Julie Helms (@juliehelmsicu) 's Twitter Profile
Julie Helms

@juliehelmsicu

MD, PhD
Critical care physician
Strasbourg University Hospital

ID: 4845954467

calendar_today25-01-2016 16:07:48

131 Tweet

212 Followers

343 Following

Intensive Care Medicine (@youricm) 's Twitter Profile Photo

Paracetamol challenge in #ICU: going green! 🌱 environmental impact of medication 🌱 environmental impact of paracetamol 🩺 patient perspective 💉 paracetamol challenge 📊 follow up data 🏥 impact for hospital Free to read #FOAMcc on Intensive Care Medicine 🔓 rdcu.be/dYu0x

Paracetamol challenge in #ICU: going green!
🌱 environmental impact of medication
🌱 environmental impact of paracetamol
🩺 patient perspective
💉 paracetamol challenge
📊 follow up data
🏥 impact for hospital
Free to read #FOAMcc on <a href="/yourICM/">Intensive Care Medicine</a> 
🔓 rdcu.be/dYu0x
ESICM (@esicm) 's Twitter Profile Photo

🌍 An inspiring #ICF Faculty Development Day concluded yesterday in Casablanca! By delivering top-tier intensive care training, we’re making high-quality education accessible to all. 🤝Thanks to the dedicated experts across #Morocco & the #SMAAR for their invaluable partnership!

🌍 An inspiring #ICF Faculty Development Day concluded yesterday in Casablanca! By delivering top-tier intensive care training, we’re making high-quality education accessible to all.

🤝Thanks to the dedicated experts across #Morocco &amp; the #SMAAR for their invaluable partnership!
Intensive Care Medicine (@youricm) 's Twitter Profile Photo

Preventing VAP 🫁strictly indicate IMV/stop as feasible 🫁develop locally tailored bundles 🧴hand hygiene compliance ⬆️elevate upper body unless contraindicated 🫁drain subglottic secretions if long lasting IMV 🔎surveillance system/consistent definition 🔓rdcu.be/dYIef

Preventing VAP
🫁strictly indicate IMV/stop as feasible
🫁develop locally tailored bundles
🧴hand hygiene compliance
⬆️elevate upper body unless contraindicated
🫁drain subglottic secretions if long lasting IMV
🔎surveillance system/consistent definition
🔓rdcu.be/dYIef
ESICM (@esicm) 's Twitter Profile Photo

1/ Intensive Care Medicine's latest articles ICU Toolbox Topical Collection: 🔹How I perform diaphragmatic ultrasound in the ICU 👉 rdcu.be/dYy6l 🔹Invasive fungal infections in non-neutropenic patients 👉 rdcu.be/dYzD6

1/  <a href="/yourICM/">Intensive Care Medicine</a>'s latest articles

ICU Toolbox Topical Collection:
🔹How I perform diaphragmatic ultrasound in the ICU 👉 rdcu.be/dYy6l
🔹Invasive fungal infections in non-neutropenic patients 👉 rdcu.be/dYzD6
ESICM (@esicm) 's Twitter Profile Photo

Intensive Care Medicine 6/ 🔹OPEN ACCESS ~ Interventions to reduce low-value care in intensive care settings: a scoping review of impacts on health, resource use, costs, & the environment 👉 rdcu.be/dYzCZ

<a href="/yourICM/">Intensive Care Medicine</a> 6/ 🔹OPEN ACCESS ~ Interventions to reduce low-value care in intensive care settings: a scoping review of impacts on health, resource use, costs, &amp; the environment 👉 rdcu.be/dYzCZ
Intensive Care Medicine (@youricm) 's Twitter Profile Photo

Managing blood glucose control in #ICU 📖 landmark RCTs on tight glucose control 🎯 clinical implications: which target? 🍬 toward individualized glucose control? 🚧 strategies to improve quality & safety of glucose control Free to read #FOAMcc Intensive Care Medicine 🔓 rdcu.be/dYSab

