SadCrit @schistosomnia.bsky.social · 29/09/2026Big controversy today - TBI patient with DI, Na 168. Night Dr given 5% glucose to bring it down... What do we think team? #emimcc #ansky #neurosky 100
SadCrit @schistosomnia.bsky.social · 19/09/2026Overloaded post-op patient in "deresuscitation phase". Boss wants to offload with albumin and furosemide together, then notices a "loop diuretic allergy", so opts for just the albumin. This makes no sense, right?! #nephsky #emimcc 332
SadCrit @schistosomnia.bsky.social · 14/08/2026Thanks guys! It was a TBI patient, on 1g IV BD for a week (prophylactically), so there were no compliance concerns. Was having odd ICP spikes which the neurosurgeons said could be seizures, but they never clinically seized at all. If it had been up to me I'd have added a second agent 🤷 110
SadCrit @schistosomnia.bsky.social · 13/08/2026Levetiracetam can reduce methotrexate clearance #emimcc 031
SadCrit @schistosomnia.bsky.social · 08/08/2026Do we give loading levetiracetam because we're aiming for higher levels, or is it to get to therapeutic levels faster? Saw someone today "reload" a patient who had been on it for over a week, wondering if that makes sense? #emimcc 232
SadCrit @schistosomnia.bsky.social · 05/08/2026Happy first Wednesday in August to all those who celebrate 020
SadCrit @schistosomnia.bsky.social · 28/07/2026Bloody hell. I hope they prescribed the vitamin D that makes you immune to road traffic 100
SadCrit @schistosomnia.bsky.social · 24/07/2026Exactly! 😂 I asked and got the answer "because lots of people come in deficient" 010
SadCrit @schistosomnia.bsky.social · 23/07/2026My current ICU has vitamin D supplementation as part of its admission bundle for all ICU patients.... #emimcc 230
SadCrit @schistosomnia.bsky.social · 22/07/2026My thoughts exactly, even if you wanted to treat it with drugs it wouldn't be my choice 110
SadCrit @schistosomnia.bsky.social · 21/07/2026Not particularly hypervolaemic by my reckoning, but yes they are over the critically ill part. 000
SadCrit @schistosomnia.bsky.social · 21/07/2026My current unit seems to use spironolactone specifically to treat hypernatraemia in ICU patients - thoughts? #emimcc 421
SadCrit @schistosomnia.bsky.social · 26/05/2026My 5yo just asked for a general anaesthetic to have a splinter removed from his hand #AnSky 150
SadCrit @schistosomnia.bsky.social · 11/05/2026Hepatorenal syndrome (HRS-AKI) has cirrhosis in the criteria. So what do I call AKI in acute liver failure? Does the AKI have a different mechanism? #emimcc 110
SadCrit @schistosomnia.bsky.social · 04/04/2026This patient was oozing blood around the CVC and A-line... 110
SadCrit @schistosomnia.bsky.social · 04/04/2026Patient on unfractionated heparin infusion. APTT > 180, anti Xa 0.6. Which one should I believe? #emimcc 121
SadCrit @schistosomnia.bsky.social · 04/04/2026Acetylcisteine for ischaemic liver - yes or no? #emimcc 220
SadCrit @schistosomnia.bsky.social · 30/03/2026Guys help! My boss today says there's evidence that noradrenaline has better outcomes than metaraminol in septic shock, but I can't find the evidence! #emimcc 110
SadCrit @schistosomnia.bsky.social · 27/03/2026That's why my new slogan is THINK SEPSIS AND THEN STOP THINKING 050
SadCrit @schistosomnia.bsky.social · 27/03/2026Oh boy Eddie and Todd are not going to like this acronym #emimcc @icucast.bsky.social 120
SadCrit @schistosomnia.bsky.social · 19/03/2026Fury on the ICU today from the spinal surgeons as the spinal trauma patient has a MAP of 75 instead of 80. Let's review the evidence supporting their claims... 120
SadCrit @schistosomnia.bsky.social · 19/03/2026In one week I've had this, albumin & furosemide combo therapy, and drowning a pancreatitis patient. I want to go back in the matrix. 100
SadCrit @schistosomnia.bsky.social · 17/03/2026Took this new (to me) wisdom out for a spin on the ICU today, was universally ridiculed. I hate it here. 120
SadCrit @schistosomnia.bsky.social · 04/03/2026Genuinely at a teaching session where the speaker has 20-30ml/kg crystalloid in their initial management for haemorrhagic shock.media.tenor.coma woman says guys i 'm thinking this might be like a cult while holding a bottle of waterALT: a woman says guys i 'm thinking this might be like a cult while holding a bottle of water 010
SadCrit @schistosomnia.bsky.social · 24/02/2026It's like the opposite of homeopathy - if a little bit doesn't work just keep increasing the dose until it does 030
SadCrit @schistosomnia.bsky.social · 13/02/2026Well exactly. The pharmacist even asked me for a paper to support the "unlicensed use", so this is what I provided. Turns out that hospital doesn't even stock IV acetazolamide! 140
SadCrit @schistosomnia.bsky.social · 11/02/2026Got a lot of pushback today for giving acetazolamide for contraction alkalosis - I thought this was pretty standard practice? #emimcc 141
SadCrit @schistosomnia.bsky.social · 09/02/2026(Me on stage accepting my Froosy award) And I'd just like to thank the day shift, for giving everyone a billion litres of fluid every day, so I could along every night and sneak furosemide onto every drug chart while they sleep. You guys are the real heroes ❤️ 000
SadCrit @schistosomnia.bsky.social · 09/02/2026He did get better, but I wonder if we could have got there faster if we'd realised 110
SadCrit @schistosomnia.bsky.social · 08/02/2026Ah shit I just realised that patient from last week might have had serotonin syndrome #emimcc 110
SadCrit @schistosomnia.bsky.social · 07/02/2026Can't tell you how many referrals I get for "life threatening asthma" because the CO2 is high, which are really just OHS 030
SadCrit @schistosomnia.bsky.social · 27/01/2026Consultant doesn't want to mobilise a patient with new diagnosis DVT (worried about dislodging some clot). Thoughts? #EMIMCC #hemesky 420
