@JetBlue what’s the deal with cancelling flights and leaving your passengers stranded with no alternatives and no one at PDX to speak with customers? Poor business model much? Never flying with you again
Continuing the daily duo of ICU OnePagers:
Today, a high yield pair of #toxicology themed ICU #OnePagers: hyperthermic toxidromes (5HT syndrome, NMS, sympathomimetic, and MH) & alcohol withdrawal. Two OnePagers that summarize the important but easy-to-miss toxicities in the ICU.
KNOW HOW TO INTERPRET TEG!
🩸TEG guided resuscitation helps ensure patients are getting the appropriate product(s)
📖Here's some helpful references from @REBEL__EM, @OnePagerICU & @ICUAdvantage#FOAMed
https://t.co/9IxuL7iPJ3
https://t.co/MzsHQiMm93
https://t.co/kL9xDoLi5o
5️⃣We use pulse oximeters every day in the ICU, but how do they work & when do they fail?
This #ICUOnePager reviews SpO2 & the factors that can affect it: skin color, nail polish, low flow/non-pulsatile states, abnormal Hb (metHb). Also the key concept of pulse ox lag time ⏱.
updated the chapter on HTN emergency. thoughts:
🚨 stepwise approach is key (IV antihypertensive is step #4, not #1)
🚨 *vasoconstriction* often key to pathophys --> vasodilator tx makes sense. Maybe this is why nicardipine & nifedipine XR work so well?
https://t.co/HZtTWXY5VI
Badulak – ECMO Indications & Complications — Maryland CC Project
Great overview of ECMO from @JenelleBadulak#FOAMed#MedEd#medtwitter
https://t.co/IY3SStsWtR
EM doc: *sees, treats, and DCs 99 patients with specialist complaints without consult*
Also EM doc: *consults on 1 patient with unclear history*
Our consultants: this tweet.
Friendly reminder to specialists that you have no idea how many people we see without consulting you.
Rebellion21: 5 Things Your Intensivist Wishes you did in the ED for Critically Ill Pts via @EmICUcanada
Optimize Resuscitation
Optimize Vent Parameters
Sedation Strategy
Peripheral Pressors Safely
Communication
https://t.co/zlCvkK1G0v
#FOAMed#FOAMcc#rebellion21
Right Ventricular failure - fresh chapter!
❤️🔥common in ICU - esp ARDS (25%) & complex patients w/ comorbidities
❤️🔥don't need to be very invasive (e.g. Swan)
❤️🔥do need to understand physiology & provide RV-friendly resus
#ThePeoplesVentricle#DiuresisJedi
https://t.co/yg9YmcQRat
The FAST Exam: Overused and Overrated? via @First10EM
"Whether your FAST exam is positive or negative, the patient still needs a CT, which is the definition of a useless test."
https://t.co/WDqxX8z3oG
#FOAMed#FOAMus
🚨 New ICU #OnePager in collaboration with @pdsalinas all about percutaneous dilational #tracheostomy (PDT): how & why to perform PDT & tips for safety & troubleshooting.
1️⃣📟 Available in both English & Spanish, plus you can download open source from https://t.co/a5nxKnr6Q9