In the ICU, decisions come fast and frequent!
Intensivists are making over 100 decisions during rounds, mainly on medications
Each clinician averages over 200 decisions in a 24-hour period, often based on critical events.
Shared by @SharonEinavMD at #ISICEM24@ISICEM
Trying to bring light to my #CESR journey. Motivation is key but proper understanding of all evidences needed is vital. Training under Cobatrice (@ESICM ) is not enough 💆♀️ @FICMNews
⚔️ Thinking to beta‑blockers on VV #ECMO to manage refractory hypoxemia?? Be cautious (& do not forget physiology)!
🩸 O2 in arterial blood is conveyed to tissues by circulation
⚖️ reducing CO to increase EBF/CO ratio will increase SaO2 at cost of DO2 reduction, potentially worsening tissue hypoxia. Exclude CO driven by O2 demand
❄️💉 consider mild hypothermia + analgesia/sedation as first-line
🖥️ if using, monitor DO2/O2ER + lactate
Open access #FOAMcc #FOAMecmo on @Crit_Care
🔓https://t.co/B3jLdroPzM
Attention📢📢 : New aneurysmal subarachnoid hemorrhage guidelines just dropped!
Lots of new updates to the last guidelines published in 2012, lets check them out below 👇
https://t.co/hFb1uTS6zY
The authors discuss the mechanisms, clinical presentation, and evaluation of right ventricular failure, as well as its management. https://t.co/49H4frxcGg
High‑risk pulmonary embolism in #ICU
🩸 understanding high‑risk PE: deadliest presentation of acute PE (case fatality rate 22-65% if CA)
🩸 diagnosing PE in critically ill pt
🩸 (immediate) reperfusion therapy
🩸 hemodynamic support
#FOAMcc on @yourICM
🖇️ https://t.co/8q83i2Ixqk
Here’s another pulmonary physiology question that *everyone* who gives O2 to patients ought to know:
What is the primary mechanism by which supplemental oxygen can increase PaCO2 in someone with severe COPD?
1/
Dr. Jordi Mancebo, descansa en pau. Amic, mestre i referent nostre, Soci d’Honor de la SOCMIC per tota la seva trajectòria, compromés amb tot el que fem i som com a intensivistes. El nostre condol a la seva família i a tot l’intensivisme, especialment als companys d’UCI Sant Pau.
Disruption of circadian rhythms by shift work exacerbates reperfusion injury in myocardial infarction:
https://t.co/aINhUYbuLi
#CardioTwitter#MedEd#ICU#JACC#CICU
@aroradrn @RobJimFleming Even when the training was done following COBATRICE (Competency-based training in Intensive Care Medicine in Europe)? Meaning that competencies are the same for all and signed off already…
@aroradrn @RobJimFleming What is the point for CESR for someone who has completed and finished training for ICM in a European country? Should the EDIC exam be considered as opposed to CESR?
Right now a cruel bill that seeks to turn people fleeing for their lives from war & persecution into criminals is progressing through Parliament.
Help us spread the word – please like and share.
#NotACriminal#TogetherWithRefugees🧡