Critical Concepts @critconcepts.bsky.social · 25/07/2026I dunno if we can extrapolate from a study that used recruitment maneuvers, which we’ve seen harm from before (ART). And it did show less hypoxemia. Some would argue an RV will see less afterload with more PEEP as long as it reduces atelectasis 000
Critical Concepts @critconcepts.bsky.social · 23/07/2026We learn from Olivia Serigano about a clever method for setting PEEP in the obese by dividing the BMI by 3. icuscenarios.com/lightning-ro... #medsky #emimccicuscenarios.comLightning rounds 68: Setting PEEP in the obese with Olivia Serigano – Critical Care Scenarios 110
Critical Concepts @critconcepts.bsky.social · 24/06/2026Jerry Snow and med-tox fellow Andrew Sheen of Banner share with us a story from the front lines of toxicology. How low can your bicarb go? icuscenarios.com/episode-102-... #medsky #emimcc #pccm #critcareskyicuscenarios.comEpisode 102: Tox files #1 with Andrew Sheen and Jerry Snow – Critical Care Scenarios 011
Critical Concepts @critconcepts.bsky.social · 14/05/2026Kwame gives us the skinny on practicing medicine abroad. How do you do it right? Who pays? How do you get started? icuscenarios.com/lightning-ro... #medsky #emimccicuscenarios.comLightning rounds 65: Global health with Kwame Boateng – Critical Care Scenarios 022
Critical Concepts @critconcepts.bsky.social · 29/04/2026The great @traumaicurounds.bsky.social shares his take on the dilemma of acalculous cholecystitis in the ICU. Who really has it? Who's just pretending? What should we do about it? icuscenarios.com/episode-101-... #medsky #emimcc #critcareskyicuscenarios.comEpisode 101: Acalculous cholecystitis with Dennis Kim – Critical Care Scenarios 110
Critical Concepts @critconcepts.bsky.social · 18/04/2026If you've ever been mystified while sending one of those send-out antibody panels for autoimmune encephalitis, Tammy Smith is here to shed a little light from ARUP icuscenarios.com/episode-100-... #medsky #emimccicuscenarios.comEpisode 100: Autoimmune encephalitis testing with Tammy Smith – Critical Care Scenarios 020
Critical Concepts @critconcepts.bsky.social · 31/03/2026We explore the latest Surviving Sepsis guidelines with lead author Hallie Prescott, including the controversies pertinent to US-based practice icuscenarios.com/lightning-ro... #medsky #emimccicuscenarios.comLightning rounds 64: The new Surviving Sepsis guidelines with Hallie Prescott – Critical Care Scenarios 022
Critical Concepts @critconcepts.bsky.social · 25/03/2026One of the most important questions of our time... how should we learn medicine in 2026? Does anyone still read papers? When everybody sounds convincing, how do we decide which experts are right? What do we do with AI? Scott Weingart weighs in icuscenarios.com/lightning-ro... #medsky #emimccicuscenarios.comLightning rounds 63: How to be right, with Scott Weingart – Critical Care Scenarios 000
Critical Concepts @critconcepts.bsky.social · 19/02/2026I'll be teaching with CHEST at a cool new procedural course Chicago in April. If you want to master central lines, art lines, chest tubes, paracentesis, thoracentesis, LPs, IOs, and more, check it out! High instructor ratios and it should be awesome. www.chestnet.org/store/produc... #emimcc #medskychestnet.org Procedural Skills for the Critical Care Clinician | American College of Chest Physicians 020
Reposted by Critical ConceptsIntensive Care Academy @icacademy.bsky.social · 13/02/2026The basics of liver, kidney, and pancreas transplants and their post-ICU care. Now at icu101.com. #medsky #emimcc 011
Critical Concepts @critconcepts.bsky.social · 29/01/2026Do you attend rapid responses? Aka the most chaotic place you're likely to experience outside of a natural disaster? We share some tips for organizing the scene, the case, and the team. icuscenarios.com/episode-98-r... #medsky #emimccicuscenarios.comEpisode 98: Running rapid responses – Critical Care Scenarios 061
Critical Concepts @critconcepts.bsky.social · 19/01/2026I’ll be speaking about the history of the HEARTSafe Communities program in the US and potential international applications in Dubai next week. See you all there! #medsky #emimcc 010
