Discover and read the best of Twitter Threads about #CCC50
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Here's a little #Tweetorial of my presentation at @SCCM #CCC50 earlier today (available on demand!)
Here are "10 Tips for Better Presentations: Lessons from Storytellers" that can help improve your #MedEd, #Research, #Academic, & #Professional #presentations
#FOAMed #htdap
Here are "10 Tips for Better Presentations: Lessons from Storytellers" that can help improve your #MedEd, #Research, #Academic, & #Professional #presentations
#FOAMed #htdap
Our presentations suck. Period.
Presentations are fundamental to medical education. High volumes of information are โdeliveredโ in lecture halls and medical conferences, but the uncomfortable truth is that very little of that information is actually retained.
Presentations are fundamental to medical education. High volumes of information are โdeliveredโ in lecture halls and medical conferences, but the uncomfortable truth is that very little of that information is actually retained.
Some reasons why:
- Our lecturing style has remained stagnant despite the fact that our understanding of how people learn has changed.
- Most presentations make the supportive media (i.e. slides) the focus of the presentation without thought about the story or the delivery.
- Our lecturing style has remained stagnant despite the fact that our understanding of how people learn has changed.
- Most presentations make the supportive media (i.e. slides) the focus of the presentation without thought about the story or the delivery.
Challenges, hurdles, and lost opportunities but substantial contributions nonetheless
Thank you to the many many special nurses that have lead, supported, cared and better changed my career
Dr. Cook begins her #CCC50 Lifetime Achievement Award talk with reflection on her own 1st presentation ever as an #ICU fellow- at an @SCCM Congress! She was struck by the interprofessional group of attendees.(Thread)
#NationalWomenPhysiciansDay #WomenInMedicine #clinicalresearch
#NationalWomenPhysiciansDay #WomenInMedicine #clinicalresearch
Her first lesson learned to impart to us.
BE BRAVE.
An early senior researcher said to her early in career:
"I just don't think research is in your future"
Imagine what #CriticalCare world would have lost if she had listened.
#CCC50 #pulmcc #PedsICU
BE BRAVE.
An early senior researcher said to her early in career:
"I just don't think research is in your future"
Imagine what #CriticalCare world would have lost if she had listened.
#CCC50 #pulmcc #PedsICU
Dr. Cook: Sometimes dialogue is more important than consensus. You have the TRUST YOUR GUT. #CCC50
You're not growing until you're changing. Defining moments for bravery may come along when you least expect them. Be brave. #WomensPhysicianDay #PedsICU #pulmcc #ICU
You're not growing until you're changing. Defining moments for bravery may come along when you least expect them. Be brave. #WomensPhysicianDay #PedsICU #pulmcc #ICU
๐๐๐ ๐๐๐พ๐ ๐๐๐๐๐๐๐๐๐ ๐๐
1/5
Dif Approaches to Optimizing PEEP
PEEP and RV Function
Clifford Greyson @SCCM #CCC50
#PedsICU #PedsCICU #PedsCards
1/5
Dif Approaches to Optimizing PEEP
PEEP and RV Function
Clifford Greyson @SCCM #CCC50
#PedsICU #PedsCICU #PedsCards
2/5
โซ๏ธFrank-Starling law is more reflective of LV physiology
โซ๏ธ RV normally unstressed at end diastole
โซ๏ธ RV maladapts to volume overload overtime
โซ๏ธ Distorted RV balloons impedes LV
โซ๏ธ RV perfusion occurs during ventricular systole
โซ๏ธ Vicious cycle ๐ of RV dysfunction
โซ๏ธFrank-Starling law is more reflective of LV physiology
โซ๏ธ RV normally unstressed at end diastole
โซ๏ธ RV maladapts to volume overload overtime
โซ๏ธ Distorted RV balloons impedes LV
โซ๏ธ RV perfusion occurs during ventricular systole
โซ๏ธ Vicious cycle ๐ of RV dysfunction
3/5
RV afterload affected by
โซ๏ธPVR
โซ๏ธPul vascular compliance
โซ๏ธLAP
all compromised with excessive PEEP
RV afterload affected by
โซ๏ธPVR
โซ๏ธPul vascular compliance
โซ๏ธLAP
all compromised with excessive PEEP
Khana: case report of high renin vasodilatory shock in a COVID patient on VV ECMO aaa #CCC50
Douglas White (UPMC): ICU triaging both on saving most lives and those with longest life expectancy, even based on SOFA scores invariably will bias against patients of color, or lower SES #CCC50 #PedsICU
White: 4 strategies for ICU triage that promote equity
Kicking off the Year in Review for #PICUQI and #PedsICU #MedEd #CCC50 Search strategy included a review of ALL tables of contents of major pediatric and critical care journals, PUBMED search, key collaborative search, asking on @twitter and discussion with experts in the fields.
