SadCrit
@schistosomnia.bsky.social
Failing anaesthetist / ICU - now in Registrar flavour. 🏴🇮🇳. 🧠🌶️ 🏳🌈🏳️⚧️ ;
Pinned
SadCrit
@schistosomnia.bsky.social
· Nov 25
At the back of Revision Notes In Intensive Care Medicine there is a list of 59 key papers relating to intensive care medicine published between 1998 and 2015 (the book was published in 2016).
I'd like to keep my revision up to date. Are there any equivalent lists of key papers from 2016 to now?
I'd like to keep my revision up to date. Are there any equivalent lists of key papers from 2016 to now?
I shall start right now!
The order shall be "randomly as they occur to me"
The order shall be "randomly as they occur to me"
Ok I have another one. What if I have a COPD patient who I can see usually sits with a pCO2 of 8 kpa (60mm) and they sustain a TBI.
Ventilate them down to a pCO2 of 4.5-5, even if it means I make them alkalaemic?
#emimcc
Ventilate them down to a pCO2 of 4.5-5, even if it means I make them alkalaemic?
#emimcc
DKA with ?cerebral oedema, self ventilating her own pCO2 down to 2 (15 in 🦅 units). If she gets tubed, do I try to keep the CO2 the same, or do I aim for neuroprotective CO2?
#emimcc
#emimcc
November 13, 2025 at 10:33 PM
Ok I have another one. What if I have a COPD patient who I can see usually sits with a pCO2 of 8 kpa (60mm) and they sustain a TBI.
Ventilate them down to a pCO2 of 4.5-5, even if it means I make them alkalaemic?
#emimcc
Ventilate them down to a pCO2 of 4.5-5, even if it means I make them alkalaemic?
#emimcc
DKA with ?cerebral oedema, self ventilating her own pCO2 down to 2 (15 in 🦅 units). If she gets tubed, do I try to keep the CO2 the same, or do I aim for neuroprotective CO2?
#emimcc
#emimcc
November 13, 2025 at 2:33 PM
DKA with ?cerebral oedema, self ventilating her own pCO2 down to 2 (15 in 🦅 units). If she gets tubed, do I try to keep the CO2 the same, or do I aim for neuroprotective CO2?
#emimcc
#emimcc
November 11, 2025 at 9:09 PM
Pharm bros! My boss today wouldn't give meropenem to a patient with a history of (non-anaphylactic) penicillin allergy. Is there any evidence to support this?
@alaurx.bsky.social @sarajpharmd.bsky.social
#emimcc
@alaurx.bsky.social @sarajpharmd.bsky.social
#emimcc
November 6, 2025 at 7:35 PM
Pharm bros! My boss today wouldn't give meropenem to a patient with a history of (non-anaphylactic) penicillin allergy. Is there any evidence to support this?
@alaurx.bsky.social @sarajpharmd.bsky.social
#emimcc
@alaurx.bsky.social @sarajpharmd.bsky.social
#emimcc
Got a bad case of Anaesthetist Thumb. Too much scrolling.
November 4, 2025 at 8:32 PM
Got a bad case of Anaesthetist Thumb. Too much scrolling.
Oh so it's MY spinal that's failed because it took YOU two and a half hours to do a knee replacement is it?
October 31, 2025 at 11:29 AM
Oh so it's MY spinal that's failed because it took YOU two and a half hours to do a knee replacement is it?
Vindicated. Despite looking well and having a good BP this patient is now on .5 of noradrenaline and intubated. Another CT but still no diagnosis...
October 24, 2025 at 9:03 AM
Vindicated. Despite looking well and having a good BP this patient is now on .5 of noradrenaline and intubated. Another CT but still no diagnosis...
Heading to night shift - Am I supposed to wear the day face cream or the night face cream?
July 13, 2025 at 9:28 PM
Heading to night shift - Am I supposed to wear the day face cream or the night face cream?
Enteral methylene blue with IV linezolid. Serotonin syndrome risk? @alaurx.bsky.social @sarajpharmd.bsky.social
#emimcc
#emimcc
July 2, 2025 at 12:03 PM
Enteral methylene blue with IV linezolid. Serotonin syndrome risk? @alaurx.bsky.social @sarajpharmd.bsky.social
#emimcc
#emimcc
I don't like to be rude about my colleagues, but I hope this consultant's teicoplanin is always full of bubbles
May 7, 2025 at 1:38 PM
I don't like to be rude about my colleagues, but I hope this consultant's teicoplanin is always full of bubbles
Now I've not read Frankenstein in a while, but I know I thing or two about creating a monster.
I can hear my 4yo singing K-pop to himself while sitting on the toilet.
What have I done?
I can hear my 4yo singing K-pop to himself while sitting on the toilet.
What have I done?
April 11, 2025 at 10:00 PM
Now I've not read Frankenstein in a while, but I know I thing or two about creating a monster.
I can hear my 4yo singing K-pop to himself while sitting on the toilet.
What have I done?
I can hear my 4yo singing K-pop to himself while sitting on the toilet.
What have I done?
Update: my consultant is asleep. Not joking.
God anaesthesia is so BORING. How did we end up here?
March 12, 2025 at 1:45 PM
Update: my consultant is asleep. Not joking.
God anaesthesia is so BORING. How did we end up here?
March 12, 2025 at 11:01 AM
God anaesthesia is so BORING. How did we end up here?
Walking through a shit bit of town after a shit week of shit on-calls. I hope I don't get mugged before I've finished my chips, they're basically all I've got at this point.
February 28, 2025 at 10:39 PM
Walking through a shit bit of town after a shit week of shit on-calls. I hope I don't get mugged before I've finished my chips, they're basically all I've got at this point.
Bought a new bath mat a week ago (without being told to), and the Mrs hasn't commented on it.
I think that means we smashed it lads.
I think that means we smashed it lads.
February 23, 2025 at 8:05 AM
Bought a new bath mat a week ago (without being told to), and the Mrs hasn't commented on it.
I think that means we smashed it lads.
I think that means we smashed it lads.
Reposted by SadCrit
Arterial trauma is a rare, but potentially life-threatening complication of central venous catheter insertion.
In this interrogation of two national databases of incident reports, outcomes included:
• stroke (10%)
• death (4%)
#AnSky #MedSky
https://doi.org/10.1111/anae.16570
In this interrogation of two national databases of incident reports, outcomes included:
• stroke (10%)
• death (4%)
#AnSky #MedSky
https://doi.org/10.1111/anae.16570
February 21, 2025 at 11:59 AM
Arterial trauma is a rare, but potentially life-threatening complication of central venous catheter insertion.
In this interrogation of two national databases of incident reports, outcomes included:
• stroke (10%)
• death (4%)
#AnSky #MedSky
https://doi.org/10.1111/anae.16570
In this interrogation of two national databases of incident reports, outcomes included:
• stroke (10%)
• death (4%)
#AnSky #MedSky
https://doi.org/10.1111/anae.16570
Both my sons grandfathers get super uncomfortable when he asks them to read to him. Was that generation's masculinity really so fragile that the idea of reading to a 4 year old threatens you?
February 18, 2025 at 7:40 PM
Both my sons grandfathers get super uncomfortable when he asks them to read to him. Was that generation's masculinity really so fragile that the idea of reading to a 4 year old threatens you?