@tokiosunshine.bsky.social
Reposted
Today's Paper of the Day is:
Practical approach to hyponatraemia and hypernatraemia in critically ill patients
criticalcarereviews.com/latest-evide...
Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2025
Practical approach to hyponatraemia and hypernatraemia in critically ill patients
criticalcarereviews.com/latest-evide...
Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2025
May 30, 2025 at 7:25 AM
Today's Paper of the Day is:
Practical approach to hyponatraemia and hypernatraemia in critically ill patients
criticalcarereviews.com/latest-evide...
Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2025
Practical approach to hyponatraemia and hypernatraemia in critically ill patients
criticalcarereviews.com/latest-evide...
Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2025
Reposted
Useful references:
Alrashed MA, et al. Journal of Pharmacy Practice 2022; 36(4): 756-60. doi: 10.1177/08971900211061937
Spencer S, et al. Hospital Pharmacy 2018; 53(3): 157-69. doi: 10.1177/0018578718760257
Alrashed MA, et al. Journal of Pharmacy Practice 2022; 36(4): 756-60. doi: 10.1177/08971900211061937
Spencer S, et al. Hospital Pharmacy 2018; 53(3): 157-69. doi: 10.1177/0018578718760257
May 17, 2025 at 2:55 PM
Useful references:
Alrashed MA, et al. Journal of Pharmacy Practice 2022; 36(4): 756-60. doi: 10.1177/08971900211061937
Spencer S, et al. Hospital Pharmacy 2018; 53(3): 157-69. doi: 10.1177/0018578718760257
Alrashed MA, et al. Journal of Pharmacy Practice 2022; 36(4): 756-60. doi: 10.1177/08971900211061937
Spencer S, et al. Hospital Pharmacy 2018; 53(3): 157-69. doi: 10.1177/0018578718760257
Reposted
EMCrit 394 is Part 2 of Inotropes with Trina - we discuss specific scenarios:
- Cardiogenic Shock
- Right Heart Failure/Massive PE
- Sepsis Cardiomyopathy
[#FOAMed for a bit]
emcrit.org/394
- Cardiogenic Shock
- Right Heart Failure/Massive PE
- Sepsis Cardiomyopathy
[#FOAMed for a bit]
emcrit.org/394
February 8, 2025 at 12:06 AM
EMCrit 394 is Part 2 of Inotropes with Trina - we discuss specific scenarios:
- Cardiogenic Shock
- Right Heart Failure/Massive PE
- Sepsis Cardiomyopathy
[#FOAMed for a bit]
emcrit.org/394
- Cardiogenic Shock
- Right Heart Failure/Massive PE
- Sepsis Cardiomyopathy
[#FOAMed for a bit]
emcrit.org/394
Reposted
EMCrit Ghali Grills 003 - Further Disambiguating "PEA"
We dive DEEP into PEA, when to stop CPR, how to know when you have adequate perfusion after ROSC, and a bunch more!!!
[#FOAMed] @EM_RESUS
emcrit.org/esk1
We dive DEEP into PEA, when to stop CPR, how to know when you have adequate perfusion after ROSC, and a bunch more!!!
[#FOAMed] @EM_RESUS
emcrit.org/esk1
EMCrit Ghali Grills 003 - Further Disambiguating "PEA"
We dive DEEP into PEA, when to stop CPR, how to know when you have adequate perfusion after ROSC, and a bunch more!!!
emcrit.org
May 10, 2025 at 10:18 PM
EMCrit Ghali Grills 003 - Further Disambiguating "PEA"
We dive DEEP into PEA, when to stop CPR, how to know when you have adequate perfusion after ROSC, and a bunch more!!!
[#FOAMed] @EM_RESUS
emcrit.org/esk1
We dive DEEP into PEA, when to stop CPR, how to know when you have adequate perfusion after ROSC, and a bunch more!!!
[#FOAMed] @EM_RESUS
emcrit.org/esk1
Reposted
Among >90YO patients who had a cardiac arrest in ICU, this study found an in-hospital mortality of 100% (25/25)
Big difference between out-of-hospital arrest vs. in-ICU arrest
In-ICU arrest reflects failure of aggressive ICU-level medical treatments; this usually implies a poor prognosis. #EMIMCC
Big difference between out-of-hospital arrest vs. in-ICU arrest
In-ICU arrest reflects failure of aggressive ICU-level medical treatments; this usually implies a poor prognosis. #EMIMCC
#12Days #SJTREM
Our tenth day of Christmas...
Highlights the poor outcomes of cardiac arrest among the very elderly - is cardiopulmonary resuscitation justified?
Our tenth day of Christmas...
Highlights the poor outcomes of cardiac arrest among the very elderly - is cardiopulmonary resuscitation justified?
