ES retweeted
Extremely detailed view of Mars by Curiosity Rover.
That's actual sound on Mars recorded by Perseverance Rover.
ES retweeted
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.
ES retweeted
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
ES retweeted
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
ES retweeted
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
ES retweeted
🛑STOP ACE-inhibitors and ARBs pre-operatively to avoid:
⚠️intra-operative hypotension
⚠️postoperative acute kidney injury
🔗associationofanaesthetists-p…
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…
ES retweeted
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.)
ES retweeted
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…
ES retweeted
Massive hemorrhage: a very deep dive #FOAMed first10em.com/massive-hemorr…
Administration of vasopressors through peripheral venous catheters
doi.org/10.1503/cmaj.211966
#MedTwitter #ICU #FOAMcc #sepsis #IDTwitter #CardioTwitter #FOAMed #CriticalCare #PedsICU #PICU #MedStudentTwitter #internalmedicine
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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.
ES retweeted
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…
#Infographic in #Anesthesiology - Chasing Unicorns: Debunking the Myths Around Reversal of Neuromuscular Blockade 🎨 ow.ly/Ig7l50P1xbQ
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
ES retweeted
🔓Very important clinical and statistical paper!
Clinical tests/signs lack the discriminatory power to exclude oesophageal intubation. Do not use them.
Author interview at 1100!
@VirtueOfNothing @jadamlaw @NicholasChrimes @AndyHiggsGAA @doctimcook
🔗associationofanaesthetists-p…
🆕️⚡️🔥 @CIDJournal @ErinMcCreary
Antibiotic Myths for the Infectious Diseases Clinician
With 🌟s @tmjones6 @IDPharmacist @JGPharmD
@aprildyerid @The_Real_LDA @ShaeferSpires #IDTwitter
academic.oup.com/cid/advance…



































