Critical Concepts
@critconcepts.bsky.social
Critical care PA, FCCM, former EMT. Cohost of http://icuscenarios.com, teaches at icu101.com. #FOAMcc #FOAMed
Pinned
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
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
We chat with Keith Lamb about the nuances of nebulizer therapies.
icuscenarios.com/lightning-ro...
#medsky #emimcc
icuscenarios.com/lightning-ro...
#medsky #emimcc
Lightning rounds 59: The nuances of nebulizers, with Keith Lamb – Critical Care Scenarios
icuscenarios.com
January 14, 2026 at 10:09 PM
We chat with Keith Lamb about the nuances of nebulizer therapies.
icuscenarios.com/lightning-ro...
#medsky #emimcc
icuscenarios.com/lightning-ro...
#medsky #emimcc
Episode 97: Managing ICP crisis – Critical Care Scenarios
icuscenarios.com
January 8, 2026 at 2:57 PM
Reposted by Critical Concepts
January 2, 2026 at 4:41 PM
Gastric bypass can cause steatosis and severe hyperammonemia. So can rituximab. Your joint effusion patient may have ureaplasma. Did you know all this? Prem teaches us all in the latest episode icuscenarios.com/episode-96-u...
#medsky #emimcc
#medsky #emimcc
Episode 96: Understanding ammonia, with Prem Kandiah – Critical Care Scenarios
icuscenarios.com
December 26, 2025 at 4:49 PM
Gastric bypass can cause steatosis and severe hyperammonemia. So can rituximab. Your joint effusion patient may have ureaplasma. Did you know all this? Prem teaches us all in the latest episode icuscenarios.com/episode-96-u...
#medsky #emimcc
#medsky #emimcc
One interesting lesson I learned as a parent: don't constantly praise your kid. It not only cheapens the words, it conveys a message of judgment and emphasis on success—I am the arbiter of worth and I deem your efforts worthy.
December 14, 2025 at 2:31 AM
One interesting lesson I learned as a parent: don't constantly praise your kid. It not only cheapens the words, it conveys a message of judgment and emphasis on success—I am the arbiter of worth and I deem your efforts worthy.
Clint Leonard gives us the scoop on the odd, sweaty place that is the burn ICU. icuscenarios.com/lightning-ro... #medsky #emimcc
Lightning rounds 57: Burn critical care with Clint Leonard – Critical Care Scenarios
icuscenarios.com
November 13, 2025 at 2:34 AM
Clint Leonard gives us the scoop on the odd, sweaty place that is the burn ICU. icuscenarios.com/lightning-ro... #medsky #emimcc
Reposted by Critical Concepts
We dive into the subtle art of placing, understanding, and interpreting the PA (Swan Ganz) catheter, on a new lesson at icu101.com.
#emimcc #medsky
#emimcc #medsky
November 10, 2025 at 8:12 PM
We dive into the subtle art of placing, understanding, and interpreting the PA (Swan Ganz) catheter, on a new lesson at icu101.com.
#emimcc #medsky
#emimcc #medsky
No more PSV trials! RSBI is not a weaning parameter! Respiratory muscle fatigue is a myth! And more hot takes from the great Martin Tobin, this week on the show.
icuscenarios.com/episode-95-s...
#medsky #emimcc #intensivecare
icuscenarios.com/episode-95-s...
#medsky #emimcc #intensivecare
Episode 95: Spontaneous breathing trials with Martin Tobin – Critical Care Scenarios
icuscenarios.com
October 29, 2025 at 3:47 PM
No more PSV trials! RSBI is not a weaning parameter! Respiratory muscle fatigue is a myth! And more hot takes from the great Martin Tobin, this week on the show.
icuscenarios.com/episode-95-s...
#medsky #emimcc #intensivecare
icuscenarios.com/episode-95-s...
