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

Jan 22
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 Image
Nearly all ICUs impose some form of fasting before extubation, but this time seems to be decreasing. #SCCM2023 Image
Read 121 tweets
Jan 21
Patient enrollment #SCCM2023 Image
Patient characteristics #SCCM2023 Image
These slides show that they did indeed have a difference in therapies given. #SCCM2023 ImageImageImage
Read 56 tweets
Jan 21
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 Image
So what is the optimal fluid resuscitation strategy in shock? #SCCM2023 Image
Read 10 tweets
Jan 21
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
Read 35 tweets
Jan 21
My first #SCCM2023 session for tweetucation is “ARDS in the Time of COVID-19”!
First up we have “Noninvasive respiratory support: In COVID-19 and otherwise” with Dr. Robert Hyzy (@bhyzy)! #SCCM2023
We know that the P/F increases with NIV/MV compared to HFNC, likely due to PEEP. #SCCM2023
Read 34 tweets
Jan 19
Who’s ready for another timeline cleanse?!? We went to the Aquarium this morning and as Rosie said when we parked, “It’s ANIMAL TIME!” ImageImageImageImage
My favorite snake is a green tree python! ImageImageImageImage
Read 10 tweets

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