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Mashup Score: 15PulmCrit- Overcoming occult diuretic resistance: Achieving diuresis without dehydration - 10 month(s) ago
Critically ill patients often strongly retain sodium. This may cause diuresis attempts to fail, if patients excrete dilute urine leading to a loss of water without loss of sodium. Such patients may seem to respond to diuresis, but in fact they are merely becoming progressively dehydrated and hypernatremic (occult diuresis resistance).
Source: EMCrit ProjectCategories: Hem/Oncs, Latest HeadlinesTweet
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Mashup Score: 0EEG interpretation and ictal-interictal continuum - 11 month(s) ago
CONTENTS When & how long to monitor EEG: Indications for EEG monitoring in the ICU Duration of EEG monitoring Basics EEG leads Background pattern Reactivity Paralysis to eliminate artefacts EEG in encephalopathy/coma Beta coma Alpha coma Theta coma Delta coma Spindle coma Seizures Epileptiform discharges Seizures BIRDs โ Brief Potentially Ictal Rhythmic Discharges ๐ฅ Ictal-Interictal [โฆ]
Source: EMCrit ProjectCategories: Critical Care, Latest HeadlinesTweet-
๐๐๐ฏ๐ฏ if youโre making major life/death decisions based on SSEPs & EEG data, paralyze patients to get the best possible data. this causes a lot of confusion, so I wrote a whole section trying to explain it for folks who donโt do a lot of neuroICU https://t.co/SvQzGXG9aV https://t.co/BtdFRQuHt0
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Mashup Score: 3PulmCrit- Shrug Technique for US-guided subclavian lines - 11 month(s) ago
The CDC guidelines recommend placing subclavian lines to reduce the risk of catheter-related bloodstream infections.ย Meanwhile, mounting evidence suggests that we should probably be placing lines with ultrasound guidance.ย Unfortunately, the ultrasound-guided subclavian can be tricky.ย This post describes a slight modification that could make the technique easier and safer.
Source: EMCrit ProjectCategories: Hem/Oncs, Latest HeadlinesTweet
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Mashup Score: 10Approach to beta-lactam allergy in critical care - 11 month(s) ago
CONTENTS Rapid Reference ๐ Getting started Types of drug reaction Allergy history How allergies cause harm Basic science of beta-lactam allergy Techniques for allergy management Skin testing Graded challenge Desensitization General approach to beta-lactam allergy in critical care Groups of antibiotics with cross-allergy: Aminopenicillins & select G1-G2 cephalosporins Cefazolin Nafcillin…
Source: EMCrit ProjectCategories: Critical Care, Latest HeadlinesTweet
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Mashup Score: 4PulmCrit: "ARDS" is not a real thing - 11 month(s) ago
My dear pulmonologists, I have some bad news.ย Santa Claus isn’t real.ย Neither is “ARDS.” “ARDS” has traditionally been conflated with a
Source: EMCrit ProjectCategories: Critical Care, Latest HeadlinesTweet
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Mashup Score: 6Pulmcrit - An alternative viewpoint on phenylephrine infusions - 11 month(s) ago
Make no mistake, I’m not very fond of phenlephrine. I rarely use it (mostly for hypotensive atrial fibrillation). However, understanding phenylephrine is a prerequisite to understanding related vasopressors, particularly midodrine and norepinephrine.
Source: EMCrit ProjectCategories: Latest Headlines, PulmonologyTweet
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Mashup Score: 11Pulmcrit - An alternative viewpoint on phenylephrine infusions - 11 month(s) ago
Make no mistake, I’m not very fond of phenlephrine. I rarely use it (mostly for hypotensive atrial fibrillation). However, understanding phenylephrine is a prerequisite to understanding related vasopressors, particularly midodrine and norepinephrine.
Source: EMCrit ProjectCategories: Critical Care, Latest HeadlinesTweet
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Mashup Score: 4Severe community-acquired pneumonia - 12 month(s) ago
CONTENTS Rapid Reference ๐ Definition of severe CAP Diagnosis: Pneumonia diagnosis Differential diagnosis Post-diagnosis evaluation: Laboratory studies Imaging Lobar pneumonia Bronchopneumonia Interstitial pneumonia Cavitary pneumonia Nodular pneumonia Pleural effusion Pneumothorax Chest wall invasion Septic pulmonary emboli โก๏ธ Bronchoscopy Triage: who needs ICU? Treatment Antibiotic selection…
Source: EMCrit ProjectCategories: Critical Care, Latest HeadlinesTweet-
dynamic air bronchograms = dense consolidation w patent bronchi path: often 2/2 lobar pneumona w/ spread of infection from alveolus to alveolus micro: usually pneumococcus, but also can be legionella in sicker pts tx: ceftriaxone, azithro, steroid ๐ https://t.co/iNsACpnEMC https://t.co/FcHG8ZkJZh
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Mashup Score: 0EMCrit Wee - A New Way to Draw Up Push-Dose Epinephrine from Sam Ghali - Commentary Needed - 12 month(s) ago
Is there an easier way to mix up push-dose epinephrine that is still as safe?
Source: EMCrit ProjectCategories: Cardiologists, Latest HeadlinesTweet
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Mashup Score: 4Antibiotics - 1 year(s) ago
CONTENTS General considerations for antibiotic therapy Specs to look at for any antibiotic Percent protein bound Volume of distribution Augmented Renal Clearance (ARC) Oral bioavailability CSF penetration Antibiogram & 1st line agents Commonly used antibiotics Aminoglycosides Ampicillin & Ampicillin-Sulbactam Aztreonam Carbapenems (meropenem & ertapenem) Cephalosporins Cephalosporin G1: cefazolin…
Source: EMCrit ProjectCategories: Critical Care, Latest HeadlinesTweet
BONUS: Read more on using combination diuretics to avoid hypernatremia in this elegant post by @PulmCrit ! https://t.co/CWXbOGcL7e).