Critical Concepts
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critconcepts.bsky.social
Critical Concepts
@critconcepts.bsky.social
Critical care PA, FCCM, former EMT. Cohost of http://icuscenarios.com, teaches at icu101.com. #FOAMcc #FOAMed
either result would seem hard to rationally apply, from a Bayesian perspective
November 5, 2025 at 11:56 AM
Agreed… this is some skinny love
October 29, 2025 at 4:38 PM
Bad reason to place: patient is in shock
Good reason to place: shock is labile
October 29, 2025 at 3:48 PM
buddy I am with you x.com/critconcepts...

I had two minds to write a letter to the editor on the obvious physiologic error, but ran out of motivation
October 3, 2025 at 11:45 AM
Prophylaxis is growing on me. Nothing worse than withdrawal developing in someone admitted to the ICU for another reason
September 25, 2025 at 6:30 PM
Because like all peripherals, they can fail
September 10, 2025 at 5:25 PM
But like amio, I think many times, after a day or two the need has passed. Much of our RVR is transient
September 3, 2025 at 12:34 PM
same as amio

hard to hurt anyone with a dose or two
September 3, 2025 at 12:03 PM
Agree somewhat, but should acknowledge the dosing issue, as these folks were on a high dose range. Not sure if it’s generalizable to a low dose strategy.
September 1, 2025 at 5:38 PM
My mind became a little more open when I rechristened this method as “asking someone to Google it for you,” which is more or less what I would have done otherwise, and I already understand the pros and cons of that well.
September 1, 2025 at 5:34 PM
Subdissociative dosing at most for pain. Stay way out of a partial dissociation range
September 1, 2025 at 5:47 AM
I am both

I guess it would make sense for the two systems to behave similarly, but I could just as easily see the opposite being true
August 20, 2025 at 9:06 PM
But what of the venous side?
August 20, 2025 at 8:04 PM