Managing blood glucose control in #ICU
📖 landmark RCTs on tight glucose control
🎯 clinical implications: which target?
🍬 toward individualized glucose control?
🚧 strategies to improve quality &amp; safety of glucose control
Free to read #FOAMcc <a href="/yourICM/">Intensive Care Medicine</a>
🔓 rdcu.be/dYSab
Intensive Care Medicine (@youricm) 's Twitter Profile Photo

Fluid removal guided by functional hemodynamic monitoring in unstable pts with severe #AKI in #CRRT? Intriguing evidence... However safety & impact on long-term outcomes still to be determined. Editorial 🔓 rdcu.be/dYVUc On GO NEUTRAL RCT 🔓 rdcu.be/dYVbR

Fluid removal guided by functional hemodynamic monitoring in unstable pts with severe #AKI in #CRRT? Intriguing evidence... However safety &amp; impact on long-term outcomes still to be determined.
Editorial 
🔓 rdcu.be/dYVUc

On GO NEUTRAL RCT 
🔓 rdcu.be/dYVbR
ESICM (@esicm) 's Twitter Profile Photo

1/ Intensive Care Medicine's latest articles 🔹OPEN ACCESS ~ Preventing ventilator-associated pneumonia non-pharmacologically 👉 rdcu.be/dZhIR 🔹The nature of clinical research: even a clear answer gives rise to many other questions 👉 rdcu.be/dZhJ0

1/  <a href="/yourICM/">Intensive Care Medicine</a>'s latest articles

🔹OPEN ACCESS ~ Preventing ventilator-associated pneumonia non-pharmacologically 👉 rdcu.be/dZhIR
🔹The nature of clinical research: even a clear answer gives rise to many other questions 👉 rdcu.be/dZhJ0
Intensive Care Medicine (@youricm) 's Twitter Profile Photo

Fluid responsiveness in #ARDS 💦 FR 39% in ARDS vs 44% non-ARDS ⚖️ reliability of dynamic indices remained consistent in ARDS (distinct thresholds) ☔️ FR not associated with mortality vs hypovolemia (Ao VTI ⬆️ > 32% at PLR) & ΔPP 🔓rdcu.be/dTY2T ⬇️ visual abstract

Fluid responsiveness in #ARDS 
💦 FR 39% in ARDS vs 44% non-ARDS  
⚖️ reliability of dynamic indices remained consistent in ARDS (distinct thresholds)
☔️ FR not associated with mortality vs hypovolemia (Ao VTI ⬆️ &gt; 32% at PLR) &amp; ΔPP
🔓rdcu.be/dTY2T
⬇️ visual abstract
Intensive Care Medicine (@youricm) 's Twitter Profile Photo

PCV + spontaneous vs volume ACV in #ARDS, 🇫🇷 RCT 🔍700 adults, moderate/severe ARDS 🫁PC encouraging non-synchronised unassisted ventilation ⬇️ need for sedation/adjunctive therapies for hypoxemia but not significantly ⬇️ mortality. 🔓rdcu.be/dZKal ⬇️ visual abstract

PCV + spontaneous vs volume ACV in #ARDS, 🇫🇷 RCT 
🔍700 adults, moderate/severe ARDS
🫁PC encouraging non-synchronised unassisted ventilation ⬇️ need for sedation/adjunctive therapies for hypoxemia but not significantly ⬇️ mortality.  
🔓rdcu.be/dZKal
⬇️ visual abstract
ESICM (@esicm) 's Twitter Profile Photo

🎓Have you heard about our #Research Pathway to help you become an #IntensiveCare researcher? The Level 1️⃣ will start in a week!👉"Introduction to Critical Care Research”🔎 including: 🔹2 Online self-study modules 🔹Course: 19 - 20 Nov Register now!👇 loom.ly/m8zCTbc

Intensive Care Medicine (@youricm) 's Twitter Profile Photo

Sepsis 🚧 current challenges 🚨 early warning scores 🩸 POCT & rapid laboratory diagnostics ⚙️ technology‑based criteria 🔮future directions review exploring current landscape/evolving understanding, and underscoring need for standardized terminology 🖇️bit.ly/4fG8Zkc

