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Critical Concepts

@critconcepts.bsky.social
2.5K followers 1.8K following 235 posts

Critical care PA, FCCM, former EMT. Cohost of icuscenarios.com, teaches at icu101.com. #FOAMcc #FOAMed

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Critical Concepts @critconcepts.bsky.social · 25/07/2026
I 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
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Critical Concepts @critconcepts.bsky.social · 23/07/2026
We 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 #emimcc
icuscenarios.com
Lightning rounds 68: Setting PEEP in the obese with Olivia Serigano – Critical Care Scenarios
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Critical Concepts @critconcepts.bsky.social · 24/06/2026
Jerry 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 #critcaresky
icuscenarios.com
Episode 102: Tox files #1 with Andrew Sheen and Jerry Snow – Critical Care Scenarios
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Critical Concepts @critconcepts.bsky.social · 14/05/2026
Kwame 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 #emimcc
icuscenarios.com
Lightning rounds 65: Global health with Kwame Boateng – Critical Care Scenarios
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Critical Concepts @critconcepts.bsky.social · 29/04/2026
yep
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Critical Concepts @critconcepts.bsky.social · 29/04/2026
The 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 #critcaresky
icuscenarios.com
Episode 101: Acalculous cholecystitis with Dennis Kim – Critical Care Scenarios
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Critical Concepts @critconcepts.bsky.social · 18/04/2026
If 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 #emimcc
icuscenarios.com
Episode 100: Autoimmune encephalitis testing with Tammy Smith – Critical Care Scenarios
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Critical Concepts @critconcepts.bsky.social · 31/03/2026
We explore the latest Surviving Sepsis guidelines with lead author Hallie Prescott, including the controversies pertinent to US-based practice icuscenarios.com/lightning-ro... #medsky #emimcc
icuscenarios.com
Lightning rounds 64: The new Surviving Sepsis guidelines with Hallie Prescott – Critical Care Scenarios
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Critical Concepts @critconcepts.bsky.social · 25/03/2026
One 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 #emimcc
icuscenarios.com
Lightning rounds 63: How to be right, with Scott Weingart – Critical Care Scenarios
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Critical Concepts @critconcepts.bsky.social · 19/02/2026
I'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 #medsky
chestnet.org
Procedural Skills for the Critical Care Clinician | American College of Chest Physicians
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Intensive Care Academy @icacademy.bsky.social · 13/02/2026
The basics of liver, kidney, and pancreas transplants and their post-ICU care. Now at icu101.com. #medsky #emimcc
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Critical Concepts @critconcepts.bsky.social · 29/01/2026
Do 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 #emimcc
icuscenarios.com
Episode 98: Running rapid responses – Critical Care Scenarios
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Critical Concepts @critconcepts.bsky.social · 19/01/2026
I’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
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Critical Concepts @critconcepts.bsky.social · 14/01/2026
We chat with Keith Lamb about the nuances of nebulizer therapies. icuscenarios.com/lightning-ro... #medsky #emimcc
icuscenarios.com
Lightning rounds 59: The nuances of nebulizers, with Keith Lamb – Critical Care Scenarios
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Critical Concepts @critconcepts.bsky.social · 08/01/2026
How do we handle ICP crisis in the neuro ICU? icuscenarios.com/episode-97-m... #medsky #emimcc
icuscenarios.com
Episode 97: Managing ICP crisis – Critical Care Scenarios
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Intensive Care Academy @icacademy.bsky.social · 02/01/2026
How to approach a toxicology case - now in the MICU course at ICU101.com. #medsky #emimcc
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Critical Concepts @critconcepts.bsky.social · 26/12/2025
Gastric 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 #emimcc
icuscenarios.com
Episode 96: Understanding ammonia, with Prem Kandiah – Critical Care Scenarios
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Critical Concepts @critconcepts.bsky.social · 23/12/2025
probably to detect hypercarbic encephalopathy
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Critical Concepts @critconcepts.bsky.social · 14/12/2025
So I'm looking for a better affirmation. How do I acknowledge without elevating myself above them? #medsky #emimcc #pulmcrit #criticalcare
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Critical Concepts @critconcepts.bsky.social · 14/12/2025
After 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?
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Critical Concepts @critconcepts.bsky.social · 14/12/2025
Instead, 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.
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Critical Concepts @critconcepts.bsky.social · 14/12/2025
One 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.
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Critical Concepts @critconcepts.bsky.social · 13/11/2025
Clint Leonard gives us the scoop on the odd, sweaty place that is the burn ICU. icuscenarios.com/lightning-ro... #medsky #emimcc
icuscenarios.com
Lightning rounds 57: Burn critical care with Clint Leonard – Critical Care Scenarios
