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Preparing my lecture for #NTI2024 has led me down a rabbit hole on de novo heart failure-related cardiogenic shock. I’m curious as to how many received a sepsis bundle given their presentation and elevated lactate. 🎩 tip to the authors.

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When thrombolytics don’t quite cut it, we need other strategies to save the lives of our patients with pulmonary embolism. 🎩 tip to the authors.

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Let’s get our patients who cannot be fixed home safely with the best quality of life possible. 🎩 tip to the authors.

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What should we be using to anticoagulate patients on CRRT? Seems like the answer is citrate. 🎩 tip to the authors.

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Nutrition is on my mental checklist as soon as a patient arrives in my ICU. It is extremely easy for them to become malnourished. Here are some factors that contribute to that. 🎩 tip to the authors.

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Patients who go into cardiogenic shock from valvular issues are challenging because, as an intensivist, I’m limited in what I can do to stabilize them. Here are the mechanical circulatory support options to discuss w/colleagues. 🎩 tip to the authors.

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Land the plane on VA-ECMO patients. 🎩 tip to the authors.

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Let’s just say that this article filled in some gaps in my knowledge of respiratory drive. Definitely worth checking out as a refresher or a primer for new learners. 🎩 tip to the authors.

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How to care for patients with acute on chronic liver failure. 🎩 tip to the authors.

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As a trainee, deciding who was appropriate for ICU admit was a skill that needed to be learned/honed. Every now and then, the EM doc would say, “the numbers are okay but they just don’t look right”. They were 100% correct. 🎩 tip to the authors.

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In this survey-based study, where respondents were presented with clinical vignettes to determine how they would care for septic patients, it was refreshing to see how many reported using peripheral IVs for vasopressors first. 🎩 tip to the authors.

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Norepinephrine is such a powerful vasopressor due to its effects on both cardiac output and SVR to increase the MAP. This image depicts how it affects the CO. 🎩 tip to the authors including Dr. Miguel Ibarra-Estrada and Christian Jung.

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Are the typical ECMO cannulation strategies insufficient to support your patient? Check out these strategies presented by the (easily recognizable) drawings of David Convissar, MD. 🎩 tip to the authors.

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Amongst the things I’ve learned in creating/sharing content on social media, the ravenous hunger for knowledge of our prehospital teams continues to amaze me. After all, they’re the first step in management of our patients. 🎩 tip to the authors.

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Hope you enjoy my book! Thank you so much for your support! 💪🏼💪🏼💪🏼

It has been several years since I cared for a patient with an LVAD, but I still vividly recall the emergencies we addressed with these patients. Here is an algorithm to keep in your pocket for those who are, like me, rusty. 🎩 tip to the authors.

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