Predicting LV distension on VA #ECMO? Proposal of formula which may be used to:
๐งฎ predict change in EDV
๐งฎ predict consequence of interventions impacting on pressure & volume status on LV EDV/SV
๐งฎ better anticipate need for LV venting
Open access #FOAMcc on ASAIO Journal
๐ https://bit.ly/3sWgyzW
What could you see in this electrocardiogram & what is going on??
๐ 59-year-old male with metastatic cancer, intolerant to chemotherapy started on immune checkpoint inhibitor. After the first cycle:
๐ซ chest discomfort
๐ฅ๏ธ at echocardiography 49% EF + anterior LV wall dysfunction
๐งช elevated cardiac troponin I + B-type natriuretic peptide
โก๏ธ ECG was performedโฆ
Answer on @ICM free to read #FOAMcc
๐ https://rdcu.be/dlESy
โค Sex & gender differences in #ICU, influence on:
๐ฅ admission
๐งซ #sepsis & septic shock
๐ซ cardiac arrest
๐ซ #ARDS
๐ซ cardiogenic shock
๐ซ #AKI
๐ตโ๐ซ delirium
๐ฉบ medical treatment
๐ฅ general outcomes
Evidence is still scarce, and data remain conflicting. Be aware & work toward addressing them in clinical practice/research to improve management in a personalized, patient-centered manner.
Open access #FOAMcc on @ICM ๐ https://bit.ly/483cePH
#ICU #Sepsis #ARDS #AKI #FOAMcc
๐ซ ๐งช Renal biomarkers can be used to define and identify of subclinical acute kidney injury, frequent & severe condition with prognosis equivalent to that of #AKI, as defined by KDIGO criteria based on serum creatinine increase: ancillary analysis of FROG-ICU study ๐ธ.
Free to read #FOAMcc on @ICM
๐ https://rdcu.be/dlsf9
Osler shortcut - how to move the ultrasound probe. Essential for any #POCUS beginner
#medtwitter #meded #POCUS #ultrasound #tipsfornewdocs #tipsfornewinterns #medstudents #medstudent #medschool #juniordoctors #juniordocs #emergencymedicine #intensivecare #anaesthesia #anesthesia #FOAMed #FOAMcc
#POCUS #medtwitter #MedEd #ultrasound #tipsfornewdocs #tipsfornewinterns #medstudents #medstudent #medschool #juniordoctors #juniordocs #emergencymedicine #intensivecare #anaesthesia #anesthesia #FOAMed #FOAMcc
https://first10em.com/the-crashing-brain-approach-to-the-first-10-minutes/
how do we tackle the first 10 minutes when we know we have a sick brain on our hands, but we donโt yet know exactly what kind of sick brain weโre dealing with?
#emergencymedicine #emergencyphysicians #FOAMcc #FOAMed #FOAMEDcc
#emergencymedicine #emergencyphysicians #FOAMcc #FOAMed #FOAMEDcc
New 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
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
This review of the PATCH trial is generated with AI.
How does this make you feel about the information you're consuming?
#meded #medtwitter #PATCHtrial #PATCH #trauma #doctors #FOAMed #FOAMcc #tipsfornewdocs #tipsfornewinterns #juniordoctors #juniordocs #emergencymedicine #medmastodon #intensivist #intensivecare #emergencyphysician #intensivecaremedicine #paramedic
#MedEd #medtwitter #patchtrial #patch #trauma #doctors #FOAMed #FOAMcc #tipsfornewdocs #tipsfornewinterns #juniordoctors #juniordocs #emergencymedicine #MedMastodon #intensivist #intensivecare #emergencyphysician #intensivecaremedicine #paramedic
The interaction of thrombocytopenia, hemorrhage, platelet transfusion in VA #ECMO: in this multicenter observational study occurrence of thrombocytopenia considerably higher than currently recognized!
