Flyer for the FLUID trial results at CCR25
🚨 FLUID Trial Results🚨
Balanced crystalloids vs saline in hospitalised patients
📍 16 Canadian hospitals
👥 >144,000 pts 😮
🏁 Cluster-crossover RCT
📊 90-day death or readmission
➡️ Big trial !
➡️ Big numbers !
🚩 The answer drops at #CCR25🚩
Today's Paper of the Day is use of hypertonic saline in neuroanesthesia and neurocritical care practice
https://criticalcarereviews.com/latest-evidence/paper-of-the-day
Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2025
PulmCCM woke up and chose violence 😂
The article is, unfortunately, painfully accurate.
Palliative care has been shown to improve & extend life in advanced malignancy, but it’s sorely underutilized.
#EMIMCC
Principle of intravenous fluid therapy in the neurocritical care
CCR Journal Watch
https://criticalcarereviews.com/latest-evidence/journal-watch
Get the latest critical care literature every weekend via the CCR Newsletter - subscribe at https://criticalcarereviews.com/newsletters/subscribe
Nice article about the medicalisation of dying
"Death is increasingly seen as a failure, rather than a natural stage of life"
#emimcc #medsky
Chronic postsurgical pain after abdominal surgery may have genetic risk factors eg the PDE4D gene!
The lifetime risk of undergoing abdominal surgery is > 50% & the estimated incidence of chronic postsurgical pain is 10% - 50%
#AnSky #GeneSky
https://buff.ly/4h3RHy3
Sepsis and Septic Shock from the legend @theplaguemd #FOAMed #FOAMcc #sepsis @sepsisUK
I got tired of opening a dozen PDFs to find the ECMO pressure/flow curve I need.
So I made an app!
Choose the cannula/size and you can see the max flow for a given pressure drop. Or compare multiple different cannula.
Lmk what ya’ll think. Useful? What’s it need?
onepagericu.com/ecmo-calcula...
If you had #FOMO about missing the London Trauma Conference held earlier this month, don't worry - I've got you covered with my take on Day 1 here (via @stemlyns.bsky.social)
www.stemlynsblog.org/talking-trau...
Excerpts from:
Echocardiographic Evaluation of a Patient in Circulatory Shock: A Contemporary Approach
Shock parameters:
Hello #AnSky has anyone used a #Butterfly portable US for gastric ultrasound??
Is it any good??
Definitely, same with NG tube insertion, and POC check ( whilst fastened)… Covid times it was a must.
Less is more…
A man is in an ICU hospital bed, intubated and sedated. The graphic around him depicts various organ systems that can contribute to fevers in ICU patients, including CNS, endocrine, cardiac, respiratory, GI, GI, bone, skin/soft tissue, and others (I.e. malignancy, autoimmune conditions, and drug fevers).
Differential diagnosis for fever in an ICU patient #IDSky #MedSky #SciArt
Nerd humor 🤓 #statisticshumor #cardiosky #medsky
My ICU is lucky to have this beautiful therapy dog who comes every weekend to visit patients, relatives and us staff. The joy he brings is immeasurable, especially for our longer term pts. ❣️ #criticalcare #medsky #dogs
#WearAMask for a healthy & #HappyThanksgiving!
Syst rvw (N=15 articles, 50 flights):
If no 😷 required, risk of #COVID19 ⬆️ w/ flight time, compared to flights <3 hrs:
😣 3-6 hrs: 4.7x ⬆️
😩 >6 hrs : 25.9x ⬆️
>6 hrs flights w/ 😷 required had no transmission reported
/1
#MedSky #IDSky #PublicHealth
Rethinking energy and protein provision for critically ill patients: link.springer.com/article/10.1...
“In one study, academics who had worked on jointly authored research papers were asked what fraction of the team’s output their own work accounted for. On the average four-person team, the sum of the claimed credit was 140%.”
~ Robert Wright (2017) Why Buddhism… page 84
Give prophylactic abx post-tube thoracostomy in trauma
Best evidence (2022 SRMA bit.ly/4cHLCpE) shows decreased rates of empyema w/ abx particularly in patients with penetrating trauma
#MedSky
Insta Reel: bit.ly/3OoGtIh
Principles for management of hip fracture for older adults taking direct oral anticoagulants: an international consensus statement
#AnSky #MedSky #PharmSky #SurgSky
https://buff.ly/3BJIr2C
Rhoids and then wait and see maybe ?
Endothelial Protection & Improved Micro- & Macrocirculation with Hemoadsorption in Critically Ill Patients
CCR Journal Watch
criticalcarereviews.com/latest-evide...
Get the latest critical care literature every weekend via the CCR Newsletter - subscribe at criticalcarereviews.com/newsletters/...
Are you up-to-date with the latest evidence on airway management in patients with suspected or confirmed cervical spine injury?
@sthjournalclub.bsky.social @iliff-helen.bsky.social
@elboghdadly.bsky.social
#AnSky #MedSky 🧪
https://buff.ly/3UXJweg
Cool tool BUT Has it been validated in ICU PTS?
Point-of-care ultrasound training in nephrology: a position statement by the International Alliance for #POCUS in #Nephrology (IAPN)
🔗https://academic.oup.com/ckj/article/17/11/sfae245/7733825?login=false&utm_source=advanceaccess&utm_campaign=ckj&utm_medium=email
