ICU Extubation Tips: Let’s admit it. As intensivists, we will never be as good in airway management as our Anesthesia or Emergency Medicine colleagues are. They intubate many more pts than we do & some of them under very suboptimal conditions. So, we can never match their skills

IMCrit youtu.be/4bBtTG4Gugc?fe…

Trilogy is the most widely used home ventilator in the US. Philips decision to stop manufacturing all hospital & most home ventilators is gonna be disastrous for many patients who depend on them.

ICU Hemodynamics Tips - Swan-Ganz catheters: This will not be a comprehensive thread. Just happened to place a couple of Swan-Ganz (SG) catheters this week, so it is a good time to emphasize few basic points/steps. I have made a mistake (more than once) in each one of them…

ICU Pharmacology Secrets: Some drug side effects, even if relatively rare, are well entrenched in our memory. For example, most intensivists & hospitalists are aware of cefepime-induced neurotoxicity or clindamycin’s association w C difficile infection (or even the seemingly

5 #sepsis heuristics (things not to miss) in the #ICU . A 🧵 #medtwitter #foamed #foamcc #IDtwitter #meded

ICU Pharmacology Secrets: This is another random collection of pharmacology pearls that I witnessed & wrote down during the last two months. And so it begins: 1. Hydralazine (H) is a widely used arterial vasodilator; especially in 🇺🇸, it is mostly used to treat

Three acute care medicine 'anti-patterns' (physiological scenarios that go against common practice) that should make you stop and think 🤔 A brief 🧵 What are your favorite clinical anti-patterns?☯️ #foamed #physiology #foamcc #meded

New in JACEP Open: Impact of emergency department-based intensive care unit on outcomes of decompensating boarding emergency department patients. #FOAM, #Boarding, #CriticalCare buff.ly/443yJm6 Emergency Physicians @ACEPNow Wiley Clinical and Health Wiley in research

Congrats to our AEUS Academy Award Winners! Distinguished Service: Nik Theyyanni Fellow Education: Jeremy Shin Fellow Research: Zachary Boivin Resident Education: Peter Alsharif Resident Research: Ina Prevalska Make sure to check out all the AEUS sponsored content at #SAEM24!

ICU Infectious Disease Secrets: This is another random collection from cases I took care of the last couple of months. As always, I may be wrong... And so it begins: 1. The best time to draw blood cultures from a patient, who has just been transferred from the ward to the ICU

Full technical breakdown as to why Crowdstrike's update caused a worldwide BSOD – crashing computers at Airports, Banks, Casinos, 911, Hospitals and more. 🧵 (1/n)

Very happy to share our first paper from NEAT-ECHO published in Intensive Care Medicine. 🏥 178 ICUs & 1015 shocked patients 🫀 54% received an echo 💉 50% of echos altered management 📋 25% followed guidelines TRIC Network Intensive Care Society 💙 FICMNews BSEcho Alastair Proudfoot link.springer.com/article/10.100…

Repeat after me: pressure is not flow.

This is a fantastic review on neuroprognostication after cardiac arrest. Summarizes a complex topic incredibly well and point towards more nuanced data where appropriate so the reader can delve deeper into it.

ICU (Central Venous/Arterial) Line Secrets - Part 1: An ICU where the patients have no central lines & are not connected to ventilators is not a real ICU. This may be a controversial statement but in my humble opinion not far from truth

🧵regarding the introducer sheath commonly known as a 'Cordis' catheter. We'll go over what it was originally designed for and why it ended up being adopted by other specialties for entirely different reasons. Also we'll look at its accessories and see what's inside one. (1/ )

Also, bookmark this ASAP if you are a program director or trainee!🔖 These are some of our favorite resources for learning #neurocriticalcare and many are #FOAM!!! If we missed your favorite, drop a comment pls

Here are 5 lessons I've learned about the ICU that no-one teaches you in fellowship 👇

(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 🧵