@IM_Crit_
@imcrit.bsky.social
Intensivist I Internal Medicine | ☕️, 🍩, 🥐, 🍫 addict |
#emimcc
#emimcc
I use the same phrase which by the way was used back in 1960s by the Supreme Court Justice Potter Stewart to describe how he defined pornography
January 18, 2026 at 8:49 PM
I use the same phrase which by the way was used back in 1960s by the Supreme Court Justice Potter Stewart to describe how he defined pornography
Next step?
1. Change pip/tazo to meropenem
2. Add iv immunoglobulin
3. Swab ulcer for Grain stain/culture
4. Call Surgery
1. Change pip/tazo to meropenem
2. Add iv immunoglobulin
3. Swab ulcer for Grain stain/culture
4. Call Surgery
January 18, 2026 at 5:55 PM
Next step?
1. Change pip/tazo to meropenem
2. Add iv immunoglobulin
3. Swab ulcer for Grain stain/culture
4. Call Surgery
1. Change pip/tazo to meropenem
2. Add iv immunoglobulin
3. Swab ulcer for Grain stain/culture
4. Call Surgery
Labs: WBC 21k (90% polys), Hb 18 g/dl, PLT 160k, BUN/creat 30/2.1, Na 132, K 5.1, CRP 19 mg/dl. L foot x-ray: diffuse edema without bone changes. Blood cultures sent. In the ED, she received 2L NS bolus & was started on piperacillin-tazobactam, vancomycin, and clindamycin
January 18, 2026 at 5:55 PM
Labs: WBC 21k (90% polys), Hb 18 g/dl, PLT 160k, BUN/creat 30/2.1, Na 132, K 5.1, CRP 19 mg/dl. L foot x-ray: diffuse edema without bone changes. Blood cultures sent. In the ED, she received 2L NS bolus & was started on piperacillin-tazobactam, vancomycin, and clindamycin
I hear you... If it's tough for me to sit down with family in the ICU and see what the next step should be, I cannot imagine how difficult it is for my ED colleagues
January 18, 2026 at 2:13 AM
I hear you... If it's tough for me to sit down with family in the ICU and see what the next step should be, I cannot imagine how difficult it is for my ED colleagues
When the family asks you to intubate, you have no option...
January 18, 2026 at 1:15 AM
When the family asks you to intubate, you have no option...
The patient was admitted to the ICU & suffered a PEA arrest a few min after ICU arrival. Underwent CPR / intubation; ROSC achieved after 8 min. Remained in the ICU for over 10 days, required continuous renal replacement therapy due to AKI, & subsequently passed away...
January 17, 2026 at 7:47 PM
The patient was admitted to the ICU & suffered a PEA arrest a few min after ICU arrival. Underwent CPR / intubation; ROSC achieved after 8 min. Remained in the ICU for over 10 days, required continuous renal replacement therapy due to AKI, & subsequently passed away...
What do you think that happened next?
Family agreed w patient's wishes
Patient recovered from dementia
Dr "Robby" stepped in
Other ideas?
* Dr "Robby" (if you don't know him):
Family agreed w patient's wishes
Patient recovered from dementia
Dr "Robby" stepped in
Other ideas?
* Dr "Robby" (if you don't know him):
January 17, 2026 at 7:47 PM
What do you think that happened next?
Family agreed w patient's wishes
Patient recovered from dementia
Dr "Robby" stepped in
Other ideas?
* Dr "Robby" (if you don't know him):
Family agreed w patient's wishes
Patient recovered from dementia
Dr "Robby" stepped in
Other ideas?
* Dr "Robby" (if you don't know him):