Michał Pluta

MD, PhD 🏥🚑 HEMS Doctor - Polish Medical Air Rescue 🚁Cardioanaesthesia & Intensive Care - Silesian Centre for Heart Diseases, Zabrze, Poland

[Michał Pluta @Micha82564634]

Accidental hypothemia
Made in Poland 🇵🇱
Full: https://t.co/zCLfwGMgb2

[Michał Pluta @Micha82564634]

@PulmCrit eCPR in hypothermic cardiac arrest: PMID: 39505197, PMID: 41128452, PMID: 40582953, PMID: 41352475. Greetings from Poland!

[Michał Pluta @Micha82564634]

A single arterial blood gas analysis is unreliable for determining prognosis in patients with non-asphyxial hypothermic cardiac arrest. Initial hypoxemia does not preclude a favorable neurological outcome.
Link: https://t.co/mpAMYpMu8g

[Michał Pluta @Micha82564634]

@piotr_makowiec @JacekGorka Uwielbiam argument pt. "płaci składki". Szanowny Panie - składki jakie większość pacjentów uzbierała przez całe życie jest niekiedy ułamkiem kosztów pobytu takiego pacjenta w Oddziale Intensywnej Terapii.

[Michał Pluta @Micha82564634]

(...) Severe hypoglycemia (16 -54 mg/dL; 0.9 - 3.0 mmol/L) cannot be considered a factor disqualifying patients from extracorporeal cardiopulmonary resuscitation in hypothermic cardiac arrest.

[Michał Pluta @Micha82564634]

In patients with hypothermic cardiac arrest, glucose concentrations in the range between 0.9 and 3 mmol/l (16 – 54 mg/dl) before extracorporeal cardiopulmonary resuscitation do not rule out survival with good neurological outcome.

[Eddy J. Gutierrez, MD @eddyjoemd]

Do you struggle to decide how early in resuscitation to start norepinephrine? Try this simple algorithm. Stabilizing the hemodynamics as soon as possible has numerous benefits. 🎩 tip to the authors including the legendary @Prof_XMonnet
https://t.co/Sfr6vCn6le

[Michał Pluta @Micha82564634]

Use of artificial intelligence in decision-making for eCPR in patients with hypothermic cardiac arrest risks unjustifiably withdrawing treatment from patients who have a chance of survival with a good neurological outcome
Link: https://t.co/aPTXPSIGs5

[Michał Pluta @Micha82564634]

Link: https://t.co/I2UYWsaIVh

[Eddy J. Gutierrez, MD @eddyjoemd]

Hyperkalemia management: No supporting clinical effect was identified for calcium or bicarbonate. Is it time to rewrite all the order sets? 🎩 tip to the authors.

https://t.co/Sfr6vCn6le

[Michał Pluta @Micha82564634]

The process of selecting patients for ECPR in hypothermic cardiac arrest represents a compromise between minimizing the risk of excluding patients who have a chance of survival with ECPR and lowering the number of futile therapies (..)
Full: https://t.co/xqfTfly7qK

[Michał Pluta @Micha82564634]

Qualification of patients with hypothermic cardiac arrest for ECLS rewarming should not be strictly based on guidelines for normothermic cardiac arrest..
Full: https://t.co/TwPFnbq0m7

[Radosław Lenarczyk @RLenarczyk]

Just published! I invite you to read our expert consensus on the brain damage due to cardiovascular procedures, published in Nature
Reviews Cardiology

https://t.co/a6zXx73AI6

[Michał Pluta @Micha82564634]

In patients with suspected sepsis admitted to the Intensive Care Unit, presepsin does not accurately predict the risk of in-hospital death, but it can predict a positive microbiological culture.
Full: https://t.co/Yu5ij3ksLt

[Zain Khalpey, MD, PhD, FACS @ZainKhalpey]

The FDA has approved Traumagel.

a plant-based gel that quickly stops bleeding and helps the body’s natural clotting process.

This could be vital for first responders, military personnel, and remote care.

Thoughts?

#FDAApproval #TraumaCare

[Michał Pluta @Micha82564634]

@R_Tyminski .. a nieprawidłowy wynik dimeru-d to już tylko krok od zlecenia angio-TK tętnic płucnych. Tu się dopiero prawdziwe koszty. Przychodzi pacjent z ciałem obcym w oku, a wychodzi z angio-TK tętnic płucnych - i to wcale nie science fiction ;)

[Michał Pluta @Micha82564634]

@ZPutowski @DebSiegal Ale na czym polega przełomowość? Na odkryciu, że pobranie większej ilości krwi to większa szansa na anemię? 😅

[Michał Pluta @Micha82564634]

Initial IM dose (5 mg i.m.) of adrenaline as an adjunct to standard care was associated with improved survival to hospital admission, survival to hospital discharge, and functional survival in out-of-hospital cardiac arrest
Full: https://t.co/qeyQ2MxBu4

[Michał Pluta @Micha82564634]

#Sepsis
"These findings suggest that the widespread use of empirical antianaerobic antibiotics in sepsis may be harmful."
https://t.co/TPUoUxitOn

[Michał Pluta @Micha82564634]

A 2-gram out-of-hospital TXA bolus in patients with moderate/severe TBI and ICH resulted in lower 28-day mortality and lower 6-month DRS than placebo and standard TXA dosing.

https://t.co/ea1oSgIVQp