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🧂Hyponatremia is a common the ICU, but correcting it smoothly & safely can be challenging. 🧠Rapid correction risks serious complications like ODS/CPM 📈That's why I built NaPathway - a free app - to help clinicians monitor sodium correction Try it criticalcaretime.com/tools/hyponatr… 🧵

Current corticosteroid therapeutic strategy for community-acquired pneumonia in adults: indications, dosage, and timing CCR Journal Watch - tracking the critical care literature daily criticalcarereviews.com/latest-evidenc…

Time to master mass effect!! Four main types of herniation from mass effect: Subfalcine: Brain herniates under the flax. See as midline shift in axial CT slices Transtentorial: Temporal lobes herniated across the tentorium into the posterior fossa & cause mass effect upon the

Neurosurgical management of the acute phase of adult and pediatric traumatic brain injury: 2025 guidelines of the French Society of Neurosurgery 3rd French guideline this week! CCR Journal Watch - tracking the critical care literature daily criticalcarereviews.com/latest-evidenc…

1/Time to go with the flow! Hoping no one notices you don’t know the anatomy of internal carotid (ICA)? Do you say “carotid siphon” & hope no one asks for more detail? Here’s a thread to help you siphon off some information about ICA anatomy!

Lord Bethell I like Dom Perignon, Jim. A bottle of that in 2008 cost about £137. That's around £223 now after inflation. As you'll know from the HoL cellars: vintages vary, but that's around the current price. However…. (🧵1/5)

Kalaila Pais WesElyMD Dale Needham, MD, PhD Critical Care Reviews BIDMC IM Residency Assoc. of Academic Physiatrists (AAP) ATS Crit Care CHEST Critical Care Network For ICU Acquired Weakness, prevention is as important as treatment. Remember SIREN for 🚨 risk factors, and always remember to REACT. Of course, we have to remember our ABCDEFs too 🙌 Journal of Brown Hospital Medicine CORE IM ThoraxBMJ Irish Thoracic Society CHEST American Thoracic Society (ATS) David Furfaro

A 𝐦𝐢𝐭𝐨𝐜𝐡𝐨𝐧𝐝𝐫𝐢𝐨𝐧 is a cytoplasmic organelle that generates, through oxidative phosphorylation, molecules of ATP, a chemical used to store and generate energy for cellular functions, including proliferation. Neurons and muscle cells are particularly sensitive to

Fun fact: Your brain needs sleep so badly that after 3 days it'll literally create its own stimulation • 24–48h: anxiety, irritability, visual distortions • 48–72h: hallucinations, disordered thinking • >72h: delusions, full-blown psychosis (760 healthy volunteers)

20 Pictures with Deep meaning: 1.

My attending once said, “If you don’t want to miss something, you have to know where look for it!” Intracranial aneurysms may occur at many locations, but overwhelming at the ACOM & PCOMM. Look hard at these regions! Remember, you miss 100% of aneurysms you don't look for!

Knowledge is contagious! Infectious encephalitis can be a difficult diagnosis, but patterns on MRI can suggest an etiology. Most know herpes & the temporal lobe Do YOU know any more? Here’s a figure to help you remember the most “common” encephalitis patterns for different

20/20 (pocket takeaway) BE sizes it. Na − Cl explains it. Albumin unmasks it. Residual = nasty anions. That’s the Story method — Stewart made simple, usable at the bedside. #MedX #ICU #FOAMed #CriticalCare

1/Are you FISHING for a way to better evaluate subarachnoid hemorrhage? Are you hungry for a way to classify these patients? Donut you worry! Here’s a short thread to help you remember the modified Fisher scale for classifying subarachnoid hemorrhage.

1/ NEW: Watch my latest youtube - covering disastrous pensions administration, ongoing car crash of the tapered annual allowance and some new exciting tools to predict 25/26 pension growth (hospital doctors & GPs) and tapering. Pls share / RT youtu.be/_6bpMMPOuMs

pmc.ncbi.nlm.nih.gov/articles/PMC10…

Traumatic Brain Injury: Advances in Diagnostic Techniques and Treatment Modalities  CCR Journal Watch - tracking the critical care literature daily criticalcarereviews.com/latest-evidenc…

1/My hardest thread yet! Are you up for the challenge? How stroke perfusion imaging works! Ever wonder why it’s Tmax & not Tmin? Do you not question & let RAPID read the perfusion for you? Not anymore!