Thread by @EMinMiami

I ❤️the Choosing Wisely Campaign.

Here are the ICU-focused recs:

#criticalcare #icu #covid #nursing #medicine #emergencymedicine #zentensivist #FOAMed #MedEd #medtwitter

@TWDFNR @SCCM @accpchest @ATSCritCare @choosingwisely

Only order tests when it will affect clinical decisions! The routine ordering of tests increases health care costs, doesn’t benefit patients and may in fact harm them.

#FOAMed #MedEd #medtwitter #zentensivist

Transfusing RBCs at a threshold of 7 g/dL is associated with similar or improved survival, fewer complications and reduced costs compared to higher transfusion triggers.

#FOAMed #MedEd #medtwitter #zentensivist

For patients who are adequately nourished prior to ICU admission, parenteral nutrition initiated within the first week has been associated with harm, or at best no benefit, in terms of survival and length of stay in the ICU.

#FOAMed #MedEd #medtwittter

Don’t deeply sedate mechanically ventilated patients without a specific indication and without daily attempts to lighten sedation.

Less sedation has been shown to reduce the duration of mechanical ventilation and ICU and hospital length of stay!

#FOAMed #MedEd #medtwitter

Engaging patients and their surrogate decision makers in discussions promotes patients’ and families’ values, improve the quality of dying and reduce family distress and bereavement.

#FOAMed #MedEd #medtwitter #palliativecare #zentensivist