IMCrit @IM_Crit_
Intensivist I Internal Medicine | ☕️, 🍩, 🥐, 🍫 addict Joined April 2020-
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IMCrit retweeted
ICU Stories: 70 yo patient, nursing home resident, w hx of dementia / atrial flutter (on anticoag) / hypothyroidism / gout / decub ulcers (among others) is brought to the ED for "altered mental status" and right gaze deviation. Afebrile, normotensive, hr 80s, sat 96% on room air
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IMCrit retweeted
ICU - Underrated studies: We all like the 1,000 patients' randomized controlled studies published in NEJM, but I ❤️ studies that reveal/explain things that I was not aware of or I would have guessed differently Let's start w a common problem, the intermediate-risk pulm embolism
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Hello #MedTwitter! Just getting started on this community! Super excited to be here! @AndromedaShock @ThinkingCC @ross_prager @DrMiguelIbarra1 @avkwong
Bienvenido a twitter a uno de lo genios de la perfusión y hemodinamia!
Hello #MedTwitter! Just getting started on this community! Super excited to be here! @AndromedaShock @ThinkingCC @ross_prager @DrMiguelIbarra1 @avkwong
Nice editorial about over-diagnosis of MI 🔥🔥 IMHO we pay *way* too much attention to troponin, and not enough attention to HPI & ECG. Every time a patient gets a troponin without an ECG, an angel loses its wings.
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Hello #MedTwitter! Just getting started on this community! Super excited to be here! @AndromedaShock @ThinkingCC @ross_prager @DrMiguelIbarra1 @avkwong
@IM_Crit_ Unfortunately I have too many TSS and I hate it bc they’re so sick, but recently I had a horrible TSS that ultimately developed incredible ARDS who now is on ecmo, planning on going through that case once I’m off service.
@IM_Crit_ Did you conclude that cause for such a severe UTI was the urethral stents ?
@IM_Crit_ I have no problem doing a foley in icu during the first 24 hours if there’s a question of shock. They can take it out in a day or two before a cauti can develop.
It’s a great case with a positive outcome and some learning points. But, 70, in a NH, multimorbid…. I worry about duration of delirium, persistence of lung injury and deconditioning. It shows the discrepancy between NHS and US (?comprehensively insured) healthcare.
ICU Stories: 70 yo patient, nursing home resident, w hx of dementia / atrial flutter (on anticoag) / hypothyroidism / gout / decub ulcers (among others) is brought to the ED for "altered mental status" and right gaze deviation. Afebrile, normotensive, hr 80s, sat 96% on room air
@IM_Crit_ Insightful. Thanks for sharing.
@IM_Crit_ thank you for sharing these kind of cases
@IM_Crit_ Didn’t catch the teaching point owing to my limited experience. Proximal placement? 🙏
This #twitter feature unfortunately does not exist in X any more; you can find the posts by searching #Ogitorial
⚡️ “Welcome to #Ogitorial: A Case-Based Critical Care Learning Forum” by @ogi_gajic x.com/i/moments/1122…
#POCUS guided arterial catheterization. #FOAMed #anatomy #FOAMcc 🔗anesth-pain-med.org/journal/view.p…
I see physicians working well into their 80s and even 90s, and I wonder what the hell is the point. What are they trying to prove? My goal is to comfortably retire, read every book ever written, and travel every place on the planet.
@IM_Crit_ Ok. So yeah it takes a whole picture approach. I agree with you. Thanks so much for your time!
@IM_Crit_ Great study ! We do however have a non-invasive way to identify these patients using LVOT VTI @robertshiuzhang @SripalBangalore sciencedirect.com/science/articl… journals.sagepub.com/doi/10.1177/13…
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