TMCAdultCritCare

#ECPR in refractory CA, A. Gutierrez @MMRCbeat 🐊 #SEECMO2023 🫀 patiens often experience multi-organ failure 🏥 management requires labor intensive treatment with 24/7 availability from EMS, cannulators, #ICU staff & consultants 🧠 recovery prolonged but durable with return to normal life for most survivors 🚑 🔗 an #ECPR program that extends to community requires buy in from all stakeholders in chain of survival & administrators.

@ISICEM #CriticalCare Input Hypertonic sodium lactate infusion reduces vasopressor requirements and biomarkers of brain and cardiac injury after experimental cardiac arrest #ISICEMelearning #MedEd #ICU #vasopressor #cardiacarrest #biomarkers ccforum.biomedcentral.com/articles/10.11…

NeuroEMCrit - Team NeuroEMCrit's H&R Conference Talk, Part 1 (part 2 coming shortly) Thanks to @thinkingcc for letting us post: emcrit.org/emcrit/hrconfe…

BASIC has been run in our hospital for a whole decade now. Here's more: cuhk.edu.hk/med/ans/icubas…

I was recently asked about how I think about performance under pressure. A few ideas on what we can do under sustained pressure and how to turn it up when the lights are brightest:

Fabulous app for all you #POCUS users and enthusiasts! apps.apple.com/gb/app/pocus-t… #FOAMed #FOAMcc #foamus

HCM #cardiotwitter #echofirst

Last night we had a case that demonstrates an extremely important cause of shock that many ED clinicians know little or nothing about 1/

This was being discussed by our trauma rotator just yesterday!

I’ve not seen this before….but is there anything on the page to disagree with?

New at the Asian Ventilation Forum, an interview with a Ukrainian ICU leader. youtube.com/watch?v=qnql5P…

This came up again on rounds today. BS has staying power.

@HawkmoonHEMS Very nice demonstration of the pitfall.

Besides the half twist (and the iffy fluid in balloon approach) do you have any other techniques for the waveform-guided PAC insertion?

Do you integrate ultrasound into the cardiac arrest algorithm? Here’s how (and when) you can (from: criticalcare-sonography.com/2019/10/02/ech…) #COACHRED #ultrasound #CardiacArrest #CriticalCare #Resuscitology10 #Resuscitology

This is so very important to remember.

8 years ago, our first foray into intra-arrest cardiac POCUS led to one of the our most dramatic saves, 3 years before our ECMO program.

Great to see efforts like the Asia Ventilation Forum evolving to Vodcast format, focusing on regional issues in ICU, and much to learn from the India's second COVID-19 Wave. youtube.com/watch?v=yWao_x…