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a pine tree branch with a pinecone in the centre wrapped in tissue with Lianne written on it.

a pine tree branch with a pinecone in the centre wrapped in tissue with Lianne written on it.

I left this momento in the labyrinth at Crieff Hills today to honour Lee's spirit. #spirit #ICU #deathtolife #Christ #nature

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I don't know if any of the #Physician members of #Congress still practice #clinically after they were elected (I know Dr. Maxine Dexter was working #ICU shifts pretty much until day she got seated), but the Democratic (i.e, still under 65) members do still do provide useful #medical services

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Still thinking about it? Your CME credits are waiting! Cutting-edge science combined with real-world ICU experience to help you deliver better care with stronger outcomes.

Register: mechanicalventilation.ca
Program: mechanicalventilation.ca#schedule
#MVCourse2026 #ICU #CriticalCare #MedEd #mechvent

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๐ŸŒ #EuroBrazil2026 brings Europe & Brazil together for 2 days of real-world ICU learning in Sรฃo Paulo. Shock, ARDS, sepsis, neuro, AKI & more โ€” plus interactive cases & expert debates.

๐Ÿ“… 9โ€“11 April 2026
๐Ÿ”— Register: www.esicm.org/events/euro-...

#ESICM #EuroBrazil #ESICMAMIB #IntensiveCare #ICU

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#icu #hospital #peekaboo #comedy

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Euro-China Forum - ESICM Join us in Xiโ€™An on 29โ€“30 May 2026 for the 3rd edition of the Euro China Forum, where ESICM and CSCCM unite global leaders in intensive care for an exceptional, high-impact event.

๐ŸŒ ESICM heads to Xi'an for the #EuroChinaForum 2026 in partnership with the Chinese Society of Critical Care Medicine (CSCCM). Join us for two days of knowledge-sharing and cutting-edge discussions on intensive care with global experts!

๐Ÿ“… ๐Ÿฎ๐Ÿตโ€“๐Ÿฏ๐Ÿฌ ๐— ๐—ฎ๐˜† ๐Ÿฎ๐Ÿฌ๐Ÿฎ๐Ÿฒ

๐Ÿ”— www.esicm.org/events/euro-...

#ESICM #ICU

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ICU bypass alerts spark questions over hospital pressure in Prince Albert


#bypass #DerekMiller #health #HospitalCapacity #ICU #JeremyCockrill #JohnAsh #MearaConway #NorthBattleford #PADailyHerald #PrinceAlbert #PrinceAlbert #SaskatchewanHealthAuthority #Saskatoon #
https://paherald.sk.ca/?p=224911

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To celebrate Easter, weโ€™re launching a special one-time offer of 50% off selected items in the FICM shop.

Donโ€™t miss out - visit the shop to take advantage of this limited-time discount.

shop.ficm.ac.uk/index.php?pa...

#CriticalCare #MedicalEducation #ICU #FICM

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๐Ÿ‘‰ Quick guides. Summary tables. Clear recommendations. The 2026 #SurvivingSepsis guidelines are designed to help you act fast at the bedside.

๐Ÿ”นAdult ๐Ÿ‘‰ doi.org/10.1007/s001...
๐Ÿ”นPaediatric ๐Ÿ‘‰ doi.org/10.1007/s001...

๐Ÿ”— www.esicm.org/resources/se...

#sepsisguidelines #sepsis #ICU #IntensiveCare

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Second Victim Experiences Among ICU Nurses: Findings From a Mixedโ€Methods Study Background Adverse events are common in intensive care units (ICUs), and nurses involved may experience the second victim phenomenon (SVP), which includes a range of physical and psychological sympt.....

Our latest article which deals with a very relevant and worrying topic for the context of #nursing in the #ICU :
โœ…Second Victim Experiences Among ICU Nurses: Findings From a Mixedโ€Methods Study - Kappes - 2026 - Nursing Forum - Wiley Online Library onlinelibrary.wiley.com/doi/10.1155/...

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SeaStar Medical Showcases New Positive Data from the QUELIMMUNE SAVE Registry and an Analysis of the Unique Immunomodulatory Mechanism of the SCD Therapy at AKI & CRRT 2026 Results from pediatric patients in the SAVE Registry shows no device-related adverse events or immunosuppression and continued strong survival data In vitro analysis of the SeaStar Medical SCD indicates modulation of the immune response, shifting monocytes towards an anti-inflammatory, reparative

#ICU SeaStar Medical Showcases New Positive Data from the QUELIMMUNE SAVE Registry and an Analysis of the Unique Immunomodulatory Mechanism of the SCD Therapy at AKI & CRRT 2026

www.stocktitan.net/news/ICU/sea-star-medica...

