just learned this & mind blown 🤯

CKD-EPI, MDRD etc give us GFR corrected for body surface area (ml/min/1.73m2)

BUT we're supposed to use the *absolute* GFR (ml/min) for drug dosing (eg KDIGO 2024 guidelines below; FDA agrees)

in obesity, the computer's ml/min/1.73m2 can be way too low #EMIMCC

yes, the SICU has a magic 8 ball.

yes, it provides decent advice about extubation readiness.

Pee in whatever bathroom fits, but remember to WASH YOUR HANDS👏🏻🤓

#b0202
#verliebt

Confession: I LOVE hyponatremia 🤓

(I know, I know. What can I say, I'm a true internist!)

HypoNa is often feared, maligned, and misunderstood - but I promise it doesn't have to be scary!

Here are my top 10 hyponatremia tips and tricks - a 🧵

#emimcc

In an attempt to start GDMT, a 70yoF with recently diagnosed HFrEF and Stage 3b CKD is started on an ARB and a beta-blocker. A week later, she presents to the ED with bradycardia, hyperkalemia, and hypotension.

What happened?

A 🧵

#PhysiologyFriday #MedSky #CardioSky #NephSky

two different philosophies of extubation

overthink it or just extubate and see what happens 🫣

I’m with @omnintensivist.bsky.social here 😂

Here’s a fun medicine/chemistry puzzle: what does this antidote (Sugammadex) have in common with this cleaning product (Febreze)?

1/

Irgendwo da draußen gibt es Familien die mit ihren Kindern morgen Betten in unserem Verbrennungszentrum belegen werden.

Dabei wäre es so einfach das zu verhindern.

Before you freak reflexively order IV hydralazine for that BP of 180/90, remember that people get BPs up to 480/350 (yes that is in mmHg) while weight lifting and don't "stroke out"

pubmed.ncbi.nlm.nih.gov/3980383/