IMCrit

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ICU Facts: Hypotension is not a diagnosis #foamed #foamcc #meded #MedTwitter #hemodynamics

ICU Practice: I should not have to say this but IMHO a guaiac test to detect occult blood in a stool sample or gastric fluid is a useless test (especially in the ICU setting) Of course, I may be wrong #foamed #foamcc #meded #MedTwitter

The American Thoracic Society (ATS) updated its recommendations on some aspects of the diagnosis and management of community-acquired pneumonia (CAP)

ICU/ED Snapshots: Elderly patient with history of atrial fibrillation / HTN (treated with apixaban & b-blocker) came to the ED complaining of dizziness/weakness. Found to have AKI (creat: 2.0) & hyperkalemia (K: 6.0). BP was 128/59. ECG showed:

ICU/ED Secrets: I don’t know who has to hear this but amiodarone should not be given -like a candy- to all ventricular arrhythmias It’s a bad idea to give it to a patient with ventricular escape rhythm unless you are looking for trouble @amalmattu has excellent posts on this

#_POCUS CWD: Can you identify these 3 different spectral (Mid-systolic, late systole and early diastolic) profiles ?

Friendly reminder that chasing the lactate with fluid boluses in a patient with mesenteric ischemia or severe C. Diff colitis will only lead to massive fluid overload. If the patient survives the intra-abdominal catastrophe, she will spend at least a few days intubated in the ICU