Lauren Gillespie

First clinical day of fellowship ✅ 🧠 🫀 So happy to be in the ICU again… grateful for the opportunity to learn here at this amazing institution @UMichAnesthesia @umichCVC @UMichiganEM after an amazing education at @TamingtheSRU.

We are so proud of the class of 2024 - they loved training so much that 11 of the 14 are going for more, with 5 of those in #CritCare Congratulations @Courtney_Kein @JoshFerreri @LEGillespie3 @Bron_Winning

#NCSTJC Q2: Does your institution have a neurorecovery or post-intensive care syndrome (PICS) clinic? @AJWPharm ow.ly/UjCF50SeYxP

ECMO Puzzle: Can you guess the cannula configuration based on this interesting pattern of fluctuation in the ECMO flow rate? Why? A quick 🧵 on some cool 🫁 physiology 1/

📚.#IABP Focused Review of Physiology, Transport Logistics, Mechanics, & Complications 💡Transport of critically ill pts supported by an #IABP plays an essential role in connecting pts to specialized referral centers. ➡️doi.org/10.1016/j.jsca… @md_SsAhmad

@laertezz @md_SsAhmad @UCAirCareDoc @karigorder @anniegenvie17 @OliviaGobble

A form of MCS frequently encountered both in-hospital and in the critical care transport environment: the intra-aortic balloon pump🫀🎈 In our @MyJSCAI article, we present the applications, physiology, practical troubleshooting, and transport specifics doi.org/10.1016/j.jsca…

@NephroP @UltrasoundWake @BroadstockMD

All good? Clinical: middle aged man with a h/o HTN presenting with heartburn #POCUS #MedEd #FOAMcc #FOAMed Image courtesy: Broadstock A, et al. emra.org

In case you were wondering, this what an an elephant mechanical ventilator looks like. It provides tidal volumes of 25-125 liters Inspiratory flow rate up to 1,000 lpm Typical 🐘 vent settings: RR 5 bpm TV 80 - 100 liters Itime 5 seconds PIP 25 - 30 cmH2O 1/

Making the foray into @ChatGPTapp to input a list of citations into a custom table… saved me hours of work! #MedTwitter

I asked the is lady what’s in my hand and she said “pen”. Correct. But when I asked her to take it, this is what happened… Pause and think. What’s happening here

Resus #TEE is ++ valuable for cardiac arrest. It can identify reversible causes, fine VF or pseduo-PEA, guide procedures (ECMO), and improve CPR quality. It also shows how dynamic a resus can be. In this case, CPR being done in what looks like a great position (initially)... a 🧵

@LEGillespie3 @nickmmark Zamboni lung!!! Makes the Twitter universe!

@nickmmark @edmojo one of your legendary morning report cases!

It’s October - hockey season - so let’s talk about a hockey/pulmonary case: A previously healthy 17yo presents with dyspnea, frothy sputum, & orthopnea that began after playing hockey. In the ED he is tachycardic, tachypneic, mildly hypoxic. He has crackles bilaterally. Dx? 1/

Taking a peek at the available equipment on board via #airRx before boarding… curious if anyone has expertise and experience to speak to regarding DNR fulfillment in flight? (Hopefully not speaking this into existence…)

My favorite recent way of creating an easily accessible “parking lot” for what I want to read…. Love using @trello in general, but especially to keep track of what I have read with a little summary, and move each card between boards

Congrats to 128 Grazer, our 2023 #FatBearWeek champion! 🥳 Though unaware of her title in this imaginary contest, her success is real! For bears, fat = success, & she's set up well for winter. We had a record-shattering 1,382,783 votes! There's so much love for our bears! ❤️

An idea... tell me your take, #medtwitter friends: Accurate diagnosis is important, but focusing on it during admission to the ICU may be unreasonable due to the fog of resuscitation. To account for this, yet still encourage the transition from stabilization to diagnosis...

📢 Attention #HEMS & #CCT teams: @uc_health Air Care & Mobile Care hosting in-person @Abiomed #Impella CCT course in Cincinnati! Two date options; details & reg: Fri, 15 Dec: events.heartrecovery.com/ICETransferDec… Sat, 16 Dec: events.heartrecovery.com/ICETransferDec… Ping @UCAirCareDoc @HeartRecovery

Excited to share our case series depicting the successful rotor wing transport 🚁of 2 pts supported by dual Impella devices (RP, CP).🫀⚙️ Grateful for such an outstanding team for this project! @karigorder @laertezz @md_SsAhmad @UCAirCareDoc @martina_diazb authors.elsevier.com/a/1heUU,OI8RoV…