Eric Sy

MD MPH FRCPC • Intensivist @SaskHealth #yqr • Asst Prof @usask • Transport physician @STARSambulance • Clin epi • 🚴🏼‍♂️• ⛷• All opinions my own 🇨🇦 • He/Him

[Eric Sy @ericjuliansy]

@jgordonboyd Agreed. Publications should at least be easier to enter. Lots of other search engines can automatically look up everything and auto fill.

[Hopkins ICU Rehab @icurehab]

Return to Driving After Critical Illness https://t.co/pQN9i5A3Ap #icurehab #A2Fbundle

[IMCrit @IM_Crit_]

New SCCM guidelines for the management of adult acute and acute-on-chronic liver failure in the ICU. They are focusing on infectious disease, peri-transplant, gastrointestinal, and neurologic issues

[New York Times Opinion @nytopinion]

“Standing on the edge of death now, I feel compelled,” writes Amy Silverstein (@ajsilverstein16), “to use my experience in the transplant trenches to illuminate and challenge the status quo.” https://t.co/QX6M8EoAfz

[CMAJ_Open @CMAJ_Open]

Proton pump inhibitors in older adults:
Potentially inappropriate use of PPI, new PPI prescriptions and PPI deprescribing were frequent among older adults with multimorbidity and polypharmacy in the OPERAM trial ➡️ https://t.co/AMwXku9ZlY

[Nick Mark MD @nickmmark]

Key point to highlight: rapid reduction in PaCO2 is associated with increased stroke risk. This is a major *modifiable* risk factor, and one that everyone who is involved in ECMO needs to be aware of.

[Intensive Care Medicine @yourICM]

Management of severe community-acquired pneumonia: @EuroRespSoc @ESICM @ESCMID @ALATorax international guidelines
➡️ evidence-based recommendations for diagnosis, empirical treatment, ABTs
➡️ current knowledge gaps
➡️ recommendations for future research
🖇️ https://t.co/qhe1wlgN9t

[Eric Sy @ericjuliansy]

@ajlavoie4hearts @hinz_tamara Ignoring Covid for a minute, there may be other possible benefits such as reducing spread of nosocomial influenza or resp viruses to immunosuppressed or sick patients. 🤷🏻‍♂️. It also puts some patients in awkward positions, do they have a right to request their unmasked HCP to mask?

[Lady Glaucomflecken (she/her) @LGlaucomflecken]

In my 10+ years of co-survivorship, doing life with @DGlaucomflecken through 2 separate cancers, 1 SCA and fighting off his death with 10 mins of #CPR, only ONE (1) of the medical professionals we interacted with has ever asked how I was doing. Meet Roger. https://t.co/NR4F2mkcZC

[Tommaso Scquizzato, MD @tscquizzato]

What are the outcomes after critical illness?

Great review by Dr. Herridge and @ElieAzoulay5 published on @NEJM

Provide a patient and caregiver perspective, during and after ICU

Everyone caring for critically ill patients should read this

🔗 https://t.co/0rNdx0E3js #FOAMcc

[Eric Sy @ericjuliansy]

This work takes a big team. Recognizing also our Saskatchewan co-investigators and funders @_SHRF_ @Pharmastache @KassirSandy

[USask Medicine @USaskMed]

When it’s time to discharge a patient from the ICU, is it ever safe to send them straight home? @ericjuliansy & researchers Sehar Parvez & Dr. Ryan Donnelly say yes, it can be. Hear why, on Researchers Under the Scope https://t.co/MybHBp18bi @usask_OVDR @USaskEM @CritCareMed

[USask Medicine @USaskMed]

When it’s time to discharge a patient from the ICU, is it ever safe to send them straight home? @ericjuliansy & researchers Sehar Parvez & Dr. Ryan Donnelly say yes, it can be. Hear why, on Researchers Under the Scope https://t.co/MybHBp18bi @usask_OVDR @USaskEM @CritCareMed

[Eric Sy @ericjuliansy]

@siddharth_dugar @AbhiDuggalMD @accpchest @angel_coz79 @CHESTCritCare @CCF_PCCM @KhannaAshishCCM @SanchitChawlaMD @gretchensacha Interesting paper - would like to see more discussion on this. From a practice standpoint, it raises questions on what should be considered reasonable dose caps or dose ranges. Have seen a wide range of practice from dose caps at 0.5 up to 2.5

[Eric Sy @ericjuliansy]

@RogerWong10 @UBCmedicine @ubcnews @GGCanada Congratulations!

[Eric Sy @ericjuliansy]

1️⃣ This practice may be done safely in select patients without differences in safety outcomes (30-day ED visits, 30-day hospital readmissions, 90-day mortality)
2️⃣ further research still needed in determining high- vs low-risk direct discharge patients

[Eric Sy @ericjuliansy]

Our latest paper on directly discharging patients home from the ICU is now available on @CritCareMed @Pharmastache @_SHRF_ @USaskMedDean https://t.co/WiVgbgWFfr

[Eric Sy @ericjuliansy]

We conducted a systematic review and meta-analysis on this ever increasing practice (up to 16% of ICU/HAU admissions in some jurisdictions may be directly discharged) and found:

[Eric Sy @ericjuliansy]

@Wdmkennedy @CAEP_Docs @olifriesen Refractory VF is not something we see much in the ICU setting but probably more commonly encountered in the pre-hospital and ED setting. Exciting that there is ongoing resuscitation research to improve our outcomes and certainly VC or double sequential is likely practice changing

[Queen’s CCM Program @queensccm]

1/2 Great talk @m_jefkins!
Key points:
-prognostication after TBI is hard
-don't use prognostic calculators (eg CRASH, Impact) for individual prognosis
-most recovery occurs between 3-6 months, but some patients can go from "dependent" to "independent from 6-18 months

[NEJM @NEJM]

In this trial of IV vitamin C in adult patients with sepsis, those who received a vitamin C infusion had a higher risk of death or persistent organ dysfunction at 28 days than those who received placebo. #CCR22 https://t.co/8tpW7Yud6a