Diagnosis based on AKIN /kDIGOcriteria. Pregnancy creatinine are in lower range 44-77mmol/l. Identify risk factors , the insult , Gestational age may give clues to etiology, MDT approach with obgy as lead. Discard use of renal dysfunction it lacks urgency.

How doth one motivate a junior Dr who within three years of meeting them,unemployment is a reality. How do I pique their interest in discipline that will spit them out?Do I get them Locum ready? Teach em perseverance?.Have the immigration talk?.🥺

So proud of my team they identified an intern who is struggling by Day 7 of her 3 month rotation . Wellness team has stepped in. She’s gonna be ok. We value mental health and we are not afraid to say we are not ok.

When you get the Mindray TEX20 for POCUS in labour ward high care .You gotta post to make Jedd Jealous 😈.@HartJedd

⁦@ESICM⁩ .Y’all are just amazing. You got me locked for life.

RT @critcarescience: #Fluids 💧& #Sepsis: Less is More?. 1️⃣💧hemodynamic effects are fleeting.2️⃣ Coin-toss probability in 💧responsiveness a….

Myatra Insert arterial line and TV challenge. PLR with echocardiography. Malbrain-.In the ICU, .Check mottling score , lactate , CRT.Add cardiac output monitoring - Thermodilution , CVaCO2, Tidal volume change and PPV. Appraise the acuity of the patient.

Acute circulatory failure - give .10ml/kg and reasses. Start vasopressor early and can be started via peripheral line. Remember the MINUTES algorithm. Assess fluid resuscitation end goal and tolerance .- cue POCUS 🫡.

Xavier Monet, Shiela Myatra and Manu Malbrain discuss fluid resuscitation. - check windows of perfusion .- look at DAP, pulse pressure . -assess fluid responsiveness.And???.Normal saline🫡vs balanced crystalloid🙃

RT @crit_sa: Very important: Registrations for the 2024 CCSSA Congress closes in 17 days!. Don’t miss out on attending the congress. Visit….

RT @Anaes_Journal: 🔓"We recommend the routine use of videolaryngoscopy in patients undergoing RSI with an expected normal airway.". Case cl….

RT @crit_sa: Introducing the first Mini-IFAD Workshop in South Africa at the CCSSA Congress on 22 August!.There are limited spaces availabl….

RT @Manoj_Wickram: Come and give our quiz a go. Prizes available for the winner (announced at the end of #SOA24) . @ORCA_education @SmallzA….

RT @ross_prager: @FH_Verbrugge discusses the top 10 diuretic mistakes at #HR24 . If you prescribe lasix you need to read these key mista….

RT @CritCareReviews: It's Critical Care Reviews Meeting week 🚩. 🔵 11 major trial results. 🔵 Full, free livestream. 🔵 No registration or lo….

RT @ContinuumAAN: The June #Neurocritical Care issue, guest edited by Dr. Ariane Lewis, is now available at .@AANM….

RT @yourICM: 🪡🧵 2/2 .💦use balanced crystalloids vs isotonic saline in critically ill pts in general, in sepsis & if kidney injury .💦 use is….

RT @yourICM: Resuscitation fluids, @ESICM guideline 🧵1/2.💦 for volume expansion use crystalloids vs albumin in critically ill pts in genera….

RT @Haywired2: Finally found the logic for using albumin with lasix