Sebastian Proaño
@sebastospro.bsky.social
Husband & dad
PICU doc @ Marshall Univ.
Home cook
🇪🇨
PICU doc @ Marshall Univ.
Home cook
🇪🇨
Reposted by Sebastian Proaño
Here is my checklist transferring a patient out of ICU
✅ 2 things to check in computer (labs, vitals)
✅ 2 people to talk to (RN, RT)
✅ 2 things to clean up (meds, lines)
The absolute *key* is talking to the RN & RT. They know the minute-to-minute details of patient care needs & trajectory. #2/2
✅ 2 things to check in computer (labs, vitals)
✅ 2 people to talk to (RN, RT)
✅ 2 things to clean up (meds, lines)
The absolute *key* is talking to the RN & RT. They know the minute-to-minute details of patient care needs & trajectory. #2/2
June 1, 2025 at 12:56 PM
Here is my checklist transferring a patient out of ICU
✅ 2 things to check in computer (labs, vitals)
✅ 2 people to talk to (RN, RT)
✅ 2 things to clean up (meds, lines)
The absolute *key* is talking to the RN & RT. They know the minute-to-minute details of patient care needs & trajectory. #2/2
✅ 2 things to check in computer (labs, vitals)
✅ 2 people to talk to (RN, RT)
✅ 2 things to clean up (meds, lines)
The absolute *key* is talking to the RN & RT. They know the minute-to-minute details of patient care needs & trajectory. #2/2
Reposted by Sebastian Proaño
Very excited to share the great work from @benrwhite.bsky.social @chriscarrollmd.com and the great experts @aarc-community.bsky.social @palisinet.bsky.social pediatric critical asthma CPG #PedsICU
www.liebertpub.com/doi/10.1089/...
www.liebertpub.com/doi/10.1089/...
AARC and PALISI Clinical Practice Guideline: Pediatric Critical Asthma | Respiratory Care
To address the lack of guidance for clinicians in their care of children with critical asthma, a multidisciplinary team of medical providers used Grading of Recommendations, Assessment, Development, a...
www.liebertpub.com
May 5, 2025 at 6:16 PM
Very excited to share the great work from @benrwhite.bsky.social @chriscarrollmd.com and the great experts @aarc-community.bsky.social @palisinet.bsky.social pediatric critical asthma CPG #PedsICU
www.liebertpub.com/doi/10.1089/...
www.liebertpub.com/doi/10.1089/...
Reposted by Sebastian Proaño
Measles is now in Indiana
If you have questions about the measles vaccine, if you need a booster, etc
I found this post by @kkjetelina.bsky.social super helpful
yourlocalepidemiologist.substack.com/p/10-faqs-on...
If you have questions about the measles vaccine, if you need a booster, etc
I found this post by @kkjetelina.bsky.social super helpful
yourlocalepidemiologist.substack.com/p/10-faqs-on...
10 FAQs on MMR and Measles Protection
Boosters, waning immunity, checking titers, infection induced immunity, and more
yourlocalepidemiologist.substack.com
April 10, 2025 at 12:13 PM
Measles is now in Indiana
If you have questions about the measles vaccine, if you need a booster, etc
I found this post by @kkjetelina.bsky.social super helpful
yourlocalepidemiologist.substack.com/p/10-faqs-on...
If you have questions about the measles vaccine, if you need a booster, etc
I found this post by @kkjetelina.bsky.social super helpful
yourlocalepidemiologist.substack.com/p/10-faqs-on...
Reposted by Sebastian Proaño
To be honest, no, I do not think the 5th liter of fluid will make all the difference.
January 10, 2025 at 1:28 AM
To be honest, no, I do not think the 5th liter of fluid will make all the difference.
Reposted by Sebastian Proaño
“Keep giving fluids until the IVC is plump” is the modern “CVP goal of 8-12”, equally aphysiologic and indefensible
January 16, 2025 at 8:48 AM
“Keep giving fluids until the IVC is plump” is the modern “CVP goal of 8-12”, equally aphysiologic and indefensible
Reposted by Sebastian Proaño
Time to abandon etomidate in RSI?
-Mounting evidence of harm vs ketamine:
2022 RCT(PMID 34904190) 8% incr mortality
2023 Meta(PMID 37127020) NNH = 31
2024 study(PMID 38368326) mod prob ⬇️ mortality w/ ketamine
-Ketamine appears to be better default agent
youtube.com/shorts/8bCPT...
#MedSky #EMIMCC
-Mounting evidence of harm vs ketamine:
2022 RCT(PMID 34904190) 8% incr mortality
2023 Meta(PMID 37127020) NNH = 31
2024 study(PMID 38368326) mod prob ⬇️ mortality w/ ketamine
-Ketamine appears to be better default agent
youtube.com/shorts/8bCPT...
