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Mashup Score: 138PulmCrit Wee: Why MedTwitter should move to Bluesky - 7 day(s) ago
Medtwitter was great. We met amazing people and exchanged ideas. There were endless arguments about electrolytes and intubation. But the strength of
Source: emcrit.orgCategories: General Medicine News, Critical CareTweet
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Mashup Score: 133PulmCrit Wee: Why MedTwitter should move to Bluesky - 9 day(s) ago
Medtwitter was great. We met amazing people and exchanged ideas. There were endless arguments about electrolytes and intubation. But the strength of
Source: emcrit.orgCategories: General Medicine News, Critical CareTweet-
short blog post: why MedTwitter should move to blu ski I’m sad about it, but this place seems doomed. The most important goal is to preserve out community, and there’s only one place right now where that’s likely to happen. blog: https://t.co/ss9xDa7F80 https://t.co/ZGKP4qfeuW
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Mashup Score: 24A Review of Safety Profile of Non-Antibiotic "Sulfa" Medications for Those Allergic to "Sulfa" — Cook County Emergency Medicine Residency - 14 day(s) ago
Our Cook County Emergency Department PharmD reviews whether non-antibiotic “sulfa” containing medications are safe to administer in those with a listed “sulfa” allergy.
Source: cookcountyem.comCategories: General Medicine News, Critical CareTweet-
@virenkaul @GallodeMoraesMD I think you can use any diuretic you want in patients with sulfa allergy for example some discussion on this here, but I think there have been various other articles about it https://t.co/btdi69TPpM
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Mashup Score: 29Right heart catheterization (RHC) - 1 month(s) ago
CONTENTS Rapid reference 🚀 Normal values When to insert: Contraindications to RHC Indications for RHC Insertion technique Waveforms Whip artifact Under-damping Over-damping Atrial fibrillation Tricuspid regurgitation RV failure Tamponade CVP (central venous pressure) Wedge pressure Avoid unnecessary wedge measurements Under-wedging Over-wedging Zone 3 placement Wedge-PA diastolic relationship When wedge inaccurately reflects preload Cardiac output Thermodilution […]
Source: emcrit.orgCategories: General Medicine News, Critical CareTweet-
built an interactive calculator into the right heart catheterization chapter 🤓 you put in six measurements & it calculates everything may help remind folks to look at the PAPi would be interested in feedback #AlwaysBePapiing #ThePeoplesVentricle https://t.co/4S2ERD8Ijp https://t.co/TErjGaAUOY
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Mashup Score: 63Fluid selection & pH-guided fluid resuscitation - 1 month(s) ago
CONTENTS Rapid Reference 🚀 Forward Crystalloids vs. colloids Step I: Balanced Crystalloid Choice of balanced crystalloid Step II: pH-guided resuscitation Hypertonic & isotonic bicarbonate Therapeutic alkalinization to augment permissive hypercapnia Formulation of enteral resuscitation fluid Podcast Questions & discussion Pitfalls The illustration above may appear a bit amusing, but this actually mirrors various practices that […]
Source: emcrit.orgCategories: General Medicine News, Critical CareTweet-
Some notes on conserving IV fluid. This is largely intuitive & high-value care: 🎶 PO meds when able. 🎶 Aggressive nutritional support. 🎶 Avoid unnecessary IV fluid (e.g., maintence IVF). 🎶 Enteral fluid resuscitation when safe to do so. https://t.co/txcYVSW8wh https://t.co/2OtvYg37D7
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Mashup Score: 61Acute decompensated heart failure (including cardiogenic shock) - 1 month(s) ago
CONTENTS core considerations for every patient Assessment and categorization: Bedside hemodynamic assessment SCAI SHOCK stage classification Why is this patient presenting with heart failure? [Rx 1] Fix the lungs [Rx 2] Optimize the MAP/afterload High MAP: Afterload reduction Low MAP: BP support [Rx 3] Optimize volume status [Rx 4] Consider inotrope for HFrEF (including digoxin) […]
