TBSA: the Burn Surgery and Critical Care Podcast

Welcome back, everyone, to another exciting episode of TBSA! Today, Luke and Jake dive into burn sepsis.  Always a humbling aspect of burn care, it is so critical to give the right antibiotics to the right patient at the right time.  Unfortunately, typical biomarkers and physiologic parameters in typical septic ICU patients get thrown out in burn care.  Listen to Jake and Luke as they walk through...

You can feel the chemistry in this episode between Jake, Luke, and the subject at hand:  chemical burns! Jake and Luke review some basic chemistry facts to explain why different chemicals behave in such varied ways in the human body.  Further, we go over specific toxidromes associated with these agents.  Lastly, we review ourapproach to these patients and specific, can’t miss elements to successfu...

Welcome back, everyone, to another exciting episode of TBSA! This week we revisit a favorite topic: CRRT. Specifically, high volume CRRT. This modality of CRRT leverages using high circuit speed to pull large volumes of blood in an effort to clear immunoglobins and infectious material from the blood. At least, that's the theory! Take a listen as Luke and Jake cover the exciting research on this em...

Now that we have completed our walkthrough on the first 48 hours of the BICU stay, tag along with Luke and Jake as they navigate the hardest part of the ICU stay: discussing the goals of care with the patient's next of kin. We talk about how important it is to pass on a holistic view of what the patient's hospitalization will look like. Further, we discuss the necessity of involving the mu...

Welcome back, everyone, to another exciting episode of TBSA! Today, Luke and Jake unpack another hot topic (please forgive the pun): DVT prophylaxis! With the everchanging pharmacokinetics and pharmacodynamics of burn patients, prophylaxis dosing can often feel like a moving target. Join us as we unpack the right drug, dose, monitoring, and timing for starting DVT prophylaxis. This issue is quite...

Our next episode dropped! Follow along with Luke and Jake as we take a deep dive on a fundamental--and inherently difficult--aspect of burn care: burn hypermetabolism. Getting this right is difficult, and getting it wrong has significant downstream morbidity and mortality risks. Take a listen! And, as always, like our podcast on socials and on Spotify. Tell a friend about the good work we're d...

Electrical injuries can be intimidating to many providers. These burns--more than many others--are associated with significant whole body morbidities that can be far removed from the thermal injured tissues themselves. Luke and Jake walk through the major management considerations for these injuries. Cardiac manifestations, ocular injuries, and compartment syndromes are covered. Take a listen! As...

As we continue through the first 48 hours of burn resuscitation, we're going to take a side bar. Today's podcast episode is a journal club format to ask the question of when we should be starting CRRT. There is a lot of heterogeneity in clinical practice, and there is lots of opinions in the space. Come along with Jake and Luke as they walkthrough the state of the science, what it says--and what i...

A major aspect of burn care is managing AKI. Adept management of CRRT by burn providers is critical for burn survival. Listen in as Jake and Luke walkthrough AKI and CRRT use in the burn patient population. Take a listen! #burn   #burncriticalcare   #criticalcare   #burnsurgery   #medicalstudent   #medicalschool   #resident   #surgery   #medicine   #nephrology   #burnRN   #RN   #trainee   #medical...

Hello, fellow burn practitioners! This episode is all about electrolyte derangements. We can't have this discussion without a deep dive on hypophosphatemia. The deleterious effects of hypophosphatemia cannot be stressed enough. Tag along with Jake and Luke as they unpack the pathophysiology of these electrolyte issues and how to address them in clinical practice.

Surgical nutrition is one of the unique aspects of burn ICU care that truly sets itself apart from the management of other critically ill patients. Join Jake and Luke as they unpack the science behind nutritional support, current guideline recommendations, and a discussion on the importance of GI prophylaxis.

Check out our latest episode on the unique--but critical management steps--of inhalational injuries. As we continue our first 48 hours series, please like, share, and follow this page so you can keep up to date with our approach to the critically injured burn patient! #burn   #burnsurgery   #burncriticalcare   #medicalstudent   #medicalschool   #resident   #medicalresident   #surgeryresident   #su...

ARDS is a complex and highly morbid pathology that effects all ICU patients. Burn patients have their own fare share of ARDS incidence. Listen to Jake and Luke do a deep dive on the medical literature of ARDS management for critically ill burn patients.

Episode 8 drops at midnight tonight. Take a listen to follow on with Jake and Luke as they walk through the complexities of burn resuscitation in the first 48 hours after injury! #burnsurgery   #burncriticalcare   #medicineresident   #surgeryresident   #nurse   #doctor   #TBSA   #burncare   #burn

In this episode, Luke and Jake discuss their individual approaches to pain, analgesia, and sedation in burn patients.

We're nearing the end of our primary survey review. Contained in this episode are real life insights from Luke and Jake on how to package and prepare patients for transport. Also, we evaluate the ABA Transfer Criteria to help providers decide on who they can keep local and who needs to get shipped out to the regional burn center.

During burn resuscitation, you may find an acutely delirious patient who has profound altered mental status after being in a structure fire or exposed to smoke. In this clinical scenario, you have to be on the look out for two main toxidromes that are assessed during the "D" phase of the primary survey; namely, these are carbon monoxide poisoning and cyanide toxicity. Follow along with L...

What is the approach to the initial resuscitation of the burn patient? Was it LR or NS we use? How many cc's per kg is the correct ratio to start the resuscitation at? All of these questions and more will be discussed this week! Follow along as Luke and Jake go over the initial approach to the "C" phase of the primary survey in burn. They will discuss tips, tricks, and lessons learne...

Tune in and listen to Jake and Luke talk through how to approach the "B" phase of the primary survey. As always, if you are enjoying this content, please leave us a 5.0 star review. Further, any comments are most appreciated as we want this podcast to be of benefit to you, our listeners. Also, please visit us at our website and socials @tbsapod. Lastly, feel free to email us with any com...

Tune in and listen to Luke and Jake unpack the first part of the primary survey for burn patients. We review tips and tricks to burn airway management, our approach to pharmaceutical decisions, and also discuss indications for intubation in burns. We appreciate all of your thoughtful feedback! If you like our episode, please consider giving us a 5 star rating and leaving a comment! Also, please fe...

A brief introduction to the podcast, the hosts--Jake and Luke--and what you can expect as we start this podcasting journey together! Website: www.tbsapod.comX: @TBSApod Instagram: https://www.instagram.com/tbsapod/ Email: tbsapod@gmail.com Recorded at: https://velocitytx.org/