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When a patient presents with acute liver failure, it's a race to sort out the etiology. Should it be fulminant liver failure, we should immediately consider transferring the patient to a transplant center for the treatment options. 🎩 tip to the authors. eddyjoemd.com/foamed/

Patients present to our hospitals with constellations of symptoms which are our responsibility to sort out. Don't forget to think about hypothyroidism when patients present with the numerous clinical manifestations listed below. 🎩 tip to the authors. eddyjoemd.com/foamed

How long is too long to be performing CPR on patients who suffer in-hospital cardiac arrest? Every patient and situation is obviously different, but it shouldn't come as a surprise that beyond 30 minutes, things don't look too good. 🎩 tip to the authors. eddyjoemd.com/foamed

Placing a cardiac probe on a pt w/shock is a paramount component in the identification of cardiogenic shock 2/2 heart failure. Without it, "it's sepsis" due to the elevated lactate and hypotension. 30 cc/kg of IV fluids would be bad. 🎩 tip to the authors. eddyjoemd.com/foamed

Euglycemic DKA is becoming more commonplace in our ICUs. I recall the first time I was called to admit a patient with this. I asked, "What is that?!?" This paper addresses the mechanisms, manifestations, diagnosis, and treatment. 🎩 tip to the authors. eddyjoemd.com/foamed

Esophageal manometry is a tool I've learned about but have never had the opportunity to see in practice. I welcome thoughts and opinions from those with more experience as to whether this should be routinely used. 🎩 tip to the authors. eddyjoemd.com/foamed

As the population we care for ages (and hopefully we too), understanding the frailty of these individuals is beneficial for numerous reasons. We can often recognize frailty, but are we using frailty scales in our practice? 🎩 tip to the authors. eddyjoemd.com/foamed

Many of our treatments and interventions in the ICU can damage the microbiome. Either avoiding dysbiosis or correcting it is a critical component to future outcomes. Fortunately, this has garnered the attention of many researchers. 🎩 tip to the authors. eddyjoemd.com/foamed

Once we successfully get our patients out of cardiogenic shock, we begin to sprinkle in the GDMT medications to further optimize them. There are some new kids on the block to be aware of and add to the arsenal. 🎩 tip to the authors. eddyjoemd.com/foamed

Despite VV ECMO being utilized for oxygenation issues, there are situations where things do not go as planned. This paper focuses on the issues related to the patient and VV ECMO that can be addressed. 🎩 tip to the authors. eddyjoemd.com/foamed

The intraaortic balloon pump has served our patients well since its first reported use in 1967. Although a superior device exists for several indications in our cardiac patients, we should understand all the nuances of the lABP. 🎩 tip to the authors. eddyjoemd.com/foamed

There's a lot more to magnesium than just a lab test we routinely check and attempt to normalize. This paper examines the mechanisms by which magnesium is related to PNA, COPD, asthma, and ACS. 🎩 tip to the authors. eddyjoemd.com/foamed

When a patient presents with mottling among their constellation of signs, symptoms, and labs, there is a look that team members give each other that we've all seen. It's not a positive look. Here is some data reinforcing our intuition. 🎩 tip to the authors.

Non-invasive ventilation is an invaluable tool used to take care of our critically ill patients with respiratory failure. This editorial summarizes what beginners should know when using this extremely helpful tool, often referred to as "BiPAP". 🎩 tip to the authors.

As our knowledge of nutrition in critically ill patients improves, many questions remain. This paper addresses nutrition in obese patients, highlighting the gaps in current practice. 🎩 tip to the authors. eddyjoemd.com/foamed

Given the advancements in AMI identification/ treatment, patients presenting with VSDs are rare. When they do present, it's an immediate all-hands-on-deck affair as complications present suddenly and need to be addressed even faster. 🎩 tip to the authors. eddyjoemd.com/foamed

We're getting better at saving people from sepsis, but they do not emerge unscathed. Some individuals suffer greatly from the repercussions of their illness. This paper breaks it down. 🎩 tip to the authors. eddyjoemd.com/foamed

Don't forget to touch your patient who is in shock. Providing 30 cc/kg empirically to everyone who is hypotensive and has an elevated lactate can be detrimental to their outcome. 🎩 tip to the authors. eddyjoemd.com/foamed

After the decision is made to administer thrombolysis in these patients, some still require significant support. Here are some strategies to keep these patients with us. 🎩 tip to the authors. eddyjoemd.com/foamed

Post-op bleeding is an expected process in several types of surgery. Utilizing our resources effectively is crucial. This concise paper tackles the key issues. 🎩 tip to the authors. eddyjoemd.com/foamed