Increased ICP will be seen as MCA decreased diastolic flow and a sharp upstroke initially, or even diastolic flow reversal in the setting of cerebral arrest. #CHEST2021 5/
Find the MCA anterior to the thalamus in the circle of willis. #CHEST2021 6/
You can estimate the ICP using the pulsatility index. #CHEST2021 7/
You can also use US to evaluate for vasospasm. #CHEST2021 8/
Measure the optic nerve sheath (bilaterally enlarged in increased ICP). Unilateral enlargement should change your differential (things like optic neuritis). #CHEST2021 9/
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