#medsky #emimcc #intensivecare
Connecticut humans (also a remote option): I will be speaking at the Bridgeport Hospital CME conference on November 8 with a deep dive into shock. Check it out if interested!
e.givesmart.com/events/KFO/
#emimcc #medsky
e.givesmart.com/events/KFO/
#emimcc #medsky
There and Back Again
Help Bridgeport Hospital spread the word about BH CME Conference!
e.givesmart.com
October 16, 2025 at 10:52 PM
Connecticut humans (also a remote option): I will be speaking at the Bridgeport Hospital CME conference on November 8 with a deep dive into shock. Check it out if interested!
e.givesmart.com/events/KFO/
#emimcc #medsky
e.givesmart.com/events/KFO/
#emimcc #medsky
The great Tom Bleck shares his insights on treating seizures. Which benzo? When do you load an ASM, and which one? What drug to intubate, which drip? What's the ketamine deal? And more.
icuscenarios.com/episode-94-m...
#medsky #emimcc
icuscenarios.com/episode-94-m...
#medsky #emimcc
Episode 94: Mastering seizure pharmacology with Tom Bleck – Critical Care Scenarios
icuscenarios.com
October 15, 2025 at 3:17 PM
The great Tom Bleck shares his insights on treating seizures. Which benzo? When do you load an ASM, and which one? What drug to intubate, which drip? What's the ketamine deal? And more.
icuscenarios.com/episode-94-m...
#medsky #emimcc
icuscenarios.com/episode-94-m...
#medsky #emimcc
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
icuscenarios.com/episode-93-f...
#medsky #emimcc
Episode 93: Fluid in sepsis and the FloPatch, with Jon-Emile Kenny – Critical Care Scenarios
icuscenarios.com
October 1, 2025 at 1:26 PM
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
icuscenarios.com/episode-93-f...
#medsky #emimcc
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
icuscenarios.com/episode-92-p...
#emimcc #medsky
Episode 92: PRIS and propylene glycol toxicity, with Jerry Snow – Critical Care Scenarios
icuscenarios.com
September 17, 2025 at 7:07 PM
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
icuscenarios.com/episode-92-p...
#emimcc #medsky
We demo a simulated goals of care conversation on this week's episode at icuscenarios.com/episode-91-a...
#medsky #emimcc
#medsky #emimcc
Episode 91: A simulated goals of care conversation – Critical Care Scenarios
icuscenarios.com
September 8, 2025 at 12:31 AM
We demo a simulated goals of care conversation on this week's episode at icuscenarios.com/episode-91-a...
#medsky #emimcc
#medsky #emimcc
How does a town get a cervical collar named after it
August 21, 2025 at 12:48 PM
How does a town get a cervical collar named after it
Reposted by Critical Concepts
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
#emimcc #medsky #pharmsky
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
August 20, 2025 at 9:35 PM
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
#emimcc #medsky
ACCRAC Podcast
Anesthesia and Critical Care Reviews and Commentary
accrac.com
August 20, 2025 at 8:03 PM
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
#emimcc #medsky
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
August 20, 2025 at 12:04 PM
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...
Reposted by Critical Concepts
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
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
August 11, 2025 at 5:17 PM
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
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
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
icuscenarios.com/lightning-ro...
#medsky #emimcc
Lightning rounds 56: The CHEST Critical Care APP cert, with Leeah Sloan – Critical Care Scenarios
icuscenarios.com
August 6, 2025 at 5:12 PM
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
icuscenarios.com/lightning-ro...
#medsky #emimcc
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
#medsky
August 4, 2025 at 12:48 PM
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
#medsky
Reposted by Critical Concepts
From our new lesson in the SICU program: Abdominal emergencies and damage control surgery
Available at icu101.com
#medsky #emimcc
Available at icu101.com
#medsky #emimcc
July 28, 2025 at 7:02 PM
From our new lesson in the SICU program: Abdominal emergencies and damage control surgery
Available at icu101.com
#medsky #emimcc
Available at icu101.com
#medsky #emimcc