Couverture de SoCCC Pre-Rounds: Bite-Sized Critical Care Cardiology Topics Delivered By Experts

SoCCC Pre-Rounds: Bite-Sized Critical Care Cardiology Topics Delivered By Experts

SoCCC Pre-Rounds: Bite-Sized Critical Care Cardiology Topics Delivered By Experts

De : Dr. Balim Senman Dr. Elliott Miller Dr. Simon Parlow Dr. Anthony Carnicelli
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 SoCCC Pre-Rounds is your go-to for quick, high-yield insights in critical care cardiology, hosted by members of the Society of Critical Care Cardiology (SoCCC). With only 160 specialists in the U.S., mentorship is rare. This podcast bridges the gap with bite-sized episodes featuring clinical pearls, expert tips, and real-world answers on topics like cardiogenic shock, ECMO, and resuscitation. Perfect for pre-rounds, night shifts, or leveling up anytime. Listen in. Level up. Join the SoCCC community.Dr. Balim Senman, Dr. Elliott Miller, Dr. Simon Parlow, Dr. Anthony Carnicelli Hygiène et vie saine Maladie et pathologies physiques
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  • Keeping It Cool: The Evidence, the Controversy, the Future of TTM with Dr. Andrea Elliott

    Keeping It Cool: The Evidence, the Controversy, the Future of TTM with Dr. Andrea Elliott
    May 1 2026
    In this episode of SoCCC Pre-Rounds, Dr. Balim Senman and Dr. Andrea Elliott, a cardiologist and critical care physician at the University of Minnesota, dive into the evolving landscape of targeted temperature management (TTM) after cardiac arrest. They explore how temperature control strategies have shifted from early hypothermia trials to modern fever-avoidance methods, with ongoing debates around TTM in critical care. Dr. Elliott discusses landmark studies like Bernard, HACA, TTM, Hyperion, and TTM2, highlighting their impact and limitations.The conversation delves into the real-world application of temperature targets, considering patient severity, neurologic injury, and the unique challenges posed by ECPR patients. Dr. Elliott also covers the physiological costs of hypothermia, common complications, and practical aspects of managing shivering, devices, and protocols. Whether you're a trainee or an experienced clinician, this episode offers evidence-based insights and practical guidance for optimizing post-arrest care.TTM is for comatose survivors: Only patients who remain unresponsive after ROSC benefit; awake patients do not.Fever prevention matters most: Trial data on hypothermia vs normothermia are mixed, but fever (>37.7°C) is consistently harmful and must be aggressively avoided.One size does not fit all: Patients with longer downtimes or more severe neurologic injury may benefit more from active cooling. Allowing spontaneous hypothermia is reasonable.ECPR patients are different: Prolonged CPR and ECMO-based temperature control make them physiologically distinct from patients in major TTM trials.[00:00] Introduction[02:16] Historical background of TTM[03:13] Early human studies and mechanisms[04:17] Landmark trials Bernard and HACA[06:06] TM1 Hyperion and TM2 trials[10:25] Patient selection for TTM[11:39] Personalized temperature targeting[13:21] Management of hypothermic and normothermic patients[15:47] TTM in ECPR and ECMO patients[18:09] Drawbacks and risks of hypothermia[19:19] Protocols and cooling devices[21:59] ECPR-specific cooling techniques[16:04] "ECPR patients by definition have had refractory arrest, not attaining ROSC. So that 20- 25 minute time is blown out of the water. Our ECPR population has an average of 60 minutes of CPR time, so more than double. So the time for that neurologic injury is extensive." — Dr. Andrea Elliott[18:43] "You can actually get into trouble if with some under-resuscitation and some patients, if you get them too cold too quickly, and so you'll have to give extra volume back."— Dr. Andrea Elliott[22:37] "The most important thing is to make sure that you avoid fevers in our ECPR patients. We also use cooling towers, so we basically cool the fluid or the blood that is in the tubing outside of the patient so that it goes through a cooling bath."— Dr. Andrea ElliottBecome a member of the Community: https://www.soccc.org/subscribeDr. Andrea Elliotthttps://med.umn.edu/bio/andrea-elliotthttps://www.linkedin.com/in/andrea-elliott-5575b4267/Dr. Balim Senmanhttps://www.linkedin.com/in/balim-senman-7561436b/https://x.com/BalimSenmanMDhttps://www.soccc.org/Supported By:This episode is made possible by unrestricted support from Zoll LifeVest — thanks for keeping high-impact education free for our community.DisclaimerThis podcast is not medical advice, just candid, practical discussions about what your hosts do every day in the CICU. Always consult your supervising team and current guidelines before applying any interventions.
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    24 min
  • The POCUS Revolution: Why Echo Belongs in Every ICU with Dr. Hatem Soliman

