This patient was oozing blood around the CVC and A-line...

Patient on unfractionated heparin infusion. APTT > 180, anti Xa 0.6.
Which one should I believe?

#emimcc

Acetylcisteine for ischaemic liver - yes or no?
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Guys help! My boss today says there's evidence that noradrenaline has better outcomes than metaraminol in septic shock, but I can't find the evidence!
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That's why my new slogan is THINK SEPSIS AND THEN STOP THINKING

Oh boy Eddie and Todd are not going to like this acronym
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@icucast.bsky.social

"Science"

(End of list)

Fury on the ICU today from the spinal surgeons as the spinal trauma patient has a MAP of 75 instead of 80.

Let's review the evidence supporting their claims...

In one week I've had this, albumin & furosemide combo therapy, and drowning a pancreatitis patient. I want to go back in the matrix.

Sorry for bringing down the tone

You did say it was rule 34!

Took this new (to me) wisdom out for a spin on the ICU today, was universally ridiculed. I hate it here.

I don't see any CPR!

I feel dirty wearing one

#emimcc

a woman says guys i 'm thinking this might be like a cult while holding a bottle of water ALT: a woman says guys i 'm thinking this might be like a cult while holding a bottle of water

Genuinely at a teaching session where the speaker has 20-30ml/kg crystalloid in their initial management for haemorrhagic shock.

It's like the opposite of homeopathy - if a little bit doesn't work just keep increasing the dose until it does

From today!

#emimcc

This is the kind of pedantry I live for

Agreed (post-op ileus in this particular patient)

Well exactly. The pharmacist even asked me for a paper to support the "unlicensed use", so this is what I provided. Turns out that hospital doesn't even stock IV acetazolamide!

Yup, furosemide infusion for cardiac failure

Got a lot of pushback today for giving acetazolamide for contraction alkalosis - I thought this was pretty standard practice?
#emimcc

(Me on stage accepting my Froosy award)
And I'd just like to thank the day shift, for giving everyone a billion litres of fluid every day, so I could along every night and sneak furosemide onto every drug chart while they sleep. You guys are the real heroes ❤️

He did get better, but I wonder if we could have got there faster if we'd realised

Ah shit I just realised that patient from last week might have had serotonin syndrome
#emimcc

Can't tell you how many referrals I get for "life threatening asthma" because the CO2 is high, which are really just OHS

Consultant doesn't want to mobilise a patient with new diagnosis DVT (worried about dislodging some clot). Thoughts?

#EMIMCC #hemesky

If they die in ICU 3 days later, that's really the ICU's fault