#MedSky #EMIMCC
Etomidate vs Ketamine in RSI #criticalcare #emergencymedicine #resuscitation #airway
YouTube video by EMSwami
youtube.com
March 31, 2025 at 2:11 PM
Time to abandon etomidate in RSI?
-Mounting evidence of harm vs ketamine:
2022 RCT(PMID 34904190) 8% incr mortality
2023 Meta(PMID 37127020) NNH = 31
2024 study(PMID 38368326) mod prob ⬇️ mortality w/ ketamine
-Ketamine appears to be better default agent
youtube.com/shorts/8bCPT...
#MedSky #EMIMCC
-Mounting evidence of harm vs ketamine:
2022 RCT(PMID 34904190) 8% incr mortality
2023 Meta(PMID 37127020) NNH = 31
2024 study(PMID 38368326) mod prob ⬇️ mortality w/ ketamine
-Ketamine appears to be better default agent
youtube.com/shorts/8bCPT...
#MedSky #EMIMCC
Reposted by Sebastian Proaño
Money 📉
Measles 📈
Measles 📈
April 4, 2025 at 10:28 PM
Money 📉
Measles 📈
Measles 📈
Reposted by Sebastian Proaño
WV has one of the strongest childhood vaccination policies. During this legislative session we were dangerously close to changing that policy to allow for "religious and philosophical" exemptions. The House (surprisingly) voted it down today and I'm so relieved.
SB 460 REJECTED
The House of Delegates rejected SB 460 by a vote of 42-56, which would have loosened vaccination requirements and allowed for religious exemptions. We appreciate all of the delegates who stood up and voted No on this harmful piece of legislation!
The House of Delegates rejected SB 460 by a vote of 42-56, which would have loosened vaccination requirements and allowed for religious exemptions. We appreciate all of the delegates who stood up and voted No on this harmful piece of legislation!
March 25, 2025 at 1:19 AM
WV has one of the strongest childhood vaccination policies. During this legislative session we were dangerously close to changing that policy to allow for "religious and philosophical" exemptions. The House (surprisingly) voted it down today and I'm so relieved.
Reposted by Sebastian Proaño
Continuous Renal Replacement Therapy in Children
CCR Journal Watch - tracking the critical care literature daily
https://criticalcarereviews.com/latest-evidence/journal-watch
CCR Journal Watch - tracking the critical care literature daily
https://criticalcarereviews.com/latest-evidence/journal-watch
March 25, 2025 at 9:17 PM
Continuous Renal Replacement Therapy in Children
CCR Journal Watch - tracking the critical care literature daily
https://criticalcarereviews.com/latest-evidence/journal-watch
CCR Journal Watch - tracking the critical care literature daily
https://criticalcarereviews.com/latest-evidence/journal-watch
Reposted by Sebastian Proaño
This JAMA Insights explores the use of portable point-of-care ultrasound and focused cardiac ultrasound imaging in the diagnosis and treatment of patients with sepsis and septic shock in the emergency department and intensive care unit. https://ja.ma/3DZmvC6
March 17, 2025 at 7:00 PM
This JAMA Insights explores the use of portable point-of-care ultrasound and focused cardiac ultrasound imaging in the diagnosis and treatment of patients with sepsis and septic shock in the emergency department and intensive care unit. https://ja.ma/3DZmvC6
Reposted by Sebastian Proaño
Today's Paper of the Day is:
Practical approach to thrombocytopenia in patients with sepsis: a narrative review
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
Practical approach to thrombocytopenia in patients with sepsis: a narrative review
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
March 19, 2025 at 9:46 AM
Today's Paper of the Day is:
Practical approach to thrombocytopenia in patients with sepsis: a narrative review
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
Practical approach to thrombocytopenia in patients with sepsis: a narrative review
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
Reposted by Sebastian Proaño
I went further down this rabbit hole
this meta-analysis is the best evidence-based overview of which ABX select resistance I can find👇
as folks are commenting: this supports that it's more important to d/c ABX & limit duration than argue about exactly which agent
pubmed.ncbi.nlm.nih.gov/35339675/
this meta-analysis is the best evidence-based overview of which ABX select resistance I can find👇
as folks are commenting: this supports that it's more important to d/c ABX & limit duration than argue about exactly which agent
pubmed.ncbi.nlm.nih.gov/35339675/
March 9, 2025 at 9:37 PM
I went further down this rabbit hole
this meta-analysis is the best evidence-based overview of which ABX select resistance I can find👇
as folks are commenting: this supports that it's more important to d/c ABX & limit duration than argue about exactly which agent
pubmed.ncbi.nlm.nih.gov/35339675/
this meta-analysis is the best evidence-based overview of which ABX select resistance I can find👇
as folks are commenting: this supports that it's more important to d/c ABX & limit duration than argue about exactly which agent
pubmed.ncbi.nlm.nih.gov/35339675/