Source: emcrit.orgCategories: General Medicine News, Critical CareTweet-
this is a super interesting discussion thread that's worth reading if you missed it how to reduce afterload comes up a *lot* strong opinions, weak evidence 😆 I stole some ideas from this discussion to update & flesh out the IBCC section on this (#1/2) https://t.co/hDH0PP95Z4 https://t.co/ejakxaZh2R
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Mashup Score: 100
Hello fellow nerds, let’s take a look at the new American Association of Neurology (AAN) brain death guidelines. Instead of a tweetorial, I’ll jot my
Source: emcrit.orgCategories: General Medicine News, Critical CareTweet-
fresh blog: why the new brain death guidelines are unacceptable 🧠guidelines rec urine tox screen & time-based clearance of intoxicants, *ignoring* toxicology guidelines & toxicologists 🧠arbitrary ranges are required for labs (iCal must be 1 -1.3 mM😳) https://t.co/BxZcupmRuD https://t.co/nBpns7uGzW
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Mashup Score: 111Right heart catheterization (RHC) - 1 month(s) ago
CONTENTS Rapid reference 🚀 Normal values When to insert: Contraindications to RHC Indications for RHC Insertion technique Waveforms Whip artifact Under-damping Over-damping Atrial fibrillation Tricuspid regurgitation RV failure Tamponade CVP (central venous pressure) Wedge pressure Avoid unnecessary wedge measurements Under-wedging Over-wedging Zone 3 placement Wedge-PA diastolic relationship When wedge inaccurately reflects preload Cardiac output Thermodilution […]
Source: emcrit.orgCategories: General Medicine News, Critical CareTweet-
direct Fick for intubated patients with a PA catheter: volumetric capnography *measures* the patient's VCO2 VO2 ~ (1.25*VCO2) don't think this has been published yet but it makes sense (someone out there - pls show its better than indirect Fick) more: https://t.co/uhkx0cElv3 https://t.co/sBZzF3RacX
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Mashup Score: 243PulmCrit- Epinephrine vs. atropine for bradycardic periarrest - 1 month(s) ago
Introduction with a case An elderly woman is admitted with atrial fibrillation and fast ventricular rate. She is asymptomatic, with a heart rate of 160
Source: emcrit.orgCategories: General Medicine News, Critical CareTweet-
for patients who are legit trying to die from bradycardia, I advocate using epinephrine 1st epinephrine is more reliably effective & honestly just a better anti-death medication I've seen patients arrest while folks were messing around w/ atropine more: https://t.co/mTdFs2TzwI https://t.co/IAYnx9WdP3
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Mashup Score: 164Fluid selection & pH-guided fluid resuscitation - 1 month(s) ago
CONTENTS Rapid Reference 🚀 Forward Crystalloids vs. colloids Step I: Balanced Crystalloid Choice of balanced crystalloid Step II: pH-guided resuscitation Hypertonic & isotonic bicarbonate Therapeutic alkalinization to augment permissive hypercapnia Formulation of enteral resuscitation fluid Podcast Questions & discussion Pitfalls The illustration above may appear a bit amusing, but this actually mirrors various practices that […]
Source: emcrit.orgCategories: General Medicine News, Critical CareTweet-
How to create oral resuscitation fluid at the bedside using soy sauce packets: 🍣 replicate normal saline or a balanced crystalloid (alkali not included though) 🍣 easy, fast, cheap 🍣 conserve IV fluid in situations where it’s safe to do so https://t.co/K3Qfls0lqw https://t.co/WWeiCILOdA
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short blog post: why MedTwitter should move to blu ski I’m sad about it, but this place seems doomed. The most important goal is to preserve out community, and there’s only one place right now where that’s likely to happen. blog: https://t.co/ss9xDa7F80 https://t.co/ZGKP4qfeuW