Claudia Castillo Zambrano rocking the Rapid Fire with her case report on pulmonary lymphatic perfusion syndrome MayoPCCM CHEST #CHEST2024 METRIC CERTAIN

I hear clinicians say the physical exam is dead.☠️ This is just not true 🛑 Here are the 10 most important clinical exam findings in the ICU A 🧵 (and some things you can probably stop doing...) #medtwitter #foamed

El hermoso ciclo de una creación 😍

◾️In memory of Prof L Gattinoni, towering figure in ICM, profoundly shaping understanding of #ARDS & #ECMO. The “father" of prone position revolutionized MV with a pioneering "baby lung” concept. His legacy will guide/inspire for generations to come. 🔗esicm.org/obituary-lucia…

Intravenous vasopressor infusions are amongst the most common pharmaceuticals we use in critical care medicine - 1 in every 4 patients admitted to ICU receive them. Are “oral pressors” here to replace them? 🧵Read below for our take on available evidence and the ongoing

I had a med student once ask “will rounds always take so long?” after we finished at 11am. I truly hope they’re now thriving in the surgical subspecialty of their choice.

There should be a medical tv show but it’s about a resident on call at night, and it’s esthetically themed like a film noir

A Rational Approach to the Treatment of Acute Pulmonary Embolism CCR Journal Watch criticalcarereviews.com/latest-evidenc… Get the latest critical care literature every weekend via the CCR Newsletter - subscribe at criticalcarereviews.com/newsletters/su…

The amount of delusion I have putting on sunscreen everyday as a resident. This skin does not see the light of day.

There is a lot of buzz about our new paper in Nature Medicine on the effects of LLMs (GPT-4) on physician management reasoning! I had TONS of fun working on this -- but what it MEANS requires some unpacking. A 🧵⬇️ x.com/EricTopol/stat…

This JAMA Clinical Guidelines Synopsis summarizes the 2024 Society of Critical Care Medicine guidelines on use of corticosteroids in sepsis, acute respiratory distress syndrome, and community-acquired pneumonia. ja.ma/4hL4Kou

Volcán Cotopaxi. Altitud: 5897 metros.

warming up before internal medicine rounds

ICU Hemodynamic Secrets – The role of ScvO2: There is not such a thing as a “normal” cardiac output (CO). A CO of 3.5 l/min may be adequate for a 90 years’ old, 100 pounds sedated patient but inadequate for a 40 years’ old, 250 pounds patient with septic ARDS. Ideally,

submitting a case report

Intern Report during Academic Half Day with this rockstar Alexandra Sheridan, MD #improud Dartmouth Internal Medicine

1/ I still vividly remember what it was like to be an intern — the fear and uncertainty of stepping into the role of “doctor” for the first time. So I drew this comic series to reflect on things I’d tell a younger version of myself (patient story generalized for confidentiality)

🔍 New Study: Initial fluid resuscitation with lactated Ringer’s solution, compared with 0.9% saline, might be linked to improved outcomes in patients with sepsis-induced hypotension. ➡️ Read the research from CCM: bit.ly/4dtWCrL #sepsis #SCCM #CritCareMed SCCM

The Dunning-Kruger effect: #foamcc #foamed #meded #MedTwitter

. Frederik H. Verbrugge says, pulse pressure is cheap man’s 🦢 Great talk on #heartfailure - #HR2025 Hospitalist side