Sebastian Morales
@smoralesmd.bsky.social
Explorer | Runner | Physician | ICU Research
Reposted by Sebastian Morales
People often talk about the time critical nature of sepsis. But it may surprise you to hear that the evidence to support “early” antibiotics actually isn't a settled debate. Why is that? The key question is “early in relation to what”? 🧵 1/n
December 3, 2024 at 9:38 AM
People often talk about the time critical nature of sepsis. But it may surprise you to hear that the evidence to support “early” antibiotics actually isn't a settled debate. Why is that? The key question is “early in relation to what”? 🧵 1/n
Reposted by Sebastian Morales
A sad day for critical care - and what a phenomenal legacy he has left us.
RIP Prof Gattinoni, a Giant ⚕️📟
www.esicm.org/obituary-luc...
RIP Prof Gattinoni, a Giant ⚕️📟
www.esicm.org/obituary-luc...
Obituary: Luciano Gattinoni - ESICM
In Memory of Professor Luciano Gattinoni
www.esicm.org
December 2, 2024 at 5:02 PM
A sad day for critical care - and what a phenomenal legacy he has left us.
RIP Prof Gattinoni, a Giant ⚕️📟
www.esicm.org/obituary-luc...
RIP Prof Gattinoni, a Giant ⚕️📟
www.esicm.org/obituary-luc...
Reposted by Sebastian Morales
Hello all! On behalf of the editors, @maxhockstein.bsky.social and @zentensivist.bsky.social, we’d like to announce the launch of our living textbook for hemodynamics, shockwaves.icu! #emimcc
November 18, 2024 at 2:16 PM
Hello all! On behalf of the editors, @maxhockstein.bsky.social and @zentensivist.bsky.social, we’d like to announce the launch of our living textbook for hemodynamics, shockwaves.icu! #emimcc
Reposted by Sebastian Morales
Rant #5 Please don't tell me what the PaO2 is...
Less experienced critical care staff members are frequently exercised by arterial blood gas PaO2 readings.
What is the SpO2 I genially ask? In our target range? Well that's fine then.
Staff member shifting uneasily, "but the PaO2..."
Here we go...
Less experienced critical care staff members are frequently exercised by arterial blood gas PaO2 readings.
What is the SpO2 I genially ask? In our target range? Well that's fine then.
Staff member shifting uneasily, "but the PaO2..."
Here we go...
Over the years I've developed a number of "rants" (aka teaching) that seem to resonate with trainees on #ICUsky ward round.
This pedogogical style might make educationalists wince but keeps me and (crucially) trainees, interested
Interested in any counter rants, refined rants or rant affirmation
This pedogogical style might make educationalists wince but keeps me and (crucially) trainees, interested
Interested in any counter rants, refined rants or rant affirmation
November 25, 2024 at 9:16 PM
Rant #5 Please don't tell me what the PaO2 is...
Less experienced critical care staff members are frequently exercised by arterial blood gas PaO2 readings.
What is the SpO2 I genially ask? In our target range? Well that's fine then.
Staff member shifting uneasily, "but the PaO2..."
Here we go...
Less experienced critical care staff members are frequently exercised by arterial blood gas PaO2 readings.
What is the SpO2 I genially ask? In our target range? Well that's fine then.
Staff member shifting uneasily, "but the PaO2..."
Here we go...
Reposted by Sebastian Morales
#PCCSky Update
122 members
Share with a repost
Reply if you are not included and would like to be
go.bsky.app/88wg6oG
122 members
Share with a repost
Reply if you are not included and would like to be
go.bsky.app/88wg6oG
November 25, 2024 at 1:37 PM
#PCCSky Update
122 members
Share with a repost
Reply if you are not included and would like to be
go.bsky.app/88wg6oG
122 members
Share with a repost
Reply if you are not included and would like to be
go.bsky.app/88wg6oG
Reposted by Sebastian Morales
#emimcc
Steroid in sepsis.
