@docofsteel.bsky.social
Reposted
Omg that photo!
“Subsequently, his oxygenator, with fibers comprised of polymethylpentene was noted to have visual signs of fungal growth” 😱😱😱
“Subsequently, his oxygenator, with fibers comprised of polymethylpentene was noted to have visual signs of fungal growth” 😱😱😱
August 15, 2025 at 1:55 AM
Omg that photo!
“Subsequently, his oxygenator, with fibers comprised of polymethylpentene was noted to have visual signs of fungal growth” 😱😱😱
“Subsequently, his oxygenator, with fibers comprised of polymethylpentene was noted to have visual signs of fungal growth” 😱😱😱
Reposted
And is not only a 🍄 Fungi issue...
🧫 All that glitters is not gold!! an unusual presentation of S. aureus #sepsis during VV #ECMO: multiple & coalescent round formations appearing through venous side of this membrane lung
#FOAMcc #FOAMecmo @intenscaremed.bsky.social
🔓 rdcu.be/cEx7H
🧫 All that glitters is not gold!! an unusual presentation of S. aureus #sepsis during VV #ECMO: multiple & coalescent round formations appearing through venous side of this membrane lung
#FOAMcc #FOAMecmo @intenscaremed.bsky.social
🔓 rdcu.be/cEx7H
August 15, 2025 at 5:20 PM
And is not only a 🍄 Fungi issue...
🧫 All that glitters is not gold!! an unusual presentation of S. aureus #sepsis during VV #ECMO: multiple & coalescent round formations appearing through venous side of this membrane lung
#FOAMcc #FOAMecmo @intenscaremed.bsky.social
🔓 rdcu.be/cEx7H
🧫 All that glitters is not gold!! an unusual presentation of S. aureus #sepsis during VV #ECMO: multiple & coalescent round formations appearing through venous side of this membrane lung
#FOAMcc #FOAMecmo @intenscaremed.bsky.social
🔓 rdcu.be/cEx7H
Diagnosing Pulmonary Embolism During Pregnancy - CHEST journal.chestnet.org/article/S001...
Diagnosing Pulmonary Embolism During Pregnancy
Pulmonary embolism (PE) is one of the leading causes of pregnancy-related deaths in
high-income countries. Maternal mortality from PE has been attributed to delayed recognition
and investigations. The...
journal.chestnet.org
August 8, 2025 at 6:11 PM
Diagnosing Pulmonary Embolism During Pregnancy - CHEST journal.chestnet.org/article/S001...
Reposted
Kudos to the authors for taking on this question!
#foamed #foamcc #meded #Medsky #emimcc #pulmsky #idsky
You can read the study here:
doi.org/10.1186/s122...
#foamed #foamcc #meded #Medsky #emimcc #pulmsky #idsky
You can read the study here:
doi.org/10.1186/s122...
A pilot study of coughing into the shirt to disrupt respiratory pathogen transmission - International Journal of Emergency Medicine
Background Scientific evidence is lacking for the respiratory etiquette maneuver of coughing into the elbow. This pilot study introduces and evaluates a novel maneuver " coughing into the shirt” compa...
doi.org
July 21, 2025 at 12:00 AM
Reposted
ICU Practice:
The conventional teaching is to perform spontaneous breathing trials (SBT) only once daily when we try to wean a patient from mechanical ventilation. The rationale is to prevent precipitating respiratory muscle fatigue. It has been shown that SBT failures are often
The conventional teaching is to perform spontaneous breathing trials (SBT) only once daily when we try to wean a patient from mechanical ventilation. The rationale is to prevent precipitating respiratory muscle fatigue. It has been shown that SBT failures are often
July 19, 2025 at 3:06 PM
ICU Practice:
The conventional teaching is to perform spontaneous breathing trials (SBT) only once daily when we try to wean a patient from mechanical ventilation. The rationale is to prevent precipitating respiratory muscle fatigue. It has been shown that SBT failures are often
The conventional teaching is to perform spontaneous breathing trials (SBT) only once daily when we try to wean a patient from mechanical ventilation. The rationale is to prevent precipitating respiratory muscle fatigue. It has been shown that SBT failures are often
Reposted
only YOU can diagnose DRESS syndrome! (Drug Rash with Eosinophilia & Systemic Symptoms)
this is often *not* a dermatology diagnosis- rash & path can be nonspecific
diagnosis often hinges on visceral involvement (eosinophilia, atypical lymphocytosis, liver injury, drug exposure history) #EMIMCC
this is often *not* a dermatology diagnosis- rash & path can be nonspecific
diagnosis often hinges on visceral involvement (eosinophilia, atypical lymphocytosis, liver injury, drug exposure history) #EMIMCC
Acute Liver Failure + Rash
🫢Rash, ALF, PSE, with - w/u
😄Turns out was on allopurinol
👍DRESS, responding to steroids
Unusual to have DRESS ➡️ ALF
Importance of reviewing meds
Nice review of DRESS
emcrit.org/ibcc/eosinop...
#liversky #EMIMCCSky #medsky
www.gastrojournal.org/article/S001...
🫢Rash, ALF, PSE, with - w/u
😄Turns out was on allopurinol
👍DRESS, responding to steroids
Unusual to have DRESS ➡️ ALF
Importance of reviewing meds
Nice review of DRESS
emcrit.org/ibcc/eosinop...
