Pulmonary and Critical Care content for learners and practitioners of all levels
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The Thorax podcast offers the latest insights in respiratory medicine. Each episode features in-depth interviews with renowned authors and leading experts in the field, delving into the latest respiratory research and treatments. Thorax, an esteemed international journal from the BMJ Group and the British Thoracic Society (BTS), is dedicated to publishing research and reviews in respiratory medicine to improve clinical practice. Stay ahead in your field by tuning into our expert discussions ...
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We are podcasting today directly from ATS 2025 in San Francisco! Every year, in collaboration with the ATS Critical Care Assembly, we highlight some of the scientific symposium programming from the conference. Today, Furf and Monty sit down with the three chairs of the scientific symposium entitled: Mechanical Ventilation of the Future: New Foundat…
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We’re back with another edition of Fellows’ Case Files! Today, we’re virtually visiting Rutgers University, Robert Wood Johnson Medical School to work through a fascinating pulmonary case. Enjoy, and let us know your thoughts. Meet Our Guests Khalil El Gharib completed his residency training at Northwell at Staten Island University Hospital Program…
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98. Guidelines Series: GINA Guidelines – Biologics for Treatment of Asthma
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26:34Today, we continue our review of the Global Initiative for Asthma (GINA) guidelines on asthma. We’ve covered asthma diagnosis and phenotyping, and the initial approach to therapy. On today’s episode we’re talking about biologic therapies for asthma and will cover everything from when to consider starting them, which to choose, and what to monitor f…
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In this episode, we add another article to our Rapid Fire Journal Club. Luke Hedrick and Dave Furfaro discuss the MIST 2 trial published in NEJM in 2011 evaluating enzymatic therapy for complex parapneumonic effusions and empyemas. Article and Reference We are talking today about the MIST 2 trial evaluating the use of intrapleural tPa and DNase for…
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96. Guidelines Series: GINA Guidelines – Asthma Treatment and Management
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38:09We’re back with our second episode in our guideline initiative, and continuing our review of the Global Initiative for Asthma (GINA) guidelines on asthma. In our first episode of this series, we talked about making the diagnosis of asthma, the importance of appropriate phenotyping, and doing an initial assessment of asthma severity. Today, we’re di…
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95. Clinical Pearl: Prone Positioning with Elevated Intracranial Pressure
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17:00Today we have a mini-episode / clinical pearl. We previously discussed the PROSEVA trial and the evidence for prone positioning in ARDS. In that trial, patients with elevated intracranial pressure (ICP) were excluded. We are joined now by Dr. Jon Rosenberg, a neuro intensivist, to discuss his how prone positioning can still be employed for patients…
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94. The Impact of Reduced NIH Indirect Cost Payments
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41:01On February 7, 2025 it was announced that the National Institutes of Health (NIH) would be capping indirect cost payments for research grants at 15%. This is a massive reduction from the current standard, and will have widespread impacts on research, healthcare delivery, and trainee and young faculty development throughout the United States. We hav…
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Understanding the causes of asthma medication non-adherence in the USA
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19:43There are many factors which might contribute to asthma patients not adhering to their medication, such as access to services, or convenience of use. One well-known and important barrier in the United States is simply cost. Thorax social media editor Dr. Kate Diomede speaks to Dr. Chun-Tse Hung¹, Dr. Steven Erickson², and Prof. Chung-Hsuen Wu¹, the…
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93. Guidelines Series: GINA Guidelines – Asthma Diagnosis and Assessment
51:21
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51:21Today we are launching a new Pulm PEEPs initiative! We are going to be reviewing some of the major guidelines that are available in pulmonary and critical care. We are starting by diving into the Global Initiative for Asthma (GINA) guidelines on asthma. The goal of this initiative is to breakdown the guidelines into digestible and helpful discussio…
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Pulmonary sarcoidosis, with Dr. Michelle Sharp
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29:14With no identified cause or cure, sarcoidosis is a challenging disease that has a heterogeneous presentation and an unpredictable clinical course. A recent paper in Thorax examined the outcomes for patients grouped by pulmonary function phenotypes, race and sex. First author for the study, Dr. Michelle Sharp¹, joins social media editor Dr. Kate Dio…
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The PulmPEEPs are back with another journal club episode. Dr. Kristina Montemayor and Dr. David Furfaro are joined by Thorax education editor Dr. Christopher Turnbull, and journal club author Dr. Ewan Mackay. They discuss a handful of selected papers focussing on COPD, covering the global impact of different household fuels on lung disease, early s…
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92. Journal Club with BMJ Thorax – COPD and Emphysema
