Eddy J. Gutierrez, MD

We continue to discover additional "things" in our blood that help guide management in sepsis. But how much could they help? How much would it cost, given that it seems every patient with a pulse is said to be "septic" these days? 🎩 tip to the authors. eddyjoemd.com/foamed

When starting their training, many clinicians (myself included) find it difficult to organize their thoughts in the heat of the moment. Acronyms like MINUTES for undifferentiated shock help streamline the management process. 🎩 tip to the authors. eddyjoemd.com/foamed

We occasionally have a patient transferred to the ICU with aspiration pneumonia or hypovolemia with renal failure due to a small bowel obstruction. Here's a simple algorithm to run through to help manage these patients. 🎩 tip to the authors. eddyjoemd.com/foamed

We should prioritize our patients' sleep as much as we prioritize sleep in our own lives. Unfortunately, lots of us are a mess at both. This paper offers strategies to help patients improve their sleep. 🎩 tip to the authors. eddyjoemd.com/foamed

Should we rebrand the 4Hs and 4 Ts in cardiac arrest to ABCDE? Let me know your thoughts. 🎩 tip to the authors. eddyjoemd.com/foamed

We are trained to think about amniotic fluid embolism when a pregnancy has a hemodynamic complication that lands them in our ICU. How many of us have actually seen it? I haven't, thankfully. This paper tackles what we need to know. 🎩 tip to the author. eddyjoemd.com/foamed

Watching the platelet count drop in our patients is unnerving. Sure, there are some cases where we can explain it, but we oftentimes need to pull the trigger and check for HIT. Here's a great review on caring for these patients. 🎩tip to the authors. eddyjoemd.com/foamed

We're approaching the 200-year anniversary of having crystalloids in our armament. Here's a fun timeline of how we got here, along with a cool paper to boot. 🎩tip to the authors. eddyjoemd.com/foamed

It's no secret how alcohol trashes the liver, but when patients come to our hospitals with SIRS and abnormal liver tests, it's time to have honest talks about how much booze they drink. This algorithm helps us manage these cases. 🎩 tip to the authors. eddyjoemd.com/foamed

The science nerd in me is fascinated by the glycocalyx. The clinician nerd in me is fascinated by the practical aspects of providing plasma to repair the broken glycocalyx. But does it actually improve outcomes? 🎩 tip to the authors. eddyjoemd.com/foamed

Fluid accumulation syndrome, a term coined by these authors, definitely sounds nicer than "drowning your patients." Either way, stop drowning your patients. 🎩 tip to the authors, including @Manu_Malbrain eddyjoemd.com/foamed

The first step in diagnosing and treating pericardial tamponade is to consider it. This highlights why point-of-care ultrasound training is so essential. 🎩 tip to the authors. eddyjoemd.com/foamed

Continuous EEGs are frequently ordered in our ICUs for indications including seizures and status epilepticus. Although we joke about " diffuse generalized slowing compatible w/diffuse encephalopathy..." there are some takeaways. 🎩 tip to the authors. eddyjoemd.com/foamed

Alcoholic cardiomyopathy is the result of heavy, prolonged drinking. For context, > 80 grams is the equivalent of 6 beers a day. This paper tackles this diagnosis. 🎩tip to the authors. eddyjoemd.com/foamed

When a patient presents with a metabolic acidosis driven by an elevated lactate, renal failure, and metformin happens to be amongst the home meds, the alarm bell needs to be going off in our heads. Act fast. 🎩 tip to the author. eddyjoemd.com/foamed

Despite years of reading on the topic and optimizing my practice, I can't say for sure I know "the best" way to approach nutrition in our critically ill patients. This paper appraises the RCTs and guidelines to provide guidance. 🎩 tip to the authors. eddyjoemd.com/foamed

Our talented physical therapy and occupational therapy colleagues help (with a lending hand from the nurses and CNAs) mobilize our ICU patients. There are still reservations about doing so, but this paper helps overcome some of these barriers. 🎩 tip to the authors.…

Nasal high flow oxygen is a tool I use daily in the ICU. The ROX index can also be helpful in certain situations. Here's how those two work. 🎩 tip to the authors. eddyjoemd.com/foamed

Upon checking the labs, we sometimes note that something is beating up the liver. We put the patient through a workup and, much to our surprise, it is the fault of the medications we are providing. Here are some offending agents. 🎩 tip to the authors. eddyjoemd.com/foamed