1/ 🧵An educational #PedsICU thread on P/F ratios and A-a Gradients , our 1st instalment of #PCCSHotTopic run by @PICSociety where we will have a PARDS webinar on 17/3 (free to register,link @ the end) & a podcast with @DrHeidiFlori alongside @PicPod_Podcast 2/ referenced articles with the help of @PICJournalWatch & an educational thread by myself that will aid in understanding the basics referred to in the teaching sessions.

1/A short recollection about compassion and moral distress in a #pedsicu that turned into an adult ICU for #COVID19 patients. This is my personal experience and there are no patient identifiers.
Thread. 2/I’m asked, almost daily now, how it felt to look after Adult ICU patients in full PPE when you I’ve been looking after children for the last 15-ish years. Intensive care is a funny old beast. We are accustomed to death and the possibility of death on a daily basis.

1/Which fluid is more appropriate in patients with hyperkalaemia 0.9% saline or Hartmann’s?
A #pedsicu thread:
How much K+ does Hartmann’s solution and 0.9% Saline solution contain respectively ? 2/ Hartmann’s solution has 4mmo/L of K+
0.9% saline has no K+ content.
So with that in mind, which one do you think is safer to use in a patient with hyperkalaemia (lets assume that's someone with a K+ more ore equal to 5.5mmol/L)

#PedsICU #FridayQuiz
2/12term👶♀
PrevF+W
24h⬆️WOB
🚑🔜🏥
O/E
HR200-220
RR↕️-gasps
Sats85%(L=R)FiO2 15L/min
CRT6
A♈️PU
BP34/14-L=R
AF↔️
⬇️AE Lbase
❌murmurs
pulses feeble-palpable
❌rash
A)ETT plan-drugs/preox?
B)Post ETT plan
C)Ddx
D)InterpretECG&identify intervention @Τ=5
/1 Acronyms
F+W Fit&Well
↕️Variable
♈️Responds to voice
↔️Soft
L=R Equal bilaterally
⬇️AE Decreased air entry
Ddx Differentials
Cases from published peer reviewed reports
Answers next week
Focus on management
Tomorrow is the 1 year anniversary of the #PedsICU #FridayQuiz/2
🎈 🎉 🍰

#PedsICU #FridayQuiz
8mo ♂F+W36hHx D+V 🤮
status epilepticus @🏡➡️☎️🚨2xBenzo by🚑
➡️🏥
Ο/Ε TC fit 30 min ⏰
sats💯(15L/min O2 NRBM)
RR10
HR140-160
CRT5
NIVBP84/63
Temp37.3C
PEARL👀4
a)Initial mgmt plan
b)post ictal fluid mgmt plan
c)Interpret ECG
d)Investigation panel
e)Ddx #PedsICU #FridayQuiz
Acronyms
F+W Fit&Well
D+V Diarrhoea&Vomiting
TC TonicClonic
NRBM Non-Rebreathe Mask
NIV Non invasive
🚑Paramedics
Mgmt Management
Ddx Differentials
Cases from peer reviewed reports,answers Sunday
Quiz curated4 #paediatricemergencies course,give team a follow