ICU Pharmacy pearls:
If u have not heard the news, there is a national shortage of IV hydrocortisone (HC) ...
ashp.org/drug-shortages…
So, if u are like me & use often HC in septic shock, u need to be aware of other options. If HC (Solu-Cortef®) is not available, consider use of

If you like year round mountain biking, boating, golfing, national parks, hiking, skiing…and working in a great ICU. Come move to St. George and work with me!
#MedTwitter #PATwitter #NPTwitter

imh.wd5.myworkdayjobs.com/IntermountainC…

Some info on Acute Pancreatitis
Did this NEJM article cause you to change your management of Acute Pancreatitis? #MedTwitter #FOAMcc #FOAMed #PrincessPancreas

nejm.org/doi/full/10.10…

Had a great time the other weekend learning some POCUS skills from CU Hospital Medicine and others at the Society of Hospital Medicine POCUS course. I have really enjoyed implementing everything I learned. Keep doing these great courses!
#POCUS #MedEd #MedTwitter

…so putting everything I need to know about #ThePeoplesVentricle on one page didn’t work out. But here’s a start! Thanks Matt Siuba for the article help!
#MedTwitter #FOAMed #FOAMcc

atsjournals.org/doi/10.1513/An…

link.springer.com/article/10.100…

journal.chestnet.org/article/S0012-…

Super basic coagulation review #FOAMed #MedTwitter

Can I get some article recommendations on RV failure??…this is all I have so far. #FOAMcc #ICU #thepeoplesventricle
atsjournals.org/doi/10.1513/An…

I may have been a little delirious thinking that I could address ICU delirium on one page. Here is a #Delirium primer and some great articles on delirium.
#ICU #FOAMcc #MedEd #MedTwitter

journal.chestnet.org/article/S0012-…

journal.chestnet.org/article/S0012-…

Allan Walkey on atrial fibrillation in ICU ( #SCCM2023 )

Arrigo 2015: cardioversion for secondary A-fib in ICU rarely works (43% remains sinus at 1hr, 23% at 24hr). Diltiazem was more effective at rate control than amio or digoxin.

#POCUS peeps and Pulm PEEPs!
Think thoracic ultrasound is easy?

Test your knowledge with this brief, 3-question quiz on thoracic ultrasonography! ⤵️

#Medtwitter #echofirst #POCUS #MedStudentTwitter

So Nonselective Beta Blockers are good in cirrhotic patients but bad in SBP. Can someone explain the physiology of why NSBBs lead to worse outcomes in SBP? #MedTwitter #FOAMed

My 2 year old pointed to my lung drawing and said “yucky”. So here is some yucky empyema info for everyone #MedTwitter #FOAMed #ICU

ncbi.nlm.nih.gov/books/NBK53429…

err.ersjournals.com/content/19/117…

A 35 year old man in India p/w fever, chills, hemoptysis & abdominal pain. No improvement on antibiotics. He was noted to have multiple abscesses. Echo was normal. One of the abscesses was drained. What is the likely diagnosis? (Radiopaedia.org, Hoe Han Guan, Luu Hanh, Wikipedia)

Made this for a mobility project we are doing on my unit. We are trying to educate staff on early ICU mobility. Would love any feedback!
#MedTwitter #FOAMed #FOAMcc #ICU #Mobility

Echo is one of the more skilled ultrasound exams you can do. Having learnt it and now teaching it, I see the same mistakes being made over and over again. I have put together thread on beginner mistakes in echo. #tweetorial #POCUS #FUSIC #askpocus

Using #PEEP in #ARDS made easy!
More on ARDS in our newest course with Michael Allison ➡️ bit.ly/3OPhlc7
#pulmtwitter #criticalcare #medtwitter #meded #intensivecare

1) Welcome to a new #accredited #tweetorial on #PulmonaryHypertension ( #PH or #PAH ) and its management, by expert author Jason Weatherald MD (@CalgaryPHdoc). Follow along and earn 0.5h CE/ #CME #physicians #nurses #NPs #PAs #pharmacists ! The Pulmonary Hypertension Association

Been super busy with new baby, new job, and renovations on a house…anyways some ICU nutrition information.

ccforum.biomedcentral.com/articles/10.11…

🧵 Cool Vent Findings!! 🧵

You have a very hypoxic patient on the following settings with the waveforms as shown:

Which driving pressure is best? #FOAMcc #ICU #MedTwitter