Boost ED efficiency with a ED-ICU model! Learn how we achieved success with a footprint <5% of total ED layout at #ACEP24 in Las Vegas on 10/1/2024, 2:00 PM PT (RF62). Discover strategies to transform your ED! #EmergencyMedicine #EDICU #EMCCM #ACEP24

PulmCrit Wee: We need a heart failure classification system that doesn't ignore half of the heart. 💔Diagnose, document, and communicate about RV failure. 💔Support #ThePeoplesVentricle by classifying heart failure more comprehensively. blog: emcrit.org/pulmcrit/hfxef…

hard cosign 👇 occasionally see shock w/ *hypertension* in PE. compensatory response w/ massive catecholamine output causing vasoconstriction & HTN. often also see: -lactate and/or AG elevated -diaphoresis/clammy -tachycardia -pt feels unwell -echo/ct/ecg scary

CardioVascular EMCrit - Differential Gas Exchange on Peripheral Femoral VA ECMO with Katrina (Trina) Augustin It is not enough to understand differential oxygenation, you need to worry about diff ventilation as well! This one is for the #pumpheads [#FOAMed] emcrit.org/20em

Five reasons why a restrictive fluid strategy in sepsis might be more rational criticalcarescience.org/wp-content/upl… Via the amazing Critical Care Reviews

#ECMO for severe calcium channel blocker toxicity, ELSO Registry analysis: 🪦 mortality 40.6%, notably lower vs mortality for overall #ECLS use in adults 🧪severe acidosis (pH < 7.1) & need for #RRT pre ECMO key predictors of mortality asaiojournal 🔓bit.ly/3MQLR60

🤣truth stewart and h/h are both fine approaches to acid/base evaluation which generally will yield the same results pick whichever you like and use it consistently mistakes result from not analyzing acid/base at all, not looking at the patient, or forgetting clinical context

Recap from #ACEP24! The UMass EM/CCM team had an incredible time sharing our research on: Midlines! ED-ICU Model: Operational Successes & Effects #EMCCM #EmergencyMedicine #CriticalCare #HealthcareInnovation #UMassEMCCM ACEP CCM Section

I for one am looking forwards to improvising volume resuscitation with a continually rotating bevy of weird fluids. what do we have today? plasmalyte? one third normal saline with phos? 5% albumin? hetastarch? gelofusine? 23% saline drizzled over D5W? LFG

Have you ever safely extubated a post-arrest patient in your ED? Status asthmaticus? If you're interested in learning more and sharing experiences, join us at SCCM's Critical Care Congress 2025! #EmergencyMedicine #CCM #Extubation #HealthcareInnovation #SCCM2025 #EMCCM

Me rounding on elderly dementia patient in the ICU, yelling though N95: Me: You had a small heart attack! Pt: Who me? Me: Yes, you! Pt: Can't be! Me: ...then who?! End scene

Most EM docs have little experience actively titrating masked NIV devices. brian wright and I have written a framework for how to approach your next patient who needs a little positive pressure. Check it out here: sciencedirect.com/science/articl…

(1/x) Intubating a critically ill patients is the most dangerous procedure we do in the ICU (3.1% cardiac arrest rate) not because of hypoxia or tube placement, but hemodynamic collapse 🫀 (Russotto et al. JAMA 2021) A 🧵on making high risk hemodynamic intubations as safe as

Awake intubation! instagram.com/reel/DIetbiAu8…

🚨 Introducing Real Debate—a new column by Dr. Rory Spiegel. In a world rushing through patient care for profit, let’s reclaim space for curiosity, dialogue, and thoughtful exploration. Rory Spiegel ACEP Members #EmergencyMedicineNews ow.ly/ERiS50VViyl

How can we improve handoffs of ICU boarders in the ED? Take a look at our latest work! #emccm issuu.com/saemonline/doc…