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
When do we begin resuscitation? #SCCM2023
We see that land and ocean temperatures are increasing. #SCCM2023
We see that CO2 concentrations are rapidly getting out of control! #SCCM2023
So how do we resuscitate? #SCCM2023
Tenets of crisis resource management #SCCM2023
Healthcare itself contributes a lot of emissions! #SCCM2023
Electricity emissions - This is about 1.25 gallons of gasoline.

We need to advocate for clean energy!
#SCCM2023
We should be thinking about the environmental impact of the drugs we prescribe. #SCCM2023
Dry powder inhaled are preferred environmentally to MDI! #SCCM2023
What about plastics? #SCCM2023
Potential areas for change! #SCCM2023
We need to find like-minded individuals who want to band together to enact change! #SCCM2023
Many countries, including Canada and the US have signed on to work on this project (but we need to invest more). #SCCM2023
This is hard because we’re asking to prepare for all potential contingencies while also handling the current catastrophes. #SCCM2023
We need to be preparing for potential hospital flooding. #SCCM2023
We need to be planning for disaster readiness (like hurricanes, tornados, fires, earthquakes, etc)! #SCCM2023
We need to have surge preparedness for heat and for infectious diseases! #SCCM2023
We need to be prepared for new infectious diseases (like Dengue) that will emerge and migrate due to climate change! #SCCM2023
Exposure to particulate matter from wildfires is also causing problems! #SCCM2023
Air pollution in itself is a health problem. #SCCM2023
The distribution of the problem is widespread! #SCCM2023
We need global solidarity to conquer this problem! #SCCM2023
The answer is of course your ICU can help, and we need to think long and hard about whether we are ready! #SCCM2023
Rebellions are built on hope! #SCCM2023
So what do we need to do? #SCCM2023
We need to work within our spheres of influence! #SCCM2023

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More from @gretchemaben

Oct 2
Today I took a Freedom Trail tour in Boston and learned a lot. Read on to brush up on some history!
William Blackstone signed up for an expedition to come from England to North America in the mid-1620s. He sets up a farm in what is now Boston.
The king of England and the church were not getting along in 1630, so people came over because they wanted a more strict church (puritans) and landed in Charleston, which is marshland.
Read 64 tweets
Sep 9
Here’s something I don’t understand. If I had $10 million invested with a 4% return, I would have $400,000 in interest every year. Even with my mortgage and taxes and a new car every year, I could still buy all the books, take incredible care of my pets, and travel the world. 1/
This amount would also be more than enough to completely retire and open my animal sanctuary which would be self-sustaining (I have it all planned out). And of course this would be without even touching the principal balance. 2/
Don’t get me wrong, I have absolutely no intent of ever having this kind of money. But here’s what I don’t understand - why in the world are we giving all these tax breaks to people with millions and millions of dollars. There are 759 BILLIONAIRES in the U.S. alone! 3/
Read 9 tweets
Mar 21
Travel Tips Thread!

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/
Read 32 tweets
Jan 22, 2023
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
Read 121 tweets
Jan 21, 2023
Patient enrollment #SCCM2023
Patient characteristics #SCCM2023
These slides show that they did indeed have a difference in therapies given. #SCCM2023
Read 56 tweets
Jan 21, 2023
My next #SCCM2023 tweetucation session is “Late-Breaking Studies That Will Change Your Practice”!
First we have Dr. Ivor Douglas (@com543) with “Restrictive vs Liberal Fluid Management for Sepsis-Induced Hypotension”! #SCCM2023
So what is the optimal fluid resuscitation strategy in shock? #SCCM2023
Read 10 tweets

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