ICU stories: 50 yo male patient w hx of DM / DVT was brought to to the ED due to "altered mental status" & was found to be in diabetic ketoacidosis (DKA) (pH < 7.0 / HCO3: 2) & acute kidney injury:

ICU am rounds - CVP waveforms:

Schrödinger’s arrhythmia: A.fib/flutter

This is the weekly refresher on basic hemodynamic monitoring: Hemodynamic variables determining perfusion pressure and oxygen delivery:

Decongestion in heart failure: Do we focus too much on diuretics?

ICU Physiology Secrets - Refresher: Each organ has its own "sensitivity" or response to arterial pressure changes. Is it obvious why the kidney is the canary in the coal mine?

ICU Secrets: What we all need to remember about monitoring devices in the ICU (for example: Swan-Ganz catheters):

Pulmonary Embolism (PE) - Update: I have noticed the last few years that we* have become spoiled by the availability of Interventional Radiology (IR) in our hospitals. In fact, we are becoming complacent with the management of patients with massive/high-risk PE & wait for IR to

thrombolyze the 40 yo lady, mother of three, who flew back home last night after a much needed vacation in Hawaii & presented to our ED/ICU with PE / syncope / BP 86/66, HR 130, sat 85%, lactate 6 #foamed #foamcc #meded #MedTwitter #medstudent #hemodynamics #pulmonaryembolism

*I am referring to those of us who have the luxury of working in hospitals with Interventional Radiology available 24/7

ICU Secrets: Clinical examination can be used as a trigger but not as a substitute for hemodynamic evaluation In a prospective study of 783 critically ill patients where 19 clinical/biological signs as well as echo-assessed cardiac output were monitored, among the 368 pts with

Can we please add "safe schools" to the elevator pitch? PS1: Regarding "safe schools", can we pls try to think beyond school guards & video games? What about common sense gun reform? PS2: I want my kid to "worry" about science test when going to school, not about being shot.

This is wild…