Critical Care
39 Threads
...🧵This is a thread about 8.4% sodium bicarbonate (aka bicarb amp) in critical care. This the first part in a series of three about sodium bicarbonate 🧂in critical care: 🧐I will...
Here’s a critical care puzzle & illustrates some important cardiopulmonary physiology: These two pictures were taken just an hour apart. What intervention was done in between that...
ICU stories (from the trenches): 70 yo pt w hx of A-fib/CAD/ICM w EF 25%/VT ablation s/p BiV ICD/CKD/HTN/HLD/peripheral vasc dz/COPD etc presented to outside 🏥 w SOB/weakness/falls...
1/3) Acute Pancreatitis https://t.co/cC2ddA34zz - Antiemetics - Ca Replacement - Mg Replacement - BG Control #MedTwitter #MedEd #PharmaTwitter #CriticalCare #internalmedicine #I...
5 cognitive fallacies in hemodynamic management 🧵 1⃣We think there are 4 categories of shock 2⃣We see only norepi-doses and BP 3⃣We think ⬆️norepi 🟰shock 4⃣We stop after diagnosing...
A man comes to the ICU after uncomplicated cardiac surgery. He is hypertensive and a nicardipine infusion is started. 10 minutes later he becomes hypoxemic. A chest radiograph is o...
1/ Step 1 - Don’t 👉Shut anything off 👉Touch the vent 👉Remove restraints 👉Pause sedation if you have not explicitly asked permission to do so. [This is a survival thing! For the...
I’m all about using comparative physiology to understand critical illness but I gotta call BS on this. The “mysterious EEG pattern” they described is burst suppression & the most...
An ICU nurses’ response to this h.scum piece. I bring you: The 77 things I hated about what COVID did to the human body. 📷 Heather Paterson Photography https://t.co/cLpjmuqwlU
![[1] #Hemodynamics Tweetorial #2
Heart failure pt in ICU is -3.5L after 2d of aggressive diuresis. O...](https://pbs.twimg.com/media/Feq2B_IWAAECB7Y.jpg)
[1] #Hemodynamics Tweetorial #2 Heart failure pt in ICU is -3.5L after 2d of aggressive diuresis. On day 3, urine output is ⬇️and BUN/Cr is ⬆️ You personally wedge #PAC at bedsid...
![[1] A "wandering" PA catheter
A pt with acute on chronic HFrEF (decline d/t acute ant wall MI) was...](https://pbs.twimg.com/media/FdoG7wKWIA8tZ50.jpg)
[1] A "wandering" PA catheter A pt with acute on chronic HFrEF (decline d/t acute ant wall MI) was admitted to ICU overnight. Cath lab #hemodynamics: PA 50/27/mean 35, Wedge 27....
‼️ #CriticalCare #Tweetorial ‼️ 🫁 Tracheostomy Basics & Trach Emergencies 🫁 Join me on a review tracheostomy tube basics and can't miss emergency situations! #EmoryNCCTweetoria...
ICU (evolving) stories: A young patient was admitted with "aspiration pneumonia" a few days ago. On mechanical ventilation. Afebrile. Negative cultures. CXR when you first see him...
The era of vitamin C in the ICU comes to an ignominious end. The #LOVITrial of vitamin C in septic shock finds that #VitaminC was associated with an *INCREASED* risk of death: 44....
➡️The history of resuscitation in cardiac arrest is long and fascinating ➡️Over time, four components have emerged to provide the central basis for saving an apnoeic, pulseless pe...
A widespread intervention in critical care over the past 20 years has been the use of induced hypothermia post cardiac arrest ➡️ A thread...... 1/24 https://t.co/5qRYgije2D
➡️ An estimated 20 million people require mechanical ventilation in an ICU per year (10.1186/s40248-018-0118-7). ➡️ Cardiovascular collapse during intubation of a critically ill pa...
One of the most outstanding questions in critical care is whether patients benefit from IV fluid resuscitation in septic shock. A thread... (image shutterstock) 1/16 https://t.co/...
1/ How long does it take to develop "ICU-acquired weakness" (ICUAW)? What is the primary neuro manifestation of SIRS? What is PICS? I gave a presentation on neuromuscular weakne...
1/ 🧵 21 yo F with neurofibromatosis is adm to ICU after a left suboccipital crani and C1-2 lami for resx of a neurofibroma at the cervicomedullary junction/C1-C2. No peri-op issues...
This week will be sharing some of the most popular #ICUOnePagers https://t.co/FVN1KWWxBU 1️⃣ Overview of Ventilator Modes - covers all the common modes (VC, PC, PRVC, PS, APRV) &...
Time for a #CriticalCare #Tweetorial! ‼️Basics of CRRT for the non-nephrologist‼️ Exiting my typical #Neurology wheelhouse as I tackle some #FOAMcc topics for my own learning. Pl...
Today’s Tweetorial is on DVT! @icmteaching and @ICUltrasonica take you through it. -5-10% of ICU patients will have a silent one. -Accounts for 12% of ICU deaths -It is detectabl...
Where does lactate come from and how to approach elevated lactate levels: a 🧵 @accpchest #CHESTCritCare
