Conrad Spencer Myler

A 59 yo man with hx of kidney stones p/w septic shock 2/2 an obstructing stone. S/p 3L IV fluids, abx, and decompression w/ stent, vitals HR 105, (MAP 61), RR 22, Temp 37.9 BP 120/37 on norepi 0.15 mcg/kg/m, and vaso 0.03 u/m. How would you manage his blood pressure?

Wonder why MSU's football team looked overmatched at Penn State? 17 of Penn State's 22 starters that day were 4-star kids and top 400 recruits. Only 3 of MSU's starters were similar prospects. Mel Tucker can't settle in filling his 2023 class. Column. bit.ly/3UA7itr

#MondayMorningRounds 66 yo man s/p witnessed out of hospital arrest with prehospital ROSC, now s/p 28 hours TTM, Temp 36.0, GCS 5T on no sedation, breathing over the vent. How long after ROSC do you observe for neuro recovery prior to discussing cessation of mechanical support?

Following up #MondayRounds Poll: IDSA has updated guidance on initial C. Dif infection. Recommend oral fidaxomicin when available. While initial treatment response is the same as oral vanc, those getting fidaxomicn have more sustained response (Table 2) doi.org/10.1093/cid/ci…

@ccanesth @madihasyed85 @iamyourgasman @KhannaAshishCCM @slthomps12 Hot off the press

A 63 year old woman, hx of HTN, with ARDS on mechanical ventilation, develops loose stools and is diagnosed with c. difficile colitis. She has never had c. dif before. How would you treat her? #MondayRounds @madihasyed85 @iamyourgasman @KhannaAshishCCM @slthomps12