@IM_Crit_
@imcrit.bsky.social
Intensivist I Internal Medicine | ☕️, 🍩, 🥐, 🍫 addict |
#emimcc
#emimcc
Reposted by @IM_Crit_
The recent NEJM study found cardiovascular collapse was more common with ketamine than etomidate after rapid sequence intubation, especially with the high ketamine doses used. Should we be more cautious about the hemodynamic effects of ketamine/propofol ("ketofol") as well? 🤔
January 20, 2026 at 1:54 PM
The recent NEJM study found cardiovascular collapse was more common with ketamine than etomidate after rapid sequence intubation, especially with the high ketamine doses used. Should we be more cautious about the hemodynamic effects of ketamine/propofol ("ketofol") as well? 🤔
Reposted by @IM_Crit_
Observation Post-Epi in Anaphylaxis
-Epi 0.5 mg IM: only critical med in anaphylaxis. If A, B or C, give E
-Biphasic rxn extremely rare: 0.18% (PMID: 24239340) + can occur days out
-I typically observe X 2 hours. Key is to ensure access to epi autoinjector
youtube.com/shorts/-rL6J...
#EMIMCC
-Epi 0.5 mg IM: only critical med in anaphylaxis. If A, B or C, give E
-Biphasic rxn extremely rare: 0.18% (PMID: 24239340) + can occur days out
-I typically observe X 2 hours. Key is to ensure access to epi autoinjector
youtube.com/shorts/-rL6J...
#EMIMCC
Anaphylaxis Observation
YouTube video by EMSwami
youtube.com
January 21, 2026 at 4:41 PM
Observation Post-Epi in Anaphylaxis
-Epi 0.5 mg IM: only critical med in anaphylaxis. If A, B or C, give E
-Biphasic rxn extremely rare: 0.18% (PMID: 24239340) + can occur days out
-I typically observe X 2 hours. Key is to ensure access to epi autoinjector
youtube.com/shorts/-rL6J...
#EMIMCC
-Epi 0.5 mg IM: only critical med in anaphylaxis. If A, B or C, give E
-Biphasic rxn extremely rare: 0.18% (PMID: 24239340) + can occur days out
-I typically observe X 2 hours. Key is to ensure access to epi autoinjector
youtube.com/shorts/-rL6J...
#EMIMCC
I love ESICM but no more SOFAs, please:
January 20, 2026 at 2:06 PM
I love ESICM but no more SOFAs, please:
The recent NEJM study found cardiovascular collapse was more common with ketamine than etomidate after rapid sequence intubation, especially with the high ketamine doses used. Should we be more cautious about the hemodynamic effects of ketamine/propofol ("ketofol") as well? 🤔
January 20, 2026 at 1:54 PM
The recent NEJM study found cardiovascular collapse was more common with ketamine than etomidate after rapid sequence intubation, especially with the high ketamine doses used. Should we be more cautious about the hemodynamic effects of ketamine/propofol ("ketofol") as well? 🤔
ICU/ID Board Review:
70 yo ♀ w DM2, HTN, & obesity transferred from ED to the ICU. Presented w 8 h of weakness, L leg pain & edema. Vitals: BP 110/47, HR 105, RR 22. Exam: 1 cm plantar ulcer under 2nd metatarsal, dusky skin up to mid-calf, diffuse tenderness, ? crepitus
70 yo ♀ w DM2, HTN, & obesity transferred from ED to the ICU. Presented w 8 h of weakness, L leg pain & edema. Vitals: BP 110/47, HR 105, RR 22. Exam: 1 cm plantar ulcer under 2nd metatarsal, dusky skin up to mid-calf, diffuse tenderness, ? crepitus
January 18, 2026 at 5:55 PM
ICU/ID Board Review:
70 yo ♀ w DM2, HTN, & obesity transferred from ED to the ICU. Presented w 8 h of weakness, L leg pain & edema. Vitals: BP 110/47, HR 105, RR 22. Exam: 1 cm plantar ulcer under 2nd metatarsal, dusky skin up to mid-calf, diffuse tenderness, ? crepitus
70 yo ♀ w DM2, HTN, & obesity transferred from ED to the ICU. Presented w 8 h of weakness, L leg pain & edema. Vitals: BP 110/47, HR 105, RR 22. Exam: 1 cm plantar ulcer under 2nd metatarsal, dusky skin up to mid-calf, diffuse tenderness, ? crepitus
ED/ICU Stories in 🇺🇸:
Please read this story:
Please read this story:
January 17, 2026 at 7:47 PM
ED/ICU Stories in 🇺🇸:
Please read this story:
Please read this story:
Reposted by @IM_Crit_
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
Merry Christmas to all those celebrating!
