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Great review about Microcirculatory dysfunction in cardiogenic shock. ❗️Mortality & outcomes in 🫀 shock are strongly assoc. w/ microcirculation disorders that are not necessarily correlated w/ macrocirculation. #PedsICU #sepsis #FOAMed #FOAMcc #MedEd annalsofintensivecare.springeropen.com/articles/10.11…

Part 3 VV #ECMO📢 Fave one liner this week “I cannulated ECMO yesterday, I’m calling psychology tomorrow” Join us in more discussion of our approach to VV ECMO🫁 ⁦@JohnDanielMD⁩ ⁦Cara Holton⁩ ⁦Zac Hodges⁩ ⁦Alice Shanklin⁩ #pedsicu podcasts.apple.com/us/podcast/vv-…

Fantastic view of Children's National Hospital 🏥 and our water supply from SkyBear during transport. What a privilege and honor to fly for sick kids. Credit: Dr Lisa Goto

Device of the week: spinal needle Cutting or atraumatic tip? Literature long supports atraumatics for rachicentesis along Tuffier's line, no disrespect to Heinrich Quincke, April 1891. Let's read: rb.gy/qdcb8, rb.gy/ef9xo, rb.gy/qv00a

Part 4 of ⁦PedsCrit⁩ VV #ECMO out today! What fun to discuss our extubation practice! We have extubated about 50% of our modern #pedsicu VV cohort! Thanks again to ⁦Alice Shanklin⁩ & ⁦Zac Hodges⁩ ⁦@JohnDanielMD ⁦Cara Holton⁩ podcasts.apple.com/us/podcast/vv-…

DsOTW: enteral tube irrigants Panc lipase, papain (meat tenderizer), soda bevs, distilled H2O, NaHCO3, cranberry juice. Feeds coagulate quickly in acid. Coke👎, alkalinized enzymes👍. Let's read: rb.gy/qediv, rb.gy/edotb, rb.gy/197ld

The DCpicufellows are lucky to have Dr. Madrigal as a mentor. Thank you for this piece!

[happy ROXI noises] #justturnitoff #whatdoesHFNCevendo

"With advances in modern medicine, I felt strongly that dual training would allow me to provide better care for our most complex patients" - Aadil Kakajiwala 's Perspectives piece on training in #pedneph and #CriticalCare in "Kidney Notes". Members, check your 📧to read more!

Welcoming our new first-year CCM fellow class with some procedural education! Children's National Hospital 🏥 Pointy end toward patient!

New PedsCrit Episode! Next up in our cardiac post-op series includes this discussion with Columbia University Pediatric Cardiologist Dr. Warren Zuckerman & PCCM fellow Dr. Gav Apfel. Enjoy this 2-part series on the post-op heart transplant! #PedsICU #MedEd podcasts.apple.com/us/podcast/hea…

On the spot teaching on rounds Children's National Hospital 🏥 PICU. Asthma therapies, asthma ventilation , why and how does BiPAP work, and the fellow sharing physiologic esoterica on the primary function of the cardiopulmonary system being CO2 removal, not O2 delivery.

Check out this #PedsICU Liberation podcast!!

Rarest #PedsICU fellow moment Children's National Hospital 🏥: third-year signing out the unit to third-years on with third-years. Typical fellow mood on the unit, even at 0645.

New PedsCrit episode! This week we have another great in the field, Dr. Bradley Fuhrman, join us to discuss Cardiopulmonary Interactions. Enjoy this 2 part series on a core #PedsICU topic! podcasts.apple.com/us/podcast/car…

The cardiology and critical care threes have escaped the hospital. Mischief and merriment will abound. Look at this choice bunch: Children's National Hospital 🏥 Children’s National Hospital Cardiac ICU

Hot off the lethal diamond press. Worth a read for any #pedsICU

Very rare morning when 83.3% of the third-years are in house. The units are in for quite the day. What isn’t rare are the smiling faces! #pedsicu Children's National Hospital 🏥

Person: What’s the fellows’ relationship like with respiratory therapists and nurses on the unit? The relationship: (RT, fellow, RN)

Beautiful night to fly with our expert transport team aboard SkyBear! Five souls out and six back. Just a regular Tuesday for our fellows and unit.