Håkon Bakke · @BakkeHK
161 followers · 100 posts · Server critcare.social«How should tranexamic acid be administrered in haemorrhagic shock»
OA article in Shock #txa #trauma #medicine #CriticalCare @blackflagmedical
#txa #trauma #medicine #CriticalCare
Romain Barthélémy · @rombarthelemy
189 followers · 807 posts · Server critcare.social#Albumin Should Be Remembered When Patients With #SepticShock Are Resuscitated
“Although no significant difference in 28-day mortality rate or 90-day mortality rate was observed between the use of albumin and #crystalloids, #colloids appeared to be more effective than crystalloids in stabilizing hemodynamic end points.”
I couldn't agree more. Sometimes you have to find what to do at the moment. It is safe and may help.
https://journal.chestnet.org/article/S0012-3692(23)00654-2/fulltext
#albumin #septicshock #crystalloids #colloids #foamcc #chest #CriticalCare #Sepsis #Hemodynamics
Lars Mølgaard Saxhaug · @load_dependent
649 followers · 2393 posts · Server critcare.social
Great paper on the hemodynamic effects of isolated alpha1 stimulation, many great points on cardiovascular physiology, not least a caution against equating blood pressure or vascular resistance with afterload. Resistance may increase while afterload falls! #criticalcare #physiology #cardiology https://journals.lww.com/anesthesia-analgesia/FullText/2011/08000/The_Physiologic_Implications_of_Isolated_Alpha1.15.aspx
#CriticalCare #physiology #cardiology
Matthew Loxton · @mloxton
605 followers · 4060 posts · Server med-mastodon.comHey #emergencymedicine and #trauma docs, give me a potential scenario in which #telehealth in an active battlespace could be useful. Like the patient can't be moved for a while because of enemy fire, and they have a serious injury, how could telehealth be effective and for what?
#emergencymedicine #trauma #telehealth #medicine #CriticalCare
Sabrina Eggmann, PhD · @SabrinaEggmann
97 followers · 21 posts · Server critcare.social
Australian #CriticalCare Journal is planning a special issue on #ICUrehab & #ICUrecovery
We look very forward to receive your submissions!
#CriticalCare #ICUrehab #ICUrecovery
Christos Argyropoulos MD, PhD · @ChristosArgyrop
562 followers · 600 posts · Server med-mastodon.com
From 2008: compensation formulas in respiratory acid base disorders. Source data in ref 3 (from 1998). The uncertainty of the formulas (standard error is 5mM) is underappreciated in clinical practice (1 kPa = 7.5 mmHg) & we end up hunting for zebras.
https://thorax.bmj.com/content/63/3/289
#MedEd #NephMastodon #CriticalCare #acidbase #ICU
Gabriele Pollara · @gpollara
1083 followers · 3777 posts · Server med-mastodon.com
This is interesting - providing individualised antibiotic plans safely reduces #carbapenem prescriptions.
But isn't this just what happens in specialties, like #hematology or #intensivecare, that get regular #microbiology / #infectiousdisease #MDT review of their #antibiotic prescriptions?
#IDmastodon #medicine #oncology #orthopedics #ICU #AMR #pediatrics #criticalcare
https://academic.oup.com/cid/advance-article-abstract/doi/10.1093/cid/ciad518/7255898?redirectedFrom=fulltext&utm_source=advanceaccess&utm_campaign=cid&utm_medium=email
#carbapenem #hematology #intensivecare #microbiology #infectiousdisease #mdt #antibiotic #IDMastodon #medicine #oncology #orthopedics #ICU #AMR #pediatrics #CriticalCare
Gabriele Pollara · @gpollara
1082 followers · 3765 posts · Server med-mastodon.com
We may be losing #cefiderocol far sooner than we hoped.
Timely meta-analysis. Look at those #resistance rates in #carbapenem resistant Enterobacterales!
#microbiology #AMR #antibiotics #antibiotic #CriticalCare #Pseudomonas #Acenitobacter #infectiousdiseases #IDMastodon #medicine
#cefiderocol #resistance #carbapenem #microbiology #AMR #antibiotics #antibiotic #CriticalCare #Pseudomonas #acenitobacter #infectiousdiseases #IDMastodon #medicine
Romain Barthélémy · @rombarthelemy
182 followers · 774 posts · Server critcare.socialHidden information on abdominal #CTscan of patients with digestive #sepsis ?
In our monocenter cohort, we were able to predict #AKI using #RadiomicAnalysis of the kidneys.
Interesting work led by Louis Boutin, PhD candidate in our team.
https://www.accjournal.org/journal/view.php?doi=10.4266/acc.2023.00136
#ctscan #Sepsis #AKI #radiomicanalysis #CriticalCare #icu
Romain Barthélémy · @rombarthelemy
182 followers · 760 posts · Server critcare.social
“Use of #dexmedetomidine in critical-ill patients: is it time to look to the actual #evidence?”
https://ccforum.biomedcentral.com/articles/10.1186/s13054-023-04618-z
#dex #icu #dexmedetomidine #evidence #CriticalCare #critcare #foamcc #sedation #pharmacology
Romain Barthélémy · @rombarthelemy
182 followers · 760 posts · Server critcare.social
But what strikes me most is that it is becoming more and more easy to track flow changes in patient.
