Critical Care with anesthesia background
Hello, I'm a new CA-2 and am planning on doing an ICU fellowship! What are the job prospects for doing 100% ICU coming from an anesthesia background? I know that it's covered mostly by medicine/pulm...
View ArticleBest ICU text
I tried to post in the ICU books thread but it told me it was locked or that I couldn't bump it... I dunno. Any recent thoughts on to comprehensive / best ICU textbooks? Irwin and Rippe's?... Best ICU...
View ArticleCRRT Management Question
Common case scenario, patient comes in with some form of shock. Cardiogenic vs septic, gets "resuscitated" and now in acute renal failure, volume overloaded and requiring CRRT. Patient is anuric....
View Article1 year critical care cardiology
IMG currently in the 2nd year of a decent university program, H1b. Before starting residency, I did 2 years of research fellowship in advanced HF/critical care cardiology with a very good production of...
View ArticleResearch for CC applicants
Hey all, I’m a current PGY2 EM Resident who will be applying to IM-CC programs next year. Is research something that’s considered necessary as a part of these applications? Thanks in advance
View ArticleHypovolemic shock
So I have a case with a patient who was involved in a car accident. CT shows ruptur of the liver. Skin isn't punctured but bruised. His BP is 90/50, puls 140, respiratory rate of 28 and superficial,...
View ArticleSevere hyponatremia
I got reamed on morning handover today. 55F binge EtOH on HCTZ brought in by family with worsening confusion and nausea. Na 106 (and K 2.3 with ECG changes). Transferred to our ED, and by the time I...
View ArticleThe Rush
Delay in getting a patient to radiology. Yeah, I'll take them down myself. ED dumps a crashing patient on you. Don't worry, I'll sort it out. Tube, lines, done. I control their physiology now -- until...
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ED-ICU: What’s the point?
Paper in JAMA last week: Association of an Emergency Department–Based ICU With Survival and Inpatient ICU Admissions This cohort study compares 30-day mortality and inpatient intensive care unit (ICU)...
View ArticleProgram Reviews: Critical Care
Figured we should have a thread reviewing the various critical care programs that people have interviewed at. Might be beneficial for applicants now and moving forward. Program Name: Interview Day:...
View ArticleWe've gone crazy
The consequence of endotracheal intubation in a 95-years old man for 839 days: A case report. - PubMed - NCBI You wouldn't inflict this kind of torture on your dog. How did anyone think this was...
View ArticleEDIC exam
Hi Have any of you taken this exam or any experience with it and its worth/recognition in North America? Thank you
View ArticleVentilator cycling, waveform analysis
Patient triggered inspirations are generally easy to spot. Any tips for identifying when the ventilator is cycling an inspiration (just by evaluating the waveform - absent of knowing the mode set on...
View ArticleSeptic phenotypes
I thought this was the most exciting article of the year apart from ANDROMEDA-SHOCK. Yes, beware geeks bearing calculators, but still what a doozy of an article in JAMA that used a machine learning...
View ArticleProcalcitonin
I'm trying to gather my thoughts around procalcitonin as a biomarker for both bacterial infection and sepsis. I'm just curious what the state of play is at your institution or your own practice...
View ArticleCritical care billing codes/fees
Canadian intensivist here, just started working in the last year and looking for advice. I admitted an American patient while on call. They have private insurance. If anyone has any advice on how much...
View Article$400K a year hospitalist gig or pulmonary / critical care fellowship
Hi everyone! I realize this is a very individual decision but would still appreciate your input. From a mainly financial perspective, is it worth doing a Pulm/CCM fellowship if I'm currently making...
View ArticleAnesthesia CC Medicine Board Exam
Hey guys. What do you guys recommend studying for the Anesthesia CC boards?
View ArticleFair critical care salary
I have found myself in a rather interesting career position. Hoping for some advice from the more experienced intensivist here. Long story short: I am resigning from a full time position in a growing...
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