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
- Tweets747
- Following100
- Followers238
- Likes3
TMCAdultCritCare retweeted
#ECPR in refractory CA, A. Gutierrez @MMRCbeat 🐊 #SEECMO2023
🫀 patiens often experience multi-organ failure
🏥 management requires labor intensive treatment with 24/7 availability from EMS, cannulators, #ICU staff & consultants
🧠 recovery prolonged but durable with return to normal life for most survivors
🚑 🔗 an #ECPR program that extends to community requires buy in from all stakeholders in chain of survival & administrators.
TMCAdultCritCare retweeted
@ISICEM #CriticalCare Input
Hypertonic sodium lactate infusion reduces vasopressor requirements and biomarkers of brain and cardiac injury after experimental cardiac arrest
#ISICEMelearning #MedEd #ICU #vasopressor #cardiacarrest #biomarkers
ccforum.biomedcentral.com/ar… – at Elsene, België
TMCAdultCritCare retweeted
NeuroEMCrit - Team NeuroEMCrit's H&R Conference Talk, Part 1 (part 2 coming shortly) Thanks to @thinkingcc for letting us post: emcrit.org/emcrit/hrconferen…
TMCAdultCritCare retweeted
I was recently asked about how I think about performance under pressure.
A few ideas on what we can do under sustained pressure and how to turn it up when the lights are brightest:
TMCAdultCritCare retweeted
Fabulous app for all you #POCUS users and enthusiasts!
apps.apple.com/gb/app/pocus-…
#FOAMed #FOAMcc #foamus
TMCAdultCritCare retweeted
Last night we had a case that demonstrates an extremely important cause of shock that many ED clinicians know little or nothing about
1/
TMCAdultCritCare retweeted
Do you integrate ultrasound into the cardiac arrest algorithm?
Here’s how (and when) you can (from: criticalcare-sonography.com/…) #COACHRED #ultrasound #CardiacArrest #CriticalCare #Resuscitology10 #Resuscitology
TMCAdultCritCare retweeted
Great to see efforts like the Asia Ventilation Forum evolving to Vodcast format, focusing on regional issues in ICU, and much to learn from the India's second COVID-19 Wave.
youtube.com/watch?v=yWao_xsZ…
TMCAdultCritCare retweeted
ICU Tips & Tricks: The challenges of airway management during the pandemic - Professor @SheilaMyatra on Asia Ventilation Forum AVF Podcast
youtu.be/DXzwEleVCFQ via @YouTube
TMCAdultCritCare retweeted
Indications?
1) Assessment – tracheostomy, fasting status & pneumothorax
2) Intervention – cricothyroidotomy / regional anaesthesia (superior laryngeal nerve)
For gastric contents USS check out @elboghdadly , Wojcikiewicz & Perlas’
work bjaed.org/article/S2058-5349…
#JanuAIRWAY 8/17
TMCAdultCritCare retweeted
Writing is more than a vehicle for communicating ideas. It's a tool for crystallizing ideas.
Writing exposes gaps in your knowledge and logic. It pushes you to articulate assumptions and consider counterarguments.
One of the best paths to sharper thinking is frequent writing.
TMCAdultCritCare retweeted
1/ An uplifting #holiday story: @ashleymaree20, a family medicine resident on my MICU team designed a unique “recovery milestone checklist” for one of our sickest #COVID19 patients. Enthusiastically filled by the staff, it not only ⬆️recovery, but ⬇️#burnout in these trying times
TMCAdultCritCare retweeted
Write this down: “The purpose of daily rounds & presentation (& progress note) is to *document the behavior of the disease under observation and treatment*.” This is the paramount philosophical purpose. You can include superfluous and redundant boilerplate (eg RRR no MGR no CCE)
TMCAdultCritCare retweeted
Enhancing situational awareness/prompt time-limited trial discussion vs burden/harm of inappropriate #ICU admission
F functional impairment
R recurrent hospitalisations
A advanced malignancy/chronic diseases
I irreversible organ failure
L long 🏥 stay
rdcu.be/cCISI
TMCAdultCritCare retweeted
🧵 #Extubation failure results in poor outcomes among ventilated patients. Do you use NIV (like NIPPV or HFNC) to reduce the incidence of EF?
Our new @yourICM NMA of 36 RCTs (n=6,806) looked at this question. Here's what we found:
link.springer.com/article/10…
