Alex Small
@smallzalex.bsky.social
Anaesthetics & ICM, therefore I like coffee, running, cycling and hills. Adopted Northerner.
Echo/POCUS/haemodynamics.
Echo/POCUS/haemodynamics.
Reposted by Alex Small
Let's talk about using carbapenem antibiotics in patients with valproic acid (VPA) poisoning
/1🧵
/1🧵
April 10, 2025 at 6:50 PM
Let's talk about using carbapenem antibiotics in patients with valproic acid (VPA) poisoning
/1🧵
/1🧵
Reposted by Alex Small
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
Reposted by Alex Small
Really nice article on TAPSE/TRVmax as a potential prognostic marker
From the team at Nepean ICU, led by Emma Bowcock
annalsofintensivecare.springeropen.com/articles/10....
From the team at Nepean ICU, led by Emma Bowcock
annalsofintensivecare.springeropen.com/articles/10....
The value of right ventricular to pulmonary arterial coupling in the critically ill: a National Echocardiography Database of Australia (NEDA) substudy - Annals of Intensive Care
Background Right ventricular (RV) function is tightly coupled to afterload, yet echocardiographic indices of RV function are frequently assessed in isolation. Normalizing RV function for afterload (RV...
annalsofintensivecare.springeropen.com
February 6, 2025 at 10:55 AM
Really nice article on TAPSE/TRVmax as a potential prognostic marker
From the team at Nepean ICU, led by Emma Bowcock
annalsofintensivecare.springeropen.com/articles/10....
From the team at Nepean ICU, led by Emma Bowcock
annalsofintensivecare.springeropen.com/articles/10....
Reposted by Alex Small
Lucy Gossage wins the women's race at the Montane Winter Spine Race 2025
This was a redemption story for Lucy who was looking to reclaim this race after events in her personal life last year, soured the memory of her amazing 3rd placed finish…
This was a redemption story for Lucy who was looking to reclaim this race after events in her personal life last year, soured the memory of her amazing 3rd placed finish…
January 16, 2025 at 2:49 AM
Lucy Gossage wins the women's race at the Montane Winter Spine Race 2025
This was a redemption story for Lucy who was looking to reclaim this race after events in her personal life last year, soured the memory of her amazing 3rd placed finish…
This was a redemption story for Lucy who was looking to reclaim this race after events in her personal life last year, soured the memory of her amazing 3rd placed finish…
Reposted by Alex Small
Skytorial: pH management in DKA!
I've been following debates about this for a *long* time
(eg wrote this blog in 2016, which stands up pretty darn well: emcrit.org/pulmcrit/bic...)
after years of arguing, lemme break down my take on this 😁
I've been following debates about this for a *long* time
(eg wrote this blog in 2016, which stands up pretty darn well: emcrit.org/pulmcrit/bic...)
after years of arguing, lemme break down my take on this 😁
a cartoon of donald duck with the words " do you want to fight lets get it on then "
ALT: a cartoon of donald duck with the words " do you want to fight lets get it on then "
media.tenor.com
December 6, 2024 at 8:55 PM
Skytorial: pH management in DKA!
I've been following debates about this for a *long* time
(eg wrote this blog in 2016, which stands up pretty darn well: emcrit.org/pulmcrit/bic...)
after years of arguing, lemme break down my take on this 😁
I've been following debates about this for a *long* time
(eg wrote this blog in 2016, which stands up pretty darn well: emcrit.org/pulmcrit/bic...)
after years of arguing, lemme break down my take on this 😁
Looking forward to teaching on this again. Brilliant faculty and a really engaging group of delegates last year, I'm sure it will be just as good in 2025!
Places left for Leeds Advanced Critical Care Echo Course
8th -10th July 2025
Three days of excellent echo teaching
Endorsed by ESICM & ICS
#FUSICHD #EDEC #ACCE #fTOE #critcareecho
@manoj-w.bsky.social
@drfreeze.bsky.social
@smallzalex.bsky.social
@medicluke.bsky.social
@lukeflower.bsky.social
8th -10th July 2025
Three days of excellent echo teaching
Endorsed by ESICM & ICS
#FUSICHD #EDEC #ACCE #fTOE #critcareecho
@manoj-w.bsky.social
@drfreeze.bsky.social
@smallzalex.bsky.social
@medicluke.bsky.social
@lukeflower.bsky.social
December 3, 2024 at 8:28 PM
Looking forward to teaching on this again. Brilliant faculty and a really engaging group of delegates last year, I'm sure it will be just as good in 2025!
Another cracking thread from @katiewiskar.bsky.social !
1/
I love love LOVE scanning the heart 😍, but when it comes to bang for your buck for ultrasound novices, lung ultrasound is such a winner 🏆
It's time for another #POCUS basics #skeetorial 🧵
Let's talk about common pitfalls in #LungUltrasound and how to correct these ✔️
#emimcc
I love love LOVE scanning the heart 😍, but when it comes to bang for your buck for ultrasound novices, lung ultrasound is such a winner 🏆
It's time for another #POCUS basics #skeetorial 🧵
Let's talk about common pitfalls in #LungUltrasound and how to correct these ✔️
#emimcc
December 3, 2024 at 8:05 PM
Another cracking thread from @katiewiskar.bsky.social !
Just occasionally, the physics and equipment stuff I learnt for the primary is actually useful.
My top tip after a week of ICU
- 15mm and 22mm connections in airway circuits aren’t perfectly circular
- pushing them together, they can just come apart quite easily
-push *and twist* and they sort of jam together and are much more secure
✨Push and twist for breathing circuit happiness ✨
- 15mm and 22mm connections in airway circuits aren’t perfectly circular
- pushing them together, they can just come apart quite easily
-push *and twist* and they sort of jam together and are much more secure
✨Push and twist for breathing circuit happiness ✨
November 30, 2024 at 8:33 AM
Just occasionally, the physics and equipment stuff I learnt for the primary is actually useful.
A great selection.
I'd also add CAPE-COD to this list.
On the theme of less is more, HOT-ICU and ICU-ROX are interesting. Perhaps MEGA-ROX will give us a definitive answer.
I'd also add CAPE-COD to this list.
On the theme of less is more, HOT-ICU and ICU-ROX are interesting. Perhaps MEGA-ROX will give us a definitive answer.
A thread 🧵 on trials I think have changed or will change ICU practice (at least my own). #emimcc
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?
November 30, 2024 at 8:14 AM
A great selection.
I'd also add CAPE-COD to this list.
On the theme of less is more, HOT-ICU and ICU-ROX are interesting. Perhaps MEGA-ROX will give us a definitive answer.
I'd also add CAPE-COD to this list.
On the theme of less is more, HOT-ICU and ICU-ROX are interesting. Perhaps MEGA-ROX will give us a definitive answer.
Let's see how long this lasts then ...
November 21, 2024 at 10:35 PM
Let's see how long this lasts then ...