ICU Rounds

An initiative to enhance education and knowledge in Critical Care Medicine by @shanxonline #FOAMed

[ICU Rounds @icu_rounds]

Mondays .. so negative

[ICU Rounds @icu_rounds]

Prolonged downtime not necessarily poor prognostic marker.. over 40% down for over 25 minutes had good neurological recovery IF shockable rhythm #LIVES2018 @ESICM

[ICU Rounds @icu_rounds]

Been a while ...

[JAMA @JAMA_current]

New definition of septic shock will result in more precise Dx, better epidemiological tracking https://t.co/EpJrTM2MNv

[CCCF @CCCForum]

Patients with baseline refractory hypoxemia, ie P/F<50, more likely to benefit from HFO #cccf2015

[CCCF @CCCForum]

Dr Meade presenting prelim meta analysis data on HFO in ARDS, here are patient and trial characteristics #cccf2015

[ICU Rounds @icu_rounds]

Continuous EEG after subarachnoid hemorrhage predicts vasospasm 7 hrs earlier than symptoms! Only applies in expert centers though #cccf2015

[ICU Rounds @icu_rounds]

New AHA guidelines on CPR and ECC recognizes the utility of social media to summon rescuers https://t.co/1u3Yb3Iva1

[ICU Rounds @icu_rounds]

Effects of common ICU meds on sleep architecture #cccf2015

[JAMA @JAMA_current]

Advances in the diagnosis and treatment of septic shock between 2010-2015 http://t.co/bmI9424X1q

[ICU Rounds @icu_rounds]

Marik - albumin should be given slowly. Bolus of 25% will suck fluid out and damage glycocalyx #smaccUS #sepsis

[GruntDoc @gruntdoc]

#smaccUS Marik curve on bottom, small fluid helps starling curve, big volumes are actually bad.

[ICU Rounds @icu_rounds]

10 ways to optimize critical care in the ED by @EmICUcanada #smaccUS

[ICU Rounds @icu_rounds]

Pro's tips on sepsis, Myburgh - if you're not comfortable, get them to a centre with experts in sepsis management #smaccUS

[ICU Rounds @icu_rounds]

Pro's tips on sepsis, Maitland -learn intricacies of sepsis, champion knowledge translation, discuss w team and colleagues #FOAMed #smaccUS

[ICU Rounds @icu_rounds]

Pro's tips on sepsis, Finfer - if uncomfortable, follow guidelines. Look at patient, if getting better don't try to fix number #smaccUS

[ICU Rounds @icu_rounds]

Pro's tips on sepsis, Machado - train nurses to recognize SIRS criteria. Call physician, get cultures. #smaccUS

[ICU Rounds @icu_rounds]

Pro's tips on sepsis, Marik - don't measure CVP, leads to dangerous fluid administration. Never ever ever measure CVP ever again. #smaccUS

[ICU Rounds @icu_rounds]

Pro's tips on sepsis, Singer-if patient is not acting as guidelines suggest, put more thought into case and use the art of medicine #smaccUS

[ICU Rounds @icu_rounds]

Pressor choice in sepsis - Myburgh says adrenaline/noradr are physiologic choice. Tolerate temporary lactic acidosis. Forget dopa #smaccUS