Patrick Bafuma PA-C
@pbafuma.bsky.social
EM-turned critical care PA.
POCUS, dogmalytics, & infectious disease.
Formerly a mastiff, now a dobie.
POCUS, dogmalytics, & infectious disease.
Formerly a mastiff, now a dobie.
Not sure what to take away from said trial, except *maaaaaybeeee* there's an signal of "dont miss sepsis induced cardiomyopathy" as evidenced by giving more inotropy/dobutamine in CRT arm.
I'm slightly concerned bicar2 is going to push a lot more bicarb drips to save a few HD days....
I'm slightly concerned bicar2 is going to push a lot more bicarb drips to save a few HD days....
October 30, 2025 at 10:41 PM
Not sure what to take away from said trial, except *maaaaaybeeee* there's an signal of "dont miss sepsis induced cardiomyopathy" as evidenced by giving more inotropy/dobutamine in CRT arm.
I'm slightly concerned bicar2 is going to push a lot more bicarb drips to save a few HD days....
I'm slightly concerned bicar2 is going to push a lot more bicarb drips to save a few HD days....
Staph aureus bacteremia
September 28, 2025 at 12:07 PM
Staph aureus bacteremia
Thoughts on nuc med studies for SAB? Thought there was supposed to be a multi center trial out of Europe due last year but not published yet....
Seems like it might be a "you pick up more, but doesn't seem to matter much/doesn't frequently change management" scenario?
Seems like it might be a "you pick up more, but doesn't seem to matter much/doesn't frequently change management" scenario?
September 23, 2025 at 10:55 PM
Thoughts on nuc med studies for SAB? Thought there was supposed to be a multi center trial out of Europe due last year but not published yet....
Seems like it might be a "you pick up more, but doesn't seem to matter much/doesn't frequently change management" scenario?
Seems like it might be a "you pick up more, but doesn't seem to matter much/doesn't frequently change management" scenario?
Yep. Still, ICU patients that find it beneficial for pain control are the exception. Overwhelming majority of patients we've had on it more often find it deleterious than helpful. This study kind of confirms that bias.
September 1, 2025 at 12:19 PM
Yep. Still, ICU patients that find it beneficial for pain control are the exception. Overwhelming majority of patients we've had on it more often find it deleterious than helpful. This study kind of confirms that bias.
Putting pts in a partial K hole is probably a suboptimal idea in the ICU. Tubes and lines in weird places + delirium+ drawing labs = whoa buddy.
August 31, 2025 at 9:34 PM
Putting pts in a partial K hole is probably a suboptimal idea in the ICU. Tubes and lines in weird places + delirium+ drawing labs = whoa buddy.
my taste for ketamine has swayed over the last 5ish years. Precedex as part of multimodal in difficult to control situations anecdotally works more often plus less trippy. Especially if combined with regional anesthesia.
August 9, 2025 at 3:51 PM
my taste for ketamine has swayed over the last 5ish years. Precedex as part of multimodal in difficult to control situations anecdotally works more often plus less trippy. Especially if combined with regional anesthesia.
Survival to DC. 1/21 vs 1/11. 🫣🤷♂️🫣
August 9, 2025 at 3:37 PM
Survival to DC. 1/21 vs 1/11. 🫣🤷♂️🫣
Odds that it will travel stateside next summer?
August 8, 2025 at 7:14 AM
Odds that it will travel stateside next summer?
This is so wild and I wonder what the back story is.
July 30, 2025 at 1:10 AM
This is so wild and I wonder what the back story is.
Agree 99% - but it's not just cruelty. Some portion of it is broken window fallacy amplified by underlying biases/prejudices.
We see people missing the big picture all the time in healthcare. Locums / travel assignments exist mostly because we don't want to take care of our own.
We see people missing the big picture all the time in healthcare. Locums / travel assignments exist mostly because we don't want to take care of our own.
July 28, 2025 at 1:06 AM
Agree 99% - but it's not just cruelty. Some portion of it is broken window fallacy amplified by underlying biases/prejudices.
We see people missing the big picture all the time in healthcare. Locums / travel assignments exist mostly because we don't want to take care of our own.
We see people missing the big picture all the time in healthcare. Locums / travel assignments exist mostly because we don't want to take care of our own.