Image of the day for new #ICU folks. It’s always a good idea to #POCUS prior to thoracentesis, especially in #dialysis patients.

What an interesting hypothesis to investigate. Electroencephalography-Guided Anesthesia and Delirium in Older Adults After Cardiac Surgery jamanetwork.com/journals/jama/…

🧠SOS is hosting an ICP management in TBI patients webinar on the 18/07/2024 from 12:00-13:00 for recruiting sites. Please contact the SOS team via [email protected] to join us for the session led by Angelos Kolias.

Today's Paper of the Day is on the golden hour in shock management criticalcarereviews.com/latest-evidenc… Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2024

VPD Heart & Lung Research Institute sparkling in the sun☀️ The joint venture between Cambridge University & Royal Papworth Hospital NHS FT 💙 is the largest concentration of scientists & clinicians in heart & lung medicine in Europe! Funders: Victor Dahdaleh | UK Research and Innovation | British Heart Foundation | Wolfson Foundation | Cystic Fibrosis Trust |Royal Papworth Hospital Charity

Another downstream impact of the latest cyberattack to hit London hospitals resulting in blood donation appointments being unfilled. This has caused a shortage in blood stocks- potentially impacting patient safety. Donate if you can!! NHS Blood+Transplant Institute of Global Health Innovation blood.co.uk/news-and-campa…

Evaluation and management of hypertensive emergency CCR Journal Watch criticalcarereviews.com/latest-evidenc… Get the latest critical care literature every weekend via the CCR Newsletter - subscribe at criticalcarereviews.com/newsletters/su…

Invasive ➡️ noninvasive - are we close into introducing echodynamics as a standard approach when managing pts w ADHF-CS? Read the newly published paper by Frea et al. bit.ly/46fToV5 #CardShock #echofirst #hemodynamics EHJACVC Editor-in-Chief ACVCPresident Milica Aleksic Anna Oleksiak, MD PhD

Full details of Junior Doctors offer in link 🔽 but offer explained in a simple table below showing 22/23 23/24 & 24/25👇 I'm not a junior and have no direct skin in this game... but #PayRestoration was never going to be delivered in a year. This definitely moves towards it

This offer is not FPR, but it’s also not instead of it. The question it poses is one of strategy on how best to secure FPR: Accept, bank these initial gains, use the next 9 months to reorganise and win back doctors lost to strike fatigue. OR Reject, and carry on as we are.

Outcomes of Vall d'Hebron ECMO Barcelona #ECPR program for refractory cardiac arrest 🪦 survival with good neuro-outcome 32% #IHCA, 24.1% #OHCA 🪦 most common cause of death HIBI 🎁 30.3% became donors: 40% DND, 60% DCD; 16 kidneys, 7 livers, 4 lungs recovered 🖇️ bit.ly/3WWnh9X

Trial design in #AKI, consensus highlighting approaches which may increase potential for finding therapies to prevent/treat AKI effectively 📃general statements 💎pt enrichment strategies ⚠️prevention/attenuation studies 💉treatment studies 🔍beyond RCT 🔓 rdcu.be/dQqQK

It’s the thread everyone’s been waiting for; yes it’s the definitive IV cannula ratings! Stay tuned to finally find out which cannula is best, and which cannula is an affront to all things intravenous. 🧵

Very happy to share our first paper from NEAT-ECHO published in Intensive Care Medicine. 🏥 178 ICUs & 1015 shocked patients 🫀 54% received an echo 💉 50% of echos altered management 📋 25% followed guidelines TRIC Network Intensive Care Society 💙 FICMNews BSEcho Alastair Proudfoot link.springer.com/article/10.100…

I'm delighted to announce the UK's latest professor of intensive care medicine, Prof Zudin Puthucheary. Huge congrats Zudin. Queen Mary University of London CCPMG are very proud of you. 🥳🥳🥳 Zudin

Consensus guidelines for the management of INTUBTION of patients with a PHYSIOLOGICALLY DIFFICULT AIRWAY ICU& ED & on the ward/floor ((& maybe of use for PHEM) Just out in Intensive Care Medicine Great work leading the project by Kunal Karamchandani Sheila Myatra & a rather big team Highlights

O2 in VA #ECMO EXCEL registry-embedded 🇦🇺 BLENDER 🎯conservative vs liberal O2 strategy 🔍 300 pts 🔎 conservative: similar short & long-term outcomes vs liberal ⚠️ conservative: NO more major hypoxic complications, more protocol deviations 🔓rdcu.be/dRwvq

Legitimately practice changing: the #TIGHTK multicenter open label RCT found that in post-op cardiac surgery patients, repleting potassium to 3.6 mEq/L was non-inferior 4.5 mEq/L but saved substantial RN ⏱️ time & 💰 money ($111 per pt). jamanetwork.com/journals/jama/…

· IMPELLA DEVICE ALERT, FIBERS CAN BE DRAWN INTO THE PUMP. March 2024 Abiomed analysis of cases with low flow revealed that clots can form along the cannula, some of them developed developed around a matrix of blue or white fibers...1/X🧵 #impella

We now just need all hospitals that treat patients after a cardiac arrest to offer the evidence based care. UK is terribly hit and miss and not equitable NHS England