pulmcrit.bsky.social
Pulm/crit attending at U. Vermont 🐄 Zentensivist 🧘♂️ trying to post more about medicine in order to distract myself from doomscrolling 🤦♂️ author of free online critical care textbook emcrit.org/ibcc/toc/ 📖 no conflicts of interest 💰
👤 Joined on 08 July 2023
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Josh @pulmcrit.bsky.social tackles ICU management of DAH incl ANCA vasculitis emcrit.org/ibcc/dah/#tr... On PLEX: yes that doesn’t help DAH at all However, in some patients, it helps save a few months off dialysis - small effect #NephSky #emimcc
Show PostRocuronium gives longer safe apneic time than succinylcholine -Sux causes fasciculations which eats your O2 reservoir -Data shows roc gives 45 seconds more safe apneic time (PMID: 2122686, 20402874) youtube.com/shorts/5JAjE... #EMIMCC
Show PostHow closely do blood gas electrolytes correlate w/ BMP electrolytes? -Na value statistically significantly different but clinical difference is meaningless (PMID: 31070468 + 20157454) -K value w/ no statistically significant difference (PMID: 20157454 + 35371883) youtube.com/shorts/cmBcl... #EMIMCC
Show PostElectrical Alternans Case: 58 yo woman w/ breast CA p/w SOB + BP 90/55 ECG: sinus tach, low voltage + variable QRS complex sizes Electrical alternans + low voltage suggestive of pericardial tamponade Take Home: low voltage = pocus TTE youtube.com/shorts/H1IUP... #EMIMCC
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