First up by @ndean75, โThe Late Rescue Collaborative: Reducing non-ICU arrestsโ in @PedCritCareMed Dean & colleagues saw decreased rates of non-ICU arrests & increased participation through @AAP #MOCPart4. #PICUQI #CCC50
journals.lww.com/pccmjournal/Fuโฆ
journals.lww.com/pccmjournal/Fuโฆ
Katri Typpo presenting the basic science arm of the Peds Year in Review (it's not all SARS-CoV2) #CCC50 #PedsICU
The legend Ann Thompson, MD, MHCPM, MCCM talking about her career in #PedsICU, including offering herself up as chief at Pittsburgh 6 months out of fellowship. #CCC50 #PedsICU (her caveat was that the division was 2 people with one fellow, 7 nurses, 10 PICU beds)
Thanks to those of you who attended my M2M presentation. Iโll tweet out links to the animations and other resources I used in the talk in this thread #CCC50 #PedsICU
First, the longer version of this, with some older animations from our grand rounds presentation in 2019. Featuring @jeffcimprich our lead animator @CincyKidsMedArt #CCC50 #PedsICU cchmc.cloud-cme.com/course/courseoโฆ
Daniel Dante Yeh: In first 7 days of critical illness., hypocaloric (<70%) nutrition should be used, can advance to 80-100% after day 3. Use indirect calorimetry if you can. #CCC50
Use high-protein, hypocaloric feeding in obese patients to preserve lean mass while not overfeeding. If 30-50 BMI use 11-14 kcal/kg actual bodyweight, if BMI >50 use 22-25 kcal/kg of ideal bodyweight.
Generally use normal protein goals for kidney failure. If on CRRT, however, need to account for loss of aminos in the membrane, may be ~15-17%.
John Teerlink: Cardiac calcitropes (catecholamines, PDE3 inhibitors) increase contractility, ischemia, arrhythmias, mortality. We use them anyway because it's what we've got. #CCC50
OPTIME-CHF: Milrinone for CHF exacerbation when NOT requiring inotropes. No clinical benefit but trend for more MI/death and significant increase in arrhythmias and hypotension.
OptimaCC: epi vs norepi in cardiogenic shock in MI: no difference in change in cardiac index, but discontinued for harm in epi group (tachycardia and increase in refractory shock). So maybe use norepi?
Xavier Monnet: CNPN doesn't work for fluid responsiveness because it ignores the shape of the Starling curve, which varies by patient. You can't get the intersection of two lines if you don't know one of them. #CCC50
"Mini" fluid challenge (100-150ml) avoids as much overload if it proves negative, but requires very sensitive markers of cardiac output. Maybe pulse counter analysis...
PPV, SVV Uses the respiratory cycle as an intrinsic fluid challenge. Automatically measured by some bedside monitors. No good in arrhythmias, spontaneous breathing, low lung compliance or tidal volumes (eg ARDS), so only works out in about 20% of ICU patients.