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45:28Today is our second episode in our collaborative series with BMJ Thorax. Our mission at Pulm PEEPs is to disseminate and promote pulmonary and critical care education, and we highly value the importance of peer reviewed journals in this endeavor. Each month in BMJ Thorax, a journal club is published looking at high yield and impactful publications …
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91. Tylenol Toxicity and Acute Liver Failure
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43:47This week we’re talking about a case as a lens for discussing Tylenol toxicity and Acute Liver Failure. These relatively common critical care presentations are essential knowledge for anyone practicing in the ICU. Listen in for some key discussion both about toxicology and the diagnosis and management of acute livery injury and failure. Meet Our Gu…
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90. Rapid Fire Journal Club: ANDROMEDA-SHOCK
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20:08We are excited to be back with a Rapid Fire Journal Club. Today’s episode is hosted by PulmPEEPs Associate Editor, Luke Hedrick, and will delve into the ANDROMEDA-SHOCK trial published in JAMA in 2019. Meet our Guests Jose Meade Aguilar … Continue reading →By Pulm PEEPs
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Fixing lung health, with Dr. Samantha Walker
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21:58Lung conditions remain one of the biggest causes of death and cost the economy billions annually. Despite this they receive only 2.5% of total public research investment in the UK. The Asthma + Lung UK charity brought together a number of experts and stakeholders in an effort to improve the working approach to this problem. This group published a l…
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89. Idiopathic Pulmonary Fibrosis Treatment: RFJC – INPULSIS
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30:45Our episode today is diving into a broader initiative to discuss the management of interstitial lung disease. In this episode we will be talking about the treatment of Idiopathic Pulmonary Fibrosis through the lens of a journal club discussion of … Continue reading →By Pulm PEEPs
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We are joined today by two amazing educators from NYU for our latest Fellows’ Case Files Episode. Listen today as we go through a great case with some fantastic teaching points highlighted throughout the episode. Meet Our Guests Dr. Jeremy … Continue reading →By Pulm PEEPs
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The troubling rise of artificial stone silicosis, with Dr. Johanna Feary
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21:03The growing use of artificial stone has seen the emergence of an aggressive, progressive respiratory disease, which is causing silicosis in young people. Dr. Johanna Feary¹ ² joins Thorax's Dr. Kate Diomede in the studio, to discuss. They talk through some the UK's earliest cases, the background to this phenomenon, international response, and the b…
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87. Live from CHEST 2024 – Black Angels with Maria Smilios
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44:24Here at Pulm PEEPs we have always loved the CHEST Annual Meetings. We have enjoyed learning at them, reuniting with and meeting colleagues, and having conference specific episodes the past two years. This year, we had the opportunity to podcast … Continue reading →By Pulm PEEPs
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We are excited to be back with our colleagues from CHEST to be previewing the CHEST 2024 Annual Meeting. CHEST his year is in Boston, MA from October 5th to October 9th. Listen in to hear about some great new … Continue reading →By Pulm PEEPs
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A special journal club episode featuring guest-hosts Dr. Kristina Montemayor and Dr. David Furfaro of the PulmPEEPs. They're joined in conversation with Thorax education editor Dr. Christopher Turnbull, and Dr. Imran Howell, author of a recent journal club article in Thorax. Focussing on the theme of airway disease, they discuss the four papers in …
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85. Journal Club with BMJ Thorax – Airway Disease
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41:37
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41:37We are extremely excited today to announce a new collaboration with BMJ Thorax. Our mission at Pulm PEEPs is to disseminate and promote pulmonary and critical care education, and we highly value the importance of peer reviewed journals in this … Continue reading →By Pulm PEEPs
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84. RFJC 14 – ARDS Series – Driving Pressure
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23:07In this podcast episode, we continue our summer series reviewing landmark ARDS studies. Today, Dave and Luke discuss the Driving Pressure trial (published in NEJM in 2015) which evaluated the impact of driving pressure on survival in patients with ARDS. Article … Continue reading →By Pulm PEEPs
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In the penultimate episode in our ARDS Rapid Fire Journal Club Summer Series we are talking about the DEXA-ARDS trial (published in Lancet Respiratory Medicine in 2020). This trial evaluated the impact of dexamethasone in the treatment of ARDS. … Continue reading →By Pulm PEEPs
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We have another great case in our Fellows’ Case Files coming today from UMass Chan. Listen in for a great discussion about a fascinating case with interesting physical exam and radiographic findings. Meet Our Guests Dr. Jen Kodela completed her … Continue reading →By Pulm PEEPs
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In this podcast episode, we continue our summer series reviewing landmark ARDS studies. Today, Dave and Luke discuss the PROSEVA trial (published in NEJM in 2013) which evaluated the impact of early, prolonged proning in patients with severe ARDS. Article and … Continue reading →By Pulm PEEPs