    The POCUS Revolution: Why Echo Belongs in Every ICU with Dr. Hatem Soliman
    Apr 3 2026
    In this episode of SoCCC Pre-Rounds, Dr. Simon Parlow is joined by Dr. Hatem Soliman, a leading expert in critical care echocardiography, for a deep dive into the game-changing role of point-of-care ultrasound or POCUS in resuscitation and cardiac intensive care.Together, they unpack how resuscitative echocardiography can help identify reversible causes of cardiac arrest, like pericardial tamponade or tension pneumothorax, and even guide real-time chest compression placement to improve CPR effectiveness.Dr. Soliman highlights two must-have views: the apical five-chamber for stroke volume and the short-axis great vessels view to assess RV function and pulmonary pressures.If you're looking to sharpen your bedside skills and bring more precision to your resuscitation toolkit, this episode is packed with insights you won’t want to miss.Key TakeawaysMove beyond the IVC: Hepatic, portal, and renal vein Doppler give a clearer picture of systemic venous congestion than IVC alone.Cardiac output needs context: Doppler VTI can mislead unless combined with views like apical five-chamber and timing indices like isovolumetric contraction time.Every echo parameter has a pitfall: Never interpret one measure in isolation; always integrate findings with clinical judgment.His go-to views in shock? Apical 5 chamber (LVOT VTI) and parasternal short axis of great vessels (PA flow) to assess perfusion and RV afterload.In This Episode[00:00] Introduction to the podcast[02:24] Role of echo in cardiac arrest[03:43] Training and cautions with echo in CPR[06:19] Key skills for new trainees in critical care echo[07:33] Physiological assessment in critical care echo[09:21] Multi-organ ultrasound and venous congestion[11:45] Systemic venous congestion in post-ICU patients[12:18] Comprehensive cardiac output assessment[15:50] Pitfalls and dangers of critical care POCUS[17:18] Favorite echo views in cardiac ICUNotable Quotes[06:33] "Critical care echo is actually complex... you need to further proceed from this basic level to intermediate and then advanced levels in which you will be able to assess physiological changes in the heart." — Dr. Hatem Soliman[09:22] "The practice of multi-organ ultrasound and looking beyond the chest cavity for congestion is a very important advancement in point-of-care ultrasound." —Dr. Hatem Soliman[17:24] "If I have two views to look at in a very short time... the apical five chamber view to get the LVO TVTI because that immediately gives you a clue about stroke volume and cardiac output." — Dr. Hatem SolimanDr. Hatem SolimanDr. Hatem Soliman is a cardiac intensivist at Harefield Hospital and senior lecturer at King’s College London. He serves on the executive board of the European Association of Cardiovascular Imaging and the editorial board of JACC: Cardiovascular Imaging. A global educator and author of key POCUS textbooks, Dr. Suleiman is renowned for advancing the use of bedside echocardiography in critical care to improve hemodynamic assessment and patient outcomes.Resources and LinksBecome a member of the Community: https://www.soccc.org/subscribeDr. Hatem Solimanhttps://www.escardio.org/https://www.linkedin.com/in/hatemsoliman/Dr. Simon Parlowhttps://www.ottawaheart.ca/profile/parlow-simonMentioned Doyen A. et al. Portal Doppler Ultrasound in Congestion Assessment (André Denault’s work)JACC Imaging, Journal of Cardiovascular UltrasoundEuropean & American Resuscitation GuidelinesSupported By:This episode is made possible by unrestricted support from Zoll LifeVest — thanks for keeping high-impact education free for our community.DisclaimerThis podcast is not medical advice, just candid, practical discussions about what your hosts do every day in the CICU. Always consult your supervising team and current guidelines before applying any interventions.
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    19 min
  • Cardiac Tamponade in the ICU: Diagnosis, Echo, and Management with Dr. Courtney Bennett