Intensive care unit cardiac arrest among very elderly critically ill patients – is cardiopulmonary resuscitation justified? - Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Introduction The proportion of very elderly patients in the intensive care unit (ICU) is expected to rise. Furthermore, patients are likely more prone to suffer a cardiac arrest (CA) event within the…
buff.ly
January 4, 2025 at 3:20 PM
Among >90YO patients who had a cardiac arrest in ICU, this study found an in-hospital mortality of 100% (25/25)
Big difference between out-of-hospital arrest vs. in-ICU arrest
In-ICU arrest reflects failure of aggressive ICU-level medical treatments; this usually implies a poor prognosis. #EMIMCC
Big difference between out-of-hospital arrest vs. in-ICU arrest
In-ICU arrest reflects failure of aggressive ICU-level medical treatments; this usually implies a poor prognosis. #EMIMCC
Reposted
AVP
December 29, 2024 at 4:03 AM
AVP
Reposted
Do you have a protocol at your shop to guide management of cardiogenic shock patients? Consider taking a good look at this one. 🎩 tip to the authors.
eddyjoemd.com/foamed/
eddyjoemd.com/foamed/
December 26, 2024 at 10:16 AM
Do you have a protocol at your shop to guide management of cardiogenic shock patients? Consider taking a good look at this one. 🎩 tip to the authors.
eddyjoemd.com/foamed/
eddyjoemd.com/foamed/
Reposted
What if love was as certain an aspect of the human condition as death and taxes?
In this Editor's Choice, Tasnime Osama and @rich-hurley.bsky.social discuss how these three forces shape our health, lives, and world
#ChristmasBMJ
www.bmj.com/content/387/...
In this Editor's Choice, Tasnime Osama and @rich-hurley.bsky.social discuss how these three forces shape our health, lives, and world
#ChristmasBMJ
www.bmj.com/content/387/...
December 23, 2024 at 11:54 AM
What if love was as certain an aspect of the human condition as death and taxes?
In this Editor's Choice, Tasnime Osama and @rich-hurley.bsky.social discuss how these three forces shape our health, lives, and world
#ChristmasBMJ
www.bmj.com/content/387/...
In this Editor's Choice, Tasnime Osama and @rich-hurley.bsky.social discuss how these three forces shape our health, lives, and world
#ChristmasBMJ
www.bmj.com/content/387/...
Reposted
Treating patients, not P values.
Recently, NEJM published 2 RCTs of LVFX to prevent MDR-TB, and a meta-analysis pooling them was published in NEJM Evidence. This editorial explains how to interpret the MA, which integrated "negative" RCTs to become "positive."
evidence.nejm.org/doi/full/10....
Recently, NEJM published 2 RCTs of LVFX to prevent MDR-TB, and a meta-analysis pooling them was published in NEJM Evidence. This editorial explains how to interpret the MA, which integrated "negative" RCTs to become "positive."
evidence.nejm.org/doi/full/10....
Treating Patients, Not P Values
To the dismay of many statisticians, clinicians are taught to convert continuous results
into a binary value to facilitate decision-making. A person with a hemoglobin A1c
level of 6.5% or higher ha...
evidence.nejm.org
December 20, 2024 at 3:24 AM
Treating patients, not P values.
Recently, NEJM published 2 RCTs of LVFX to prevent MDR-TB, and a meta-analysis pooling them was published in NEJM Evidence. This editorial explains how to interpret the MA, which integrated "negative" RCTs to become "positive."
evidence.nejm.org/doi/full/10....
Recently, NEJM published 2 RCTs of LVFX to prevent MDR-TB, and a meta-analysis pooling them was published in NEJM Evidence. This editorial explains how to interpret the MA, which integrated "negative" RCTs to become "positive."
evidence.nejm.org/doi/full/10....
Reposted
1/16
🤔Why does carcinoid syndrome affect the right heart valves more often than the left heart valves?
The difference is striking.
Let's have a look.
🤔Why does carcinoid syndrome affect the right heart valves more often than the left heart valves?
The difference is striking.
Let's have a look.
November 16, 2024 at 8:04 PM
1/16
🤔Why does carcinoid syndrome affect the right heart valves more often than the left heart valves?
The difference is striking.
Let's have a look.
🤔Why does carcinoid syndrome affect the right heart valves more often than the left heart valves?
The difference is striking.
Let's have a look.
Reposted
Today's Paper of the Day is n-acetylcysteine in non-acetaminophen acute liver failure
https://criticalcarereviews.com/latest-evidence/paper-of-the-day
Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2024
https://criticalcarereviews.com/latest-evidence/paper-of-the-day
Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2024
December 15, 2024 at 12:18 PM
Today's Paper of the Day is n-acetylcysteine in non-acetaminophen acute liver failure
https://criticalcarereviews.com/latest-evidence/paper-of-the-day
Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2024
https://criticalcarereviews.com/latest-evidence/paper-of-the-day
Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2024
Reposted
Caught btw rock & hard place. Despite having ↑↑internal validity, RCTs often lack generalizability. They're so controlled that they can’t be applied to real🌎, where things 🚫perfectly fit. Studies that capture real🌎 face ↓↓internal validity d/t ↓controls &↑↑confounders #medsky #pharmsky #MedEd #EMsky
Fresh blog: the ADAPT and SCREEN trials are full of sound & fury, signifying little
🤷♂️ Sepsis screens & procal-based ABX duration are highly context-dependent interventions. Effects will vary depending on baseline usual care.
