When delirium hits, families often question why they came in for problem X and now have this. Counseling goes a long way, but oftentimes I provide them with a paper to help them learn. This might be my new go-to. 🎩 tip to the authors. https://t.co/Sfr6vCnEaM

Our friends in the UK have provided us with an emergency algorithm to manage our patients on ECMO when it hits the fan. 🎩 tip to the authors, including @LukeFlower1. https://t.co/Sfr6vCn6le

I've been reading about sublingual microcirculation for some time now. Does anyone here have real-world experience with these devices and analyzers? This review tackles many of the questions we all have regarding this technology.🎩 tip to the authors. https://t.co/Sfr6vCn6le

To appropriately manage volume overload, we need to identify it. After all, it's not just the heart and lungs that get beaten up by resuscitation. This paper evaluates VExUS as the literature supporting it. 🎩 tip to the authors. https://t.co/Sfr6vCnEaM

Why do patients develop hypoxia when receiving either nicardipine or clevidipine infusions in the ICU? Check out my new podcast episode for the answer. 🎩 tip to the authors of the 12 papers I used as citations. https://t.co/55xP4itIbS

One never forgets the first time they took care of someone with scleroderma renal crisis. If an unfortunate patient presents with this, here's how to manage it. 🎩 tip to the authors. https://t.co/Sfr6vCn6le

Many of us are still learning how to use VExUS in our clinical practice. Here's a concise paper to help some jump on board. 🎩 tip to the author. https://t.co/Sfr6vCn6le

Are we starting inotropes too late in Cardiogenic Shock? A new (observational) study suggests mortality doubled when therapy began after 8 hours. 🎩 tip to the authors. https://t.co/Sfr6vCn6le

Leaving the hospital. What the heck is it dark?

I've taken a brief break from my daily posting. I still read every morning, but, from a business perspective, I'm lucky that shipping out signed copies of "The Vasopressor & Inotrope Handbook" has taken up a significant amount of time. https://t.co/zPl4KnJwoW

Do you provide IV fluids to your patients? If so, please read this article in its entirety. 🎩 tip to the author. https://t.co/Sfr6vCn6le

I am grateful for our pharmacists who help our patients with antibiotic selection and duration every single day. 🎩 tip to the authors. https://t.co/Sfr6vCn6le

As AI makes its way into our hospitals, my first thought is, "What in the world are the EMR companies working on with this tech?" Do they have access to the vast data from our hospitals to train their models, like I think they do? 🎩 tip to the authors. https://t.co/Sfr6vCnEaM

If you're learning how to perform lung ultrasounds, the BLUE Protocol is a great starting point. This paper tackles what you need to know. 🎩 tip to the authors. https://t.co/Sfr6vCnEaM

Your critically ill patient is demonstrating that they have a coagulopathy. Should you order all the standard "coags" or go deeper? Visceroelastic testing is showing up at our shops and it's a lot more than a board question. 🎩 tip to the authors. https://t.co/Sfr6vCn6le

Here's why your septic patient has lymphopenia. 🎩 tip to the authors. https://t.co/Sfr6vCnEaM

Historically, the most common cause of cardiogenic shock that presents to our ICUs was acute myocardial infarction. It seems that it has shifted to heart failure. 🎩 tip to the authors. https://t.co/Sfr6vCn6le

No daily post today. 🎩 tip to @CriticalCareNow for inviting me to speak at ResusX!

Targeting oxidative stress pathways, in my opinion, is the most effective way to manage sepsis. Our obsession (including mine) with IV fluids may be a distraction because it is something we can actually control. 🎩 tip to the authors. https://t.co/Sfr6vCnEaM