💙Andy Martin

Many thanks for the 140 ICM Residents who joined us tonight for the @FICMNews festive webinar on ❄️ 🎁: Preparing for your first ICM Consultant Job 🤓 I hope you found it useful! Supporting resources are available at the FICM website under Stage 3 Resources: ficm.ac.uk/training-exams…

Today's Paper of the Day is on brain death/death by neurologic criteria: What you need to know criticalcarereviews.com/latest-evidenc… Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2024

Thanks to the AMAZING @TheSonoGraphics team for these Advanced Echo Cards! Available to download FREE on POCUS 101! 👉🔗pocus101.com/pocket-cards/ ✅TEE ✅Cardiac Output ✅Tamponade ✅Diastology ✅EF Calcs ✅Right 💔 Failure ✅Wall Motion Abnl ✅And MORE! See 👀 Cards 👇 #POCUS

#POCUS in cardiac arrest #FOAMed #FOAMcc 🔗 link.springer.com/article/10.100…

Today's Paper of the Day is on how to ventilate obstructive and asthmatic patients criticalcarereviews.com/latest-evidenc… Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2024

🌟 ATRIAL FIBRILLATION - 17 simple rules for management 2024 ESC Guidelines for the management of atrial fibrillation

(1/x) As you might know, I research venous congestion in critically ill patients. This is a fascinating field but is changing a TON as new evidence emerges. Here are my top 5 learnings about venous congestion in the past months. A 🧵 Pinging some experts in the field for their tips 👇

🫘✍️Diuretics Classes and action From @PyrlsApp

Watching the platelet count drop in our patients is unnerving. Sure, there are some cases where we can explain it, but we oftentimes need to pull the trigger and check for HIT. Here’s a great review on taking care of these patients. 🎩 tip to the authors. eddyjoemd.com/foamed/

Vasopressors for the management of septic shock. #FOAMed #FOAMcc #MedEd Courtesy: De Backer, et al. Crit Care 26, 372 (2022).

Here is an excellent summary of evidence-based peri-operative management recommendations for patients taking GLP-1 agonists. 🔗…-publications.onlinelibrary.wiley.com/doi/10.1111/an…

Delighted to pop onto the @BBCLeicester Breakfast Show to chat with @asapchance_ about the financial discounts, offers and savings available to the over 60s. As I've discovered, there's a lot more out there than you may realise! Have a listen, save yourself a fortune!

@HeySamuelHey Congratulations! Well done!

ST4 Infectious Diseases and General Medicine ✅ Looking forward (with some trepidation) to a move to the North East to start training in the speciality I've been working towards since my 3rd year of medical school. It hasn't quite sunk in yet!

Excellent talk by @khaycock2 on navigating Fluid Responsiveness & Tolerance in sepsis. #POCUS #VExUS @ThinkingCC @siddharth_dugar @NephroP @NibrasBughrara @pdsalinas @Jose_Diaz_Gomez @SCCM @iceman_ex @icmteaching @ICUltrasonica @Wilkinsonjonny @drmohansai @Thind888 @msiuba

Impact of hyperoxia on the gut during critical illnesses CCR Journal Watch criticalcarereviews.com/latest-evidenc… Get the latest critical care literature every weekend via the CCR Newsletter - subscribe at criticalcarereviews.com/newsletters/su…

Myoclonus: Differential diagnosis and current management CCR Journal Watch criticalcarereviews.com/latest-evidenc… Get the latest critical care literature every weekend via the CCR Newsletter - subscribe at criticalcarereviews.com/newsletters/su…

Infographic depicting the myriad of ways #POCUS can be used in cardiac arrest and the immediate post-ROSC state This is from a new editorial "How I use ultrasound in cardiac arrest" by @avkwong @chiara_robba in @yourICM 🔗doi.org/10.1007/s00134…

Today's paper of the day is on fluids and early vasopressors in the management of septic shock: do we have the right answers yet? criticalcarereviews.com/latest-evidenc… Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2023

So I will be talking tomorrow at @BTSrespiratory in London about “the forgotten ventricle” My man @msiuba has however completely outdone me with a much better talk on the subject Everyone check this out maryland.ccproject.com/2023/10/11/siu… #foamed #foamcc

" THORACIC WALL BLOCKS: An Art of Looking Between the Lines" #Thoracicwallblocks #Chestwallblocks #Parasternalblocks #PECSblocks #SAPblocks #PVB #ESPblock #RISSblock #ITPblock My 10 points between 6 LINES: ANTERIOR CHEST WALL BLOCKS: (A) Medial to the Midclavicular line: PMM covers ribs & ICMs in the parasternal region. External ICM becomes the Anterior Intercostal Membrane anteriorly (Posterior Intercostal Membrane is formed by Internal ICM posteriorly). 1. Parasternal blocks: Probe placed sagitally over the parasternal region. LA deposition- Between PMM and ICM for Superficial parasternal block OR between internal ICM and transversus thoracic muscle for Deep parasternal (Transversus Thoracic Plane) block. Coverage- Anterior cutaneous nerve T2-T6. Vascular landmark- Internal mammary A. in TTP block. (B) Between Midclavicular - Anterior axillary lines: Muscles from superficial to deep include PMM, PMnM, and SAM above ribs & ICMs. 2. PEC ZERO (Modified Clavipectoral Fascial Plane) block:* Probe placed vertically between the clavicle (proximally) and 2nd Rib (distally). LA deposition- Above and below PMnM. Vascular landmark- Acromial branch of TAA. 3. PEC 1 (InterPectoral plane) block: Probe over 2nd Rib. LA deposition- Between PMM and PMnM. Vascular landmark- Pectoral branch of TAA. Coverage- LPN & MPN. 4. PEC 2 (Pecto-Serattus Plane) Block: Probe over 3rd Rib. LA depostion (2 injections)- Between PMM-PMnM & PMnM-SAM. Coverage- LPN & MPN, ICNs T2-T6. (C) Between Anterior - Posterior Axillary lines: Muscles include SAM (anterior to midaxillary line). LDM & SAM (posterior to midaxillary line) above the ribs. 5. BRILMA (on 4/5th ribs) and modified BRILMA (on 7/8th ribs): Probe placed at midaxillary. LA depostion- Between SAM and Ribs. Coverage- Lateral cutaneous nerves T2-T7 (BRILMA) and T5-T12 (modified BRILMA). 6. SAP 1 (superficial SAP): Probe between Midaxillary- Posterior axillary lines. LA deposition- Between SAP muscle and LDM at 4/5 th ribs level. Coverage-Intercostobrachial N., T3-T9, LTN, and TDN. SAP 2 (Deep SAP): LA deposition below SAM at 4/5 th ribs level. Vascular landmark- Thoracodoral A above SAM. Coverage- Intercostobrachial N. and T3-T9. POSTERIOR CHEST WALL BLOCKS: (D) Probe kept parasagittal 2.5 cm lateral to the midline: 7. Thoracic PVB: LA deposition above pleura by piercing superior costotransverse ligament. 8. Inter Transverse Process (ITP) Block: LA deposition anterior to C-T ligament in the retro CT space. (E) Probe kept parasagittal 4 cm lateral to the midline: 9. Thoracic ESP Block: LA deposition below ESPM by hitting the tip of the TP. (F) Probe between TP and Scapula: 10. RISS (Rhomboids Intercostal Sub-Serratus plane) Block: LA deposition between RHM-ICM along the Medial border and below SAM at the inferior angle of the Scapula. Coverage- T2-T11 dermatomes.