Fresh IBCC: POCIT (Point-of-care infrared thermography)

This is basically where POCUS was 1995-2005

Technology & evidence-basis are improving

Early adopters may be interested

IMHO anything bringing us to the bedside more & forcing us to engage w/ the exam is good

emcrit.org/ibcc/pocit/ #EMIMCC

#ECPR in trauma patients with CA
🔍 ELSO Registry analysis
🚑 17.9% received #ECMO because of traumatic CA, ⅓ #OHCA. Survival 29.2%
🚑 82.1% because of CA of medical etiology; survival 37.3%
ECPR may result in higher-than-expected survival, evenmin patients with traumatic CA.
#FOAMcc
🔓 bit.ly/3LtxJCz

med.uth.edu/emergencymed...

Difficult Airway Society 2025 guidelines for management of unanticipated difficult tracheal intubation in adults

CCR Journal Watch
https://criticalcarereviews.com/latest-evidence/journal-watch

Today's Paper of the Day is:

Extracorporeal cardiopulmonary resuscitation for refractory cardiac arrest

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

Adult & pediatric special circumstances of #resuscitation: 2025 @americanheart.bsky.social guidelines are are out! While #ECMO is not available in every setting, may be considered for adults & children in CA or peri-arrest state with potentially reversible etiology
🔓 bit.ly/3LeVAWd
See thread 🧵🪡 1/2

🧵 2/2 #ECMO may be reasonable
🐝 in refractory anaphylaxis
🫁 life-threatening refractory asthma
🫀 in cath-lab or after cardiac surgery if failing cCPR
🫁 if CA from confirmed/suspected PE or peripartum
amniotic fluid embolism
🧊 in life-threatening hypothermia
☠️ in poisonings
🔓 bit.ly/3LeVAWd

📢 The wait is over!! The ELSO's #ECMO Bedside Guide is now available for Android, too!!
⚖️ assess #ECMO candidacy
📦 equipment
📋 checklists
🧮 calculators
💉 medications in #ECLS
📚 resources
⚠️ Panic button
Download
📱 bit.ly/ELSOBedsideG...

PS if you missed link to Apple store
📱 bit.ly/ELSOBedsideG...

The ELSO 2025 guideline on #ECMO in pregnacy & peripartum:
⚖️ indications
🩺 physiologic changes of pregnancy pertinent to #ECLS
⚠️ pregnancy complications affecting ECMO
🩸 cannulation
💉 medications
🥅 ECMO goals
💪🏼 #ICUrehab
🖥️ fetal monitoring
🍼 delivery
⚖️ ethics
🔗 weaning & follow up
🔓 bit.ly/4muxHa3

#ECPR vs standard care in refractory cardiac arrest
🔍 SR including 15 studies
⚖️ 80% reported high probability of ECPR being cost-effective, 7% low, 7% potential, 7% no (aortic dissection)
This reflects differences in methodology, survival assumptions, willingness to pay thresholds.
🔓 bit.ly/46IZmQ1

Today's Paper of the Day is:

Extracorporeal membrane oxygenation (ECMO) and beyond in near fatal asthma

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 2025

Neurological recovery in patients suffering from refractory cardiac arrest:
🔍 cohort study at Cardiac Arrest Centre Vienna 🇦🇹
🧠 pts treated with #ECPR frequently showed significant improvement neurological outcome: favourable outcome increased from 59% at 1 month to 87% at 6 months
🔓 bit.ly/3KgHEKV

Optimizing #ECPR delivery for urban #OHCA
🇨🇦 simulation study comparing
🏥 in-hospital ECPR delivery
🚑 rendezvous yielded
🚨 prehospital #ECMO
PreH showed greatest potential impact, improving CPC 1-2 survival, flow-recovery at 60', low flow for hospital-based & optimally placed teams
🔓 bit.ly/3UEzz4G

ECMO in adult trauma patients with refractory acute cardiopulmonary failure: guideline from the Chinese society of extracorporeal life support 2025

CCR Journal Watch - tracking the critical care literature daily
https://criticalcarereviews.com/latest-evidence/journal-watch

Ethical Considerations for Patients Requiring Extracorporeal Cardiopulmonary Resuscitation

CCR Journal Watch - tracking the critical care literature daily
https://criticalcarereviews.com/latest-evidence/journal-watch

Implementation of emergency physician-initiated #ECPR program for #OHCA in San Diego County, 🇺🇸: first-year data
👥 large cannulator pool can produce functional/efficacious system
🏥 reproducible success
💵 model likely cost-effective vs systems requiring on-call ECMO team + transport
🔓 bit.ly/3IPR7YV