1/Are you FISHING for a way to better evaluate subarachnoid hemorrhage? Are you hungry for a way to classify these patients? Donut you worry! Here’s a short thread to help you remember the modified Fisher scale for classifying subarachnoid hemorrhage.

20/20 (pocket takeaway) BE sizes it. Na − Cl explains it. Albumin unmasks it. Residual = nasty anions. That’s the Story method — Stewart made simple, usable at the bedside. #MedX #ICU #FOAMed #CriticalCare

My attending once said, “If you don’t want to miss something, you have to know where look for it!” Intracranial aneurysms may occur at many locations, but overwhelming at the ACOM & PCOMM. Look hard at these regions! Remember, you miss 100% of aneurysms you don't look for!

Knowledge is contagious! Infectious encephalitis can be a difficult diagnosis, but patterns on MRI can suggest an etiology. Most know herpes & the temporal lobe Do YOU know any more? Here’s a figure to help you remember the most “common” encephalitis patterns for different

🧂Hyponatremia is a common the ICU, but correcting it smoothly & safely can be challenging. 🧠Rapid correction risks serious complications like ODS/CPM 📈That's why I built NaPathway - a free app - to help clinicians monitor sodium correction Try it https://t.co/nE8tFI5d0k 🧵

20 Pictures with Deep meaning: 1.

Fun fact: Your brain needs sleep so badly that after 3 days it'll literally create its own stimulation • 24–48h: anxiety, irritability, visual distortions • 48–72h: hallucinations, disordered thinking • >72h: delusions, full-blown psychosis (760 healthy volunteers)

A 𝐦𝐢𝐭𝐨𝐜𝐡𝐨𝐧𝐝𝐫𝐢𝐨𝐧 is a cytoplasmic organelle that generates, through oxidative phosphorylation, molecules of ATP, a chemical used to store and generate energy for cellular functions, including proliferation. Neurons and muscle cells are particularly sensitive to

1/Time to go with the flow! Hoping no one notices you don’t know the anatomy of internal carotid (ICA)? Do you say “carotid siphon” & hope no one asks for more detail? Here’s a thread to help you siphon off some information about ICA anatomy!

@PaisKalaila @WesElyMD @DrDaleNeedham @CritCareReviews @BIDMC_IM @AAPhysiatrists @ATSCritCare @CHESTCritCare For ICU Acquired Weakness, prevention is as important as treatment. Remember SIREN for 🚨 risk factors, and always remember to REACT. Of course, we have to remember our ABCDEFs too 🙌 @BrownJHM @COREIMpodcast @ThoraxBMJ @irishthoracicS @accpchest @atscommunity @david_furfaro

@JimBethell I like Dom Perignon, Jim. A bottle of that in 2008 cost about £137. That's around £223 now after inflation. As you'll know from the HoL cellars: vintages vary, but that's around the current price. However…. (🧵1/5)

Neurosurgical management of the acute phase of adult and pediatric traumatic brain injury: 2025 guidelines of the French Society of Neurosurgery 3rd French guideline this week! CCR Journal Watch - tracking the critical care literature daily https://t.co/Sp06oA6IDG

Time to master mass effect!! Four main types of herniation from mass effect: Subfalcine: Brain herniates under the flax. See as midline shift in axial CT slices Transtentorial: Temporal lobes herniated across the tentorium into the posterior fossa & cause mass effect upon the

Current corticosteroid therapeutic strategy for community-acquired pneumonia in adults: indications, dosage, and timing CCR Journal Watch - tracking the critical care literature daily https://t.co/Sp06oA6IDG

1/Time is brain! But what time is it? If you don’t know the time of stroke onset, are you able to deduce it from imaging? Here’s a thread to help you date a stroke on MRI!

1/ Most people think the heart drives circulation. But what if that’s backwards? Anderson’s model flips the whole idea of cardiac output on its head — and it changes how you think about fluid, flow, and failure. 🧵👇 #physiology #FOAMed #MedTwitter #criticalCare #cardiacOutput

This is surprising In this meta-analysis of over 10k patients the rate of symptomatic intracranial bleeding was actually lower on apixaban vs aspirin (relative risk 0.67, P=0.10) 🤔 https://t.co/UAyqPpXcqt

Vascular territories & stroke patterns on MRI. #MEDed #FOAMed #RADed #FOAMrad #radres #neurorad