@nickmmark I’ve never convincingly seen it outside of a patient who has begun the process of actively dying. Or, fulminant hepatic failure. I do stop RCA and move to heparin with multibic if severe acidosis doesn’t resolve or appears.
RCA induced metabolic alkalosis, not uncommon.
@jabberwock951 I was once shouted out my a stroke consultant, over the phone because I could only tell them what the patient’s GCS was. He told me that he had no idea what “a GCS” even means.
The patient was intubated in a Neuro ICU having just been transferred in from another hospital.
@AnahitaS@IBBI_2501 I’m a fan of curbsiders, though their intro is well known for being quite long. I enjoy it, but if I remember rightly they put the timestamp for when the intro stops in the show notes so it’s easier to skip to.
Never buying Gatorade again. 5lb bucket of fucking horse electrolytes from tractor supply. Never getting hungover again or being iron deficient. I am the #boss . Sipping on half of a horse dose and I feel great. My skin is fucking tingling.
Very happy to share our first paper from NEAT-ECHO published in @yourICM.
🏥 178 ICUs & 1015 shocked patients
🫀 54% received an echo
💉 50% of echos altered management
📋 25% followed guidelines
@TRICNetwork@ICS_updates@FICMNews@BSEcho@ICUDocAP
https://t.co/TosEWm6Yo5
Amazing. Because my openathens account is linked to my NHS Scotland email account for login, every time I log in to download a pdf I’m forced to go through Edge. Which because it’s linked to my work account means I can’t download the pdf to my phone, only the OneDrive.
@LukeAmos__ When I worked only via adhoc locums I set up an excel spreadsheet that would calculate what I was expecting for each shift. Would be paid via several different health boards so each needed their own tax code, etc. Helped to make sure I wasn’t under or overpaid.