU cases to examine consent, capacity, emergency treatment, surrogate decisions, and treatment conflict.
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