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Nika Zorko Garbajs

@nikazorko

Realistic optimist. Neurologist, neurointensivist and a big neurocritical care fan. Fulbright alumni. Love to travel, scuba and just being with my family.

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16.11.2024
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Latest posts by Nika Zorko Garbajs @nikazorko

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Guidelines for Seizure Prophylaxis in Patients Hospitalized with Nontraumatic Intracerebral Hemorrhage: A Clinical Practice Guideline for Health Care Professionals from the Neurocritical Care Society ... Background There is practice heterogeneity in the use, type, and duration of prophylactic antiseizure medications (ASM) in patients hospitalized with acute nontraumatic intracerebral hemorrhage (ICH)....

Non-traumatic ICH does not need anti seizure prophylaxis. NCS guidelines
link.springer.com/article/10.1...

10.01.2025 18:40 ๐Ÿ‘ 1 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0
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Liberal or Restrictive Transfusion Strategy in Aneurysmal Subarachnoid Hemorrhage | NEJM The effect of a liberal red-cell transfusion strategy as compared with a restrictive strategy in patients during the critical care period after an aneurysmal subarachnoid hemorrhage is unclear. We ...

www.nejm.org/doi/full/10....
SAHARA trial- no difference in 12-motnth neuro outcomes in liberal vs. restrictive transfusion in SAH.

20.12.2024 07:58 ๐Ÿ‘ 2 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0
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My vertical Garden (Easy Peasy Book 1) My vertical Garden (Easy Peasy Book 1) eBook : Jarc, Nadja, Jarc, Helena: Amazon.co.uk: Kindle Store

amzn.eu/d/bcifZ1J
Always wanted a garden but have limited outside space in the city? This is the book for you. An easy how-to guide to vertical gardening by my friend and colleague Nadja. I can attest to her successful crops ๐Ÿฅฌ๐Ÿฅ—๐Ÿ ๐Ÿฅ’๐Ÿฅ‘๐Ÿ…๐Ÿซ›๐Ÿฅ•๐Ÿซ‘

05.12.2024 23:35 ๐Ÿ‘ 1 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0
DEFINE_ME

New European guidelines for malignant hyperthermia ๐Ÿ‘‡๐Ÿผ

www.bjanaesthesia.org/article/S000...

02.12.2024 06:52 ๐Ÿ‘ 0 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0
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ESJ Featured Article of the Month November 2024 ESJ Featured Article on Initial blood pressure and adverse cardiac events following acute ischaemic stroke: an individual patient data pooled analysis from the VISTA database

Lower blood pressure associated with more cardiac events in acute ischemic stroke.
eso-stroke.org/esj-featured...

29.11.2024 13:51 ๐Ÿ‘ 2 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

OMG, I thought this was only our dog's thing ๐Ÿ˜‚๐Ÿ˜‚๐Ÿ˜‚

29.11.2024 09:14 ๐Ÿ‘ 2 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0
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Stark warning as NHS short staffing found to 'cause 4,000 extra deaths a year' A review has revealed the 'life-or-death implications for patients' when nurses and doctors are quitting in huge numbers as NHS struggles with 150,000 staffing shortfall

Staff shortage causes increased deaths. Not surprising, but needs to be engraved into the -makers minds. www.mirror.co.uk/news/health/...

29.11.2024 09:12 ๐Ÿ‘ 0 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

Is there anything on how they will implement it?

28.11.2024 19:15 ๐Ÿ‘ 0 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0
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ESO Paper of the Month The Paper of the Month initiative is brought to you by the Council of Fellows to highlight interesting and relevant papers

ATTEST-2, paper of the month.

eso-stroke.org/resources/pa...

28.11.2024 15:06 ๐Ÿ‘ 2 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0
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a cartoon of a man with the words and knowing is half the battle below him . ALT: a cartoon of a man with the words and knowing is half the battle below him .

The diagnosis is propofol frenzy (aka propofol neuroexcitation).

The hallmarks are:
- Development when propofol sedation is wearing off
- Impaired consciousness
- Violent motor activity

This will usually be misdiagnosed initially as a seizure.

The key clue is context & knowledge of the syndrome

25.11.2024 22:31 ๐Ÿ‘ 34 ๐Ÿ” 4 ๐Ÿ’ฌ 2 ๐Ÿ“Œ 0

I think that makes for the perfect storm. It is daunting.

24.11.2024 11:36 ๐Ÿ‘ 0 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

My question is: are PAs liable for their decisions in patient care? In our case, when RN "accepted" more responsibility (for example preventive exams), they do not want or need to take responsibility for their decisions, consulting GPs all the time and thus burdening them even more.

