LauraMPujol

The FICM Portfolio Pathway (CESR) Workshop will be held online on Monday 7 July 2025. Don't miss out! Register here: ficm.ac.uk/events/virtual…

🔝🔝culinary experience 10min from home

@UCIMutua @Mutua_Terrassa Una abraçada molt gran, Jara! A disfrutar de la jubilació 😘

Avui el nostre company Fernando Jara es jubila. Gran company i un referent no sols per @UCIMutua sino també per molts companys de @Mutua_Terrassa . Gràcies per tot i de part de tots

Our trip along the 🏴󠁧󠁢󠁳󠁣󠁴󠁿north coast so far…😳 this country truly delivers… #NC500 #northcoast500 #roadtrip @LauraMPujol @VisitScotland @NorthCoast500

In the ICU, decisions come fast and frequent! Intensivists are making over 100 decisions during rounds, mainly on medications Each clinician averages over 200 decisions in a 24-hour period, often based on critical events. Shared by @SharonEinavMD at #ISICEM24 @ISICEM

Trying to bring light to my #CESR journey. Motivation is key but proper understanding of all evidences needed is vital. Training under Cobatrice (@ESICM ) is not enough 💆‍♀️ @FICMNews

A must read for those who love pathophysiological reasoning at the bedside of critically ill patients.

⚔️ Thinking to beta‑blockers on VV #ECMO to manage refractory hypoxemia?? Be cautious (& do not forget physiology)! 🩸 O2 in arterial blood is conveyed to tissues by circulation ⚖️ reducing CO to increase EBF/CO ratio will increase SaO2 at cost of DO2 reduction, potentially worsening tissue hypoxia. Exclude CO driven by O2 demand ❄️💉 consider mild hypothermia + analgesia/sedation as first-line 🖥️ if using, monitor DO2/O2ER + lactate Open access #FOAMcc #FOAMecmo on @Crit_Care 🔓rdcu.be/dmJm7

Six per cent for essential public sector workers. 45% for King Charles. And people are meant to accept that? theguardian.com/uk-news/2023/j…

Post #PedsICU night shift 🚴‍♀️ ride with my missus!! @LauraMPujol

Attention📢📢 : New aneurysmal subarachnoid hemorrhage guidelines just dropped! Lots of new updates to the last guidelines published in 2012, lets check them out below 👇 link.springer.com/article/10.100…

The authors discuss the mechanisms, clinical presentation, and evaluation of right ventricular failure, as well as its management. nej.md/3FCpIFE

High‑risk pulmonary embolism in #ICU 🩸 understanding high‑risk PE: deadliest presentation of acute PE (case fatality rate 22-65% if CA) 🩸 diagnosing PE in critically ill pt 🩸 (immediate) reperfusion therapy 🩸 hemodynamic support #FOAMcc on @yourICM 🖇️ rdcu.be/c7R6z

Here’s another pulmonary physiology question that *everyone* who gives O2 to patients ought to know: What is the primary mechanism by which supplemental oxygen can increase PaCO2 in someone with severe COPD? 1/

Dr. Jordi Mancebo, descansa en pau. Amic, mestre i referent nostre, Soci d’Honor de la SOCMIC per tota la seva trajectòria, compromés amb tot el que fem i som com a intensivistes. El nostre condol a la seva família i a tot l’intensivisme, especialment als companys d’UCI Sant Pau.

Disruption of circadian rhythms by shift work exacerbates reperfusion injury in myocardial infarction: jacc.org/doi/10.1016/j.… #CardioTwitter #MedEd #ICU #JACC #CICU

@aroradrn @RobJimFleming Even when the training was done following COBATRICE (Competency-based training in Intensive Care Medicine in Europe)? Meaning that competencies are the same for all and signed off already…

@LauraMPujol @RobJimFleming The EDIC exam is considered equivalent to FFICM exam for CESR That’s the knowledge assessment. But the competencies still need to be signed off.

@aroradrn @RobJimFleming What is the point for CESR for someone who has completed and finished training for ICM in a European country? Should the EDIC exam be considered as opposed to CESR?

@RobJimFleming Why??? IMO: CESR demonstrates not just competence, but determination, a mindset to succeed against the odds I’d almost always prefer a CESR candidate.

Right now a cruel bill that seeks to turn people fleeing for their lives from war & persecution into criminals is progressing through Parliament. Help us spread the word – please like and share. #NotACriminal #TogetherWithRefugees🧡

Finally this ⬇️