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PICU Doc On Call

PICU Doc On Call

Dr. Pradip Kamat, Dr. Rahul Damania, Dr. Monica Gray 123 Episodes Aug 23, 2026

PICU Doc On Call is a podcast for current and aspiring intensivists, providing protocols for treating common emergencies and acute symptoms in pediatric critical care. It is produced by Emory University School of Medicine and hosted by Dr. Pradip Kamat, Dr. Rahul Damania, and Dr. Monica Gray.

Episodes

Hello From the Otherside! Transport Calls
Hello From the Otherside! Transport Calls Aug 23, 2026 21:10 In this episode of PICU Doc on Call, third-year PICU fellow Dr. Alexandria Edwards joins Drs. Pradip Kamat, Monica Gray, and Rahul Damania for a quick and practical dive into pediatric transport medicine. Dr. Edwards walks us through her go-to framework for handling transport calls, highlighting the importance of systematically checking vitals, respiratory support, the physical exam, labs, and any
Metformin Overdose in the Pediatric ICU | A Case of Low pH
Metformin Overdose in the Pediatric ICU | A Case of Low pH Aug 9, 2026 20:28 In this episode, Drs. Pradip Kamat, Monica Gray, and Rahul Damania talk through a heartbreaking case involving a 14-year-old girl with a history of psychiatric illness who intentionally took 45 tablets of metformin and empagliflozin. Things went downhill quickly—she developed severe lactic acidosis, hypoglycemia, acute kidney injury, and eventually suffered a cardiac arrest that required ECMO and
Capnography in the PICU | Take My Breath Away
Capnography in the PICU | Take My Breath Away Jul 26, 2026 21:35 In this episode of *Pediatric Critical Care Insights*, Dr. Monica Gray and Dr. Pradip Kamat chat about how capnography, specifically end-tidal CO2 monitoring, is used in the pediatric ICU. They walk through a real-life case of a 9-year-old with respiratory failure from influenza A, showing how ETCO2 monitoring helps confirm endotracheal tube placement, guides ventilation, spots cardiac arrest, and
Start Off Strong: Tips and Tricks for 1st-year PICU Fellows
Start Off Strong: Tips and Tricks for 1st-year PICU Fellows Jul 12, 2026 18:16 In this special episode of *PICU Doc on Call*, hosts Dr. Monica Gray and Dr. Rahul Damania welcome new pediatric critical care fellows across the U.S. with practical advice for day one of fellowship. Joined by third-year PICU fellow Dr. Alexandra Bryant, the episode covers three key areas: navigating PICU logistics, protecting mental health, and managing the overwhelming volume of critical care kn
Time Constants in the PICU | PICU Doc on Call Shorts
Time Constants in the PICU | PICU Doc on Call Shorts Jul 5, 2026 18:58 In this episode of *PICU Doc on Call Shorts*, pediatric ICU physicians Dr. Pradip Kamat and Dr. Rahul Damania discuss respiratory time constants and their clinical relevance in pediatric critical care. Using a case of a six-year-old with near-fatal status asthmaticus on mechanical ventilation, they explain how prolonged time constants from high airway resistance cause air trapping, dynamic hyperin
Sweet Dreams: Procedural Sedation in the PICU
Sweet Dreams: Procedural Sedation in the PICU Jun 21, 2026 33:53 In this episode of PICU Doc on Call, hosts Dr. Monica Gray and Dr. Pradip Kamat explore procedural sedation in the pediatric ICU. They cover sedation levels, pre-screening, risk stratification using ASA classifications, and medication selection tailored to each patient's hemodynamic and respiratory status. Through real-world case discussions involving respiratory failure, septic shock, and acute n
Pink Toes and Blue Brain on VA ECMO (North South Syndrome on ECMO)
Pink Toes and Blue Brain on VA ECMO (North South Syndrome on ECMO) Jun 7, 2026 24:00 In this episode of *PICU Doc on Call*, Dr. Monica Gray and Dr. Pradip Kamat are joined by fellow Dr. Hope Vancleve to discuss a complex case of a 12-year-old with MRSA septic shock requiring VA ECMO. The conversation covers sepsis-induced myocardial dysfunction, including its pathophysiology, diagnosis, and management. The hosts also explore differential hypoxia, or Harlequin syndrome, a serious V
Of Rats & Men: Approach to Coumadin Overdose in the PICU
Of Rats & Men: Approach to Coumadin Overdose in the PICU May 24, 2026 20:39 In this episode of PICU Doc on Call, hosts Dr. Monica Gray and Dr. Pradip Kamat discuss a 15-year-old girl who attempted suicide by ingesting rat poison, acetaminophen, ibuprofen, and amlodipine. The episode focuses on long-acting anticoagulant rodenticides (LAARs), such as brodifacoum, which inhibit vitamin K epoxide reductase, causing delayed coagulopathy. Key topics include clinical presentatio
Mind Your Scope: Bronchoscopy Pearls for the Pediatric Intensivist
Mind Your Scope: Bronchoscopy Pearls for the Pediatric Intensivist May 10, 2026 16:10 In this episode of PICU Doc on Call, Dr. Monica Gray and Dr. Pradip Kamat chat about flexible fiberoptic bronchoscopy (FFB) in the pediatric ICU. They walk through a case involving an eight-year-old who’s dealing with respiratory failure after a stem cell transplant. Along the way, they talk about when and why you might use bronchoscopy both for diagnosis and treatment—plus how to approach sedatio
Isoflurane in the PICU
Isoflurane in the PICU Apr 26, 2026 12:10 In this episode of "PICU Doc on Call," Drs. Monica Gray and Pradip Kamat from Children's Healthcare of Atlanta dive into the use of inhaled anesthetics, especially isoflurane, in the pediatric ICU. We’re focusing on those tough cases: refractory status asthmaticus and status epilepticus. We’ll chat about why isoflurane is our go-to over other agents like sevoflurane, desflurane, or nitrous oxide,
The Tylenol Trouble & the NAC comeback: Navigating Acetaminophen Toxicity in the PICU
The Tylenol Trouble & the NAC comeback: Navigating Acetaminophen Toxicity in the PICU Apr 12, 2026 30:50 In this episode of *PICU Doc on Call*, Drs. Monica Gray, Pradip Kamat, and Rahul Damania chat about a 17-year-old girl who ended up with acute liver failure after she intentionally took 22.5 grams of acetaminophen. She came in 48 hours later with really high transaminases and an INR of 5.5, so she was admitted to the PICU. The hosts break down how acetaminophen affects the body, walk through its f
Don’t Poke It, Spray It: The Intranasal Medication Playbook
Don’t Poke It, Spray It: The Intranasal Medication Playbook Mar 29, 2026 20:49 In this episode of "PICU Doc on Call," Drs. Monica Gray, Pradip Kamat, and Rahul Damania discuss the use of intranasal medications in pediatric intensive care. Using the case of a four-month-old infant needing an MRI, they explore when and why intranasal drugs are preferred over IV access, the science behind nasal drug delivery, safe administration techniques, and common medications used. The epis

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