@IM_Crit_
@imcrit.bsky.social
Intensivist I Internal Medicine | ☕️, 🍩, 🥐, 🍫 addict |
#emimcc
#emimcc
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
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
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
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
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
The term "ventricular fibrillation flare-up" is not one that I would typically employ in an official statement...
Certain formulas attempt to address this issue; however, it is important to note that the aforementioned rule and table may be incorrect or misleading
November 13, 2025 at 6:05 PM
Certain formulas attempt to address this issue; however, it is important to note that the aforementioned rule and table may be incorrect or misleading
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:
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
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:
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:
Was it obvious? Did the T waves look "suspicious" in ECG #1?
November 3, 2025 at 5:33 PM
Was it obvious? Did the T waves look "suspicious" in ECG #1?
ICU Snapshots:
Patient presented to the ED with ECG #1 & 7 hours later an ECG #2 was obtained:
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:
Patient presented to the ED with ECG #1 & 7 hours later an ECG #2 was obtained:
Patient presented to the ED with ECG #1 & 7 hours later an ECG #2 was obtained:
Next morning (~15 hours later), these 👇 were the drips:
Norepinephrine drip was discontinued & since MAP was 77 mmHg (not shown) vasopressin drip was also ready to be weaned off
Norepinephrine drip was discontinued & since MAP was 77 mmHg (not shown) vasopressin drip was also ready to be weaned off
November 2, 2025 at 7:55 PM
Next morning (~15 hours later), these 👇 were the drips:
Norepinephrine drip was discontinued & since MAP was 77 mmHg (not shown) vasopressin drip was also ready to be weaned off
Norepinephrine drip was discontinued & since MAP was 77 mmHg (not shown) vasopressin drip was also ready to be weaned off
After performing POCUS & adding vasopressin, these 👇were the drips:
November 2, 2025 at 7:55 PM
After performing POCUS & adding vasopressin, these 👇were the drips:
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
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
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
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
Public Health secret:
Are you partaking in the frenzy around Kombucha, the fermented drink made from tea, sugar, “healthy”bacteria & yeast? Its worldwide sales have exploded to $ billions. Research on what kombucha truly does for your health is limited. But you should know that
Are you partaking in the frenzy around Kombucha, the fermented drink made from tea, sugar, “healthy”bacteria & yeast? Its worldwide sales have exploded to $ billions. Research on what kombucha truly does for your health is limited. But you should know that
October 18, 2025 at 11:24 PM
Public Health secret:
Are you partaking in the frenzy around Kombucha, the fermented drink made from tea, sugar, “healthy”bacteria & yeast? Its worldwide sales have exploded to $ billions. Research on what kombucha truly does for your health is limited. But you should know that
Are you partaking in the frenzy around Kombucha, the fermented drink made from tea, sugar, “healthy”bacteria & yeast? Its worldwide sales have exploded to $ billions. Research on what kombucha truly does for your health is limited. But you should know that
Patient went directly to IR for catheter-directed thrombolysis after receiving PLT transfusion & being placed on a heparin drip. If you notice 👇, there is a catheter in the R pulmonary artery:
October 10, 2025 at 8:11 PM
Patient went directly to IR for catheter-directed thrombolysis after receiving PLT transfusion & being placed on a heparin drip. If you notice 👇, there is a catheter in the R pulmonary artery:
There was a R pulmonary artery thrombus and a right ventricular mass (thrombus). Troponin I and BNP were within normal limits. Lactate: OK
Time for echo:
Time for echo:
October 10, 2025 at 8:11 PM
There was a R pulmonary artery thrombus and a right ventricular mass (thrombus). Troponin I and BNP were within normal limits. Lactate: OK
Time for echo:
Time for echo:
#PE stories:
How it started:
50 yo with solid cancer presented with dyspnea & bilateral leg edema. Hemodynamics: OK (BP: 155/70, HR: 80/min). O2 sat 97% on room air. US showed bilateral popliteal vein thrombosis. CT chest angio showed:
How it started:
50 yo with solid cancer presented with dyspnea & bilateral leg edema. Hemodynamics: OK (BP: 155/70, HR: 80/min). O2 sat 97% on room air. US showed bilateral popliteal vein thrombosis. CT chest angio showed:
October 10, 2025 at 8:11 PM
#PE stories:
How it started:
50 yo with solid cancer presented with dyspnea & bilateral leg edema. Hemodynamics: OK (BP: 155/70, HR: 80/min). O2 sat 97% on room air. US showed bilateral popliteal vein thrombosis. CT chest angio showed:
How it started:
50 yo with solid cancer presented with dyspnea & bilateral leg edema. Hemodynamics: OK (BP: 155/70, HR: 80/min). O2 sat 97% on room air. US showed bilateral popliteal vein thrombosis. CT chest angio showed: