7 On/7 Off Intensivist?
Hey all, question for you. I am a graduating EM/IM/CC fellow and am looking to find a job that will allow me to qualify for PSLF and still make a decent salary in case PSLF gets gutted. Bear with me as...
View ArticleSuturing arterial lines
Hi everyone. A-lines are easy to pull out, and the suture groove of the white catheter seems not enough to hold the catheter in place. Anyone have any A-line suturing tips?
View ArticleFunding ridiculous studies
https://www.nejm.org/doi/full/10.1056/NEJMoa1812405 Okay, maybe it’s just because I’m in pediatrics and if you don’t bag a patient who you are intubating in the unit... you’re essentially committing...
View ArticleEM-CC Medicine
Hey everyone, I am a PGY-2 EM resident interested in critical care. I know there are a handful of EM-CCM trained docs on this forum, and I was hoping to garner some insight. I have found that I really...
View Articlequestion about CHFer
Hello excuse my question, but i would like your input . I have a CHFer who came in with hypokalemia of 2.9. Clinically she was overloaded with pulmonary edema on chest xray , but not in respiratory...
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Oversupply of Critical Care Physicans & NP
Source: https://bhw.hrsa.gov/sites/default/files/bhw/health-workforce-analysis/research/projections/critical-care-fact-sheet.pdf Thoughts?
View ArticleANDROMEDA-SHOCK
This was an interesting trial that borders on "too good to be true." Using peripheral capillary refill time instead of lactate clearance to guide resuscitation, it very nearly established a 8.5%...
View ArticleICU Rounds at a Community Hospital?
***Are ICU rounds in your community, non-academic ICU useful? What is the best way to structure interdisciplinary rounds in a community, non-academic ICU?*** Hey everyone - we are currently in the...
View ArticlePalliative sedation/analgesia in end of life care
I have recently started using morphine drips more in end of life care. Previously I used morphine PRN pushes for discomfort. Now I use a gtt with a starting dose of about 4 mg / hr and then titrate for...
View ArticleNeurocritical care fellowship
Is it common for a neurocritical care trained intensivist to work a general intensivist if their background is IM or EM?
View ArticleCritical care versus pulmonary/critical care competitiveness
It's that time of the year again, when ERAS is open. I'm applying for pulmonary/critical care fellowships, and noticed that some of the programs also have purely critical care. I was wondering if...
View ArticleBP Control in IVH with Herniation
Hey guys, ED resident here and wanted you to drop some knowledge on me. Recently had patient with IVH who was herniating. BP 220s systolic. Initially planned to do a Cardene drip for SBP goal 140-160...
View ArticleCritical care procedures
I'm in love with critical care. I want to do ICU for life. I did two pulmonary rotations so far during residency and it's really not for me except for procedures. I can't stand the clinic. I don't want...
View ArticleHigh-flow O2 making intubations riskier?
Question for the more experienced folks... Do you feel that he use of high-flow O2 (Optiflow, Vapotherm, etc) has actually made intubations riskier? Over the last few years we have dramatically...
View ArticleEDIC
Does anyone know of this certification? Is it recognisable in North America as a means of working in an ICU? Thank you
View ArticleHow long can patient be in ECMO?
Just stupid pre-med here asking. I was just wondering how long could patient survive in ECMO in a situation where he has no function in his own heart and lungs? And what is the main reason for this limit?
View ArticlePICC Line for pressors?
Barring anatomical abnormalities or trauma to the neck....in what instances would you prefer a PICC line (vs. a R.IJ central line) for the delivery of pressors? Also, if you use that PICC line for...
View ArticlePICU Fellowship 2020
Hey all! Hoping to have a place where people post when they start hearing from programs! I feel like since submitting I have been staring at my phone expecting emails. Good luck!
View ArticleUS Anesthesia Critical Care to Canada Critical Care
Canadian IMG, did school in Europe. PGY3 applying for Critical Care training in USA. My question is, can I work in Canada as an Intensivist after completing fellowship in USA, or will I have to do...
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