This afternoon’s #ATS2022 session starts with “Diagnosis and Management of Patients and Families with Post Intensive Care Unit Syndrome” with Dr. Hugo Carmona (@HcarmonaMD)!
Defining PICS - these 3 domains are the most common impairments for people with PICS. #ATS2022
What tools can we use to identify impairments in these domains? #ATS2022
Early mobilization improves patients walking without assistance at discharge. #ATS2022
Risk factors and PICS - There are pre-illness, hospitalization factors, and post-hospital factors. #ATS2022
The ABCDEF bundle can help improve outcomes. #ATS2022
The bundle improves discharge to home (vs facility) as more of the bundle is performed. #ATS2022
One year outcomes after ARDS - physical impairment and ability to return to work improve with time (but impairments remain). #ATS2022
Physical impairment typically recovers more quickly than the other PICS domains. #ATS2022
Delirium in the ICU is associated with cognitive impairment later. #ATS2022
Steroids and insulin are likely associated with worse physical impairment. #ATS2022
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