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In this podcast episode, we continue our summer series reviewing landmark ARDS studies. Today, Dave and Luke discuss the ROSE trial (published in NEJM in 2019) which investigated use of continuous neuromuscular blockade in moderate to severe ARDS. Article and Reference … Continue reading →By Pulm PEEPs
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In this podcast episode, we continue our summer series reviewing landmark ARDS studies. Today, Dave and Luke discuss the FACTT trial, which investigated fluid management strategies in ARDS. This was published in the NEJM in 2006. Article and Reference We’re … Continue reading →By Pulm PEEPs
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Today, we’re going to be talking about pre-oxygenation methods for endotracheal intubation and the PREOXI Trial which is hot off the presses in the New England Journal of Medicine in June of 2024. This trial has potentially widespread, practice changing … Continue reading →By Pulm PEEPs
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This episode is launching our 2024 Rapid Fire Journal Club summer series on ARDS! This summer we will be talking about landmark ARDS trials that have defined the literature and shaped patient care. Journal clubs often focus on new trials, … Continue reading →By Pulm PEEPs
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76. Fellows’ Case Files: University of Rochester
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39:39Today we’re back with another stop on our Fellows’ Case Files journey and making our way to the University of Rochester. Tune in to hear about this fascinating case and learn some key teaching points along the way. Meet Our … Continue reading →By Pulm PEEPs
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We’re back with our Rapid Fire Journal Club, and talking about the NEJM 2023 STELLAR Trial of Sotatercept in Pulmonary Arterial Hypertension. This is a landmark trial that is actively changing the face of PAH treatment today. Listen to hear … Continue reading →By Pulm PEEPs
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We have had a number of episodes on Acute Respiratory Distress Syndrome or ARDS. These episodes have ranged from how to titrate PEEP, subphenotypes in ARDS, and the future of ARDS research. Today, we are talking about how we all … Continue reading →By Pulm PEEPs
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BTS Clinical Statement: Management of inpatient tobacco dependency, with Prof. Sanjay Agrawal and Dr. Matthew Evison
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25:33A new clinical statement from the British Thoracic Society was recently published in Thorax. It describes a building-block approach for how to manage patients with tobacco dependency in a hospital setting. Thorax podcast host Dr. Kate Diomede speaks with two of the authors, Prof. Sanjay Agrawal (1) and Dr. Matthew Evison (2). Read the statement: Me…
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73. PulmPEEPs and ATS Critical Care Assembly: Dying in the ICU
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27:54Welcome to our second episode of ATS 2024 highlighting content featured through the ATS Critical Care Assembly. Today we are going to be talking about one of the Critical Care Assembly Symposiums entitled: “Care of Dying in the ICU: End … Continue reading →By Pulm PEEPs
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Social media’s influence on smoking and vaping, with Prof. Nick Hopkinson
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16:48What are the effects of high levels of social media consumption amongst young people? New research published in Thorax quantifies the impact that exposure to marketing on online platforms is having, showing a greater likelihood of smoking or vaping with greater time spent on these platforms. Thorax associate editor Prof. Nick Hopkinson (1) joins Dr…
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72. PulmPEEPs and ATS Critical Care Assembly: A New Reality for Critical Care after Dobbs
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26:04Welcome to our first episode of ATS 2024 highlighting content featured through the ATS Critical Care Assembly. Today we are going to be talking about one of the Critical Care Assembly Symposiums entitled: “A New Reality for Critical Care after … Continue reading →By Pulm PEEPs
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71. Fellows’ Case Files: University of New Mexico
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36:43Today we’re visiting the University of New Mexico for another interesting entry in our Fellows’ Case Files. Meet Our Guests Neel Vahil is a second-year internal medicine resident at the University of New Mexico. He completed medical school at … Continue reading →By Pulm PEEPs
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70. Bronchoscopy Emergencies with Critical Care Time
1:07:27
1:07:27
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1:07:27We’re super excited to have a joint episode this week with Dr. Cyrus Askin and Dr. Nick Mark from Critical Care Time! We discuss all the ways that bronchoscopy can be your best friend in the ICU and how to … Continue reading →By Pulm PEEPs
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Allergic asthma immunotherapy, with Dr. Klaus Bønnelykke
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20:59Asthma prevalence is increasing around the world, and is theorised to be due to a number of environmental factors. One such factor is a sensitivity to house dust mite (HDM) allergens, which is common in asthma patients. Dr. Klaus Bønnelykke (1) joins the podcast to speak with Dr. Kate Diomede about this topic, following the publication of the paper…
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69. Rapid Fire Journal Club 7 – SMART Meta-Analysis
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16:50Today on Rapid Fire Journal Club we’re reviewing a new article type and discussing a meta-analysis of Single Maintenance and Reliever Therapy (SMART) for asthma. Article and Reference Today we’re taking a deeper diver into SMART treatment for asthma to … Continue reading →By Pulm PEEPs
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