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ES (@runningfester) profile picture

Slow distance runner

Joined August 2018
Photo by ES (@runningfester)Photo by ES (@runningfester)Photo by ES (@runningfester)Photo by ES (@runningfester)Photo by ES (@runningfester)Photo by ES (@runningfester)Photo by ES (@runningfester)Photo by ES (@runningfester)Photo by ES (@runningfester)Photo by ES (@runningfester)
Extremely detailed view of Mars by Curiosity Rover. That's actual sound on Mars recorded by Perseverance Rover.
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1/n We are excited to announce EchoPrime – the first echocardiography AI model capable of evaluating a full transthoracic echocardiogram study, identify the most relevant videos, and produce a comprehensive interpretation! Great work lead by @milos_ai, EchoPrime is the largest and most complex #echofirst AI model yet, trained on 10x the data of existing models.
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Practical vasopressor approach in septic shock When should norepinephrine (NE) be initiated? Effects of NE on preload and cardiac contractility Potential renal protection by using vasopressin #lives2024
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How empty are patients' stomachs prior to surgery? Elective vs emergency surgery • 61% vs 56% had an empty stomach • 28% vs 29% had fluid • 9% vs 14% had solid/mixed gastric content @ganter2ganter #POCUS #GastricUltrasound buff.ly/4eOsFSA
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Replying to @ESICM @yourICM
3/ 🔹Central venous catheter insertion site & infection prevention in 2024 👉 rdcu.be/dVMbq 🔹Long-term outcomes of critically ill patients with haematological malignancies: what is the impact of the COVID-19 pandemic? Author's reply 👉 rdcu.be/dVMbu
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🛑STOP ACE-inhibitors and ARBs pre-operatively to avoid: ⚠️intra-operative hypotension ⚠️postoperative acute kidney injury 🔗associationofanaesthetists-p…
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Evidence of ancient use of antibiotics: Large amounts of tetracycline were found in Nubian bones CE 300s. Their beer fermentation process cultivated streptomycin sp, which then produced the tetracycline 🤯 pubmed.ncbi.nlm.nih.gov/2056…
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On Hats, Haircuts, and Tattoos I think about decisions in three ways: hats, haircuts, and tattoos. Most decisions are like hats. Try one and if you don't like it, put it back and try another. The cost of a mistake is low, so move quickly and try a bunch of hats. Some decisions are like haircuts. You can fix a bad one, but it won't be quick and you might feel foolish for awhile. That said, don't be scared of a bad haircut. Trying something new is usually a risk worth taking. If it doesn't work out, by this time next year you will have moved on and so will everyone else. A few decisions are like tattoos. Once you make them, you have to live with them. Some mistakes are irreversible. Maybe you’ll move on for a moment, but then you'll glance in the mirror and be reminded of that choice all over again. Even years later, the decision leaves a mark. When you're dealing with an irreversible choice, move slowly and think carefully. From: jamesclear.com/3-2-1/februar… (Hat tip to @tferriss, who once compared making decisions to choosing a sweater, which sent me down this line of thinking.)
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No effect of calcium in cardiac arrest caused by hyperkalemia. Promising effects of bicarbonate. #cardiacarrest Amazing work by Mark Eggertsen @LarsWAndersen1 Sodium Bicarbonate and Calcium Chloride for the Treatment... : Critical Care Medicine journals.lww.com/ccmjournal/…
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Congrats @anesthesia_mom @carvalb This RCT shows that calcium chloride —an inexpensive, widely available, and well-tolerated medication — reduces blood loss from uterine atony during intrapartum cesarean delivery by around 350mL. @greenjrnl @SOAPHQ pubmed.ncbi.nlm.nih.gov/3791…
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Another RCT on oxygenation targets: ICONIC 664 pts from 9 ICUs 882 randomized, 218 excluded Early termination during COVID Good separation in SpO2 Low: PaO2 55-80 or SpO2 91-94 High: PaO2 110-150 or SpO2 96-100 No difference in 28d mortality 🔗atsjournals.org/doi/abs/10.1… #FOAMcc
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Explore the ACE Question in the ASA Monitor for more insights on breastfeeding after surgery. ow.ly/zaBj50Pungp #anesthesiology #breastfeeding #PainManagement
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PLATELET COUNT THRESHOLDS Note that natural selection has provided us with a very generous cushion so that counts must typically fall from 150 to <10-20 before increased risk of bleeding. It is cultural evolution (e.g. surgery) that has led to higher PLT count thresholds.
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Check out our 🆕 infographic on undifferentiated shock; the perfect accompaniment to the first episode of Critical Care Time! Part 1️⃣ shows.acast.com/649181182c96… Part 2️⃣ shows.acast.com/649181182c96…
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#Infographic in #Anesthesiology - Chasing Unicorns: Debunking the Myths Around Reversal of Neuromuscular Blockade 🎨 ow.ly/Ig7l50P1xbQ
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Don’t miss the 2023 update on timing of elective surgery and risk assessment after SARS-CoV-2 infection, published in @Anaes_Journal this week 👉ow.ly/w6Er50OSF44
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