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๐Ÿ“ฃ The ๐Ÿฎ๐Ÿฌ๐Ÿฎ๐Ÿฒ ๐—ฆ๐˜‚๐—ฟ๐˜ƒ๐—ถ๐˜ƒ๐—ถ๐—ป๐—ด ๐—ฆ๐—ฒ๐—ฝ๐˜€๐—ถ๐˜€ ๐—–๐—ฎ๐—บ๐—ฝ๐—ฎ๐—ถ๐—ด๐—ป ๐—ด๐˜‚๐—ถ๐—ฑ๐—ฒ๐—น๐—ถ๐—ป๐—ฒ๐˜€ ๐—ณ๐—ผ๐—ฟ ๐—ฎ๐—ฑ๐˜‚๐—น๐˜๐˜€ & ๐—ฐ๐—ต๐—ถ๐—น๐—ฑ๐—ฟ๐—ฒ๐—ป ๐—ฎ๐—ฟ๐—ฒ ๐—ผ๐˜‚๐˜. Evidence-based & bedside-ready.

โœ”๏ธ Adult๐Ÿ‘‰ doi.org/10.1007/s001...
โœ”๏ธ Paediatric๐Ÿ‘‰ doi.org/10.1007/s001...

๐Ÿ”— www.esicm.org/resources/se...

#SurvivingSepsis #sepsisguidelines #sepsis #septicshock #ICU #IntensiveCare

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this is beautiful!!
#ICU

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๐Ÿฅ ICU work is affecting life outside the hospital.

A new ESICM-endorsed study shows 60% of non-parents say it influenced their decision to have children โ€” and 43% received no workplace support.

๐Ÿ“– ๐Ÿ‘‰ link.springer.com/article/10.1...

#ESICM #ICU #DiversityAndInclusion

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Fig. 2. Number of respondents per country. Darker shades (more answers) for Western than Eastern Europe.

Fig. 2. Number of respondents per country. Darker shades (more answers) for Western than Eastern Europe.

Physiotherapists treating invasively mechanically ventilated patients (n = 740): 84% are treating them for both early rehab and respiratory management

Physiotherapists treating invasively mechanically ventilated patients (n = 740): 84% are treating them for both early rehab and respiratory management

Our PEAiCE study (845 respondents, 33 countries) maps #ICU #physiotherapy across Europe:

Wide variability, but the good news? The majority is treating mechanically ventilated patients for #ICUrehab and respiratory management ๐Ÿ’ช๐Ÿซ๐Ÿง 

www.sciencedirect.com/science/arti...

@agilewko.bsky.social

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LAST CHANCE to grab an in-person spot!

Only a few in-person spots are left! Canโ€™t make it to Toronto? Join virtually and earn CME credits!

Register: mechanicalventilation.ca
Program: mechanicalventilation.ca#schedule
#MVCourse2026 #ICU #CriticalCare #MedEd #mechvent

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SeaStar Medical Reports Fourth Quarter and Full Year 2025 Financial Results and Provides Business Updates SeaStar Medical (Nasdaq: ICU) reported 2025 results and program milestones on March 25, 2026. Net revenue rose to approximately $1.2M (2025) from $135K (2024); net loss narrowed to ~$12.2M. The company completed the SAVE pediatric registry, exceeded 50% enrollment in NEUTRALIZE-AKI (181/339), and began a cardio-renal trial.Cash improved to $12.0M at year-end; management plans modular PMA submissions and anticipates ~$2M in 2026 product revenue with expanded pediatric adoption.

#ICU SeaStar Medical Reports Fourth Quarter and Full Year 2025 Financial Results and Provides Business Updates

www.stocktitan.net/news/ICU/sea-star-medica...

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Only 18 days of Early Bird left! #SOA26

๐Ÿ’กICS members: Early Bird is additional to the reduced member rate, the best price on your tickets.

โœจNon-members also save significantly by booking before the deadline!

