swapnil patharekar

[Critical Care Reviews @CritCareReviews]

COMET: monitoring mitochondrial shock in anesthesiology and intensive care medicine

CCR Journal Watch
https://t.co/Sp06oA6IDG

Get the latest critical care literature every weekend via the CCR Newsletter - subscribe at https://t.co/nitMzacLrj

[Nutrition Science @NutrioSci]

Metabolic Roadmap #meded #MedX #biology #metabolic

[NephroPOCUS @NephroP]

After yesterday's #POCUS quiz, it's time to reshare these cardiac tamponade infographics.
Courtesy of @ACEP_EUS
🔗https://t.co/WzHITu29OE
Set of 3
See 🧵for the rest
#Nephpearls #MedEd #FOAMcc

[Intensive Care Medicine @yourICM]

Review including everything you need to know about deresuscitation #FOAMcc on @yourICM
☔️ Why deresuscitation?
☔️ What is it?
☔️ When to start/stop?
☔️ How to deresuscitate?
☔️ So what's next?
@Manu_Malbrain @gsmartinmd @MarliesOsterman #IFAD2022
🖇️ https://t.co/Qmvm3aPoF8

[Dan Kim @dan___kim]

Advanced #echo cards from @ACEP_EUS critical care subcommittee on assessing LV ejection fraction and cardiac output
#echofirst #pocus
https://t.co/LhO8RuQpRE

[Salim R. Rezaie, MD @srrezaie]

Viable Alternative Options for Difficult IV Access:

Midline Catheters: https://t.co/xpzh9fH5ZQ
Easy IJ: https://t.co/Gu2oid5Rv3
US-Guided PIV: https://t.co/3rZa3rHFsg

#FOAMed #IVAccess #intravenous

[NephroPOCUS @NephroP]

Nice diagram depicting assessment of organ perfusion in a patient with #shock using #POCUS + conventional parameters.
#MedEd #VExUS #CriticalCare
From 🔗https://t.co/2YAG7ISUsK

[ICU OnePager @OnePagerICU]

Another ICU OnePager duo: diuresis & CRRT.

How to escalate diuretic therapy? How does CRRT work and what do all those pumps & pressures mean? This OnePager covers all the basics of fluid removal in the ICU.

Download open source versions https://t.co/FVN1KWWxBU

[ICU OnePager @OnePagerICU]

Sharing some of the top pairs of ICU #OnePagers this week.

First up, two topics that go🖐in🤚: #ECMO fundamentals & troubleshooting. Great for learning/teaching ECMO for the first time or for brushing up on basics.

[Meghan Herbst @EUSmkh]

50yoF with LLQ that became acutely worse.
Students: Where is the transducer (location and orientation/plane)?
Residents: What is the most likely diagnosis?
#raysofgray #POCUS #ultrasound #FOAMed #MedEd #emergencymedicine #medicalstudent #resident

[Sam Ghali, M.D. @EM_RESUS]

Here’s the answer in a video I made breaking down this great #ECG

#FOAMed

[ICU OnePager @OnePagerICU]

Another high yield pair of ICU #OnePagers: an approach to #hypoxemia & to blood gas interpretation.

Some great info including: what is the 6th cause of hypoxemia & a better mnemonic for anion gap metabolic acidosis: GOLDMARKeT.

[ICU OnePager @OnePagerICU]

Another pair of #ICUOnePagers: Blood products & hemorrhagic shock.

One covers types of blood products (RBC, FFP, Cryo, Plt, etc) & the possible transfusion reactions. The second covers all the factors that determine how fast we can infuse blood/fluid #Poiseuille #PhysicsInTheICU

[Intensive Care Medicine @yourICM]

Vasopressors in #ICU
1️⃣set MAP/DBP goals
2️⃣individualize
3️⃣may⬇️+ve fluid balance
4️⃣reassess fluid status/CO
5️⃣change mechanism as 2 line
6️⃣high doses?? hydrocortisone
7️⃣vasopressin in RV failure
8️⃣no MAX dose
9️⃣EN can be initiated
🔟can be safe in PVC
🖇 https://t.co/v6Q9nfy5KY

[POCUSmedicine @POCUSpeek]

Hepatic Vessels and Bile Ducts anatomy for POCUS @pocusfoamed @IMPOCUSFocus @JediPocus @POCUSpeek @Pocus101 @PracticalPOCUS

[Intensive Care Medicine @yourICM]

⬇️ 💉Less medications (& ⬆️ awareness of behavioural interventions) is more in #delirium, common, challenging/costly (but often preventable) in #ICU. Despite lacking evidence, medications widely used.
Prevent/minimize addressing suspected contributors!
📎 https://t.co/fYWAsIcuiZ

[Intensive Care Medicine @yourICM]

Drugs for advanced life support in cardiac arrest, review by @LarsWAndersen1 @JerryPNolan @ClaudioSandron3
💉adrenaline
💉antiarrhythmics
💉sodium nitrite
💉calcium
💉Shen Fu (traditional Chinese medicine
💉vasopressin & corticosteroids
#FOAMcc on @yourICM
https://t.co/LXVgUKeOP8

[Adrian Wong @avkwong]

The rules of #ccus #pocus at @isccmsociety #criticare2022

[ICU Management @ICU_Management]

🔺 ICU sepsis is associated with a mortality rate >25%, with nosocomial infection most lethal, and community acquired infection more common.
Read full article here 👉 https://t.co/Fagjmg58M5
#Sepsis #Infection #Antimicrobialresistance #Antimicrobialstewardship