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Critical Concepts

@critconcepts.bsky.social

2.5K followers 1.8K following 210 posts

Critical care PA, FCCM, former EMT. Cohost of http://icuscenarios.com, teaches at icu101.com. #FOAMcc #FOAMed

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Critical Concepts @critconcepts.bsky.social · Nov 17

ORESTES: Set me back upright, swivel me round—there’s no pleasing the sick! I hate being helpless

ELEKTRA: Do you want to try putting your feet on the ground? It's been so long. But change is sweet

O: Yes by all means. That will seem like good health.

Sophocles on ICU mobility

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Critical Concepts @critconcepts.bsky.social · 8d

buddy I am with you x.com/critconcepts...

I had two minds to write a letter to the editor on the obvious physiologic error, but ran out of motivation

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Critical Concepts @critconcepts.bsky.social · 10d

This week on the podcast, Jon-Emile Kenny on fluid resuscitation and his wireless doppler device for predicting responsiveness

icuscenarios.com/episode-93-f...

#medsky #emimcc

Episode 93: Fluid in sepsis and the FloPatch, with Jon-Emile Kenny – Critical Care Scenarios

icuscenarios.com

Critical Concepts @critconcepts.bsky.social · 16d

Prophylaxis is growing on me. Nothing worse than withdrawal developing in someone admitted to the ICU for another reason

Critical Concepts @critconcepts.bsky.social · 24d

We explore the rare but scary phenomena of propofol infusion syndrome (PRIS) and propylene glycol toxicity, with our favorite toxicologist Jerry Snow.

icuscenarios.com/episode-92-p...

#emimcc #medsky

Episode 92: PRIS and propylene glycol toxicity, with Jerry Snow – Critical Care Scenarios

icuscenarios.com

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Critical Concepts @critconcepts.bsky.social · Sep 10

Because like all peripherals, they can fail

Critical Concepts @critconcepts.bsky.social · Sep 8

We demo a simulated goals of care conversation on this week's episode at icuscenarios.com/episode-91-a...

#medsky #emimcc

Episode 91: A simulated goals of care conversation – Critical Care Scenarios

icuscenarios.com

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Critical Concepts @critconcepts.bsky.social · Sep 3

But like amio, I think many times, after a day or two the need has passed. Much of our RVR is transient

Critical Concepts @critconcepts.bsky.social · Sep 3

same as amio

hard to hurt anyone with a dose or two

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Critical Concepts @critconcepts.bsky.social · Sep 1

Agree somewhat, but should acknowledge the dosing issue, as these folks were on a high dose range. Not sure if it’s generalizable to a low dose strategy.

Critical Concepts @critconcepts.bsky.social · Sep 1

My mind became a little more open when I rechristened this method as “asking someone to Google it for you,” which is more or less what I would have done otherwise, and I already understand the pros and cons of that well.

Critical Concepts @critconcepts.bsky.social · Sep 1

Subdissociative dosing at most for pain. Stay way out of a partial dissociation range

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Critical Concepts @critconcepts.bsky.social · Aug 21

How does a town get a cervical collar named after it

Reposted by Critical Concepts

Sara J. Hyland PharmD @sarajpharmd.bsky.social · Aug 20

Had a great time chatting with you guys about residual NMB and reversal strategies in the ICU! Thanks so much for the conversation and for highlighting this topic.

#emimcc #medsky #pharmsky

Critical Concepts @critconcepts.bsky.social · Aug 20

The great @sarajpharmd.bsky.social tells us how to use sugammadex in the ICU, why we should, and how many of our patients may have occult residual paralysis. #medsky #emimcc icuscenarios.com/episode-90-s...

Episode 90: Sugammadex in the ICU – Critical Care Scenarios

icuscenarios.com

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Critical Concepts @critconcepts.bsky.social · Aug 20

I am both

I guess it would make sense for the two systems to behave similarly, but I could just as easily see the opposite being true

Critical Concepts @critconcepts.bsky.social · Aug 20

But what of the venous side?

Critical Concepts @critconcepts.bsky.social · Aug 20

I joined the ACCRAC podcast to discuss one of my favorite topics: physiologic methods to determine the best PEEP. Check it out if you're into that! accrac.com/episode-314-...

#emimcc #medsky

ACCRAC Podcast

Anesthesia and Critical Care Reviews and Commentary

accrac.com

Critical Concepts @critconcepts.bsky.social · Aug 20

#medsky peoples: alpha agonists cause more venoconstriction than vasopressin. Agree/disagree?

#emimcc

Critical Concepts @critconcepts.bsky.social · Aug 20

Episode 90: Sugammadex in the ICU – Critical Care Scenarios

icuscenarios.com

Critical Concepts @critconcepts.bsky.social · Aug 19

Then you gotta hold it like a mountain climber until the wire’s in

Reposted by Critical Concepts

josh farkas 💊 @pulmcrit.bsky.social · Aug 11

epic case 🤯

man trying to eat a better diet asks ChatGPT how to eliminate chloride, it advises him to use *bromide* instead

he buys NaBromide from the internet

develops bromism (with psychosis)

key diagnostic clue = negative anion gap!

(more on low anion gap emcrit.org/ibcc/agma/#l...) #EMIMCC

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Critical Concepts @critconcepts.bsky.social · Aug 6

This week on the show, Leeah Sloan gives us the straight scoop on the new CHEST critical care APP certification program.

icuscenarios.com/lightning-ro...

#medsky #emimcc

Lightning rounds 56: The CHEST Critical Care APP cert, with Leeah Sloan – Critical Care Scenarios

icuscenarios.com

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Critical Concepts @critconcepts.bsky.social · Aug 4

I need one of those graphic T shirts Facebook keeps trying to sell me with an image of a grizzly doing curls. Caption: “Weight bear”

#medsky

Critical Concepts @critconcepts.bsky.social · Aug 3

Interesting. Thanks!

Critical Concepts @critconcepts.bsky.social · Aug 3

For pancreatitis?

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Reposted by Critical Concepts

Intensive Care Academy @icacademy.bsky.social · Aug 3

Looking to subscribe to the Academy? To celebrate our 1-year anniversary, we're running a sale for the month of August: use the code AUG25 for 20% off all new subscriptions. Check it out!

#medsky #emimcc

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