Critical Concepts @critconcepts.bsky.social · 14/01/2026We chat with Keith Lamb about the nuances of nebulizer therapies. icuscenarios.com/lightning-ro... #medsky #emimccicuscenarios.comLightning rounds 59: The nuances of nebulizers, with Keith Lamb – Critical Care Scenarios 031
Critical Concepts @critconcepts.bsky.social · 08/01/2026How do we handle ICP crisis in the neuro ICU? icuscenarios.com/episode-97-m... #medsky #emimccicuscenarios.comEpisode 97: Managing ICP crisis – Critical Care Scenarios 031
Reposted by Critical ConceptsIntensive Care Academy @icacademy.bsky.social · 02/01/2026How to approach a toxicology case - now in the MICU course at ICU101.com. #medsky #emimcc 041
Critical Concepts @critconcepts.bsky.social · 26/12/2025Gastric bypass can cause steatosis and severe hyperammonemia. So can rituximab. Your joint effusion patient may have ureaplasma. Did you know all this? Prem teaches us all in the latest episode icuscenarios.com/episode-96-u... #medsky #emimccicuscenarios.comEpisode 96: Understanding ammonia, with Prem Kandiah – Critical Care Scenarios 010
Critical Concepts @critconcepts.bsky.social · 23/12/2025probably to detect hypercarbic encephalopathy 000
Critical Concepts @critconcepts.bsky.social · 14/12/2025So I'm looking for a better affirmation. How do I acknowledge without elevating myself above them? #medsky #emimcc #pulmcrit #criticalcare 210
Critical Concepts @critconcepts.bsky.social · 14/12/2025After a difficult shift or resus I will often thank a nurse for their help, or tell them they did well. But I now realize this creates a power dynamic of sorts; who am I to judge their work, and who says they were trying to help me? 100
Critical Concepts @critconcepts.bsky.social · 14/12/2025Instead, point out what they actually did (especially if it involved hard work). This highlights their efforts, and requires no judgment, only noticing, which everyone appreciates. I now realize this should probably apply at work. 110
Critical Concepts @critconcepts.bsky.social · 14/12/2025One interesting lesson I learned as a parent: don't constantly praise your kid. It not only cheapens the words, it conveys a message of judgment and emphasis on success—I am the arbiter of worth and I deem your efforts worthy. 110
Critical Concepts @critconcepts.bsky.social · 13/11/2025Clint Leonard gives us the scoop on the odd, sweaty place that is the burn ICU. icuscenarios.com/lightning-ro... #medsky #emimccicuscenarios.comLightning rounds 57: Burn critical care with Clint Leonard – Critical Care Scenarios 010
Critical Concepts @critconcepts.bsky.social · 12/11/2025After some hemming and hawing on this, I think I agree. VL with Mac is a more versatile skill and helps teach DL. But if you want a single skill for someone who will probably never move beyond a basic skillset, and who can trust always having VL available, hyperangulated is probably easier. 020
Reposted by Critical ConceptsIntensive Care Academy @icacademy.bsky.social · 10/11/2025We dive into the subtle art of placing, understanding, and interpreting the PA (Swan Ganz) catheter, on a new lesson at icu101.com. #emimcc #medsky 072
Critical Concepts @critconcepts.bsky.social · 05/11/2025either result would seem hard to rationally apply, from a Bayesian perspective 040
Critical Concepts @critconcepts.bsky.social · 29/10/2025Bad reason to place: patient is in shock Good reason to place: shock is labile 140
Critical Concepts @critconcepts.bsky.social · 29/10/2025No more PSV trials! RSBI is not a weaning parameter! Respiratory muscle fatigue is a myth! And more hot takes from the great Martin Tobin, this week on the show. icuscenarios.com/episode-95-s... #medsky #emimcc #intensivecareicuscenarios.comEpisode 95: Spontaneous breathing trials with Martin Tobin – Critical Care Scenarios 071
Critical Concepts @critconcepts.bsky.social · 16/10/2025Connecticut humans (also a remote option): I will be speaking at the Bridgeport Hospital CME conference on November 8 with a deep dive into shock. Check it out if interested! e.givesmart.com/events/KFO/ #emimcc #medskye.givesmart.comThere and Back AgainHelp Bridgeport Hospital spread the word about BH CME Conference! 010
Critical Concepts @critconcepts.bsky.social · 15/10/2025The great Tom Bleck shares his insights on treating seizures. Which benzo? When do you load an ASM, and which one? What drug to intubate, which drip? What's the ketamine deal? And more. icuscenarios.com/episode-94-m... #medsky #emimccicuscenarios.comEpisode 94: Mastering seizure pharmacology with Tom Bleck – Critical Care Scenarios 041
