Robert Buder

@AdrianBoehm Ich küsse deine Auge!!!

wichtiger Artikel. Man ertappt sich selbst bei schwerstkranken immer wieder dabei, dass man sich Vorwürfe macht, etwas übersehen zu haben.

@armyemdoc @AdrianBoehm @CRM_saves_lives

Etomidate for endotracheal intubation... more was recently published on this saga. This retrospective review studied an absolutely massive (>1.6M) population of patients who received ketamine or etomidate at the time of intubated. They found that etomidate was associated with an adjusted odds of death of 1.28 (1.21-1.34). -PINC AI healthcare database -1,689,945 (no, that's not a typo) patients with 738,855 receiving etomidate... rest received mostly ketamine or propofol -Absolute risk difference 2.8% (2.1-3.6%) -Adjusted odds of death of 1.28 (1.21-1.34) These massive databases are great for detecting subtle findings, and the findings are similar to a number of similar previous study. However, for a dataset this size, these confidence intervals are not as tight as I would expect. Additionally, when the intubation happened later in the hospital course (day 2+), the findings were not nearly as robust. IOW, these findings weren't as stable as I'd like to see and also suggest that the trajectory may only be affected if given early. doi.org/10.1164/rccm.2… #emergency #emergencymedicine #criticalcare #icu #erlife #iculife #science #army #armymedicine #armyemdoc #resuscitation #research #data #airway #trauma #ketamine #etomidate #medx #medtwitter #medairway #airwayx

@ZoiNetou @beifahrer_to_be @PottJohannes Feel you!!!

Join us 11/13 at 6pm EST for our monthly webinar series POCUS Power Hour: Paramedicine Environment. Point-of-Care Ultrasound is revolutionizing emergency medical services by providing fast, accurate diagnostics in the field! Hear from our panel of experts bit.ly/4fl5q3b

@educate_YS ist sehr sehr gut und somit gibt es einen Anschaubefehl❤️

@armyemdoc @CRM_saves_lives @AdrianBoehm ever seen these?

Peripherally-inserted rapid-infusion catheters are a great way to do pressure infusions, including with a Belmont. Complications are rare, most of which are similar to IV placement, such as hematoma. In this study, none required surgical intervention. #emergency #emergencymedicine #criticalcare #icu #erlife #iculife #data #research #science #army #armymedicine #armyemdoc #blood #trauma #resuscitation #medtwitter #medx

@LuigiVetrugnoMD @AdrianBoehm @CRM_saves_lives @WestphalDieter

@tihmann 24h 33 grad, danach 48h unter 37,7 wenn weiter bewusstlos, oder nicht extubabel. Nutzen Arctic sun und lassen die nach den 24h meistens drauf zur Fiebervermeidung.

Liebe #Intensiv Medizinbubble. Wie ist Euer aktueller therapeutischer oder Targeted Temperature Management (TTM) Algorithmus? Zieltemperatur? Kühlmethode? Überhaupt noch Kühlen oder nur Fiebervermeidung?

Our hands-on dialysis machine to mix drinks, combining the orange juice circuit with gin dialysate - integral part of our 4 day course on all aspects of „nephrology intensive care“ #nephrology #icu

@AdrianBoehm @CRM_saves_lives @WestphalDieter @SDercks @ZoiNetou @PottJohannes @KuhleJohannes @ImmerImAZ @bjoernziemen @steigerstiftung @casusebastian @ParamedicHombr @ThPlappert @tmr264 @GERpocus @frollein_doktor etc.

❗️❗️❗️Umfrage an alle NFS❗️❗️❗️ Welche Kompetenzen nutzt ihr? Welche nicht? Warum nicht? Warum trifft das NEF ein? Warum nicht? Mit dem Fragebogen wollen wir diesen und vielen weiteren Fragen auf die Spur gehen! soscisurvey.de/NEFabbestellen/ Bitte umfangreichen ausfüllen & teilen!

@ZoiNetou naw-berlin.de/kurse/echo-i-c… Den vllt? ;)

@NephroP @AdrianBoehm @CRM_saves_lives

#Nephpearls #FOAMed Thrilled to be a part of this important paper! Thanks to project leadership for the opportunity. The key takeaway isn't about endorsing any specific handheld #ultrasound device—no device is perfect, and none can fully match the quality of a portable cart-based machine. However, this data helps #POCUS users select a device that suits their needs and budget. Regardless of the device chosen, understanding both the machine's and the operator's limitations is vital.

@NephroP @AdrianBoehm

Interesting study: Can a single #echofirst view exclude LV systolic dysfunction? #POCUS #FOAMed #FOAMcc link.springer.com/article/10.100…

@CRM_saves_lives @Kirubel_Teshome @AdrianBoehm Oh my god!!!😳😳😳

This is an amazing concept #ELSO2024

We had a great time at @BartsCCSeries Course in London. Amazing to see the amount of passion and enthusiasm the small ECMO Family arround the world shares.

Bart’s Autumn ECMO course done ! What an enthusiastic group of delegates . Stay tuned for the courses in June and September 2026. 🫀🫁💉🩸@BartsCCSeries @GomorraDoc @Caroline_gasdoc @rhona90 @itariq14 @iceman_ex @sachindoc #ecmo #ecpr #ecls #simulation

@LuigiVetrugnoMD @kaspants

Looking with interest at this French study results in ICM for my pleasure ;) 1) JV was the most representative compared with femoral and subclavian vein 2) CRBSI per 1000 CVC days 0.7 for JV and FV and 0.6 for SV 3) In other words, NO DIFFERENCE (p 0.248)

@LuigiVetrugnoMD @AdrianBoehm