🚨 You're in the ICU when the 📟 en route page arrives for a patient on VA-ECMO. What framework do you use for approaching VA-ECMO? It's ⏰ for a CardioNerds thread in the Devices in a Dash VA-ECMO Series! Follow along with Video 1 here: youtube.com/watch?v=yeAmQI… 🧵/1

ICU (Central Venous/Arterial) Line Secrets - Part 2: Following from where I stopped last week (that's why I keep same numbering) & without hoping to a provide tutorial about how to place lines, there are some additional points that I find worth mentioning x.com/IM_Crit_/statu…

ICU Hemodynamic Secrets: Whenever I manage a critically ill patient, I am interested in knowing the blood pressure & at least an estimate of the cardiac output (CO). Since placing a pulmonary artery catheter takes some time & effort, I am employing workarounds based on #POCUS:

Oxygen delivery & carbon dioxide removal on venovenous #ECMO 🗺️ current landscape of VV #ECLS use 🫁 physiologic determinants of O2 delivery & CO2 clearance ⚙️available configurations & and their effects on gas exchange 🎯 physiologic target (adequate tissue/end-organ perfusion &

Antibiotic dosing optimization in critically ill patients CCR Journal Watch - tracking the critical care literature daily criticalcarereviews.com/latest-evidenc…

TEMPORARY/EXTERNAL CARDIAC PACING What is Temporary Pacing? A temporary method to support patients with brady- and tachyarrhythmias until a permanent pacemaker is implanted. It involves delivering electrical impulses to the heart via transvenous or epicardial leads connected to

Let’s be honest with ourselves: most clinicians do not test for adrenal insufficiency correctly. Sending off a random cortisol level in a critically ill patient is… insufficient. Here’s a better way. 🎩 tip to the authors. eddyjoemd.com/foamed/

Inhaled Sedation in Acute Respiratory Distress Syndrome. The SESAR Randomized Clinical Trial Presented at ISICEM & published in JAMA jamanetwork.com/journals/jama/… CCR Journal Watch - tracking the critical care literature daily criticalcarereviews.com/latest-evidenc…

🔴The Echo Right Heart catheterization Echocardiographic correlate of Right Heart Pressures and Pulmonary Capillary Wedge Pressure Estimating chamber pressures via echo doppler parameters Bulwer B & Rivero J. Echocardiography pocket guide: the transthoracic examination

Finally found a great #POCUS #anatomy correlation figure to go with this quiz! #FOAMed #echofirst

Venous excess ultrasound: A mini-review and practical guide for its application in critically ill patients CCR Journal Watch - tracking the critical care literature daily criticalcarereviews.com/latest-evidenc…

Do you need to emergently reverse the DOAC your patient recently taken due to a major bleed? Here are some strategies to do so and potentially save your patient from further harm. 🎩 tip to the authors. eddyjoemd.com/foamed

ECPR for refractory cardiac arrest 🩺 physiology/rationale ⚒️ technical considerations 🔍 (growing) evidence ‼️ special circumstances ⚖️ patient selection ⏱️ timing/setting & post-ECPR care 🎓 training 🚧 risks/complications 🥅 goals 🎁 organ donation 💵 economic impact &

The The ISHLT Consensus Statement on periop use of #ECLS in lung #transplantation: III - Postoperative Considerations 🫁 planning: criteria for postoperative #ECLS 🫁 postoperative ECLS implementation 🫁 management 🫁 ECLS rescue outcomes, weaning criteria, novel multicenter

#ECMO in pulmonary embolism: 🩺 rationale & current trends 📄 ECMO in PE treatment guidelines ⏱️ timing of ECMO: reactive vs proactive? 🩸 standalone, bridge to reperfusion, post-treatment support for organ recovery? 💉 concomitant systemic thrombolytics ☢️ concomitant

Establishing high-volume CA center providing #ECPR may increase not only number of survivors, but also expands organ donors' availability in cases of unsuccessful treatment. Although primary goal is to rescue patients with refractory cardiac arrest, implementation of #ECMO into

Coronary Circulation

CI, SvO2 & pCO2 in #ECMO for cardiogenic shock? 🔍 post-hoc analysis of ECMO-CS trial: immediate #ECLS initiation vs early conservative strategy in CS The presence of any of following criteria: 🫀 low cardiac index 🫁 high PCO2 gap 🩸 low SvO2 may indicate poor prognosis with

🧵 "What really determines tissue perfusion?" – and why most explanations get it wrong. Let’s sort out MAP, CVP, CCP, autoregulation, vasopressors, and the flow that actually reaches your organs. 👇

Right Ventricular Collapse from an unusual cause. NOT pericardial effusion. #echofirst #POCUS #FOAMed From 🔗 JACC Case Rep. 2025;30(12):103513.