🙋‍♂️Are you starting early PN & SPN regularly?

🔎 Especially given new ASPEN guidelines that early PN is just as safe as EN & HAS NO association with infection of any kind!

🎧 Join us on Critical Care Time tomorrow - via your favorite podcasting platform, & enjoy some…

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On rounds at Grady

Me: 'How're you feeling today?'
Him: 'Well. I been better. That medicine y'all gave me made me run off!'

My team looked puzzled.
I did not.

Me: 'Oh no! You talking 'bout the medicine we gave you for your gout flare up?'
Him: 'Yeah! That one!'

Hey all, a friend runs a social skills program for neurodivergent teens (link below). I thought I'd get some board games that might be good options for the teens. Any ideas? bostonpeers.com

free match day book giveaway: the Internet Book of Hospital Pulmonology😁

67 new chapters were added to the IBCC, to more broadly cover pulmonology & thoracic radiology

carefully curated from the finest books & articles, delivered straight to your phone

emcrit.org/pulmcrit/ibhp/

'When you practice something with depth, over time, you inevitability crash headfirst with yourself. You inevitability run into you.'

Neat podcast episode on meditation and how it can be more than what that word makes you think of. Boston Boabom open.spotify.com/episode/6rkpiZ…

👇💯 agree (its wrong)

PB has a wide therapeutic window

15-25 ug/ml is usually fine to treat EtOH w/d

coma doesn't usually occur until >65 ug/mL

this window is why PB monotx is safer than benzodiazepines (which lack reproducible pharmacokinetics)

emcrit.org/ibcc/etoh/

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How could eating black licorice cause life-threatening hypokalemia?

Why in the world could specifically eating this food cause serum potassium levels to dangerously drop?

#medtwitter #tweetorial

If you like this sort of quirky, interesting medical content, check out The Curious Clinicians for more!

Lakshman Swamy ([email protected]) Gail Simone 💙💛 Omar ⭐️ Star 🎙🏀🩺🎧 Vincent Chan, MD Critical Care: The Game Panda Game Manufacturing Do you know if there's any way to get the game now? I missed the Kickstarter but this looks perfect to play with our medical school students!

'In grief, we are never alone. It is through grief that our family members must navigate when their loved ones die in the ICU. It is our capacity to experience grief that enables us to empathize with our family members as they cope with the loss of a loved one in the ICU.'

It has been a pleasure & privilege to serve as coeditor-in-chief for the American Journal of Critical Care from 2018-2023 with cindy munro . The companion text for this last editorial was Elizabeth Bishop's 'One Art': aacnjournals.org/ajcconline/art… AACN Critical Care Lakshman Swamy ([email protected])

We have some additional supporting analyses with the paper, which is Open Access 🔓!

As always, we'd love to hear thoughts, feedback, or other ideas. Thanks for reading! bmj.com/content/384/bm…

Dive into this study in chapter 3 of RANDOM ACTS OF MEDICINE!

New study out today asking: When is the best time to get the flu shot? 🗓️💉🤷‍♂️

Studying young kids vaccinated against influenza, we (w/ Anupam Jena Charlie Bray) look at what happens to those randomly more likely to be vaccinated at certain times because of their birthday. 🧵

'Humanizing the intensive care unit' is a really nice (and short) paper by Samuel Brown's team. I suggest you check it out- it is open access. ncbi.nlm.nih.gov/pmc/articles/P…

🚨 🏥 Please Retweet! Early enteral #nutrition (EN) w/in 3 d of ICU admit/intubation improves outcomes!

⬇️ Hospital MORTALITY
⬆️ D/C to Home
⬇️ ICU & Hosp LOS
⬇️ Vent Days
⬇️ Costs

🙋‍♂️Data from >27800 pts in real world practice
🔗 sciencedirect.com/science/articl…
#ICUNutrition #FOAMcc …

Sounds like the answer is nestle Compleat and Kate farms. 🌿

To all ICU healthcare workers & those interested in nutrition:

Are there any tube feeds I can provide a surgical ICU patient that would align with their vegan lifestyle? From my understanding all conventional tube feeds contain dairy.

Thank you for any help /guidance /insight!

I can assure you this is not the solution to alleviating burnout.

I have a simple one, end your ties with ABIM/ABMS, demand their monopoly end. If you truly advocated for docs you would do this. But you never will unfortunately, so we will take matters into our own hands.