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updated chapter on babesiosis based on new IDSA guidelines (pubmed.ncbi.nlm.nih.gov/33252652/). very tricky diagnosis - clues may include: 🔎intravascular hemolysis 🔎exposure to endemic area (eg costal islands off northeast) 🔎known tick bite 🔎thrombocytopenia emcrit.org/ibcc/tick/

😍 love the sudden death panscan. added some sweet infographics from FOAMcast to the IBCC chapter on post-cardiac arrest management 🙏🙏 emcrit.org/ibcc/post-arre…

Post cardiac arrest chapter updated! ❄️hypothermia is gone, but avoidance of fever remains critical ❄️integrated, multimodal strategy for management of fever & shivering may limit need for opioids & paralytics ❄️continuous invasive temp monitor still key emcrit.org/ibcc/post-arre…

With that last podcast we just hit a milestone, ?2million downloads. Thanks everyone for your continued support of my bromance with 𝙟𝙤𝙨𝙝 𝙛𝙖𝙧𝙠𝙖𝙨 💊 and his epic efforts at the Internet Book of Critical Care 📖

update to pulmonary vasculitis, based on PEXIVAS & Canadian vasculitis guidelines 🍁no routine role for plasma exchange in ANCA vasculitis 🍁no solid data to support steroid pulse, should use caution (eg, limit to 3 days & 500 mg/d methylpred, or less?) emcrit.org/ibcc/dah/

emoji hyperlinks 😁 I’ve been struggling to find the cleanest way to insert links into text, and this might be it. different emojis signal where the hyperlink jumps to. here is an interpretation key:

despite climate catastrophes in british columbia and COVID, we squeezed in a recording today & we’re trying to get you some good casts for the holidays 🎄. hats off to Adam Thomas 🎩

introducing the Internet Book of NeuroCritical Care (#IBNCC) 🎆 🧠 26 new chapters, to create a full neurocritical care text integrated into the IBCC 🧠 review & podcasts from neurocrit gurus Casey Albin, MD Neha Dangayach MD MSCR FAAN FANA FCCP FCCM FNCS Richard Choi, DO, FNCS 😃 🧠 #FOAMed 📲 details: emcrit.org/pulmcrit/ibncc/

if Adam ever goes missing for a prolonged period of time, check the sound studio… we might have gotten lost in a physiologic rabbit hole 🤣

⁦𝙟𝙤𝙨𝙝 𝙛𝙖𝙧𝙠𝙖𝙨 💊⁩ chose a reflex 🔨 over a 🩺! That & 👇episode are why ⁦𝙟𝙤𝙨𝙝 𝙛𝙖𝙧𝙠𝙖𝙨 💊⁩ is hereby inducted as a #neuroicu 🧠doc! 🙏 ⁦Adam Thomas⁩ ⁦𝙟𝙤𝙨𝙝 𝙛𝙖𝙧𝙠𝙖𝙨 💊⁩ #ibncc overcast.fm/+OiJpS9pC8

the IBCC will look a little wierd for the next few days, it’s getting a minor makeover.

in case you use an RSS feed: the new IBCC chapters will be going up on a *separate* IBCC RSS feed. to subscribe, click the link shown below & copy the text that shows up into your RSS reader. and if you've achieved this peak level of nerdiness, I honestly salute you 🫡