Dominik Daszuta

Flyer for the FLUID trial results at CCR25

🚨 FLUID Trial Results🚨

Balanced crystalloids vs saline in hospitalised patients

📍 16 Canadian hospitals
👥 >144,000 pts 😮
🏁 Cluster-crossover RCT
📊 90-day death or readmission

➡️ Big trial !
➡️ Big numbers !

🚩 The answer drops at #CCR25🚩

Today's Paper of the Day is use of hypertonic saline in neuroanesthesia and neurocritical care practice

https://criticalcarereviews.com/latest-evidence/paper-of-the-day
Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2025

PulmCCM woke up and chose violence 😂

The article is, unfortunately, painfully accurate.

Palliative care has been shown to improve & extend life in advanced malignancy, but it’s sorely underutilized.

#EMIMCC

Principle of intravenous fluid therapy in the neurocritical care

CCR Journal Watch

https://criticalcarereviews.com/latest-evidence/journal-watch

Get the latest critical care literature every weekend via the CCR Newsletter - subscribe at https://criticalcarereviews.com/newsletters/subscribe

Nice article about the medicalisation of dying

"Death is increasingly seen as a failure, rather than a natural stage of life"

#emimcc #medsky

Chronic postsurgical pain after abdominal surgery may have genetic risk factors eg the PDE4D gene!

The lifetime risk of undergoing abdominal surgery is > 50% & the estimated incidence of chronic postsurgical pain is 10% - 50%

#AnSky #GeneSky

https://buff.ly/4h3RHy3

Sepsis and Septic Shock from the legend @theplaguemd #FOAMed #FOAMcc #sepsis @sepsisUK

I got tired of opening a dozen PDFs to find the ECMO pressure/flow curve I need.

So I made an app!

Choose the cannula/size and you can see the max flow for a given pressure drop. Or compare multiple different cannula.

Lmk what ya’ll think. Useful? What’s it need?

onepagericu.com/ecmo-calcula...

Talking trauma - London Trauma Conference Day 1 Day 1 review from the London Conference 2024 with Zaf Qasim. Also check out our podcasts from the same conference on our podcast channel. #FOAMed

If you had #FOMO about missing the London Trauma Conference held earlier this month, don't worry - I've got you covered with my take on Day 1 here (via @stemlyns.bsky.social)

www.stemlynsblog.org/talking-trau...

Excerpts from:

Echocardiographic Evaluation of a Patient in Circulatory Shock: A Contemporary Approach

Shock parameters:

Hello #AnSky has anyone used a #Butterfly portable US for gastric ultrasound??
Is it any good??

Definitely, same with NG tube insertion, and POC check ( whilst fastened)… Covid times it was a must.

Less is more…

A man is in an ICU hospital bed, intubated and sedated. The graphic around him depicts various organ systems that can contribute to fevers in ICU patients, including CNS, endocrine, cardiac, respiratory, GI, GI, bone, skin/soft tissue, and others (I.e. malignancy, autoimmune conditions, and drug fevers).

Differential diagnosis for fever in an ICU patient #IDSky #MedSky #SciArt

Nerd humor 🤓 #statisticshumor #cardiosky #medsky

My ICU is lucky to have this beautiful therapy dog who comes every weekend to visit patients, relatives and us staff. The joy he brings is immeasurable, especially for our longer term pts. ❣️ #criticalcare #medsky #dogs

#WearAMask for a healthy & #HappyThanksgiving!

Syst rvw (N=15 articles, 50 flights):

If no 😷 required, risk of #COVID19 ⬆️ w/ flight time, compared to flights <3 hrs:

😣 3-6 hrs: 4.7x ⬆️
😩 >6 hrs : 25.9x ⬆️

>6 hrs flights w/ 😷 required had no transmission reported

/1

#MedSky #IDSky #PublicHealth

Rethinking energy and protein provision for critically ill patients - Intensive Care Medicine Intensive Care Medicine -

Rethinking energy and protein provision for critically ill patients: link.springer.com/article/10.1...

“In one study, academics who had worked on jointly authored research papers were asked what fraction of the team’s output their own work accounted for. On the average four-person team, the sum of the claimed credit was 140%.”

~ Robert Wright (2017) Why Buddhism… page 84

Give prophylactic abx post-tube thoracostomy in trauma

Best evidence (2022 SRMA bit.ly/4cHLCpE) shows decreased rates of empyema w/ abx particularly in patients with penetrating trauma

#MedSky

Insta Reel: bit.ly/3OoGtIh

Principles for management of hip fracture for older adults taking direct oral anticoagulants: an international consensus statement

#AnSky #MedSky #PharmSky #SurgSky

https://buff.ly/3BJIr2C

Rhoids and then wait and see maybe ?

Endothelial Protection & Improved Micro- & Macrocirculation with Hemoadsorption in Critically Ill Patients

CCR Journal Watch
criticalcarereviews.com/latest-evide...

Get the latest critical care literature every weekend via the CCR Newsletter - subscribe at criticalcarereviews.com/newsletters/...

Are you up-to-date with the latest evidence on airway management in patients with suspected or confirmed cervical spine injury?

@sthjournalclub.bsky.social @iliff-helen.bsky.social
@elboghdadly.bsky.social

#AnSky #MedSky 🧪

https://buff.ly/3UXJweg

Cool tool BUT Has it been validated in ICU PTS?

Point-of-care ultrasound training in nephrology: a position statement by the International Alliance for #POCUS in #Nephrology (IAPN)
🔗https://academic.oup.com/ckj/article/17/11/sfae245/7733825?login=false&utm_source=advanceaccess&utm_campaign=ckj&utm_medium=email