I STRONGLY recommend this paper (review/opinion)! One of the very best I have read in recent years! It displays some physiological concepts behind ANDROMEDA-SHOCK-2! Not strange since Daniel and Gustavo are part of the steering committee😎and all authors great physiologists😍😍
Adulto mayor, egreso reciente por celulitis mas bacteremia por SAMR. Consulta por síndrome febril, leucocitosis, disnea, falla renal aguda con dolor lumbar intenso y dolor abdominal, examen neurológico sin alteraciones. Se realiza TAC, que documenta hallazgo muy poco común.
The first patient of ANDROMEDA-SHOCk-2 was randomized!!!!!!!! 18 months of previous work and the odyssey starts for real! 1499 patients to go, >80 centers around the world in 4 continents! Emotions on fire! 💪
Ketamine or etomidate for RSI? We review a recent randomized trial in our latest podcast - https://t.co/dZATKJY3HG. @JohnGreenwoodMD@UMEmergencyMed#FOAMcc
80y old septic shock pt. After initial resuscitation still with CRT 5s! Tested the future ANDROMEDA-2 algorithm, normal PP, MAP 65 with 0.02 NE, low DBP 43! No fluids, slightly increase in NE to 0.06 and DBP 51, MAP 69: 1h later CRT 2s; doing Ok! Just clin hem phenotyping!💪💪😎
Fluid responsiveness and CRT response to a fluid challenge? Different issues! FR looks at the heart (position of patient’s heart in the cardiac function curve) and predicts if a fluid challenge will significantly increase SV. But there is another concept “flow responsiveness”
Impresionante artículo de revisión sobre neuropatía periférica diabética publicado en Nature. Con lo último de lo último: https://t.co/NQ9269A5U8
#USMLE#ENARM#MIR
Early dexmedetomidine as primary sedative in (3904) critically ill pts needing MV:
💉>65y or operative diagnosis = high probability of ⬇️ mortality
💉younger pts non-operative diagnosis = high probability of ⬆️ mortality
Here visual abstract, full results https://t.co/yzayCaz3DA
To Air is Human: Misconceptions of PTX via @marco_propersi at #ACOEP20
-Physical exam not reliable
-US > CXR
-Needle decompression = 4th/5th ICS anterior axillary line (Blog post: https://t.co/71AYNCUIjr)
-8cm better than 5cm angiocath
-Finger thoracostomy > needle
#FOAMed
¿Tienes médicos en formación a tu cargo? Entonces te interesa Cap. 12 #LaRESIStance con la colaboración de Dr. Ítalo Vásquez 🇵🇪 @physicianSEM; hablando sobre "El Aula Mental".
Escúchanos por @SpotifyMexico👇🏽
https://t.co/1kaPAUhRPV