#emimcc — Public Fediverse posts
Live and recent posts from across the Fediverse tagged #emimcc, aggregated by home.social.
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Anyone have recommendations on good papers on critical illness neuropathy and myopathy? #emimcc #critcaresky #cccsky
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There’s seems to be no end to the research waste Marik’s fraudulent publication has caused.
#emimcc #cccsky #cardiosky
RE: https://bsky.app/profile/did:plc:dlxbud7brqdmfa3yirbj3v2g/post/3mr7u5pwtad2v -
Systemic vascular resistance is not a realiable measure of left ventriclar afterload. In this study, noradrenaline actually decreased left ventricular wall stress even though SVR increased. Higher heart rate and contractility leads to a smaller LV, lower wall stress. #emimcc #cccsky #cardiosky
Systemic vascular resistance: ... -
T-EDTA to prevent CVC thrombosis. Only difference is lower use of alteplase. Thoughts? #emimcc #ansky #cccsky jamanetwork.com/journals/jam...
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Why on earth would you do these observational studies on this question when we already have randomised ones? #cardiosky #emimcc #critcaresky
RE: https://bsky.app/profile/did:plc:2fjkyirlnjae3vy257gnw3y7/post/3mou2g6zugc2y -
For the love of reverend Bayes, stop combining observational and randomised studies in meta-analyses! #emimcc #cccsky #stats www.sciencedirect.com/science/arti...
Norepinephrine versus epinephr... -
I think Brandolini’s law should be renamed Marik’s law #emimcc #ccr26 #medsky
RE: https://bsky.app/profile/did:plc:x34ddhklxbv74q5ac2aub77f/post/3mo3nt6fvok2n -
Thinking about this. Oblivious confounded, I’d bet a randomised trial would show a much smaller if any harm, but surely no benefit. We need that trial #emimcc #medsky
RE: https://bsky.app/profile/did:plc:6e6vgoq35acl6g3repmc2z7y/post/3lfufichxqs2l -
Lo and behold, the 4 sepsis phenotypes proposed by Seymour (jamanetwork.com/journals/jam... ) based on cluster analysis aren't reproducible in a multicenter cohort. #emimcc #medsky #stats
RE: https://bsky.app/profile/did:plc:lkvob3xue3vp5otbv6gpt6z5/post/3mncikuege226 -
Never seen it. I joke that for each decaden of practice, you can drain 250ml more and hour. Once by accident drained 3l in an hour, patient was so satisified😅 #emimcc
RE: https://bsky.app/profile/did:plc:23kyc35kxpg4b3fmejeicxm4/post/3mlvhdwvdmk2d -
RCTs have shown no benefit from IABP in acute ischemic cardiogenic shock, an observatiobal trial isn’t even hypothesis generating. No grounds for new IABP trials in this population in my opinion. #cardiosky #cccsky #emimcc
Intra-aortic balloon pump vers... -
Agree with this
All formulae for corrected calcium are imperfect
Just measure ionized calcium
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Agree with this All formulae for corrected calcium are imperfect Just measure ionized calcium pubmed.ncbi.nlm.nih.gov/42035248/ #EMIMCC
Albumin-adjusted ("corrected")... -
Observational studies suggests higher mortality but lower thrombosis risk with VKA vs DOACs in CTEPH. What do people do? Personally I want a trial before switching to DOACs as standard of care here #emimcc #cardiosky
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Bayesian reanalysis can be a great way to assess a contested trial, by showing how strong a prior you need to nullify or inverse the results. I don't understand why they did not include a pessimistic prior here though (even as I see a sceptical one more realistic). #emimcc #cardiosky #cccsky #stats
RE: https://bsky.app/profile/did:plc:77cp7kgakti2uthqnkkdaqum/post/3mkpw474mis2q -
REBOARREST by friends and colleagues is out! No benefit of Reboa in non-traumatic OOHCA #cardiosky #emimcc #critcaresky link.springer.com/article/10.1...
Prehospital resuscitative endo... -
Single arm pulmonary embolism intervention studies are useless for anything than assessing adverse events, perhaps even more so than the registry studies. Just look at the discrepancy in mortality between RCTs and observational data without inclusion criteria. #emimcc #cardiosky
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Good example that diastolic flattening is much more common than systolic in acute PE. #echosky #emimcc #pocusky
RE: https://bsky.app/profile/did:plc:ypl3l3efpmvo25klknwnoevj/post/3mk65dbbkfc2r -
Do PPIs cause kidney damage? Read an update at the bottom of our summary www.nephjc.com/news/compass... #MedSky #NephSky #EMIMCC
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Cool study - an amp of sodium bicarbonate (50 ml 8.4%) raises sodium similar to a boils of 3% - as expected of course!
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In heterogeneous syndromes like ARDS and sepsis, I believe we generally are more likely to be able to find what causes iatrogenic harm than actual therapies. #emimcc #critcaresky
RE: https://bsky.app/profile/did:plc:q5ogl3twkcqyhvz4zebonw3z/post/3migjy6ta5z2u -
Precision medicine in sepsis = correct antimicrobial coverage, source control and tailored haemodynamic support. #emimcc
RE: https://bsky.app/profile/did:plc:u6ai4u2rvrdb5xjk62y2jpci/post/3mjflldtrf52m -
In a patient with high-risk pulmonary embolism, but no sign of hypoperfusion, would you start LMWH or UFH? #emimcc #cardisky #cccsky #critcaresky
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On the other hand, if you use PICCO just to get the ABP value, you may become wiser #emimcc
RE: https://bsky.app/profile/did:plc:pdj5upxe4ocjvjltlkdai7b4/post/3miyx7rlbyc2r -
TIGRIS, the new Xigris? #emimcc
RE: https://bsky.app/profile/did:plc:mciolqc63d6o6pveql6t6s2t/post/3mhycedhdyk22 -
The most dangerous thing you can have is a non-septic shock misclassified as septic shock. #emimcc
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One point that isn't mentioned here but too often forgotten when noradrenaline seemingly isn't working: Are you actually using a representative blood pressure? Not so rare that a better (more central or better line) fixes the problem. Look at the whole patient, not just a number! #emimcc #cccsky
RE: https://bsky.app/profile/did:plc:vmwckmxogx3lipqxlmn76mbe/post/3mh67jqfw3z2h -
The end of the road for rivaroxaban? Shows how important direct comparative trials among drugs within the same pharmacologic class are. #emimcc #cardiosky www.nejm.org/doi/full/10....
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One thing that strikes me from these guidelines (which do have many good parts) is how many of the interventions have strong Ia recommendations based on purely observational evidence. Putting the cart before the horse #emimcc #cardiosky
RE: https://bsky.app/profile/did:plc:pdj5upxe4ocjvjltlkdai7b4/post/3mfi3rdpwyc2t