IMCrit (@IM_Crit

IMCrit

14.4K posts

IMCrit

@IM_Crit_

Intensivist I Internal Medicine | ☕️, 🍩, 🥐, 🍫 addict

Joined April 2020

IMCrit
@IM_Crit_
Feb 5, 2022
An hour ago, I placed another chest tube in a COVID-19 patient who developed tension pneumothorax. He was diagnosed 7 weeks ago and has already tracheostomy and PEG. In our hospital's electronic health records, he is not even listed as a COVID patient... 🤦‍♂️
IMCrit
@IM_Crit_
Mar 16, 2024
ICU Pharmacology Secrets: Some drug side effects, even if relatively rare, are well entrenched in our memory. For example, most intensivists & hospitalists are aware of cefepime-induced neurotoxicity or clindamycin’s association w C difficile infection (or even the seemingly
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IMCrit
@IM_Crit_
Jan 21, 2024
ICU Extubation Tips: Let’s admit it. As intensivists, we will never be as good in airway management as our Anesthesia or Emergency Medicine colleagues are. They intubate many more pts than we do & some of them under very suboptimal conditions. So, we can never match their skills
420K
IMCrit
@IM_Crit_
Apr 2, 2022
A young ICU nurse resigned this week & will work in an outpatient Plastic Surgery center. Same pay but NO nights/weekends Our most experienced nurse aide, a pillar of our ICU w whom I did MANY night shifts, is retiring early. He told me: "I had enough" MD/DOs are leaving too
IMCrit
@IM_Crit_
Apr 12, 2024
ICU Pharmacology Secrets: This is another random collection of pharmacology pearls that I witnessed & wrote down during the last two months. And so it begins: 1. Hydralazine (H) is a widely used arterial vasodilator; especially in 🇺🇸, it is mostly used to treat
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IMCrit
@IM_Crit_
Oct 14, 2022
ICU stories (from the trenches): It's been a bit more than 2 hrs in your night shift & you are checking some labs signed out to you to be followed on. A rapid response is called for "agitation" in Rm 666; in less than a minute the operator calls for a "Code Blue" in the same room
IMCrit
@IM_Crit_
Dec 3, 2022
ICU stories (a boring one…): If you work in a general ICU of a community hospital in United States, one of the common admissions you will get is the unfortunate resident of a nursing home or rehabilitation center that lives there for several decades & at some point becomes
IMCrit
@IM_Crit_
May 4, 2024
ICU stories: Patient underwent laparoscopic colectomy complicated by R paracolic abscess (s/p drainage) & fascial dehiscence. On post-op day 8, at 20:30, he called out for his nurse stating he was having trouble breathing & back pain. He was diaphoretic w O2 sat in 70s at 2 l/m.
442K
IMCrit
@IM_Crit_
Aug 3, 2024
ICU Stories: While walking around the ICU at the beginning of your night shift, you notice that the respiratory therapist increased the FiO2 from 90 to 100% in a mechanically ventilated patient. Bedside monitor shows O2 sat 90%. You decide to read a bit more about the patient:
418K
IMCrit
@IM_Crit_
Jun 20, 2023
Refresher on Hemodynamics: From: Cardiovascular Hemodynamics. An Introductory Guide. Arman T. Askari, Adrian W. Messerli. Springer International Publishing; 2019
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