• Mashup Score: 15

    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).

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    • BONUS: Read more on using combination diuretics to avoid hypernatremia in this elegant post by @PulmCrit ! https://t.co/CWXbOGcL7e).

  • Mashup Score: 0

    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 ๐Ÿฅ Ictal-Interictal [โ€ฆ]

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    • ๐Ÿ‘‡๐Ÿ‘‡๐Ÿ’ฏ๐Ÿ’ฏ if youโ€™re 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 donโ€™t do a lot of neuroICU https://t.co/SvQzGXG9aV https://t.co/BtdFRQuHt0

  • Mashup Score: 3

    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.

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    • RT @m_zawadka: ๐Ÿงต Is it possible to visualize SCV ? Papers: ๐Ÿ‘‰https://t.co/MTaxqGb9cO ๐Ÿ‘‰https://t.co/Qx8AW0j8YQ ๐Ÿ‘‰https://t.co/2sd8q8dDjI httpsโ€ฆ

  • Mashup Score: 10

    CONTENTS Rapid Reference ๐Ÿš€ 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…

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    • this is an interesting article that I generally agree with, but it seems to miss an important point penicillin isn't cross-allergic with cefazolin or nafcillin so if someone is "PCN allergic" you can safely use cefazolin or nafcillin evidence review: https://t.co/9k0qf73VG7 https://t.co/LNWHTp4qk5

  • Mashup Score: 4

    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

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    • Fresh blog: "ARDS" is not a real thing ๐Ÿ˜ข ๐Ÿซ "ARDS" is a messy, heterogeneous, artificial syndrome. It doesn't correspond to any disease or pathology. ๐Ÿซ Confusing "ARDS" with a real disease leads to poor clinical management & flawed research studies. https://t.co/bPgvsqYpdQ

  • Mashup Score: 6

    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.

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    • RT @PulmCrit: phenylephrine & norepinephrine have more in common than most people realize ๐Ÿ˜› (https://t.co/H9rUMuYYY4)

  • Mashup Score: 11

    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.

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    • phenylephrine & norepinephrine have more in common than most people realize ๐Ÿ˜› (https://t.co/H9rUMuYYY4) https://t.co/T4AysQfhuk

  • Mashup Score: 4

    CONTENTS Rapid Reference ๐Ÿš€ 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 โžก๏ธ Bronchoscopy Triage: who needs ICU? Treatment Antibiotic selection…

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    • 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 ๐Ÿ˜› https://t.co/iNsACpnEMC https://t.co/FcHG8ZkJZh

  • Mashup Score: 4
    Antibiotics - 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…

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    • ๐Ÿ‘‡๐Ÿ‘‡ this. the fear of linezolid-induced serotonin syndrome is often wierdly blown out of proportion. I reviewed older data on this previously, and that data was consistent with this new data https://t.co/w1bm2Nq6HB https://t.co/ssaq4iJswa