ED Critical Care

🧵Critical Decisions in Post-Intubation Management By Drs. Skitch & Sharif @SameerSharifMD | #ICEM2025 You’ve intubated. Now what? Ventilation & sedation decisions in the ED have long-term consequences. Here’s why ⬇️ #EmergencyMedicine #FOAMed #CriticalCare

The world class content continues at @ICEM2025 and @CAEP_Docs Drs @SameerSharifMD & Steven Skitch sharing key insights about post intubation management of pts in the ED. #ICEM2025

The CAEP Critical Care Committee meeting is at 12PM today in Room 512DH. Everyone is welcome to join!

Check out the new @ESICM Guidelines on the volume of fluid resuscitation in critically ill patients! Link 👉 rdcu.be/efXfc A true 🌍international🌍 effort; please read the full document as there was a LOT of discussion that went into crafting the recommendations!

Just the facts on healthier shift scheduling: “We’re tired of being tired” by @EmICUcanada How does shift work affect you? Your cognition? Productivity? And more importantly what can you do about it? Find out in this JTF: rdcu.be/efZTl

Attending @CAEPConference #ICEM2025 ? Interested in learning to insert 🫁 chest tubes, US guided Central Lines 💉 & Peripheral IVs? If yes, REGISTER for this Critical Care Workshop - When You Needed it Yesterday: Time Critical Procedures in the ED Link: icem2025.com/preconference

NEJM Article Link: nejm.org/doi/full/10.10… CJEM Journal Club Link: pubmed.ncbi.nlm.nih.gov/39760938/

Bottom Line: The use of Andexanet alfa in any patient should weigh the risk of harm with its potential benefits, but based on the results of this study, its routine use in patients with ICH is not recommended. Article Links in next Tweet

🔥Hot off the Press🔥: Excellent Journal Club Review of the ANNEXA-1 Trial (Connolly et al. NEJM 2023) by @CamLeafloor - This trial compared the use Andexanet alpha for factor Xa inhibitor reversal versus usual care in patients with DOAC related ICH (mini 🧵) Article Links Below

Curious about posterior circulation 🧠TIA🧠 as a possible cause for your ED patient's vertigo? And have you heard about vestibular migraines and how these patients may present in the ED? Check out this article: kwnsfk27.r.eu-west-1.awstrack.me/L0/https:%2F%2… @JonathanEdlow @KotwalSusrutha

Sharing what we hope is an important paper in #SHOCK out today in @NEJMEvidence by @JungRichardG (who just matched to cardiology!). Prognostic Factors Associated with Mortality in Cardiogenic Shock — A Systematic Review and Meta-Analysis | NEJM Evidence evidence.nejm.org/doi/full/10.10…

The 5th McMaster ICU Update is Dec 11, 2024 at Liuna Station in Hamilton. All ICU folks welcome. The course is from 1-5:30pm with dinner afterwards. There are also two pre-courses (with lunch) on HFNC and CRRT. Hope to see you there! Registration Link - cpd.healthsci.mcmaster.ca/criticalcare24

Congratulations to: • PSI #NewInvestigator grantee Dr. Ashish Deshwar (@SickKidsNews) • PSI #ClinicalResearch grantees Dr. Sameer Sharif (@MacHealthSci); Dr. Edward Margolin (@uoftmedicine); and Drs. Alexander Simpson & Roland Jones (@CAHMnews)