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#hellomynameis Segun @iceman_ex
, 4 tweets, 2 min read Read on Twitter
So what about albumin in the critically ill? Yasser Sakr talks us through it

It might be good- especially in Sepsis #lives2018

It’s also the colloid with the highest safety margin...
And as if by magic in a parallel stream... #lives2018
However albumin may be bad too #lives2018
Conclusions: #lives2018

(I like albumin too personally)
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Related hashtags

#lives2018

More from @iceman_ex see all

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Now @Manu_Malbrain arguing for the retirement of the surviving Sepsis guidelines #lives2018
The fall in Sepsis mortality hasn’t coincided with the introduction of the guidelines #lives2018 🤔
Is the pro-con debate of the surviving Sepsis guidelines nothing more than a liberal vs restrictive fluid argument? #Lives2018
Read 23 tweets
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Good morning everyone! For my first session of day 2, I’ve decided to come and learn all about vasculitis in the ICU - being presented by Marlies Ostermann from @GSTT_ICU #lives2018
Marlies starts with a couple of case histories:

Middle aged women, presenting with undifferentiated pulmonary and renal failure, raised inflammatory markers, Nonspecific chest X-ray changes...

But which one has vasculitis? #lives2018
The answers are surprising...

(And it looks like you should #POCUS everyone with suspected vasculitis 😁😜) #lives2018
Read 22 tweets
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Now listening- Sheldon Magder: How does the venous system respond to changes in arterial pressure? #lives2018
“a compliant system is necessary for pulsation flow”- S Magder



#lives2018 #foamed #foamcc
The time constant of venous emptying is a new concept I’m not very familiar with #lives2018
Read 6 tweets

Related threads

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1/ 🗣️
Aquí va un hilo en vivo sobre mis frases preferidas de las III Jornadas Internacionales de @LA_Rednetwork

Here a live-thread about 🔝phrases/ideas from today's III @LA_Rednetwork anual meeting

#sepsis #PICSyndrome
#PedsICU #MeetingLARed18 @juancajara78 @rjabornisky

👇
2/
 Arriving at @PeluffoGiguens and we look at the board the invitation
Llegamos Fundación y vemos la cartelera

#MeetingLARed18
3/
 With @Nmtvd preparing connections

#MeetingLARed18
Read 52 tweets
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Worker’s abdomen penetrated by 20,000 PSI pressure washer, killing him #Safety
Worker pushing boards directly behind saw suffers kickback, driving a board directly into their chest, killing them. #Safety
Worker’s garments snag on tree branch, pulling them through woodchipper #Safety
Read 6 tweets
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#BigData #ICU #sepsis research I wish some1 would do

Optimal Duration of Time-Limited Trials in Critically Ill Patients

"If they are going to respond to this, we should see a response by ..."

What are median + 95th percentile for responses to common life-saving therapies?
I feel like we "know" this for lots of small things
- Lasix should make 'em pee within 20 minutes
- PEEP improves oxygenation in 20 minutes
- uroseptic shock should break within 24 hour
There are some scattered superb research projects:
- optimal durations of SBTs
- optimal time to neuroprognostication s/p anoxic injury
- Blood cultures will turn positive for MRSA w/i 48 hours if they are going to
Read 6 tweets
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Empathy (narrowly FEELING another's pain) prompts us to care deeply about a dozen Thai kids trapped in a cave...#good. Compassion (love, understanding, & concern in the face of suffering) causes us to care about them AND the tragic flooding of 1000's in Japan...#better (cont.)
Empathy shines a narrow spotlight on the few, and can cause us to overreact and act short-term to relieve pain. You can't empathize with 100's or with a statistical abstraction like massive flooding. You empathize with one story at a time, and you FEEL it personally. (cont.)
Compassion involves understanding, concern, and love in response to suffering wherever it's found. You don't assume the suffering as your own, but you act sustainably to try and relieve it. This may involve "tough love..." say, with addiction (cont.)
Read 4 tweets
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MARCO RUBIO’s HYPOTHESIS: Those against gun bans “want to prevent mass shootings, too. They view banning guns as an infringement on the Second Amendment rights of law abiding citizens that ultimately will not prevent these tragedies.”.
This is called the Scientific Method. To test his hypothesis (which means millions of lives), research is required.
RESEARCH BIAS; Rubio has an A+ rating from the gun rights group for supporting NRA-friendly legislation. According to the New York Times, he has received $3.3 million from the group. (Research bias,performing the research influence the results to portray a certain outcome.)
Read 13 tweets
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Critically ill Russian national is 66yo Sergei Skripal, former intel colonel/double agent granted refuge in UK after a 2010 "spy swap" between US & Russia. He and a woman were apparently poisoned in/near Salisbury shopping center. bbc.in/2D2oj7X
Ex-Russian spy & daughter 'poisoned' in UK sparks fears of another Kremlin-backed hit. Investigators scrambling to identify the chemical used. Skripal feared for his life after his wife died in a car crash & his son was killed in a road incident.. thesun.co.uk/news/5733372/s…
UK warns Kremlin over poisoning of ex-spy Skripal & his daughter. Recalling Litvinenko murder, FM Johnson said UK was "in the lead across the world" in trying to counteract a "host of malign activity" by Russia.

Skripal's brother, son & wife have been killed in the last 2 year.
Read 76 tweets

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