24.11.2024 11:18 ๐Ÿ‘ 0 ๐Ÿ” 0 ๐Ÿ’ฌ 1 ๐Ÿ“Œ 0

We have been on strike for nearly 1 year now in Slovenia. In reality, the MD strike is heavily regulated. The only thing we can actually do is not work for more than 48 hour/week. NHS MO seems like something our government and NHS might use. 1/

24.11.2024 11:15 ๐Ÿ‘ 0 ๐Ÿ” 0 ๐Ÿ’ฌ 1 ๐Ÿ“Œ 0
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Ketamine for Critically Ill Patients with Severe Acute Brain Injury: A Systematic Review with Meta-analysis and Trial Sequential Analysis of Randomized Clinical Trials - Neurocritical Care Background Patients with severe acute brain injury have a high risk of a poor clinical outcome due to primary and secondary brain injury. Ketamine reportedly inhibits cortical spreading depolarization...

link.springer.com/article/10.1...

23.11.2024 17:17 ๐Ÿ‘ 0 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0
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Antibiotic Treatment for 7 versus 14 Days in Patients with Bloodstream Infections | NEJM Bloodstream infections are associated with substantial morbidity and mortality. Early, appropriate antibiotic therapy is important, but the duration of treatment is uncertain. In a multicenter, non...

๐Ÿšจ Antibiotic Treatment for 7 versus 14 Days in Patients with Bloodstream Infections

BALANCE trial publication is here !

#IDsky #Medsky

@idjclub.bsky.social

www.nejm.org/doi/full/10....

20.11.2024 13:10 ๐Ÿ‘ 231 ๐Ÿ” 75 ๐Ÿ’ฌ 13 ๐Ÿ“Œ 14
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Pregnancy Mortality Surveillance System Surveillance to learn more on the causes and risk factors associated with pregnancy-related deaths.

Very bad news late last week from CDC about maternal mortality in the USA - it continues to go up. The leading cause of death for #pregnant people in 2020 and 2021 was infectious diseases, especially #COVID.

#MedSky + #ObGynSky

www.cdc.gov/maternal-mor....

19.11.2024 15:24 ๐Ÿ‘ 339 ๐Ÿ” 191 ๐Ÿ’ฌ 6 ๐Ÿ“Œ 24

How do we get a "bookmark" tab here, that's what I want to know ๐Ÿ˜Š

20.11.2024 21:16 ๐Ÿ‘ 3 ๐Ÿ” 0 ๐Ÿ’ฌ 3 ๐Ÿ“Œ 0
Hydrocephalus

Hydrocephalus

It turns out that, if given enough time to slowly develop and thanks to the wonders of neuroplasticity, a person can go their whole life without realizing that 90% of their brain had been squished by MASSIVE hydrocephalus.

#MedSky

20.11.2024 20:48 ๐Ÿ‘ 24 ๐Ÿ” 7 ๐Ÿ’ฌ 2 ๐Ÿ“Œ 1

Must admit I love the comments as well as the embroidery ๐Ÿ˜

20.11.2024 19:04 ๐Ÿ‘ 5 ๐Ÿ” 0 ๐Ÿ’ฌ 1 ๐Ÿ“Œ 0
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Decoding VExUS: a practical guide for excelling in point-of-care ultrasound assessment of venous congestion - The Ultrasound Journal Venous congestion, often associated with elevated right atrial pressure presents a clinical challenge due to its varied manifestations and potential organ damage. Recognizing the manifestations of ven...

If you are interested in the R side of the circulation (we should be interested!), this is must-read:

theultrasoundjournal.springeropen.com/articles/10....

#emimcc #vexus #pocus

19.11.2024 18:40 ๐Ÿ‘ 34 ๐Ÿ” 12 ๐Ÿ’ฌ 1 ๐Ÿ“Œ 0

Hear, hear! ๐Ÿ˜Š

18.11.2024 20:39 ๐Ÿ‘ 1 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

What I miss @bsky.app is the "bookmark" icon for posts. This is how I usually mark interesting papers and articles to read later, when I have more time.
Does anyone have a suggestion on how to go about it?

18.11.2024 20:36 ๐Ÿ‘ 0 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

www.nature.com/articles/s41...

17.11.2024 23:11 ๐Ÿ‘ 0 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

I vote for #SkyGuide ๐Ÿ˜

17.11.2024 22:39 ๐Ÿ‘ 1 ๐Ÿ” 1 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

I completely agree! Sometimes they need to be established already in the ER, before ICU admission. Best care for some patients is not necessarily the highest (most invasive and intensive) level of care we are able to provide.

17.11.2024 17:24 ๐Ÿ‘ 0 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0
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Late-breaking science session #ReSs24! First up the PROTECT trial examining ceftriaxone PPx after cardiac arrest @nickjohnsonmd.bsky.social @pulmtoilet.bsky.social @imcrit.bsky.social @pulmcrit.bsky.social

16.11.2024 17:09 ๐Ÿ‘ 22 ๐Ÿ” 9 ๐Ÿ’ฌ 7 ๐Ÿ“Œ 3

go.bsky.app/2gAhQGc

16.11.2024 22:13 ๐Ÿ‘ 3 ๐Ÿ” 1 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

Thank you so much!

16.11.2024 22:16 ๐Ÿ‘ 0 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0