Pete Lax
@drpetelax.bsky.social
Major Trauma, ICU, PHEM and TIVA geek, loves a bit of tech and 80’s rock music, transatlantic transplant…
Come on, surely I can’t be the first person to think of “Nance”…?
November 25, 2025 at 10:38 PM
Come on, surely I can’t be the first person to think of “Nance”…?
I keep saying to residents that TRICC is the one trial I’d wipe from ICU literature. Not because it’s an inherently bad trial, but it gets misapplied so often… the amount of times I see bleeding patients on pressors “But the Hb is over 7 so they don’t need blood”…
a close up of a cartoon character 's face with its tongue out
ALT: a close up of a cartoon character 's face with its tongue out
media.tenor.com
October 26, 2025 at 5:16 PM
I keep saying to residents that TRICC is the one trial I’d wipe from ICU literature. Not because it’s an inherently bad trial, but it gets misapplied so often… the amount of times I see bleeding patients on pressors “But the Hb is over 7 so they don’t need blood”…
Yep. Ketones are ketones…
October 17, 2025 at 7:25 PM
Yep. Ketones are ketones…
Starvation, no/minimal carb intake, diabetic crises, prolonged vomiting itself, febrile illnesses in kids, pregnancy with hyperemesis, some genetic metabolic syndromes…
October 17, 2025 at 6:08 PM
Starvation, no/minimal carb intake, diabetic crises, prolonged vomiting itself, febrile illnesses in kids, pregnancy with hyperemesis, some genetic metabolic syndromes…
Yep but ketones aren’t just caused by alcohol…
October 17, 2025 at 5:25 PM
Yep but ketones aren’t just caused by alcohol…
Either use the iTIVA app’s specific RSI model, or use an induction dose of prop and then start an infusion at about 150 mcg/kg/min after 3 mins and down-titrate based on BIS, or use iTIVA’s manual mode once you’ve done the above and convert to TCI mode…
October 3, 2025 at 1:45 AM
Either use the iTIVA app’s specific RSI model, or use an induction dose of prop and then start an infusion at about 150 mcg/kg/min after 3 mins and down-titrate based on BIS, or use iTIVA’s manual mode once you’ve done the above and convert to TCI mode…
Use the iTIVA app with manual ml/hr dosing. It has a specific RSI model or you can start in manual mode, give your induction dose then convert to TCI mode when you start the infusion
October 3, 2025 at 1:43 AM
Use the iTIVA app with manual ml/hr dosing. It has a specific RSI model or you can start in manual mode, give your induction dose then convert to TCI mode when you start the infusion
Swift kick in the bollocks ought to do it…
two men in suits are standing in a living room .
ALT: two men in suits are standing in a living room .
media.tenor.com
September 20, 2025 at 1:20 AM
Swift kick in the bollocks ought to do it…
Irritatingly it’s not available in the US Amazon store.
So I’ve just ordered some hardback from the UK… Really hope it’s worth the exorbitant delivery charges!
So I’ve just ordered some hardback from the UK… Really hope it’s worth the exorbitant delivery charges!
September 18, 2025 at 1:39 AM
Irritatingly it’s not available in the US Amazon store.
So I’ve just ordered some hardback from the UK… Really hope it’s worth the exorbitant delivery charges!
So I’ve just ordered some hardback from the UK… Really hope it’s worth the exorbitant delivery charges!
If they had said “Make managers accountable” then they may have been onto something. Sadly not…
September 2, 2025 at 10:53 PM
If they had said “Make managers accountable” then they may have been onto something. Sadly not…
I went to a good school, great teachers, really supportive environment.
We still had some dickhead students.
Surprisingly fewer/none in 6th form for some reason…
We still had some dickhead students.
Surprisingly fewer/none in 6th form for some reason…
August 29, 2025 at 10:37 AM
I went to a good school, great teachers, really supportive environment.
We still had some dickhead students.
Surprisingly fewer/none in 6th form for some reason…
We still had some dickhead students.
Surprisingly fewer/none in 6th form for some reason…
God I’m getting old…
August 19, 2025 at 9:56 PM
God I’m getting old…
The biggest problem with ASA is it’s so objective and changeable to fit facts. A 23 year old triathlete can be an ASA1 most of the time, have a chest infection/pneumonia and be bumped to a 2 or 3 if they need an urgent/emergency operation that day or be hit by a truck and be an ASA5 (or 6)!
July 31, 2025 at 1:07 PM
The biggest problem with ASA is it’s so objective and changeable to fit facts. A 23 year old triathlete can be an ASA1 most of the time, have a chest infection/pneumonia and be bumped to a 2 or 3 if they need an urgent/emergency operation that day or be hit by a truck and be an ASA5 (or 6)!
What is that separated looking line in the right lung field running vertically down from the second rib? Loculation on the other side that had been drained?
July 29, 2025 at 9:30 AM
What is that separated looking line in the right lung field running vertically down from the second rib? Loculation on the other side that had been drained?
Best agent in sick patients who can tolerate anything other than roc and an apology. There’s a definite learning curve, but you’re right in your assessment…
July 4, 2025 at 6:31 PM
Best agent in sick patients who can tolerate anything other than roc and an apology. There’s a definite learning curve, but you’re right in your assessment…
In a system with (at best) a 10% first pass failure rate even with a Glidescope and optimum conditions, I would say there is much I
Improvement needed in even the fundamentals of VL and DL before trying to extrapolate this further as an argument to retire DL!
Improvement needed in even the fundamentals of VL and DL before trying to extrapolate this further as an argument to retire DL!
June 29, 2025 at 2:14 PM
In a system with (at best) a 10% first pass failure rate even with a Glidescope and optimum conditions, I would say there is much I
Improvement needed in even the fundamentals of VL and DL before trying to extrapolate this further as an argument to retire DL!
Improvement needed in even the fundamentals of VL and DL before trying to extrapolate this further as an argument to retire DL!
Because he has a Boo Boo?
June 22, 2025 at 2:39 PM
Because he has a Boo Boo?