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PulmCrit wee- Five ways to improve live-tweeting at conferences
For generalists such as myself, there’s almost always a conference of interest going on somewhere in the world. In the normal course of events, I would miss 99.9% of them. However, twitter makes it possible for me to gain some insight from all of them. However, conference tweeting is far from perfect. A large conference […]
IBCC chapter & cast: Hypernatremia
Treating hypernatremia in the ICU isn’t exciting or particularly difficult. However, it’s enormously important to provide patients with comfort. We talk a lot on treating pain, but usually forget about the discomfort caused by thirst. Remember: when you intubate a patient and take control of their airway, you’re also taking responsibility to provide them with water.
EM Nerd-The Case of the Deceitful Lantern
Since the publication of the sepsis trilogy, PROMISE, ARISE, and PROCESS 1,2,3, abruptly displaced early goal directed therapy (EGDT) as the cornerstone of sepsis management, we have been searching to fill the therapeutic vacuum its sudden departure left behind. The Center for Medicare and Medicaid Services (CMS) and the Surviving Sepsis Campaign (SSC) have both rushed […]
PulmCrit: Is pure RSI a failed paradigm in critical illness? The primacy of pressure
Why do some patients’ saturation crash during laryngoscopy, whereas other patients are fine? What can we do to prevent this?