Secure your place: ow.ly/gsBW50YyuGk

#IntensiveCare #CriticalCare #ICU #ICS #Congress

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Clinical criteria for the definition of refractory septic shock: a joint Delphi consensus from the Society of Critical Care Medicine (SCCM) and European Society of Intensive Care Medicine (ESICM) - Intensive Care Medicine Objective A definition of refractory septic shock is necessary to guide diagnosis, management, prognostication, research, and future guidelines for this most severe form of the disease. We sought to achieve consensus on clinical criteria that would be used to define refractory septic shock. Design Review of literature, expert panel position statements, and Delphi rounds with an international expert group. Setting Consensus was defined as having at least 75% of panellists in agreement or disagreement on the three highest or lowest levels of a 7-point Likert scale or based on responses to single- or multiple-choice questions, respectively. Subjects A panel of multinational, multiprofessional, and multidisciplinary critical care experts assembled by the Society of Critical Care Medicine and the European Society of Intensive Care Medicine (57 invitations and 56 participants). Measurements and main results A five-round Delphi process was conducted for consensus and stability. The steering committee proposed 34 statements, and five of them were rejected by panel experts after round 2. Among 29 statements selected from eight domains, consensus was reached for 13. The panel agreed on the need for a comprehensive consensus set of clinical criteria for refractory septic shock. Markers of organ dysfunction (75%, 2 rounds), tissue perfusion (91.1%, 2 rounds) including lactate (94.6%, 2 rounds) and capillary refill time (76.8%, 2 rounds), assessment of fluid responsiveness after initial resuscitation (92.9%, 5 rounds), and use of vasoactive drugs at norepinephrine equivalents greater than 0.5 ยตg/kg/min (75.0%, 3 rounds) were selected as clinical criteria of refractory septic shock. The use of critical care ultrasound (CCUS) (92.9%, 3 rounds) was the single diagnostic modality that reached a consensus-based agreement. Conclusions A consensus for 13 criteria to frame the definition of refractory septic shock was reached. Refractory septic shock is characterised by persistently elevated lactate concentrations and or prolonged capillary refill time in patients with septic shock who are fluid unresponsive, require a norepinephrine base equivalent dose greater than 0.5 ยตg per kilogram per minute, and undergo CCUS assessment when mixed shock is suspected.

๐Ÿšจ Refractory septic shock finally has a definition. 56 international ESICM & SCCM experts agreed on structured clinical criteria โ€” a landmark step for intensive care.

๐Ÿ“– Read the full article ๐Ÿ‘‰ link.springer.com/article/10.1...

โž• info๐Ÿ‘‰ www.esicm.org/clinical-cri...

#ESICM #Sepsis #SepticShock #ICU

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Your ears are just as important as your hands
Left-sided failure means fluid backs up into the lungsโ€”listen for crackles and new murmurs. Forget the "displaced apex" myth; it's often a distraction. If theyโ€™re gasping for air, treat the failure and use POCUS for the real picture. #ICU #MedEd #Cardio

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TIL that the ascii_folding token filter in #elasticsearch handle a lot more than just ASCII ๐Ÿ˜ณ

I will continue to use icu_folding, anyway! ๐Ÿ˜œ

Look at the code: github.com/apache/lucen...

#lucene #java #icu

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Donโ€™t let a "dry" patient fool you!
Euvolemic cardiogenic shock is a "dry & cold" trap. In acute hits like a massive MI, the cardiac index drops and SVR is sky-high, but there hasn't been time for fluid backup. Clear lungs don't rule out heart failure! #ICU #MedEd #CardiogenicShock

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Close-up of JAMA journals with "jama.com JAMA Research Opinion Viewpoint" text, "Tumor Debulking in Metastatic Colorectal Cancer, Physical... JAMA Editors' Summary", and a play button.

Close-up of JAMA journals with "jama.com JAMA Research Opinion Viewpoint" text, "Tumor Debulking in Metastatic Colorectal Cancer, Physical... JAMA Editors' Summary", and a play button.

