Sorry, I don’t use X.

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From China, in @jama.com Finally a role for dobutamine? jamanetwork.com/journals/jam... Adding dobutamine to norepi- in patients undergoing surgery for sepsis control periop reduces AKI 🤔 Very specific group to study! #nephsky #emimcc

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#ICU Evidence #001: Dobutamine during (mostly) abdominal surgery for septic shock: who actually needs it? A new multicenter RCT from China randomized 584 pts w septic shock undergoing surgical source control, mosttly abdominal, to intraoperative dobutamine + norepinephrine (NE) vs NE alone

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Apply pelvic binder indiscriminately in significant blunt trauma w/ HD instability Don’t “rock the pelvis” - dislodges clots, increases bleeding + pain Place binder on gurney + transfer pt directly from EMS stretcher onto binder. Reduces time to binder placement youtube.com/shorts/aslSz... #EMIMCC

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Lactate is NOT a specific marker of hypoperfusion since in most cases it is increased du to adrenergic stimulation and mitochondrial dysfunction, not tissue hypoxia. #emimcc

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