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Critical Concepts @critconcepts.bsky.social · 12/11/2025
After 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.
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Intensive Care Academy @icacademy.bsky.social · 10/11/2025
We dive into the subtle art of placing, understanding, and interpreting the PA (Swan Ganz) catheter, on a new lesson at icu101.com. #emimcc #medsky
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Critical Concepts @critconcepts.bsky.social · 05/11/2025
either result would seem hard to rationally apply, from a Bayesian perspective
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Critical Concepts @critconcepts.bsky.social · 29/10/2025
Agreed… this is some skinny love
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Critical Concepts @critconcepts.bsky.social · 29/10/2025
Bad reason to place: patient is in shock Good reason to place: shock is labile
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Critical Concepts @critconcepts.bsky.social · 29/10/2025
No 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 #intensivecare
icuscenarios.com
Episode 95: Spontaneous breathing trials with Martin Tobin – Critical Care Scenarios
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Critical Concepts @critconcepts.bsky.social · 16/10/2025
Connecticut 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 #medsky
e.givesmart.com
There and Back Again
Help Bridgeport Hospital spread the word about BH CME Conference!
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Critical Concepts @critconcepts.bsky.social · 15/10/2025
The 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 #emimcc
icuscenarios.com
Episode 94: Mastering seizure pharmacology with Tom Bleck – Critical Care Scenarios
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Intensive Care Academy @icacademy.bsky.social · 14/10/2025
New 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
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Critical Concepts @critconcepts.bsky.social · 03/10/2025
buddy 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
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Critical Concepts @critconcepts.bsky.social · 01/10/2025
This week on the podcast, Jon-Emile Kenny on fluid resuscitation and his wireless doppler device for predicting responsiveness icuscenarios.com/episode-93-f... #medsky #emimcc
icuscenarios.com
Episode 93: Fluid in sepsis and the FloPatch, with Jon-Emile Kenny – Critical Care Scenarios
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Critical Concepts @critconcepts.bsky.social · 25/09/2025
Prophylaxis is growing on me. Nothing worse than withdrawal developing in someone admitted to the ICU for another reason
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Critical Concepts @critconcepts.bsky.social · 17/09/2025
We 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 #medsky
icuscenarios.com
Episode 92: PRIS and propylene glycol toxicity, with Jerry Snow – Critical Care Scenarios
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Critical Concepts @critconcepts.bsky.social · 10/09/2025
Because like all peripherals, they can fail
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Critical Concepts @critconcepts.bsky.social · 08/09/2025
We demo a simulated goals of care conversation on this week's episode at icuscenarios.com/episode-91-a... #medsky #emimcc
icuscenarios.com
Episode 91: A simulated goals of care conversation – Critical Care Scenarios
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Critical Concepts @critconcepts.bsky.social · 03/09/2025
But like amio, I think many times, after a day or two the need has passed. Much of our RVR is transient
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Critical Concepts @critconcepts.bsky.social · 03/09/2025
same as amio hard to hurt anyone with a dose or two
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Critical Concepts @critconcepts.bsky.social · 01/09/2025
Agree 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.
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Critical Concepts @critconcepts.bsky.social · 01/09/2025
My 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.
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Critical Concepts @critconcepts.bsky.social · 01/09/2025
Subdissociative dosing at most for pain. Stay way out of a partial dissociation range
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Critical Concepts @critconcepts.bsky.social · 21/08/2025
How does a town get a cervical collar named after it
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Sara J. Hyland PharmD @sarajpharmd.bsky.social · 20/08/2025
Had 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
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Critical Concepts @critconcepts.bsky.social · 20/08/2025
I 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
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Critical Concepts @critconcepts.bsky.social · 20/08/2025
But what of the venous side?
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Critical Concepts @critconcepts.bsky.social · 20/08/2025
I 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 #medsky
accrac.com
ACCRAC Podcast
Anesthesia and Critical Care Reviews and Commentary
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Critical Concepts @critconcepts.bsky.social · 20/08/2025
#medsky peoples: alpha agonists cause more venoconstriction than vasopressin. Agree/disagree? #emimcc
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Critical Concepts @critconcepts.bsky.social · 20/08/2025
The 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.com
Episode 90: Sugammadex in the ICU – Critical Care Scenarios
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