Parimal
@Haywired2
Followers
499
Following
2K
Media
79
Statuses
764
Critical Care @ AIIMS-Delhi
New Delhi, India
Joined May 2019
Tissue like for LUS score of 3 should be atleast of 2.5cm depth from pleural line
0
0
0
ESICM—ESPNIC consensus on quantitative lung ultrasound in intensive care, 2025. Most observed pattern is normally retained
1
0
0
RT @ZerodhaVarsity: In 2024, Jane Street, a Wall Street high-frequency trading (HFT) firm, made a profit of over $2.3 billion in India alon….
0
327
0
Nutrition and metabolic control for ICU patients.ICM 2025. RT trophic feeds is best and increase gradually over a week with monitoring a few things as below. If pt tolerates trophic feeds, thats not an indication to overfeed or do 80ml or 100ml/hr!
0
0
0
Prone positioning during VV ECMO: stay on the back or not?.ICM; 2025.Bottomline: If u haven't tried proning, just do it & see if its helpful. PRONECMO didnt show benefit since 98% pts were proned prior to ECMO & only nonresponders may have received ECMO
0
0
0
"In traumatic brain injury (TBI), higher physiological targets are generally preferred. PaO₂ in the range of 90–120 mmHg .MAP above 90 mmHg .Hb above 9 g/dL
0
0
1
Traumatic brain injury management in the intensive care unit: standard of care and knowledge gaps.Intensive Care Medicine Journal.Narrative Review.16 June 2025. Advocate less chance of extubation failure in TBI (and hence GCS>6)
2
0
4
Acute kidney injury: when and how to start renal replacement therapy.Intensive Care Medicine.Published: 19 May 2025."Although it's quite uncommon to do this in the ICU, it is supported by evidence"
0
0
4
Narrative Review on 'How to approach a patient hospitalized for pneumonia who is not responding to treatment?'
1
0
0
RT @DrDanMO: I sure hope the endless discussions of “which magical salt water solution is best for hospitalized patients” ends… https://t.c….
0
30
0
RT @EHJIMPEiC: #EHJIMP 🔍 Can we estimate PAWP with #echofirst without including LAV? 📈 ePAWP-NOLA, derived from E, S & D waves, shows stron….
0
16
0
In this target trial emulation, bicarbonate administration was associated with a small but statistically significant reduction in mortality for patients with metabolic acidosis.
link.springer.com
Intensive Care Medicine - Sodium bicarbonate is commonly administered to treat metabolic acidosis in intensive care units (ICUs). There is limited evidence from randomized trials to support this...
0
0
1
If you are all by yourself in the ICU and need help in interpreting the ABG, here is the go-to person!.
0
1
3
30 year old farmer with sudden onset high grade fevers, altered sensorium, sev resp distress progressed to ARDS in few days and you notice this on physical exam.Likely diagnosis?
1
0
2
Traditional medical teaching says "Occam's razor"—the single simple explanation is the most likely diagnosis. But, more appropriate for ICU patients is -> Hickam's dictum, "The patient can have as many diseases (diagnoses) as she pleases".
1
0
6
9) Level 4: Medulla.Spontaneous cardiorespiratory changes:.Apnea.Unstable blood pressure.Irregularities in heart rate and rhythm.
0
0
11