🤷♂️ They lack generalizability.
emcrit.org/pulmcrit/ada... #EMIMCC
🤷♂️ Sepsis screens & procal-based ABX duration are highly context-dependent interventions. Effects will vary depending on baseline usual care.
🤷♂️ They lack generalizability.
emcrit.org/pulmcrit/ada... #EMIMCC
PulmCrit: ADAPT and SCREEN trials are full of sound and fury, signifying little
I think ICU docs may have developed a bit of an RCT problem; not an addiction, but perhaps a dependency. It all started off fine at first. RCTs are the
emcrit.org
December 14, 2024 at 1:18 AM
Caught btw rock & hard place. Despite having ↑↑internal validity, RCTs often lack generalizability. They're so controlled that they can’t be applied to real🌎, where things 🚫perfectly fit. Studies that capture real🌎 face ↓↓internal validity d/t ↓controls &↑↑confounders #medsky #pharmsky #MedEd #EMsky
Reposted
November 22, 2024 at 5:53 AM
Reposted
ICU Hemodynamics:
Refresher from Michael Pinsky's lecture:
Refresher from Michael Pinsky's lecture:
December 8, 2024 at 5:05 AM
ICU Hemodynamics:
Refresher from Michael Pinsky's lecture:
Refresher from Michael Pinsky's lecture:
Reposted
Editorial: High-flow oxygen can serve as a safe bridge therapy while the underlying cause of acute respiratory failure is determined and the most appropriate respiratory support is ultimately implemented.
#CCRdownunder
ja.ma/4f8BlTC
#CCRdownunder
ja.ma/4f8BlTC
December 11, 2024 at 12:40 AM
Editorial: High-flow oxygen can serve as a safe bridge therapy while the underlying cause of acute respiratory failure is determined and the most appropriate respiratory support is ultimately implemented.
#CCRdownunder
ja.ma/4f8BlTC
#CCRdownunder
ja.ma/4f8BlTC
Reposted
Editorial: While the SCREEN trial shows promise in using EHR-based sepsis alerts to reduce mortality, further studies are needed to understand the effectiveness of these alerts.
#CCRdownunder @criticalcarereviews.com
ja.ma/4g9yyuK
#CCRdownunder @criticalcarereviews.com
ja.ma/4g9yyuK
December 11, 2024 at 4:55 AM
Editorial: While the SCREEN trial shows promise in using EHR-based sepsis alerts to reduce mortality, further studies are needed to understand the effectiveness of these alerts.
#CCRdownunder @criticalcarereviews.com
ja.ma/4g9yyuK
#CCRdownunder @criticalcarereviews.com
ja.ma/4g9yyuK
ICU Physiology Secrets - Return to Basics Edition:
If you are placing Swan-Ganz (SG) catheters or you like reading/interpreting their waveforms, this is for you:
You walk in a patient’s room exactly when your fellow intensivist tries to “wedge” a newly placed SG catheter.
If you are placing Swan-Ganz (SG) catheters or you like reading/interpreting their waveforms, this is for you:
You walk in a patient’s room exactly when your fellow intensivist tries to “wedge” a newly placed SG catheter.
December 11, 2024 at 9:30 AM
Reposted
skytorial: my zentensivist urosepsis secrets
this is a super common ICU admission & usually pretty gratifying because patients turn around fast.
there are really just four main things you need to do... 🧵
this is a super common ICU admission & usually pretty gratifying because patients turn around fast.
there are really just four main things you need to do... 🧵
a cartoon baby is sitting in a chair with the words `` it 's a secret '' written on it .
ALT: a cartoon baby is sitting in a chair with the words `` it 's a secret '' written on it .
media.tenor.com
December 5, 2024 at 6:53 PM
skytorial: my zentensivist urosepsis secrets
this is a super common ICU admission & usually pretty gratifying because patients turn around fast.
there are really just four main things you need to do... 🧵
this is a super common ICU admission & usually pretty gratifying because patients turn around fast.
there are really just four main things you need to do... 🧵
Reposted
Among critically ill adults who received invasive mechanical ventilation for more than 24 hrs, screening frequency (once-daily vs more frequent screening) & SBT technique (pressure-supported vs T-piece SBT) did not change the time to successful extubation.
https://ja.ma/3OEeAMu
https://ja.ma/3OEeAMu
December 7, 2024 at 1:00 PM
Among critically ill adults who received invasive mechanical ventilation for more than 24 hrs, screening frequency (once-daily vs more frequent screening) & SBT technique (pressure-supported vs T-piece SBT) did not change the time to successful extubation.
https://ja.ma/3OEeAMu
https://ja.ma/3OEeAMu