๐ฅ >400 pts included; during #ECLS almost all pts developed thrombocytopenia
๐ฉธ 45% developed severe thrombocytopenia, important factor for PLT transfusion, also if no bleeding
๐ฉธ 1 or more PLT transfusions administered in 54%
๐ฉธ 49% suffered hemorrhagic event
Open #FOAMcc
๐ https://rdcu.be/dkgf3
New How-to guide
Using Osler to get confidential feedback on your procedures, cases and reflections
https://osler.app.link/cFH5m8wcwCb
#medtwitter #meded #medmastodon #tipsfornewdocs #tipsfornewinterns #FOAMed #FOAMcc #doctors #nurses #paramedics #medstudents #medstudenttwitter
#medtwitter #MedEd #MedMastodon #tipsfornewdocs #tipsfornewinterns #FOAMed #FOAMcc #doctors #nurses #paramedics #medstudents #medstudenttwitter
๐ฑ Growing body of evidence highlights the importance of healing environments to improve wellbeing of critically ill patients, families & staff. Incorporating nature ๐ฟimperative step towards enhancing patient recovery, uplifting family well-being, and nurturing resilience of our caregivers... planning to build an #ICU outdoor garden?? ๐ณ here some things to consider! #FOAMcc on @ICM
๐ https://rdcu.be/dkf76
PS also check this ๐๏ธ#ICMfromtheInside piece on Balcony of Hope
๐ช https://rdcu.be/dkf74
#ICU #FOAMcc #icmfromtheinside
Reducing dynamic driving pressure after VV #ECMO support initiation in adults: any impact on survival?? ELSO Registry study including > 9K patients:
๐ซ hospital mortality significantly higher in patients exposed to DDP > 15 cm H2O
๐ซ association of DDP > 15 cm H2O with hospital mortality robust in sensitivity analyses
#FOAMcc #FOAMecmo on @ICM
๐๏ธ https://rdcu.be/dkdR6
๐งซ 2030: will we still need microbiologist?
๐ค from human skill to machine precision
๐ฉบ medical expertise meets #ArtificialIntelligence #AI
๐๏ธ central labs to PoC technology
๐ฎ the future: anticipated trends, transitions, strategies
Patient safety/security paramount. Human intervention, even if reduced, should remain mandatory in all fields of medicine... at least for the upcoming century.
Editorial free to read #FOAMcc on @ICM ... What do you think??
๐๏ธ https://rdcu.be/dkaZu
#artificialintelligence #ai #FOAMcc
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
Great new module - the emergency management of severe bradycardia
This module is just one of the incredible Advanced Life Support series. Like all Osler content and features, it's 100% free!
https://osler.app.link/7LbMHuYVtCb
#meded #medmastodon #medtwitter #FOAMed #FOAMcc #FOAMresus #FOAMems #juniordoctors #tipsfornewdocs #tipsfornewinterns #doctors #emergencymedicine #intensivecare #ICU #emergencyphysician #intensivst #resuscitation #advancedlifesupport #ALS
#MedEd #MedMastodon #medtwitter #FOAMed #FOAMcc #FOAMresus #foamems #juniordoctors #tipsfornewdocs #tipsfornewinterns #doctors #emergencymedicine #intensivecare #ICU #emergencyphysician #intensivst #resuscitation #advancedlifesupport #als
Learning theory for beginners - taking your teaching to the next level
https://osler.app.link/0JeAHuoGsCb
#meded #medicaleducation #medmastodon #doctors #FOAMed #FOAMcc #medtwitter #intensivist #emergencyphysician #anaesthetist #anesthesiologist #physician #surgeon
#MedEd #medicaleducation #MedMastodon #doctors #FOAMed #FOAMcc #medtwitter #intensivist #emergencyphysician #anaesthetist #anesthesiologist #Physician #Surgeon
๐ง Here some recent neuro-narrative reviewsโฆ free to read ๐ #FOAMcc #FOAMped on @ICM
๐ Electroencephalogram in #ICU for acute brain injury https://rdcu.be/dj1PO
๐ Managing moderate/severe TBI http://rdcu.be/cN2rq
๐ Hypoxicโischaemic BI & brain oxygenation after CA https://rdcu.be/dh3Gd
๐ The brain in #PedsICU https://rdcu.be/cLS1v
#FOAMcc #foamped #ICU #PedsICU
A 53 year old horserider falls and is rolled on by the horse. She is intubated at the scene for respiratory failure and agitation.
What does her initial CXR show?
https://osler.app.link/Pn4RiwAUqCb
#medtwitter #medmastodon #traumatwitter #juniordoctors #juniordocs #medstudenttwitter #medstudents #tipsfornewdocs #FOAMed #FOAMcc #FOAMtrauma #trauma #emergencymedicine #emergencyphysician #intensivist #ICU #intensivecare #FOAMems
#medtwitter #MedMastodon #traumatwitter #juniordoctors #juniordocs #medstudenttwitter #medstudents #tipsfornewdocs #FOAMed #FOAMcc #FOAMtrauma #trauma #emergencymedicine #emergencyphysician #intensivist #ICU #intensivecare #foamems