Next up is Dr. David Bowton (@David Bowton) with "Neuro Critical Care in Review". #CHEST2021 13/
This study analyzed thrombectomy >6 hours later for CVA and found improvements in mRS. #CHEST2021 14/
Thrombectomy up to 24 hours after last known normal can be effective in improving patient outcomes. #CHEST2021 15/
There are numerous studies comparing alteplase and teneteplace. #CHEST2021 16/
Why should you care? Tenecteplace is cheaper and easier to administer. #CHEST2021 17/
This meta-analysis has some potentially misleading conclusions in the article.35% of the patients >60yo in this study came from a trial that was withdrawn from publication. #CHEST2021 18/
This review looked at goal BP in ICH. No benefit to SBP goal <130. Optimal BP targets and timing remain somewhat uncertain. #CHEST2021 19/
The Divani article found that big BP changes were associated with worse outcomes. #CHEST2021 20/
This study looked at temperature management post-CPR for non-shockable rhythms. Targeting normothermia appears equivalent to cooling to 33 degrees C. #CHEST2021 21/
This study also agrees with the above conclusion. #CHEST2021 22/
TTM and expert assessment prior to consideration of withdrawal of life support leads to higher survival. #CHEST2021 23/
Last up is Dr. Steven Simpson (@sqsimp) with "Sepsis 2021" #CHEST2021 24/
The surviving sepsis campaign published 2021 guidelines. #CHEST2021 25/
These are the updates in the new surviving sepsis guidelines. #CHEST2021 26/
Updates in hemodynamic management. For septic shock resuscitation they suggest (weak recommendation) using balanced crystalloids instead of NS. #CHEST2021 29/
New section on long-term outcomes and goals of care! #CHEST2021 32/
This study on SEP-1 found that there was an improvement in mortality if you did receive the bundle, regardless of the likelihood for compliance. #CHEST2021 33/
Thanks for joining us for this great review! #CHEST2021 34/34
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Many of you have reached out, asking me what company I used to plan my trips. I actually plan the vast majority entirely myself. So since so many of you seem curious, here’s how I do it: 1/
Disclaimer 1: For certain polar locations I have booked cruises through Quark Expeditions. These include my trip to Antarctica, as well as upcoming trips to Greenland and Svalbard. I particularly like this company due to their focus on environmental protection and education. 2/
Disclaimer 2: I did use a travel agency for my most recent trip to Africa, because it is very difficult to book, safari and transfers there without someone with expert knowledge of the area. 3/
My final #SCCM2023 tweetucation session for today is “Late-Breaking Studies Affecting Patient Outcomes”!
First we have “Continued Enteral Nutrition Until Extubation Compared to Fasting Prior to Extubation in the Intensive Care Unit: A Clustered Randomized Trial” with Stephan Ehrmann (@stephanehrmann)! #SCCM2023
Nearly all ICUs impose some form of fasting before extubation, but this time seems to be decreasing. #SCCM2023
Next up for tweetucation at #SCCM2023 is “The Intersection of Climate Change and Critical Care” with Dr. Srinivas Murthy (@srinmurthy99) and Dr. Gloria Rodriquez-Vega!
We will talk about whether our ICUs are ready and what they can do to help. #SCCM2023
Case presentation - this is a code red for humanity! #SCCM2023
My next session for tweetucation is something I’m VERY passionate about!: “Moral Injury: Don’t Just Stand There, Do Something”! #SCCM2023
First up is “Recognizing the Signs, Symptoms, and Impacts of Moral Injury” with Kimberly Ichrist (@IchristKimberly)! #SCCM2023
The concept of moral injury is from military literature and is “a wound from doing something that violated one’s own ethics, beliefs, or attachments.” #SCCM2023