Check out our 🆕 infographic on undifferentiated shock; the perfect accompaniment to the first episode of Critical Care Time! Part 1️⃣ shows.acast.com/649181182c969b… Part 2️⃣ shows.acast.com/649181182c969b…

(1/6): 5 myths of IV fluids 🦄 A 🧵that makes my soul cringe. Please help spread the word 🙏#stopinhospitaldrowning

There are numerous ways to classify cardiogenic shock. The key point is identify it in the first place. The pendulum has swung to where any lactate elevation is sepsis and given fluid boluses to the detriment of the patient. 🎩 tip to the authors. eddyjoemd.com/foamed/

When a patient presents with mottling amongst their constellation of signs/symptoms/labs, there is a look the 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. eddyjoemd.com/foamed/

🧵for the new residents and students on the meaning of 'French' and 'Gauge'. We've covered this on here in the past, but a lot of new people are starting on surgical rotations, so let's look at them again. As usual, we'll cover their history and what they mean. (1/ )

1/ A 72 yo W pw urosepsis. She is started on ceftriaxone. Her white count downtrends, pressors are weaned. Hemodynamically she’s doing better. Except she continues to be altered. EEG is ordered and shows this! A #continuumcase about … a continuum: An ictal-interictal one

If we are going to continue providing empiric antibiotics at the current pace, we might as well do it right. The biomarkers are not yet where we need them to be. This paper covers antimicrobial management in sepsis. 🎩 tip to the authors. eddyjoemd.com/foamed/

A challenging case of XDR Klebsiella pneumoniae empyema, with summary of its resistance mechanisms doi.org/10.1093/jacamr…

ICU Hemodynamics: If you are managing patients with #vasoplegicshock, this is a nice review article:

🧵 We use an Extubation Readiness Checklist on the ICU which goes through the letters A-L. We now call it 'The Extubation Clock' 1/8

Vascular access can be challenging in patients with a history of previous catheters. Planning the access is key to success. Finding a thrombus is not uncommon during our US scanning. Let's do a small thread on how to solve the problem 🧵Int Society of Nephrology Bernardo Moguel-Gonzalez Brenda Cortez

Peter’s Pearls in vasculitis - Dr Merkel noted: 1. Do NOT follow ANCA titers 2. Anti-PR3 ANCA more likely to relapse 3. ANCA+ EGPA behaves like GPA/MPA 4. Don’t delay is there is Pulm hemorrhage/ RPGN 5. Steroids save lives in the short term #CCRwest Dr. John Cush

🧵 Why you cannot be oedematous and hypovolaemic at steady state “Puffy but intravascularly dry”? ⚠️The most persistent myth in IV fluid therapy #FOAMed #physiology #MedX

To appropriately manage volume overload, we need to identify it. After all, it's not just the heart and lungs that get beaten up by resuscitation. This paper evaluates VExUS as the literature supporting it. 🎩 tip to the authors. eddyjoemd.com/foamed

🦠 PCP Pneumonia The infection every clinician must recognise early because a delay can be fatal. Let’s break it down in the simplest and most practical way 👇 #MedTwitter #FOAMed #InternalMedicine 🔥 What is PCP ● Caused by Pneumocystis jirovecii ● A fungus that behaves

This article presents the pathophysiological mechanisms by which patients with pleural effusion experience dyspnoea and the mechanism by which these patients may clinically benefit from thoracentesis, regardless of the size of the pleural effusion. bit.ly/486GQC7

When performing an emergency surgical airway, the decision-making is the essential step. After the decision, there's no time to look for resources, only for executing a technique learned in advance. #trauma #cricothyrotomy #coniotomy #orthotwitter #orthoX #meded

🧵 THE ULTIMATE VASOPRESSOR + INOTROPE ICU MASTERCLASS 🚨 Shock kills fast. Choosing the wrong pressor kills faster. Choosing the right one saves a life instantly. This is the thread every resident, intern and ICU doctor should read today. #MedTwitter #CriticalCare #FOAMed

The best way to know the skin problem

Interactive Holistic Four-Interface Shock Model based on the work of Philippe Rola and friends thanks to G3mini gemini.google.com/share/cc7e2c0f…