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Gretchen Winter, MD 🌼

Follow @gretchemaben

Jan 21 • 10 tweets • 5 min read

My next #SCCM2023 tweetucation session is “Late-Breaking Studies That Will Change Your Practice”!

@com543

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

This suggests a small benefit to a restrictive fluid management strategy. #SCCM2023

This led to CLOVERS’ hypothesis. #SCCM2023

CLOVERS study design. #SCCM2023

Inclusion criteria #SCCM2023

Restrictive fluid protocol #SCCM2023

Liberal fluid protocol #SCCM2023

Now we have Dr. Nate Shapiro with the results! #SCCM2023

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More from @gretchemaben

Gretchen Winter, MD 🌼

@gretchemaben

Jan 22

My final #SCCM2023 tweetucation session for today is “Late-Breaking Studies Affecting Patient Outcomes”!

@stephanehrmann

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

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Gretchen Winter, MD 🌼

@gretchemaben

Jan 21

Patient enrollment #SCCM2023

Patient characteristics #SCCM2023

These slides show that they did indeed have a difference in therapies given. #SCCM2023

Read 56 tweets

Gretchen Winter, MD 🌼

@gretchemaben

Jan 21

@srinmurthy99

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

Read 30 tweets

Gretchen Winter, MD 🌼

@gretchemaben

Jan 21

My next session for tweetucation is something I’m VERY passionate about!: “Moral Injury: Don’t Just Stand There, Do Something”! #SCCM2023

@IchristKimberly

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