🔥The 9th Round of Easy Loan, Earn $40 Reward is in progress❗️ ⏰ Promotion Period: January 15th - Feburary 15th, 2025 👉 Register now and check more details at gate.io/campaigns/358

🌐 Introducing the New International Fluid Academy Website! We're excited to share our redesigned digital home — built to better serve the global critical care community. 💡 Explore evidence-based resources, expert perspectives, and in-depth insights on fluid stewardship and

If you have any interest in improving presentation please visit my site ffolliet.com happy to answer any questions related to presentations and engage in discussion to work together to improve the world of presentations. Please share, RT, post to "other" channels etc

🫄Volume isn’t the only problem — could sodium be the silent driver of fluid overload? Intravenous fluid therapy is associated with a broad spectrum of detrimental consequences. The best documented and most serious side effect of fluid therapy remains fluid overload, which is an

🌐 We’re live! Explore the all-new International Fluid Academy website – your central hub for the latest in fluid management, research updates, online courses, and upcoming events. 🔎 Dive into expert content, join our growing community, and stay ahead in critical care. 👉

If you make a presentation please consider making ONE change. ffolliet.com/2025/05/12/one…

Lesson 3: Most problems that occur in the ICU are not related to ‘volume status’ despite the disproportionate amount of time on rounds we spend discussing them. When I was a fellow, I recorded what percentage of time we spent on rounds discussing volume status: fluids, Lasix,

The very 1st line of a recent British Journal of Anaesthesia states: 'In early critical illness, intravascular volume depletion secondary to capillary leak is common & requires aggressive fluid resuscitation to improve cardiac output & tissue perfusion' Why are we still propagating these myths? 🧵

You can come and listen to Andy Breen Ross Prager and I talk about fluid management, venous congestion and oedema Intensive Care Society 💙 #SOA25 If you want to support rational fluid management follow Turning the Tide where there are exciting updates coming soon!

1/ You might think: "Why give NaCl to someone overloaded with salt and water? Shouldn’t we be pulling sodium out, not putting it in?" 🧂💧 It feels wrong — but correcting chloride can unlock natriuresis. Let’s break the paradox. 🧵

🫁 What happened to ARDS? 20 years ago ARDS was everywhere. Now we rarely see it. We didn't cure it. We just stopped causing it. Here’s how IV fluids quietly created (and solved) an epidemic of iatrogenic lung injury 🧵

🚨 Heart failure (HF) decongestion ≠ simple fluid removal. Let’s explore the fascinating electrolyte changes happening behind the scenes and how they interact with diuretic therapy. 🫀💧⚡ Here follows a thread.🧵 Full review by Frederik H. Verbrugge and me: onlinelibrary.wiley.com/doi/10.1002/ej…

🧵1/ Hypovolaemia is the most overdiagnosed concept in medicine. We say it reflexively — especially in sepsis. But here’s the uncomfortable truth: We can’t measure blood volume. We infer it. Often wrongly. Let’s unpack why that matters. 👇 #MedTwitter #FOAMed

The latest edition of the FICM Safety Bulletin is now outnow: ficm.ac.uk/safety-bulletin

1/ Fluids can harm. But fluids also save lives. Let’s talk about the life-saving side of fluid therapy — from IV resuscitation in cholera to global oral rehydration campaigns. 💧🧵 #MedTwitter #FOAMed #CriticalCare

🧵 Lymphangions: The Hidden Pump Protecting You From Oedema 1️⃣ What if I told you that you have hundreds of tiny hearts quietly pumping litres of fluid every day? They’re called lymphangions—segments of your lymphatic system that actively contract to return interstitial fluid to

🧵 Starling’s Law: Misunderstood, Misapplied, and Still Misleading 1 🚨 “Starling’s Law explains how the heart increases cardiac output.” You’ve probably heard this a thousand times. But it’s wrong. Or at least - very incomplete. Let’s fix it. Because this matters - for heart

When patients get hyponatraemia often the response is to order a lot of tests. Thinking about the underlying cause, and realising it’s not just about the sodium might help unnecessary blood draws. A great Tweetorial and a flow diagram to guide your thinking from Turning the Tide—

💧Fluid creep accounts for more fluid than resuscitation in ICU. But nobody prescribes it — and most don’t even notice it. The truth? 🧨 Most ICU patients don’t need routine maintenance fluids. Here’s what’s really going on 👇🧵

For whoever needs to hear this - 0.9% sodium chloride and Hartmanns/Ringers are not maintenance fluids. ⬇️