    Cardiac Tamponade in the ICU: Diagnosis, Echo, and Management with Dr. Courtney Bennett
    Mar 6 2026
    In this episode of SoCCC Pre-Rounds, Dr. Balim Senman sits down with Dr. Courtney Bennett, a critical care cardiologist and echocardiographer at Mayo Clinic Rochester, to unpack the bedside recognition and management of cardiac tamponade. The conversation emphasizes tamponade as a clinical diagnosis, highlighting key physical exam clues such as tachycardia, hypotension, elevated JVP, pulsus paradoxus, and electrical alternans. Dr. Bennett explains the physiology of ventricular interdependence and why the rate of pericardial fluid accumulation matters more than volume alone.The episode also explores how point-of-care echocardiography supports but does not replace clinical judgment, distinguishing early findings like inflow variation from late signs such as chamber collapse. Management strategies are discussed in real-world terms, including when to urgently drain an effusion, how to stabilize patients with fluids and vasopressors while awaiting intervention, and common pitfalls like inappropriate diuresis. This episode delivers practical, high-yield guidance for clinicians managing undifferentiated shock in the cardiac ICU.Key TakeawaysTamponade is a clinical diagnosis: Pericardial effusion alone does not equal tamponade without hemodynamic compromiseTachycardia often comes first: Hypotension and shock may follow as compensation failsSmall, rapidly accumulating effusions can be fatal, while large chronic effusions may be well toleratedEcho supports, not replaces clinical judgment: Chamber collapse suggests late disease; inflow variation may signal early tamponadeDrain emergently when unstable: Approach and urgency depend on patient trajectory, not imaging aloneIn This Episode[00:00] Introduction[01:11] Definition of cardiac tamponade[01:50] Physical exam findings in tamponade[03:25] Pulsus paradoxus: definition and mechanism[04:57] Etiologies of pericardial effusion[05:43] Volume vs. hemodynamic instability[06:40] Clinical vs. echo diagnosis of tamponade[08:09] Echocardiographic findings in tamponade[10:02] Management: tamponade vs. stable effusion[12:10] Stabilizing the pre-tamponade patient[13:23] Fluid vs. diuretics in tamponadeNotable Quotes[01:28] "This is a diagnosis when a patient has pericardial effusion. So excess fluid around the heart that's causing them to have hypotension, low blood pressure, and part of that actually could be what we would describe as Beck's triad." — Dr. Courtney Bennett[12:38] "So first and foremost, I would start with IV fluid resuscitation bolus. I don't think there's a well-defined amount that we should use. 500 a liter of fluid. You have to use your clinical assessment because many of our patients may also be peripherally volume overloaded as well. But typically in this scenario, fluid is really the upfront management."— Dr. Courtney Bennett[13:48] "Sometimes I work with learners who think that because there's an excess of fluid around the heart, we should be giving diuretics. That's not the case because diuretics will decrease the preload and actually worsen the hypotension."— Dr. Courtney BennettResources and LinksBecome a member of the Community: https://www.soccc.org/subscribeDr. Courtney Bennetthttps://alumniassociation.mayo.edu/colleague-notes/courtney-bennett-d-o/Dr. Balim Senmanhttps://www.linkedin.com/in/balim-senman-7561436b/https://x.com/BalimSenmanMDhttps://www.soccc.org/Supported By:This episode is made possible by unrestricted support from Zoll LifeVest — thanks for keeping high-impact education free for our community.DisclaimerThis podcast is not medical advice, just candid, practical discussions about what your hosts do every day in the CICU. Always consult your supervising team and current guidelines before applying any interventions.
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    15 min
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