38 of the 43.

"38 of 43 experts cut last month from boards that review science and research in NIH laboratories are female, Black or Hispanic.

"The scientists typically serve five-year terms and were not given a reason for their dismissal..."

www.washingtonpost.com/science/2025...

When I say you don’t have to worry about microplastics in your brain I mean that there is much stronger evidence that you should be worrying about other things that you don’t ever think about, like the draining of peatlands for agriculture, and things that you think about all the time, like fascism.

ICU Hemodynamics:

If you are managing patients with #vasoplegicshock, this is a nice review article:

ICU studies:

In this *just published* unblinded RCT, prothrombin-complex concentrate (PCC) was found to have better efficacy than fresh frozen plasma (FFP) for management of excessive bleeding related to coagulation factor deficiency in patients undergoing cardiopulmonary bypass surgery

ICU Hemodynamics:

Assessment of the efficacy (stroke volume) and tolerance (left ventricular filling pressures) of blood volume expansion using Doppler echocardiography:

Today's Paper of the Day is:

Use of Inotropic Agents in Advanced Heart Failure

https://criticalcarereviews.com/latest-evidence/paper-of-the-day

Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2025

For anyone interested in learning more about angiography, check out my introductory guide!

You’ll find a lot of nice annotated diagrams like this one.

intuitivecardiology.notion.site/angiography

ICU #POCUS:

This is a recently published, information-dense document. It may be a bit technical for the average POCUS user but if you manage patients who harbor a right heart (😊), consider reading it:

Recirculation in veno-venous #ECMO according to cannulation
📏 drainage cannula: RA, SVC or IVC
🩸 recirculation not significantly different for all fem-fem & fem-jug configurations
🩸 no significant correlation between recirculation/distance between drainage & return cannula tip
🔓 bit.ly/4hHwPxr

the best way to increase preload is to stop propofol & extubate. #AlwaysBeExtubating

🎶do you wanna see some cannon a waves🎶

The blue CVP line depicts Cannon A waves, which occur when the right atrium contracts against a closed tricuspid valve. This is a junctional rhythm (mostly)

Good example of massive LVH voltage but also many non-voltage criteria for LVH

- classic repolarization abnormality “backwards-check” STD/TWI in positive leads
- left atrial abnormality
- non-specific intraventricular conduction delay

Only missing LAFB/LAD

@willyhfrick.bsky.social

The ELSO 2024 guideline for early rehabilitation or mobilization of adults on #ECMO: despite lack of strong evidence encouraged when clinical condition & adequate resources allow + well-trained team available. Complications (uncommon) can harm pt: anticipate/address them. #FOAMcc
🔓 bit.ly/40VDU7w