TMCAdultCritCare

We are the Adult Critical Care Team of The Medical City. Now learning to leverage the tech, enriching our clinical discussions through social media!

[M Velia Antonini @FOAMecmo]

#ECPR in refractory CA, A. Gutierrez @MMRCbeat 🐊 #SEECMO2023
🫀 patiens often experience multi-organ failure
🏥 management requires labor intensive treatment with 24/7 availability from EMS, cannulators, #ICU staff & consultants
🧠 recovery prolonged but durable with return to normal life for most survivors
🚑 🔗 an #ECPR program that extends to community requires buy in from all stakeholders in chain of survival & administrators.

[ISICEM @ISICEM]

@ISICEM #CriticalCare Input
Hypertonic sodium lactate infusion reduces vasopressor requirements and biomarkers of brain and cardiac injury after experimental cardiac arrest
#ISICEMelearning #MedEd #ICU #vasopressor #cardiacarrest #biomarkers

https://t.co/56Medob1My

[the EMCrit Crew @emcrit]

NeuroEMCrit - Team NeuroEMCrit's H&R Conference Talk, Part 1 (part 2 coming shortly) Thanks to @thinkingcc for letting us post: https://t.co/MSDMGvP0Tc

[TMCAdultCritCare @TmcCrit]

BASIC has been run in our hospital for a whole decade now. Here's more: https://t.co/hUxuAQtfj7

[Alex Auerbach @AlexAuerbachPhD]

I was recently asked about how I think about performance under pressure.

A few ideas on what we can do under sustained pressure and how to turn it up when the lights are brightest:

[Jonny Wilkinson @Wilkinsonjonny]

Fabulous app for all you #POCUS users and enthusiasts!

https://t.co/DzTYbeOnp4

#FOAMed #FOAMcc #foamus

[Leili Pourafkari @leilii]

HCM #cardiotwitter #echofirst

[Cliff Reid @cliffreid]

Last night we had a case that demonstrates an extremely important cause of shock that many ED clinicians know little or nothing about

1/

[TMCAdultCritCare @TmcCrit]

This was being discussed by our trauma rotator just yesterday!

[Ed Barnard @DefProfEM]

More evidence to support the scientific foundations of resuscitation practice - thanks to the team @dstlmod for all their hard work getting this into the public domain and open access @DMS_RCDM @DefProfAnaes @SWiFT_trial https://t.co/2MROXyaA1J

[TMCAdultCritCare @TmcCrit]

https://t.co/ltqCoFRoP3

[Tim Cook @doctimcook]

I’ve not seen this before….but is there anything on the page to disagree with?

[TMCAdultCritCare @TmcCrit]

New at the Asian Ventilation Forum, an interview with a Ukrainian ICU leader. https://t.co/X91UVBxtsf

[TMCAdultCritCare @TmcCrit]

This came up again on rounds today. BS has staying power.

[TMCAdultCritCare @TmcCrit]

Ruling out the use of reperfusion strategies because of "Q's" without referring to the duration of symptoms is dangerous BS. https://t.co/IKSttsgtdI

[TMCAdultCritCare @TmcCrit]

@HawkmoonHEMS Very nice demonstration of the pitfall.

[TMCAdultCritCare @TmcCrit]

Besides the half twist (and the iffy fluid in balloon approach) do you have any other techniques for the waveform-guided PAC insertion?

[Resuscitology @resuscitology]

Do you integrate ultrasound into the cardiac arrest algorithm?
Here’s how (and when) you can (from: https://t.co/4GfZzcSj71) #COACHRED #ultrasound #CardiacArrest #CriticalCare #Resuscitology10 #Resuscitology

[TMCAdultCritCare @TmcCrit]

This is so very important to remember.

[The Phlegmfighter @phlegmfighter]

@dakaufman123 @msiuba @ogi_gajic As soon as you activate any trigger that then runs its ineluctable course, you run the risk of missing or delaying the true diagnosis of the trigger was a false alarm. Just like sepsis

[TMCAdultCritCare @TmcCrit]

8 years ago, our first foray into intra-arrest cardiac POCUS led to one of the our most dramatic saves, 3 years before our ECMO program.

[David Ku @DavidKuICUMelb]

Great to see efforts like the Asia Ventilation Forum evolving to Vodcast format, focusing on regional issues in ICU, and much to learn from the India's second COVID-19 Wave.

https://t.co/NUa06SsFj6