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Vivek Moitra, MD Jul 19
Here's an approach for ICU oliguria including the "dumb kidney" concept from
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Tim Montrief Jul 17
A GCS less than 8 is not an absolute indication for intubation. A GCS less than 8 is not an absolute indication for intubation. A GCS less than 8 is not an absolute indication for intubation. If I keep saying it, will everyone eventually listen?
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Osler Jul 13
A 41 year old man is brought to emergency following a motorbike accident. He is intubated at the scene for decreased LOC. He has a BP 90/60, sats 95% on 80% oxygen. The following Chest Xray is taken What does it show?
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ATSfellows Jul 19
CRRT - how and when to initiate in the ICU? How to troubleshoot? Link 1: Link 2: Dr. Bob Danner from the NIH Critical Care Medicine Department shares his insights
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ʇɟıɥsICMpɐɹɐd Jul 14
A case to show the power of The patient has implored me to disseminate Chest radiograph taken after thoracic-abdominal surgery. Worsening oxygenation with progressive radiographic changes. Left drain about to be advanced to drain the clear effusion
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Salim R. Rezaie Jul 19
PARAMEDIC-2: JC - Does Epinephrine Work in Cardiac Arrest? via IV Epi 1mg q3-5min: 1. Increased ROSC 2. No Difference in Survival with Favorable Neuro Outcomes 3. More Pts with Severe Neuro Disabilities
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#hellomynameis Segun Jul 16
Should we quit auscultating bowel sounds in ICU? TLDR: probably
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Jason Buick Jul 18
trial demonstrates epinephrine in increase ROSC & survival, but more pts have worse neurological recovery (mRS 0-3). However, overall survival was poor (<3%) & no adjustment for in-hospital treatments.
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Tim Montrief 17h
The shock index is your friend. Use it. The shock index is the heart rate divided by systolic blood pressure. If you are less than 0.6, you are not in shock. 0.6 to 1 is mild shock, 1 to 1.4 is moderate shock and greater than 1.4 is severe shock
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Salim R. Rezaie Jul 18
The Approach to the Most Common Cardiac Dysrhythmia: 8 Causes of Sinus Tachycardia via
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Medicina Crítica Mex Jul 19
PARAMEDIC-2, comparing adrenaline with placebo in out-of-hospital cardiac arrest is out in . A trial that’s gonna generate controversies.
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Jonny Wilkinson Jul 11
Bored of the World cup, garden parched, too hot, over-worked? Take a look at what we've trawled out for you to update yourself in the world of finds for July!
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Robert Simpson Jul 15
Hey friends, what are your tips, tricks, doses, and devices for when you have to a patient with myasthenic crisis? Cheers.
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Tim Montrief Jul 19
"We can't give him Fentanyl because we won't get a reliable abdominal exam afterwards." Umm, no .
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Salim R. Rezaie Jul 18
The Shocked Intubation: Definitive Airway Sans Hypotension via
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Jonny Wilkinson 10h
Seems nothing can knock norad from the pedestal! Nice summary and
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Critical Care Summit Jul 18
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Majuran Jul 19
When dealing with unknown drug toxicity - start by thinking in toxidromes
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Dr Sammy #FBPE 24h
Recommended podcast for our candidates on TBI. Good emphasis on doing the basics well and preventing secondary brain injury in the pre-hospital phase. Also discussing the potential for TXA in TBI and Crash-3 trial
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ELSO Jul 15
Securing bicaval dual-lumen cannula: what works? Optimal methods to provide stabilization allowing ambulation and patient comfort free open access online first
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