December 25, 2025 at 2:33 PM
Merry Christmas to all those celebrating!
Reposted by @IM_Crit_
Holiday gift for ya: the IBCC chatbot app 😁
Free AI chatbot searches IBCC contents
Answers seem pretty good & it links to relevent chapters for additional info
Works as an Ebook index on steroids
Created by emergency med folks at Columbia (credit to Joshua Farber & David Fisher) #EMIMCC
Free AI chatbot searches IBCC contents
Answers seem pretty good & it links to relevent chapters for additional info
Works as an Ebook index on steroids
Created by emergency med folks at Columbia (credit to Joshua Farber & David Fisher) #EMIMCC
December 24, 2025 at 2:52 PM
Holiday gift for ya: the IBCC chatbot app 😁
Free AI chatbot searches IBCC contents
Answers seem pretty good & it links to relevent chapters for additional info
Works as an Ebook index on steroids
Created by emergency med folks at Columbia (credit to Joshua Farber & David Fisher) #EMIMCC
Free AI chatbot searches IBCC contents
Answers seem pretty good & it links to relevent chapters for additional info
Works as an Ebook index on steroids
Created by emergency med folks at Columbia (credit to Joshua Farber & David Fisher) #EMIMCC
Christmas is just around the corner (👏 to the creator of this 👇)
December 24, 2025 at 3:29 AM
Christmas is just around the corner (👏 to the creator of this 👇)
Reposted by @IM_Crit_
Scalpel-Finger-Bougie Cric
-Large, midline vertical incision
-Palpate cricothyroid membrane w/ finger of nondominant hand
-Scalpel through membrane, drag laterally, flip and drag laterally
-Scalpel out, finger in
-Bougie in guided by finger
-6-0 ETT over bougie
youtube.com/shorts/jB3vq...
#EMIMCC
-Large, midline vertical incision
-Palpate cricothyroid membrane w/ finger of nondominant hand
-Scalpel through membrane, drag laterally, flip and drag laterally
-Scalpel out, finger in
-Bougie in guided by finger
-6-0 ETT over bougie
youtube.com/shorts/jB3vq...
#EMIMCC
Deliberate Practice: Cric #criticalcare #emergencymedicine #airway
YouTube video by EMSwami
youtube.com
December 22, 2025 at 2:32 PM
Scalpel-Finger-Bougie Cric
-Large, midline vertical incision
-Palpate cricothyroid membrane w/ finger of nondominant hand
-Scalpel through membrane, drag laterally, flip and drag laterally
-Scalpel out, finger in
-Bougie in guided by finger
-6-0 ETT over bougie
youtube.com/shorts/jB3vq...
#EMIMCC
-Large, midline vertical incision
-Palpate cricothyroid membrane w/ finger of nondominant hand
-Scalpel through membrane, drag laterally, flip and drag laterally
-Scalpel out, finger in
-Bougie in guided by finger
-6-0 ETT over bougie
youtube.com/shorts/jB3vq...
#EMIMCC
I am quite sure that this type of aggressive marketing will not be effective in my case…
December 22, 2025 at 2:13 AM
I am quite sure that this type of aggressive marketing will not be effective in my case…
Given the expanding range of conditions for which Ozempic and Wegovy are being investigated (from obesity to dementia), has anybody evaluated them for the treatment of sepsis?
#MedSky
#MedSky
December 21, 2025 at 3:57 PM
Given the expanding range of conditions for which Ozempic and Wegovy are being investigated (from obesity to dementia), has anybody evaluated them for the treatment of sepsis?
#MedSky
#MedSky
