MAP ≠ Cardiac Output (writing over & over....) Dr. Bridges dropping the wisdom. I will not always give fluid... @SepsisForumBBB x Sepsis Alliance

Capillary Refill as assessment of fluid responsiveness. Dr. Bridges lobbying for CRT as part of fluid assessment

Cap Refill Time at admit & 6h later.... assessing risk.

My personal Airway Assessment will now include knee mottling. Absence of mottling 75% NPV for hypotension after intubation. Thanks for the tip!

Hands on the patient can make the assessment. Low tech for the win!

Our last session of the day...Sepsis Survivorship. First up, Hailey Bain a Sepsis Canada patient partner shares her story and journey to sepsis survivorship. Challenging to hear these stories, and so critical to center these perspectives. @SepsisForumBBB Sepsis Alliance

Very cool trial: Using a machine learning algorithm to identify patients with sepsis likely require lots of IV fluids & randomizing to 0.9% NS vs a nudge about balanced crystalloids. Pragmatic. Smart design. Can’t wait to see the results of #PRECISE! jamanetwork.com/journals/jaman…

(1/x) Shock is the next door neighbor to death. Here are 10 tips for managing your patient with shock. A 🧵 #medtwitter #foamed

The core skills of learning are a critical eye and an open mind. Critical thinking is refusing to accept ideas at face value. Don't believe information until it's verified. Openness is refusing to reject ideas at face value. Don't disbelieve information until it's falsified.

Postponing a choice rarely solves analysis paralysis. It often amplifies anxiety. The antidote to chronic indecisiveness is not to gather more information. It's to clarify your values. The goal is not to check every box. It's to find an option that meets your top priorities.

How I perform diaphragmatic #ultrasound in #ICU 🖥️ practical aspects: subcostal approach, intercostal approach 🖥️ areas of application in daily care 🖥️ future prospects Free to read #FOAMcc #FOAMus #echofirst 🔓 rdcu.be/dYy6l

See you in the new world.

Meet Fatima Sheikh (she/her), a Health Research Methodology PhD candidate and health equity specialist. She is fueled by a deep curiosity about the social determinants of health and a passion for creating meaningful change through equity-driven health research.⬇️hei.healthsci.mcmaster.ca/phd-candidates…

🏆 Congratulations to our Scientific Director, Alison Fox-Robichaud, MD, on receiving the Deborah J. Cook Mentorship Award at CCCTG's Winter 2025 Meeting! This award celebrates her outstanding mentorship and dedication to directing Canada's future critical care researchers. 👏

Writing ANDROMEDA-SHOCK-2 draft with the great Eduardo Kattan on a cold Holiday morning at the University. Empty Streets. Blues on the background. Pretty excited by the results that we cannot tell yet jajaja. In contact with Jan Bakker, Gustavo Ospina , Alex Cavalcanti💪💪😎🍷

(0/x) How do I approach the first 2 minutes of meeting a new critically ill pt? My approach has been forged from my learnings as a paramedic. Here's my approach as an ICU doc 🧵