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We are the Adult Critical Care Team of The Medical City. Now learning to leverage the tech, enriching our clinical discussions through social media!

Joined September 2017
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BASIC has been run in our hospital for a whole decade now. Here's more: cuhk.edu.hk/med/ans/icubasic…
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New at the Asian Ventilation Forum, an interview with a Ukrainian ICU leader. youtube.com/watch?v=qnql5PoH…
This came up again on rounds today. BS has staying power.
Ruling out the use of reperfusion strategies because of "Q's" without referring to the duration of symptoms is dangerous BS. teapawt.net/TmcCrit/status/9113796…
Besides the half twist (and the iffy fluid in balloon approach) do you have any other techniques for the waveform-guided PAC insertion?
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This is so very important to remember.
As soon as you activate any trigger that then runs its ineluctable course, you run the risk of missing or delaying the true diagnosis of the trigger was a false alarm. Just like sepsis
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8 years ago, our first foray into intra-arrest cardiac POCUS led to one of the our most dramatic saves, 3 years before our ECMO program.
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I got to interview Prof Mitchell Levy today on the current Sepsis Guidelines. youtu.be/t6MDqFcQffQ
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Slowly changing the language of rounds to include discussions of decision making QUALITY. #cadmusinit
Next steps? Deeper dives. Fortunately, some people have already done great work regarding cognitive biases in the EM domain. #cadmusinit sjrhem.ca/em-reflections-feb…
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Critical thinking, high consequence decision making... book knowledge only goes so far. youtube.com/watch?v=UrSsR0Ke…
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Teacher's version... the patient acute trajectory becomes non-linear in a) delayed relationships (prolonged hypoxia or hypotension causing MODS later), b) singularities (situation becomes highly unpredictable - cardiac arrest), c) tipping points (inflection point in ICP, etc).
What we miss out on from online post-grad courses are the fellowship nights.
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TMC Section of Adult Critical Care announces its Virtual Post-Graduate Course, : “Fine Lines and Rough Edges of Critical Care” Oct 7-8 at 4-9 PM (Philippine time). Registration is free using the QR code. CPD Units applied.
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The "Critical Thinking against Critical Illness" talk is almost ready. "Our lessons today come from: a Navy Seal commander, a fighter pilot, a Marine gunslinger, and a cognitive psychology expert."
Maybe a weekly hour-long clinical crisis management can be set up too. Hmmm.
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