@IM_Crit_
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imcrit.bsky.social
@IM_Crit_
@imcrit.bsky.social
Intensivist I Internal Medicine | ☕️, 🍩, 🥐, 🍫 addict |
#emimcc
Reposted by @IM_Crit_
Ethical review of brain death in the context of familial objections or pregnancy.

This is largely intuitive and common sense, but it's useful to have a guideline if needed for reference. #EMIMCC

www.neurology.org/doi/pdf/10.1...
Brain Death/Death by Neurologic Criteria Guidance on Communication, Objections, Pregnancy, and Public Trust | Neurology
This position statement provides updated member guidance from the American Academy of Neurology (AAN) regarding (1) communication with surrogate decision makers about brain death/death by neurologic c...
www.neurology.org
November 21, 2025 at 11:25 PM
There are plenty of sodium bicarbonate haters (😊) in the Critical Care & ED world

But what will they say now that an RCT on patients with acute peripheral vertigo found combo therapy with diphenhydramine (Benadryl) provided better symptom relief than diphenhydramine alone?

#foamed #meded #Medsky
November 20, 2025 at 5:53 AM
Reposted by @IM_Crit_
woah, Tay-tay is vanco? A mildly toxic agent that is problematic to dose, adds little to pipazo, and is generally unnecessary and stopped within <48 hours?

I feel like she deserves to be the beta-lactam backbone since she has greater versatility and influence.
November 19, 2025 at 2:08 PM
All you need to know about antibiotics in 🇺🇸 EDs/wards/ICUs

#Medsky #idsky #emimcc
November 19, 2025 at 4:35 AM
After the administration slashed millions in National Institutes of Health funding, grants for 383 clinical trials were terminated, and the funding disruptions affected more than 74,000 trial participants, according to a new study in JAMA Internal Medicine
November 18, 2025 at 2:57 AM
Good to remember:

Steroids in community-acquired pneumonia

#foamed #foamcc #meded #Medsky #idsky #pulmsky #emimcc
November 17, 2025 at 4:12 AM
The term "ventricular fibrillation flare-up" is not one that I would typically employ in an official statement...
November 13, 2025 at 6:48 PM
ICU/ED #Oxygenation Secrets:

When administering O2 to a hypoxemic patient via nasal cannula (nc), the rule of thumb is that each additional l/min of O2 increases the fraction of inspired O2 (FiO2) by ~4%. However, this rule and the associated table are frequently inaccurate:
November 13, 2025 at 6:05 PM
Reposted by @IM_Crit_
ICU #ARDS Secrets:

Our body's organs do not care about the PF ratio

#foamed #foamcc #meded #Medsky #emimcc #pulmsky
November 10, 2025 at 4:12 PM
ICU #ARDS Secrets:

Our body's organs do not care about the PF ratio

#foamed #foamcc #meded #Medsky #emimcc #pulmsky
November 10, 2025 at 4:12 PM
Mind the gap between research and real life

#foamed #foamcc #meded #Medsky #emimcc
November 9, 2025 at 9:27 PM
Reposted by @IM_Crit_
This is the cartoon depiction of the old ICU motto: "Nobody dies in the ICU without steroids"

I actually use steroids very often, especially in septic shock and severe community-acquired pneumonia

#foamed #foamcc #meded #Medsky #emimcc #steroids
November 7, 2025 at 9:51 PM
This is the cartoon depiction of the old ICU motto: "Nobody dies in the ICU without steroids"

I actually use steroids very often, especially in septic shock and severe community-acquired pneumonia

#foamed #foamcc #meded #Medsky #emimcc #steroids
November 7, 2025 at 9:51 PM
I respectfully disagree with the view that "liberal" use of crystalloids decrease the risk of acute kidney injury (AKI) in post-cardiac surgery patients

#foamed #foamcc #meded #Medsky #emimcc
November 3, 2025 at 10:46 PM
ICU Snapshots:

Patient presented to the ED with ECG #1 & 7 hours later an ECG #2 was obtained:
November 3, 2025 at 5:33 PM
ICU Snapshots:

Young patient with multiple medical problems presented to ED for evaluation of "weakness". Decompensated; had to be intubated & placed on pressors (norepinephrine) before being transferred to our ICU
November 2, 2025 at 7:55 PM
Reposted by @IM_Crit_
If you have to remember one thing today, this is it:

#foamed #foamcc #meded #Medsky #emimcc
November 2, 2025 at 3:11 AM
If you have to remember one thing today, this is it:

#foamed #foamcc #meded #Medsky #emimcc
November 2, 2025 at 3:11 AM
Who would imagine?

Louisiana officials waited months to warn public of whooping cough outbreak

www.wwno.org/npr-news/202...
Louisiana officials waited months to warn public of whooping cough outbreak
After a whooping cough outbreak killed two infants, Louisiana health officials waited months to officially alert physicians or do public outreach. That's not the typical public health response.
www.wwno.org
October 29, 2025 at 2:02 AM
Yeah, right...
October 28, 2025 at 8:18 PM
Yeah, right…
October 27, 2025 at 12:17 PM
Life in the #ICU is not always fun...

#Medsky #emimcc
October 26, 2025 at 8:39 PM
Reposted by @IM_Crit_
Updated the IBCC chapter on pancreatitis

Added fresh, new guidelines from the AGA (meh) and International Association of Pancreatology (very good)

Lets talk about some updates… #1/6🧵

(chapter: emcrit.org/ibcc/pancrea...) #EMIMCC
a woman wearing headphones is talking on a walkie talkie and the caption says any updates
ALT: a woman wearing headphones is talking on a walkie talkie and the caption says any updates
media.tenor.com
October 24, 2025 at 1:28 PM
ICU Secrets:

Hope is not a strategy

#foamcc #foamcc #meded #Medsky #emimcc
October 25, 2025 at 8:57 PM
Reposted by @IM_Crit_
ICU Facts:

For patients receiving prolonged mechanical ventilation (>21 days), the mortality within 6 months as well as the readmission rate are close to 50%

#foamed #foamcc #meded #medsky #pulmsky #emimcc
October 21, 2025 at 2:37 AM