ORESTES: Set me back upright, swivel me round—there’s no pleasing the sick! I hate being helpless
ELEKTRA: Do you want to try putting your feet on the ground? It's been so long. But change is sweet
O: Yes by all means. That will seem like good health.
Sophocles on ICU mobility
Loved chatting with @critconcepts and @CritCareNotes about the ED-ICU interfaces and perspectives. Thanks for having me!
Lightning rounds 66: ED vs ICU with Namita Jayaprakash – Critical Care Scenarios icuscenarios.com/lightning-r…
Oh, the sun burns down pitiless upon me
And on my crushed white wings--my wings--my wings--
Why did I fly so high? I might by now
Be safe, if only--only-
Ah, but FLYING
Anyone in staff positions (attendings, APPs, etc) have advice for collaborating academically with house staff (residents/fellows)? Have had a hard time involving them in papers etc - they only seem interested for a brief window of time - and may end up ghosting you.
#medtwitter
Hard to balance giving them the involvement they want (and hopefully that is helpful to the project) while ensuring the work gets done, especially as their motivation may drift, eg once they match, or maybe decide to pursue another specialty...
@nickmmark@emcrit
EMCrit 422 - SSC 2026 Guidelines: The good, the Bad, and the UGLY - a discussion with lead author, Hallie Prescott
A fantastic interview on how the SSC guideline sausage was made and the areas I found contentious
[#FOAMed for now]
emcrit.org/422
I think this is one of the most important questions of our time... how should we learn medicine in 2026? Does anyone still read papers? When everybody sounds convincing, how do we decide which experts are right? What do we do with AI?
icuscenarios.com/lightning-r…#FOAMed#FOAMcc
🚨 Just had an absolute BLAST recording Episode 98 of @icuscenarios on RV failure in the ICU - with sepsis renal failure making it extra brutal.
We break down the real-world chaos:
- Why POCUS can fool you
- CVP trends
- Why vasopressin is my PVR-sparing go-to pressor
- Aggressive early diuresis guided by spot urine Na
- Why intubating is like walking a tightrope
- Avoid the killers that crank up PVR and doom the RV
Huge thanks to the host for the deep dive. This stuff saves lives in the trenches every night.
Listen now: icuscenarios.com/episode-98-…
And grab my new open-access review for the full framework: Acute Right Ventricular Failure in the Medical ICU (Lung 2025) → doi.org/10.1007/s00408-025-0…
What’s your clutch move when the RV starts failing in mixed shock? Drop it below -> let’s talk shop #RVFailure#CriticalCare#MICU#FOAMed#RightHeart#PulmonaryHypertension#Noctensivist
I'll be teaching with CHEST at a cool new procedural course Chicago in April. If you want to master central lines, art lines, chest tubes, paracentesis, thoracentesis, LPs, IOs, and more, check it out! High instructor ratios and it should be awesome. chestnet.org/store/products/…
We explore mechanical circulatory support, including balloon pumps, Impella, and ECMO, in the new CCU lesson at icu101.com.
#medtwitter#FOAMcc#ccu#pulmc