Nicole
107 posts

Nicole
@Nicole_Mae_
Emergency / Trauma RN. Paramedic Educator. SIM Nerd. Passionately curious. Student for life.

Lactate can be elevated in many situations besides sepsis. Most do not require urgent IV fluids or treatment. Make your peace with lactate. It doesn't want to harm you. @cliffreid @PulmCrit @srrezaie the-breach.com/why-we-shouldn… via @TheBreachEM



using the complete blood count to diagnose sepsis: - WBC is some hot garbage 🗑️ - left shift can be useful (yet unreliable) - neutrophil/lymphocyte ratio is arguably the best single indicator (but nonspecific - so clinical correlation required) fresh blog: emcrit.org/pulmcrit/cbc-s…

'tis the season for influenza... 🙏 please don't over-resuscitate your flupneumonia patients (their problem is hypoxemia, not hypovolemia)










A thread on the decision making process and outcomes. Premise: In judging a decision, it frequently serves us better to focus more on the process that led to that decision than the ultimate outcome. Good reads on this: bit.ly/2W8yALd & hbr.org/2016/09/what-w… 1/