Reposted by Critical ConceptsIntensive Care Academy @icacademy.bsky.social · 14/10/2025New lesson on Pacemakers at the Intensive Care Academy - TCP, TVP, epicardial, PPMs, and more, including management in critical illness, the problem of false capture, and more. #medsky #emimcc 252
Critical Concepts @critconcepts.bsky.social · 03/10/2025buddy I am with you x.com/critconcepts... I had two minds to write a letter to the editor on the obvious physiologic error, but ran out of motivation 120
Critical Concepts @critconcepts.bsky.social · 01/10/2025This week on the podcast, Jon-Emile Kenny on fluid resuscitation and his wireless doppler device for predicting responsiveness icuscenarios.com/episode-93-f... #medsky #emimccicuscenarios.comEpisode 93: Fluid in sepsis and the FloPatch, with Jon-Emile Kenny – Critical Care Scenarios 001
Critical Concepts @critconcepts.bsky.social · 25/09/2025Prophylaxis is growing on me. Nothing worse than withdrawal developing in someone admitted to the ICU for another reason 020
Critical Concepts @critconcepts.bsky.social · 17/09/2025We explore the rare but scary phenomena of propofol infusion syndrome (PRIS) and propylene glycol toxicity, with our favorite toxicologist Jerry Snow. icuscenarios.com/episode-92-p... #emimcc #medskyicuscenarios.comEpisode 92: PRIS and propylene glycol toxicity, with Jerry Snow – Critical Care Scenarios 030
Critical Concepts @critconcepts.bsky.social · 10/09/2025Because like all peripherals, they can fail 020
Critical Concepts @critconcepts.bsky.social · 08/09/2025We demo a simulated goals of care conversation on this week's episode at icuscenarios.com/episode-91-a... #medsky #emimccicuscenarios.comEpisode 91: A simulated goals of care conversation – Critical Care Scenarios 031
Critical Concepts @critconcepts.bsky.social · 03/09/2025But like amio, I think many times, after a day or two the need has passed. Much of our RVR is transient 000
Critical Concepts @critconcepts.bsky.social · 03/09/2025same as amio hard to hurt anyone with a dose or two 110
Critical Concepts @critconcepts.bsky.social · 01/09/2025Agree somewhat, but should acknowledge the dosing issue, as these folks were on a high dose range. Not sure if it’s generalizable to a low dose strategy. 000
Critical Concepts @critconcepts.bsky.social · 01/09/2025My mind became a little more open when I rechristened this method as “asking someone to Google it for you,” which is more or less what I would have done otherwise, and I already understand the pros and cons of that well. 100
Critical Concepts @critconcepts.bsky.social · 01/09/2025Subdissociative dosing at most for pain. Stay way out of a partial dissociation range 110
Critical Concepts @critconcepts.bsky.social · 21/08/2025How does a town get a cervical collar named after it 000
Reposted by Critical ConceptsSara J. Hyland PharmD @sarajpharmd.bsky.social · 20/08/2025Had a great time chatting with you guys about residual NMB and reversal strategies in the ICU! Thanks so much for the conversation and for highlighting this topic. #emimcc #medsky #pharmsky 041
Critical Concepts @critconcepts.bsky.social · 20/08/2025I am both I guess it would make sense for the two systems to behave similarly, but I could just as easily see the opposite being true 000
Critical Concepts @critconcepts.bsky.social · 20/08/2025I joined the ACCRAC podcast to discuss one of my favorite topics: physiologic methods to determine the best PEEP. Check it out if you're into that! accrac.com/episode-314-... #emimcc #medskyaccrac.comACCRAC PodcastAnesthesia and Critical Care Reviews and Commentary 080
Critical Concepts @critconcepts.bsky.social · 20/08/2025#medsky peoples: alpha agonists cause more venoconstriction than vasopressin. Agree/disagree? #emimcc 100
Critical Concepts @critconcepts.bsky.social · 20/08/2025The great @sarajpharmd.bsky.social tells us how to use sugammadex in the ICU, why we should, and how many of our patients may have occult residual paralysis. #medsky #emimcc icuscenarios.com/episode-90-s...icuscenarios.comEpisode 90: Sugammadex in the ICU – Critical Care Scenarios 040