In under 10 minutes, JAMA Deputy Editors Linda Brubaker, MD, and Preeti Malani, MD, MSJ, discuss the latest science published in JAMA:

โžก๏ธ #Tumor Debulking in Metastatic #ColorectalCancer,
โžก๏ธ Physical Restraints in the #ICU, and more

Listen now: ja.ma/4boALCy

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Making sense of the oxygen alphabet soup
ScvO2 (central) is our go-to via a standard lineโ€”itโ€™s a reliable trend of oxygen delivery. SvO2 (mixed) is more "complete" but requires a Swan-Ganz. If ScvO2 drops, your pump is failing or consumption is too high. #ICU #MedEd #CardiogenicShock

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Speaker Spotlight!
Matias Madorno, Glauco Marinho Plens, and Luca Menga will be speaking at this CME-accredited course.

Program: mechanicalventilation.ca#schedule
Register: mechanicalventilation.ca
#MVCourse2026 #ICU #CriticalCare #MedEd #mechvent

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Mental Health Needs of Families of Patients in Intensive Care Units and the Role of Mobile Health: Survey Study Background: The experiences of patients with #covid19 and their families manifested the most devastating effects of family separation since the 1918 Spanish influenza pandemic and, with it, a call for solutions to patient isolation and its effect on family mental health. Objective: This study examined the recent experiences of families of critical care (intensive care unit; ICU) patients related to anxiety and depression (AD), satisfaction with clinician-family communication, and counseling from mental health and social services. This study explored correlations between these factors and family interest in mobile health (mHealth) designed to improve information flow and communication from patient bedside to remote families. Methods: Using a 36-question quantitative survey, we collected 97 responses over 6 months. We selected participants by using a convenience sampling strategy. To analyze data, we applied descriptive and inferential statistics. Participants represented a spectrum of ages, relationships to patients, and races (n=78, 80% White; n=17, 18% Black; n=2, 2% other races). Approximately 17% (n=16) of the patients were admitted for #Cancer, 13% (n=13) were admitted for #covid19, and 21% (n=20) were admitted for other conditions. Results: The mean score for remote familiesโ€™ satisfaction with patient health updates from the bedside and mental health services was 2.94 (SD 1.31), whereas that for phone communication was lower on average. The mean scores of family AD levels were elevated, and levels were higher among family members during the ICU stay than after discharge. These findings confirmed evidence of a negative correlation between transportation difficulties and satisfaction with the frequency of information provided (r=โˆ’0.284; P=.005), suggesting that, with the increase in transportation challenges, families become less satisfied with the frequency of patient health information. Family members expressed strong interest in using mHealth information and communication services (mean 8.34, SD 1.98) and having easy access to social workers to manage AD (mean 8.29, SD 2.03). Families experiencing higher levels of anxiety during patientsโ€™ ICU stays had significantly greater interest in the use of an mHealth app that would provide direct access to social workers (r=0.326; P

JMIR Formative Res: Mental Health Needs of Families of Patients in Intensive Care Units and the Role of Mobile Health: Survey Study #MentalHealth #ICU #COVID19 #FamilySupport #MobileHealth

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Experiencing acute genomic care: perspectives from parents in the neonatal and paediatric intensive care units towards rapid genomic sequencing - European Journal of Human Genetics European Journal of Human Genetics - Experiencing acute genomic care: perspectives from parents in the neonatal and paediatric intensive care units towards rapid genomic sequencing

The factors and context that inform parent decision-making around rGS in the #ICU are unique.
Our approach to clinical genetics consultations and genetic #counselling must be adapted to fit the context to better support families. ๐Ÿงฌ

www.nature.com/articles/s41...

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Novel score predicts candidemia risk in Candidozyma auris-colonized ICU patients The new AURIS score predicts candidemia risk in ICU patients colonized with Candida auris and outperforms the established Candida score.

#MedNews - The new AURIS score predicts candidemia risk in #ICU patients colonized with C. auris and outperforms the established Candida score.

Full story ๐Ÿ‘‰ buff.ly/4OJWEG6

#IDSky #Candidiasis

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โ€œMust-grabโ€ labs in cardiogenic shock
Standard labs aren't enough for a failing heart! Elevated LFTs signal congestive hepatopathy and right-heart failure. Use lactate as your "perfusion thermometer" and watch BNP/Troponin for myocardial stress. Don't ignore the other organs! #ICU #MedEd #Cardiogen

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Your next patientโ€ฆ
When the patient is crashing, "good enough" isn't enough! Stabilize ABCs and use BiPAP to offload the heart/lungs immediately. While peripheral pressors work in a pinch, these high-acuity cases need a central line for reliable, high-concentration access. #ICU #Shock #FOAMed

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