Sepsis
🚧 current challenges
🚨 early warning scores
🩸 POCT &amp; rapid laboratory diagnostics
⚙️ technology‑based criteria
🔮future directions 
review exploring current landscape/evolving understanding, and underscoring need for standardized terminology   
🖇️bit.ly/4fG8Zkc
ESICM (@esicm) 's Twitter Profile Photo

🎓Get ready for our great lineup of upcoming #courses! #Research Pathway - Level 1 📆19-20 Nov Level 1: Foundation Course in #Haemodynamics 📆10-11 Dec #EDIC I Prep Course 📆25 Feb & many more...! Check all the courses & register now! 👉 loom.ly/Ss3Wx6k #IntensiveCare

🎓Get ready for our great lineup of upcoming #courses!

#Research Pathway - Level 1 📆19-20 Nov
Level 1: Foundation Course in #Haemodynamics 📆10-11 Dec
#EDIC I Prep Course 📆25 Feb

&amp; many more...!

Check all the courses &amp; register now! 👉 loom.ly/Ss3Wx6k
#IntensiveCare
ESICM (@esicm) 's Twitter Profile Photo

#PODCAST #NewRelease 🎙️When and how vasopressors in Sepsis? Listen to this new #ESICMTalk 36 👉 loom.ly/hNmAjQg 📢 Please complete this survey and help us carry on a quality measure control of our podcast production 👉 loom.ly/u8UVhOk Ahmed Zaher

#PODCAST #NewRelease 🎙️When and how vasopressors in Sepsis?

Listen to this new #ESICMTalk 36 👉 loom.ly/hNmAjQg

📢 Please complete this survey and help us carry on a quality measure control of our podcast production 👉 loom.ly/u8UVhOk

<a href="/dramzaher/">Ahmed Zaher</a>
ESICM (@esicm) 's Twitter Profile Photo

1/ Intensive Care Medicine's latest articles 🔹OPEN ACCESS ~ Personalized positive end-expiratory pressure in spontaneously breathing patients with ARDS by simultaneous electrical impedance tomography & transpulmonary pressure monitoring: a randomized crossover trial👉 rdcu.be/d0QrR

1/  <a href="/yourICM/">Intensive Care Medicine</a>'s latest articles

🔹OPEN ACCESS ~ Personalized positive end-expiratory pressure in spontaneously breathing patients with ARDS by simultaneous electrical impedance tomography &amp; transpulmonary pressure monitoring: a randomized crossover trial👉 rdcu.be/d0QrR
Intensive Care Medicine (@youricm) 's Twitter Profile Photo

Rethinking energy & protein provision for critically ill patients 🔌 energy dose 🥩 protein dose 🍽️ learning points & proposed energy/protein provision 🚧 limitations and future directions Open access #FOAMcc #ICUrehab on Intensive Care Medicine A/Prof Emma Ridley 🔗 bit.ly/4eMfOj6

Rethinking energy &amp; protein provision for critically ill patients
🔌 energy dose
🥩 protein dose
🍽️ learning points &amp; proposed energy/protein provision
🚧 limitations and future directions
Open access #FOAMcc #ICUrehab on <a href="/yourICM/">Intensive Care Medicine</a> <a href="/ICUnutrition/">A/Prof Emma Ridley</a> 
🔗 bit.ly/4eMfOj6
ESICM (@esicm) 's Twitter Profile Photo

📣We’re proud to share the 5th issue of Point of View, where ESICM specialists provide their insights on a selected topic. Made by ESICM SIS Section. ⏩Fludrocortisone dose–response relationship in septic shock: a randomised phase II trial👇 loom.ly/SDua3qo

Julie Helms (@juliehelmsicu) 's Twitter Profile Photo

Please take a few minutes to complete the following survey on Global practice in diagnosis and treatment of DIC: lnkd.in/eC2Z4zc7