Steven Skitch

Physician. Emergency Medicine, Intensive Care, and Trauma Team Leader. Point of Care ultrasound enthusiast.

[Ross Prager @ross_prager]

Want to learn about #pocus and venous congestion in sepsis and septic shock?

Come join us in March 20th!

Thanks to @ISNkidneycare for the invite.

#vexus

[Philippe Rola @ThinkingCC]

For all resus and pocus peeps, keep an eye on @drvimalzenICU , a real vexus and pocus force, currently running an interventional vexus rct, and one of the pioneers in fem venous doppler! And of course part of the HR fam! https://t.co/xLt16ZWdkK

[Steven Skitch @StevenSkitch]

Current and Emerging Approaches to Coma Prognostication After Acute Brain Injury https://t.co/a9UmhdFalp

[NephroPOCUS @NephroP]

LVOT VTI-based algorithm in hemodynamic #shock
#POCUS #FOAMed #Nephpearls
Click ‘ALT’ for abbreviations
Courtesy 🔗 https://t.co/s2Xh2ZuTwN

[Sameer Sharif @SameerSharifMD]

💉Do you sedate acutely ill patients in the ER or ICU?💉

🏥Check out our Network Meta-Analysis examining the safety and efficacy of all IV procedural sedation agents used in the ED and ICU!🏥

Link: https://t.co/C52CPJxo9B

See Below for a Summary of What We Found 🧵 (1/N):

[Giuseppe Citerio @Dr_Cit]

🔍 Now at @CCCForum: to intubate or not? 🤔 Exploring the impact of Noninvasive Airway Management in comatose patients with acute poisoning . @FreundYonathan published today on @JAMA_current

[Andrew Petrosoniak @petrosoniak]

Thank you #EACEM2023 for the opportunity to speak on the management of the massively bleeding trauma patient.

While I could only join virtually, I hope to join you all in Turkey in the near future.

In case you missed it...here's some highlights:

1/

[Circulation @CircAHA]

#JustPublished #SimPub #AHA23 #CIRCAHA23: Among nearly 2000 patients receiving #CPR, bag-valve-mask lung inflation occurred infrequently, but was associated with improved survival and favorable neurologic @henrywangmd @bettyy0
outcome.https://t.co/NrTjl4fbvG

[Brian Elliott MD @BrianElliottMD1]

Manuscript is up about informal #POCUS training and false confidence! 👇

We found that among #IM residents:

⏺Informal training and confidence were ❌ associated with assessment scores

⏺FORMAL curriculum was ✅

Formal POCUS training is 🔑

https://t.co/gLR5OJ1iMv

[Steven Skitch @StevenSkitch]

Check out this study we completed looking at one approach to QA for ED POCUS.

Quantifying Clinically Meaningful Point-of-Care Ultrasound Interpretation Discrepancies Using an Emergency Department Quality Assurance Program https://t.co/sWlxXravCu

[Steven Skitch @StevenSkitch]

Reconsidering the Language of Serious Illness https://t.co/Ftdh3NpA3z

[Steven Skitch @StevenSkitch]

Routine Versus On-Demand Blood Sampling in Critically Ill... : Critical Care Medicine https://t.co/o0DhBxlgOU

[Steven Skitch @StevenSkitch]

Association of an Emergency Critical Care Program With... : Critical Care Medicine https://t.co/VaX26eURD7
@JulianOwenEM_CC @SameerSharifMD

[Kshitij Chatterjee @chatterJ5]

Our "Applied Hemodynamics" sessions are now available

https://t.co/0yj3T9lTJy

Content includes a series of 5 roundtable discussions facilitated by experts in hemodynamics-- highlights applications of key pathophysiological principles at the bedside when managing shock 1/n

[Intensive Care Medicine @yourICM]

Driving pressure at the bedside:
🛌 how to measure?
🛌 how to control driving pressure in spontaneously breathing patients?
🛌 limitations
One single Vt does not fit all: ΔP may help to titrate Vt according to lungs size, potentially improving outcomes.
🖇️ https://t.co/S6DUvjeH0A

[Segun Olusanya (He/Him) [email protected] @iceman_ex]

Is #POCUS a waste of time?

I thought I’d convert my recent talk at #accs2023 @CC_Symposium into a Twitter thread.

#foamed #FOAMcc

[Critical Care Reviews @CritCareReviews]

Today's Paper of the Day is by @Alessan65903420 on external ventricular drainage: a practical guide for neuro-anesthesiologists

[AnotherICUdoc @AnotherICUdoc]

You’re called to a 78 yo who’s POD 2 after a Whipple for pancreatic Ca. She’s hypoxic & has a SBP in the 90s. Her family says they’re not sure if she would want to go to ICU because they’ve heard even those who survive end up debilitated. How do you respond to this statement? 🧵

[Prateek Sehgal @psehgal89]

@AnotherICUdoc Great study! Putting myself in the shoes of the scenario, my thoughts would likely be "if they were robust enough for curative surgery, they are a reasonable ICU candidate". Really shows the difference between a 78yo 'medical' ICU patient vs 'surgical' ICU patient

[Daniel Donoho, MD @ddonoho]

Two new surgical RCT's just released by @nejm @AANSNeuro

If you're caring for patients with stroke or traumatic brain injury, these trials might change your practice or help you understand what we surgeons do and why ...

Here comes an evidence based surgery megathread ...