CriticalCareNow

VL isn’t cheating; It’s just better medicine
Using VL isn't lazy; it’s professional. Standard geometry moves the tongue while hyperangulated works around it, but both beat "old-school" DL. Don't let ego risk patient safety. Choose the best tech. 🚑 #FOAMed #Laryngoscopy

Why does 6cc/kg IBW often fail to protect the lung?
Because as disease severity increases, the aerated lung volume participating in ventilation decreases. Guesstimating vs. calculating matters less than the titration based on driving pressure. Comment to discuss.

Spontaneous ICH: What’s your BP goal?
High-yield neuro pearl: the target range is 130–150 mmHg, with a preference for < 140 mmHg. Regulating this is tough, but vital for outcomes.
Have you seen this present differently in your unit? Comment to discuss.

Cardiogenic shock? Pressors > Fluid Boluses
While fluids are the reflex for sepsis, 30 mL/kg can be a death sentence for a failing heart. 16% of shock is cardiogenic—pumping fluid here causes catastrophic pulmonary edema. Use pressors, not boluses. #EmergencyMedicine #FOAMed #Shock

Stop confusing VL with hyperangulated laryngoscopy

VL is the tech (camera + screen), while DL is the technique (line of sight). You can do both at once with standard blades. Hyperangulated blades are specialized tools, not a default upgrade. 🚑
#FOAMed #AirwayManagement

The use of steroids in septic shock has been debated for decades, but more recent data increasingly supports their benefit (PMID: 38250247), particularly for patients in refractory vasopressor shock.

Do This After A Code

Code Blues / Cardiac Arrests are incredibly demanding, both physically and emotionally, especially when they don't have the outcome we hoped for. As healthcare professionals, it's essential to have a routine for processing these intense moments.

The biggest resuscitation conference of 2026. Live in Philly or watch online. CME and CEU available

Why is the hyo-epiglottic ligament the "secret hack" for emergency airways? Advance into the vallecula and engage this ligament to mechanically lift the epiglottis for a superior view. 📸: Terren Trott (5-Minute Airway). Have you seen this presented in your unit?

Stop sedation-only protocols. 🛑

Vented patients are in pain even without trauma. Propofol is a blindfold, not a painkiller.

The Meat:
Pain meds first.
Lower sedative needs.
Better stability.

The "Don't": Assuming quiet = comfortable.

Fentanyl or Propofol first? 🏥

#ICU #Nursing #CriticalCare

Epi or Levo?

...so, you've just achieved ROSC in a hypotensive patient. Which vasopressor should you reach for: Epinephrine or Norepinephrine?

The answer, supported by data, is unequivocally Norepinephrine

Epi or Levo?

...so, you've just achieved ROSC in a hypotensive patient. Which vasopressor should you reach for: Epinephrine or Norepinephrine?

The answer, supported by data, is unequivocally Norepinephrine

Diuretic Resistance in Cardiorenal Syndrome (Part 4)

Diuretic Resistance in Cardiorenal Syndrome (Part 3)

Diuretic Resistance in Cardiorenal Syndrome (Part 2)

Diuretic Resistance in Cardiorenal Syndrome (Part 1)

It’s kinda a vibe

ResusX.com

YouTube video by CriticalCareNow Morning Report: Episode 1

It’s my new show and it’s kinda weird

Morning Report: Episode 1
youtu.be/NxXJUTIRetM

@emswami.bsky.social

Full interview on YT (@CriticalCareNow)

In this episode, Dr. Chris Doty talks about the Emergency Medicine match, the future of emergency medicine, and why EM is so special.

ResusX started seven years ago as an idea to create the “anti-medical conference”. This September 29, we’ll be running our largest conference to date so please consider joining us at the incredible resuscitative experience that we call ResusX

ResusX.com/resusx:2025

Full interview on YT (@CriticalCareNow)

In this episode, Dr. Chris Doty talks about the Emergency Medicine match, the future of emergency medicine, and why EM is so special.

Famous Billy quote about being an ER doc #MedSky

ICU #Hemodynamics:

Compared with the left ventricle, the right ventricle is much less *preload-dependent* than you think and much more *afterload-sensitive* than you expect

#foamed #foamcc #meded #medsky #cccsky #emimcc #pocus

#emimcc

YouTube video by EMSwami Pulse Oximeter Rocks #emergencymed #emergencymedicine #criticalcare #resuscitation

Pulse Oximeter - Best ED Multitasker
1)Gives you O2 sat
2)Gives you HR
3)Gives you marker of peripheral perfusion: poor waveform = poor perfusion = give volume or vasoactives
4)(May) give you perfusion index: quantifiable strength of perfusion

#MedSky #EMIMCC
youtube.com/shorts/MNXOw...

ResusNation Newsletter An educational newsletter for all things in Emergency Medicine and Critical Care

I just published the 100th issue of our weekly newsletter, ResusNation. Over 16,000 people are getting the newsletter that is jam-packed with education for the resuscitationist

Sign up now www.resusx.com/newsletters/...

This is heartbreaking. Was a constant lurker on CCM-L but recently took a break from it after 15 years. I’m sad to hear and sorry I missed it. Thanks for sharing this

YouTube video by CriticalCareNow Refractory Hyperkalemia

#بسم_الله
Refractory hyperkalemia
@criticalcarenow.bsky.social

Truth