In their work, they present a little wearable Doppler ultrasound.
There is now no reason to justify that every mL of fluid given to improve the patient hemodynamics’ isn’t monitored accurately and that clinicians still rely on poor or inappropriate surrogates (including HR, MAP, PP, PPV, urine output, etc.)
#JIntensiveCare #Physiology #Hemodynamics #FOAMcc #Monitoring #CriticalCare
#jintensivecare #physiology #Hemodynamics #foamcc #Monitoring #CriticalCare
Romain Barthélémy · @rombarthelemy
182 followers · 755 posts · Server critcare.socialNice work by Jon-Emile Kenny et. al emphasizing that a significant amount of fluid challenge in ED are ineffective to improve flow, therefore can’t have any positive effect at all.
https://jintensivecare.biomedcentral.com/articles/10.1186/s40560-023-00655-6
#JIntensiveCare #FOAMcc #CriticalCare #Physiology #Hemodynamics
#jintensivecare #foamcc #CriticalCare #physiology #Hemodynamics
Todd Fraser :verified: · @toddfraser
545 followers · 291 posts · Server med-mastodon.comNew Osler Shortcut video - the PREPARE 2 trial
#meded #medtwitter #emergencymedicine #emergencyphysician #intensivist #intensivecare #intensivecaremedicine #ICU #criticalcare #criticalcaremedicine #FOAMed #FOAMcc #intubation #medmastodon
#MedEd #medtwitter #emergencymedicine #emergencyphysician #intensivist #intensivecare #intensivecaremedicine #ICU #CriticalCare #CriticalCareMedicine #FOAMed #FOAMcc #intubation #MedMastodon
Romain Barthélémy · @rombarthelemy
179 followers · 751 posts · Server critcare.socialIn case you missed it, our first work on the subject published in #EJA ⤵️
Evaluation of glomerular filtration rate using iohexol plasma clearance in critically ill patients with augmented renal creatinine clearance
#ARC #AugmentedCreatinineClearance #Iohexol #CriticalCare #NeuroCriticalCare
#eja #arc #augmentedcreatinineclearance #iohexol #CriticalCare #NeuroCriticalCare
Romain Barthélémy · @rombarthelemy
179 followers · 750 posts · Server critcare.socialInterested in Augmented Creatinine Clearance? We have a more nuanced point of view on what is actually being measured. ⤵️
Read our commentary in #NeuroCritCare
https://t.co/5UOEC4mZPg
Augmented Creatinine Clearance in Critically Ill Patients with Acute Brain Injury: Are We Measuring Glomerular Filtration? 🧐
#NeuroCritCare #arc #augmentedcreatinineclearance #CriticalCare
Todd Fraser :verified: · @toddfraser
545 followers · 291 posts · Server med-mastodon.com
New journal review : TAME
Does mild hypercapnia improve neuro outcomes post cardiac arrest?
https://osler.app.link/C5qZ5dWmCCb
#meded #medtwitter #FOAMed #FOAMcc #cardiacarrest #resuscitation #ALS #advancedlifesupport #emergencymedicine #emergencyphysician #intensivist #ICU #intensivecare #FOAMems #FOAMresus #tipsfornewdocs #criticalcaremedicine #criticalcare #medmastodon
#MedEd #medtwitter #FOAMed #FOAMcc #cardiacarrest #resuscitation #als #advancedlifesupport #emergencymedicine #emergencyphysician #intensivist #ICU #intensivecare #foamems #FOAMresus #tipsfornewdocs #CriticalCareMedicine #CriticalCare #MedMastodon
Coles Street Pothole · @ColesStreetPothole
488 followers · 9845 posts · Server weatherishappening.networkNot an absolutely accurate and devastating critique of the American health care system on. . . . Star Trek! 😱 😆
#AllStarTrek @allstartrek #StarTrek #StarTrekVOY #CriticalCare
#AllStarTrek #startrek #startrekvoy #CriticalCare
Todd Fraser :verified: · @toddfraser
544 followers · 287 posts · Server med-mastodon.com
Great new episode of the Critical Care Time podcast now available on Osler!
Horses and Zebras. Or Zorses and Hebras?
View the entire collection of podcasts, infographics and videos :
https://osler.app.link/hk30zQ8jVBb
#meded #medtwitter #medmastodon #tipsfornewdocs #tipsfornewinterns #doctors #ICU #intensivist #intensivecare #criticalcare #FOAMed #FOAMcc @CritCareTime
#MedEd #medtwitter #MedMastodon #tipsfornewdocs #tipsfornewinterns #doctors #ICU #intensivist #intensivecare #CriticalCare #FOAMed #FOAMcc
Romain Barthélémy · @rombarthelemy
173 followers · 727 posts · Server critcare.socialTo reduce my #CarbonFootprint, I bought train tickets. 7 hours to get from Paris to #Milano. Probably not much longer than by plane, if you count transfers and waiting at the airport.
#carbonfootprint #milano #ESICM #lives2023 #CriticalCare
Romain Barthélémy · @rombarthelemy
173 followers · 723 posts · Server critcare.socialThat's it, I'm registered for the #ESICM congress in #Milano in October
Who’s in?
#ESICM #milano #lives2023 #earlybirds #CriticalCare