I'm currently putting together teaching on RRT and I realise we have a habit in medical education of teaching indications for a therapy before explaining the therapy.
That's (usually) the wrong way round. Indications make more sense *after* you've explained the therapy.
#MedSky #CritCareSky
Incidentally this also applies to a potassium of 3.2.
#MedSky #CritCareSky
You have a patient with a subclavian CVC, and you discover a large clot on it. You start anticoagulation of course, but when do you dare remove it? Will you wait until the clot is resolved? #emimcc #critcaresky #ansky
Just reminded myself of this paper. Thought it was really fascinating.
I guess the one that comes to mind is landmark CVCs for both #AnSky #CritCareSky.
Have done 4 (2 IJ, 2 SC) w/ supervision. SC emphysema would be the indication I'd think of (though I don't do major trauma).
100% going to suggest 6-day courses of antibiotics on the micro ward round
#CritCareSky
I'm kind of glad PHEM is so popular because outside is where bears are. I've never seen a bear on the inside of a hospital. I don't even like it when it's cold in theatre or on ICU. Very happy to do all of my medical practice under a roof.
#AnSky #CritCareSky #MedSky
Dear fellow anaesthetic and ICU consultants/specialty docs/specialists who do SLEs for LLLP,
Agree the level of entrustment BEFORE the trainee sends you the thing. It is worse than useless if it is not high enough.
#AnSky #CritCareSky
I think the solution to the lack of interaction on #MedSky #AnSky and #CritCareSky might be, to put it bluntly, hashtag the fuck out of it.
Got a problem? Or ten? The folks at #CritCareSky have got you covered.
Hit the "Like" and "Pin" buttons and join the conversation!
You can head over to #CritCareSky to follow everything happening at #CHEST2025, the @accpchest.bsky.social hosted conference happening in Chicago, IL!
The hashtag #CHEST2025 will add posts to the feed.
It's in an #AnSky journal but it's as much an #ICUSky #CritCareSky debate. The issue of making "quant" v "qual" decisions at the end of life is a fascinating one.
If anybody wants to pay my salary for a year, I could happily do a research project into this.
So question for #AnSky #CritCareSky #ICUSky.
Several places I've worked have insisted that peripheral pressors need to be given on a dedicated cannula. Is there any evidence that running crystalloids alongside pressors is unsafe?
The rationale given to me is that if you give a fluid bolus, it
There's no MedTwitter here! You're probably looking for #MedSky #CritCareSky
'RV dysfunction occurs on VV-ECMO in ARDS despite ECMO mitigating many of the traditional RV dysfunction risk factor'
#critcaresky #cccsky #ecmo #vv-ecmo #emimcc
(From left): Margaret Pisani, Carol Hodgson, Lauren Ferrante, Deena Costa, Melissa Knauert out for Dr. Hodgson’s visiting professor dinner
We were thrilled to host @carolhodgson.bsky.social at @yalepccsm.bsky.social this week! Great discussions about science, a fun dinner, & we even made time for a Yale walking tour #critcaresky #academicsky
Pain in ACS:time for a patient-tailored approach?
Can lidocaine be the winning drug for unstable patients?
More on EMpills, Italy’s leading emergency medicine blog. Worth reading—ChatGPT can help translate!😉
#EMIMCC #pulmsky #IDsky #Cardiosky #Medsky #Critcaresky
www.empillsblog.com/il-dolore-ne...
#EMIMCC #Pulmsky #POCUSky #Medsky #Cardiosky #Critcaresky
Fluid perils part1 & part2
www.pulmccm.org/p/primer-per...
www.pulmccm.org/p/primer-per...
Actual use for AI ⬇️
#MedSky #AnSky #CritCareSky
Dr Rola and Haycock on APRV paper
'Zou et al. Physiologic APRV-TCAV Study: Our Thoughts'
#pulmsky #critcaresky #emimcc
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vimeo.com/1061864674
'The probability of mortality benefit with NMB (neuromuscular blocker) increased substantially with higher baseline Ers' (respiratory system elastance)
#pulmsky #critcaresky
how can an intracranial hemorrhage risk #ich be 'transferred' to another person via blood transfusion #prbc ?
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per dr todd rice
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#neurosky #neurology #stroke #critcaresky
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jamanetwork.com/journals/jam...
cardiac output via #pocus
#cardiosky #critcaresky #cccsky #emimcc
Packed house at our ICU delirium session on the last afternoon of #SCCM2025 - happening now in W315. Join us! #critcaresky @johndevlinpharmd.bsky.social @snigdhajain.bsky.social
Attending #SCCM2025? Join us for an entire track of fantastic #GeriCC programming on Tuesday Feb 25, beginning with a Thought Leader plenary by Terry Fulmer from the John A. Hartford Foundation! #medsky #academicsky #critcaresky #ICM #ICU @amergeriatrics.bsky.social
Rounded with a physician today who never uses paralysis in generalised tetanus. Why? The ventilators stop working when the power goes out and you might not have enough hands to bag and mask manually. ID in developing countries is wild (and sad). #idsky #tetanus #critcaresky