#liversky #EMIMCCSky #medsky
www.gastrojournal.org/article/S001...
July 16, 2025 at 1:11 PM
only YOU can diagnose DRESS syndrome! (Drug Rash with Eosinophilia & Systemic Symptoms)
this is often *not* a dermatology diagnosis- rash & path can be nonspecific
diagnosis often hinges on visceral involvement (eosinophilia, atypical lymphocytosis, liver injury, drug exposure history) #EMIMCC
this is often *not* a dermatology diagnosis- rash & path can be nonspecific
diagnosis often hinges on visceral involvement (eosinophilia, atypical lymphocytosis, liver injury, drug exposure history) #EMIMCC
Reposted
The use of heart-lung interactions in predicting fluid responsiveness (FR) is an old story in Critical Care
In this study of 143 ventilated pts, the authors investigated (i) whether an end-expiratory occlusion test < 15 s & its effects on pulse pressure (PP) reliably detects FR
In this study of 143 ventilated pts, the authors investigated (i) whether an end-expiratory occlusion test < 15 s & its effects on pulse pressure (PP) reliably detects FR
June 15, 2025 at 1:17 AM
The use of heart-lung interactions in predicting fluid responsiveness (FR) is an old story in Critical Care
In this study of 143 ventilated pts, the authors investigated (i) whether an end-expiratory occlusion test < 15 s & its effects on pulse pressure (PP) reliably detects FR
In this study of 143 ventilated pts, the authors investigated (i) whether an end-expiratory occlusion test < 15 s & its effects on pulse pressure (PP) reliably detects FR
Reposted
BRB, I just need to file a patent real quick for a combination of droperidol plus magnesium (dropnesium) as the ideal drug for everything.
migraine? dropnesium.
nausea/vomiting with low Mg? dropnesium.
agitation with unknown QT? dropnesium.
#EMIMCC
migraine? dropnesium.
nausea/vomiting with low Mg? dropnesium.
agitation with unknown QT? dropnesium.
#EMIMCC
July 11, 2025 at 6:57 PM
BRB, I just need to file a patent real quick for a combination of droperidol plus magnesium (dropnesium) as the ideal drug for everything.
migraine? dropnesium.
nausea/vomiting with low Mg? dropnesium.
agitation with unknown QT? dropnesium.
#EMIMCC
migraine? dropnesium.
nausea/vomiting with low Mg? dropnesium.
agitation with unknown QT? dropnesium.
#EMIMCC
Reposted
this would be lovely in the ICU, to avoid excess sedation.
when we have patients on propofol sedation who happen to be on EEG monitoring, I’m often shocked by how completely flat the EEG is.
(it’s not normal or beneficial to have a totally flat EEG - makes it harder to wake up 😩) #EMIMCC
when we have patients on propofol sedation who happen to be on EEG monitoring, I’m often shocked by how completely flat the EEG is.
(it’s not normal or beneficial to have a totally flat EEG - makes it harder to wake up 😩) #EMIMCC
Can the alpha-to-delta ratio enhance depth of anaesthesia monitoring? Carron discusses its role as a practical, real-time #EEG marker for optimising hypnotic titration
www.bjanaesthesia.org
July 13, 2025 at 2:07 PM
this would be lovely in the ICU, to avoid excess sedation.
when we have patients on propofol sedation who happen to be on EEG monitoring, I’m often shocked by how completely flat the EEG is.
(it’s not normal or beneficial to have a totally flat EEG - makes it harder to wake up 😩) #EMIMCC
when we have patients on propofol sedation who happen to be on EEG monitoring, I’m often shocked by how completely flat the EEG is.
(it’s not normal or beneficial to have a totally flat EEG - makes it harder to wake up 😩) #EMIMCC
Reposted
ICU Hemodynamics:
There is a lot of discussion about the role of methylene blue (MB) in refractory #septicshock. We don't have many RCTs in this topic & I read every new one with interest. This small RCT was recently published:
There is a lot of discussion about the role of methylene blue (MB) in refractory #septicshock. We don't have many RCTs in this topic & I read every new one with interest. This small RCT was recently published:
November 22, 2024 at 4:18 PM
ICU Hemodynamics:
There is a lot of discussion about the role of methylene blue (MB) in refractory #septicshock. We don't have many RCTs in this topic & I read every new one with interest. This small RCT was recently published:
There is a lot of discussion about the role of methylene blue (MB) in refractory #septicshock. We don't have many RCTs in this topic & I read every new one with interest. This small RCT was recently published:
Reposted
ICU Hemodynamics:
What changed in this case between a and b?
What changed in this case between a and b?
November 24, 2024 at 2:44 AM
ICU Hemodynamics:
What changed in this case between a and b?
What changed in this case between a and b?
Reposted
Today's Paper of the Day is extracerebral multiple organ dysfunction and interactions with brain injury after cardiac arrest
criticalcarereviews.com/latest-evide...
Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2024
criticalcarereviews.com/latest-evide...
Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2024
November 18, 2024 at 8:36 AM
Today's Paper of the Day is extracerebral multiple organ dysfunction and interactions with brain injury after cardiac arrest
criticalcarereviews.com/latest-evide...
Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2024
criticalcarereviews.com/latest-evide...
Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2024