Once the acute myocardial infarction-related cardiogenic shock starts knocking out other organs, mortality skyrockets. This is why it's imperative to restore function and perfusion as early as possible. 🎩 tip to the authors, including @SarasVallabhMD ,.

Your patient has severe aortic stenosis. We bring our structural heart and CT surgery buddies on board to help decide whether they'd benefit from a SAVR or TAVR. Here are some insights as to how they decide which is better for them. 🎩 tip to the authors.

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With every decision we make while caring for ICU patients, we weigh the risks and benefits. Providing platelets to patients is no exception. This paper breaks down what we need to know about this process in 10 elegant points. 🎩 tip to the authors.

When patients go into ARDS, their right ventricle often takes a nap in the process. Here's why it often turns into a deleterious spiral, compromising other organs in its slumber. 🎩 tip to the authors.

The management of ascites in patients with cirrhosis can get tricky. When they're hospitalized, whether in the wards or the ICU, striking a balance is a delicate one. This article details an algorithm for this. 🎩 tip to the authors.

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Vasopressin is extremely powerful and not only meant to be used as a "backup dancer" as I refer to in my book, The Vasopressor & Inotrope Handbook. This paper provides a free deep dive into the data. 🎩 tip to the authors.

Depending on the etiology, different LFT patterns exist in patients who are suffering from acute liver failure. This table addresses some, and this paper breaks down the picture. 🎩 tip to the authors.

Are you using 0.9% NaCl or balanced salt solutions such as Lactated Ringer's or Plasmalyte to resuscitate your patients with DKA? This paper suggests that we should be using the latter. 🎩 tip to the authors.

There might be a new vasopressor coming to town: Centhaquine. I'm looking forward to the research that will add it to our armamentarium. I hope to include it in the second edition of The Vasopressor & Inotrope Handbook. 🎩 tip to the author.

There are numerous pharmacological options to manage patients with an acute pulmonary embolism. This paper explores each of these and the data supporting them. Said data gets spare pretty quickly. 🎩 tip to the authors.

There's more to resuscitation than hitting a MAP goal in a hemodynamically unstable patient. There are numerous other parameters that we should be working on learning and optimizing to achieve the best outcomes. 🎩 tip to the authors.

Should You Avoid the Right IJ for Central Lines in Critically Ill Patients? New episode of The Saving Lives Podcast. 🎩 tip to the authors.

When treating patients w/acute heart failure, we witness the renal function fluctuate during their hospitalization. This paper explains when we should stay the course with decongesting them versus worrying. Some AKI may be ok. 🎩 tip to the authors.

There are many areas for improvement in how patients sleep in the ICU. Many of our interventions trash their ability to get the rest they need. This paper tackles how light is just another piece of the puzzle. 🎩 tip to the authors.

Pts who present w/ "toxic metabolic encephalopathy" present unique challenges going down the diagnostic rabbit hole. As much as there is a societal aversion to LPs, getting it done early is helpful before empirically treating them. 🎩 tip to the authors.

Approximately a third of patients who undergo cardiac surgery develop atrial fibrillation. This paper tackles the mechanisms, adverse clinical events, and treatment strategies. 🎩 tip to the authors.

Approximately 30% of patients who undergo cardiac surgery develop acute kidney injury. Here are some mechanisms as to why it happens. 🎩 tip to the authors.

New Saving Lives Podcast episode: Acetazolamide + Furosemide: Boosting Diuretic Response & Fighting Alkalosis in the ICU.