Should hydrocortisone be supported by fludrocortisone?
Three behemoths of critical care say we need more dedicated RCTs…
esicm.us1.list-manage.com/track/click?...
Steroid in sepsis.
Should hydrocortisone be supported by fludrocortisone?
Three behemoths of critical care say we need more dedicated RCTs…
esicm.us1.list-manage.com/track/click?...
November 22, 2024 at 1:34 PM
#emimcc
Steroid in sepsis.
Should hydrocortisone be supported by fludrocortisone?
Three behemoths of critical care say we need more dedicated RCTs…
esicm.us1.list-manage.com/track/click?...
Steroid in sepsis.
Should hydrocortisone be supported by fludrocortisone?
Three behemoths of critical care say we need more dedicated RCTs…
esicm.us1.list-manage.com/track/click?...
Reposted by Sebastian Morales
#PCCMSky Update
Up to 95 members
Repost so those new to this place can populate their following list with good PCCM people
Reply if you are not on this list and should be
go.bsky.app/88wg6oG
Up to 95 members
Repost so those new to this place can populate their following list with good PCCM people
Reply if you are not on this list and should be
go.bsky.app/88wg6oG
November 21, 2024 at 1:49 PM
#PCCMSky Update
Up to 95 members
Repost so those new to this place can populate their following list with good PCCM people
Reply if you are not on this list and should be
go.bsky.app/88wg6oG
Up to 95 members
Repost so those new to this place can populate their following list with good PCCM people
Reply if you are not on this list and should be
go.bsky.app/88wg6oG
Reposted by Sebastian Morales
I am really happy with this conceptual study - pure vasoconstriction can improve cardiac output if you increase stressed volume and the heart is preload dependent. We induced preload dependency by HUT and vasoconstricted with phenylephrine.
pmc.ncbi.nlm.nih.gov/articles/PMC...
pmc.ncbi.nlm.nih.gov/articles/PMC...
November 18, 2024 at 11:28 AM
I am really happy with this conceptual study - pure vasoconstriction can improve cardiac output if you increase stressed volume and the heart is preload dependent. We induced preload dependency by HUT and vasoconstricted with phenylephrine.
pmc.ncbi.nlm.nih.gov/articles/PMC...
pmc.ncbi.nlm.nih.gov/articles/PMC...
Reposted by Sebastian Morales
Honey, stop what you're doing, new hyponatremia research just dropped!
What's it say?
It looks like slow correction is associated with worse outcomes, like death and length of stay!
Was it just a small study?
No, it was a meta-analysis of almost 12,000 patients!
jamanetwork.com/journals/jam...
What's it say?
It looks like slow correction is associated with worse outcomes, like death and length of stay!
Was it just a small study?
No, it was a meta-analysis of almost 12,000 patients!
jamanetwork.com/journals/jam...
Correction Rates and Clinical Outcomes in Hospitalized Adults With Severe Hyponatremia
This systematic review and meta-analysis evaluates the association of sodium correction rates with mortality among hospitalized adults with severe hyponatremia.
jamanetwork.com
November 19, 2024 at 4:51 AM
Honey, stop what you're doing, new hyponatremia research just dropped!
What's it say?
It looks like slow correction is associated with worse outcomes, like death and length of stay!
Was it just a small study?
No, it was a meta-analysis of almost 12,000 patients!
jamanetwork.com/journals/jam...
What's it say?
It looks like slow correction is associated with worse outcomes, like death and length of stay!
Was it just a small study?
No, it was a meta-analysis of almost 12,000 patients!
jamanetwork.com/journals/jam...
It’s almost here! Join us for an exciting online course on hemodynamics—perfect for ICU physiology geeks! Featuring top researchers and excellent clinicians. Don’t miss out!
November 16, 2024 at 12:59 PM
It’s almost here! Join us for an exciting online course on hemodynamics—perfect for ICU physiology geeks! Featuring top researchers and excellent clinicians. Don’t miss out!