Critical Concepts
Critical care PA, FCCM, former EMT. Cohost of http://icuscenarios.com, teaches at icu101.com. #FOAMcc #FOAMed
- No more perfusion scans! Radial access for all! Lots of interesting thoughts on the cutting edge of thrombectomy from Justin Fraser. #medsky #emimcc icuscenarios.com/episode-89-t...
- Pregnant patient in your (non obstetric) ICU? Don't be scared. icuscenarios.com/episode-87-m... #medsky #emimcc
- Gotta use that deionized water #emimcc
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- sometimes I wonder how I landed a wife
- When assessing a patient on ICU (or hospital) admission to determine if they have risk of alcohol withdrawal, either as their presenting problem or a potential later complication, it seems like many of us have independently come up with a one-question screen: do you drink alcohol every day?
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- Our old friend @zentensivist.bsky.social gives us a masterclass in the advanced tricks of PA catheter placement icuscenarios.com/lightning-ro... #medsky #emimcc
- Made some picture frames for the babe’s room
- Warming up in Connecticut
- Modern sepsis quality measures have increased fluid use, antibiotic use, lactate measurement, without effect on mortality, maybe signal for more complications. #SCCM2025
- Bacteria grows faster when cultured in trauma serum, maybe due to the free iron (sorry - missed the speaker’s name) #SCCM2025
- 4-5% higher risk of developing delirium per 24 hours for every 5mg midazolam; 24% risk per 10mg morphine equivalent (about 80 fentanyl) For some reason, presence of untreated evere pain is INVERSELY related with delirium risk (?) #SCCM2025
- ECPR higher value per life years saved than hemodialysis 🤔
- Discussing how to promote and enable clinical excellence, at the #SCCM2025 APP luncheon
