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Intens Care Med 11h
Lung CEUS detecting avascular areas of irregularity in : NOT subpleural consolidations -> likely 3–5 mm multiple microinfarcts Referring to & on
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Salim R. Rezaie, MD Aug 3
Salvage Therapies in Acute Respiratory Distress Syndrome via Quick & Easy Infographics On: -Proning -Paralytics -Protection
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Haney Mallemat Aug 5
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Salim R. Rezaie, MD Aug 2
Dexmedetomidine (Precedex): Onset: 5 to 10min Duration 1 to 2hr Half-Life: 1.8 to 3.1hr Cont Sedation: Loading Dose 0.5 to 1mcg/kg over 10min 0.2 to 1.5mcg/kg/hr Titrate q1hr Potential Side Effects: Bradycardia & hypotension
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Robert Jones Aug 4
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San Raffaele Anesthesia and Intensive Care 9h
Diaphragm dysfunction after elective is moderately related to CPB duration. Although improving relatively quickly diaphragm dysfunction delays successful extubation & prolongs ICU stay. Read the article we published on :
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Haney Mallemat Aug 4
Do you use ultrasound in cardiac arrest? Do you use the terms PEA & pseudo-PEA? Have you heard of PREM & PRES as described by ? Check out this post by from
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Daniel Jafari 18h
Surveillance DVT ultrasound study every two weeks in ICU decreased 90 day mortality, shortened time to diagnose DVT or PE by 4 days, based on a pre planned sub analysis of an RCT. Really interested to see an RCT directly addressing that
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Salim R. Rezaie, MD Jul 30
OMI vs NOMI via -NSTEMI --> 25% False Negatives (missed occlusions) -STEMI --> 15-35% False Positives (iatrogenic harm/wasted resources) -Better Nomenclature = Occlusion Myocardial Infarction (OMI)
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Salim R. Rezaie, MD Jul 30
Avoiding Airway Catastrophes via 1st attempt = best attempt: -Optimal positioning -PreOx -Big dose paralytic (rocuronium 2mg/kg) -VL with big screen -Waveform Capnography: No trace = wrong place
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Critical Care Practitioner 9h
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Salim R. Rezaie, MD Jul 29
Intubating the Patient in Profound Shock via Neutral intubation = Awake Intubation
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Salim R. Rezaie, MD Jul 30
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Osler Aug 3
Osler Weekly Quiz - 45 year old woman with seizures. WARNING - it's a tough one! Answer and tutorial :
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MH/CCF/CWRU EM Res Aug 5
Gradual onset SOB, occasional chest pain, and unable to lie flat. No history of cardiac disease. See thread
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M Velia Antonini Aug 5
in pandemics?? discussion ongoing! follow this interesting thread and read all cited correspondence & articles, open access Looking for preliminary data? check Registry live dashboard
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Mark Ramzy, DO, EMT-P Aug 3
Lets briefly talk about ARDS, no not some crazy academic debate... Rather a focus on interventions & therapies! 🛌🏾Proning 💉Paralytics 🛡️Protection
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Paul Wischmeyer MD ⎪ #NutritionMatters 💪 Aug 5
1/3-Back by request for new ICU residents! 💥 12 KEY TRIALS I teach on Rounds each week they must know! Do you agree? Any you would add? 1. ARDSNET -PMID 10793162 2. LEUVEN Glucose 1 -PMID 11794168 3. SAFE Trial PMID: 15163774
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Salim R. Rezaie, MD Jul 30
Bedside Management of Acute PE via Mae West Massive PE: -Don't flood pt with fluids -Vasopressors: norepi + low dose vasopressin -Inotropes: Dobutamine or milrinone -Pulmonary vasodilators: Nebulized NTG or milrinone -Avoid intubation if possible
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GeisingerCCM Aug 5
Nice review by on caring for the critically ill PE patient.
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