pao2 vs pulse ox discrepancy
I've seen a few ABG recently where a patient would have saturation by pulse ox of 90s, but pao2 would be unexpectedly low, say O2 saturation of 92% with pao2 of 55 on 2L nasal cannula. I've been seeing...
View ArticleCOVID-19
Can we start a COVID-19 discussion? There is one case at my hospital so far. He got sick initially with a prodrome of cough, malaise... presented two weeks later to ED with severe respiratory symptoms....
View ArticleElective Provider Exposure to COVID-19?
If COVID-19 sweeps across the country, won't we need to have physicians that are immune to it to continue to work and treat the sick? Doesn't it make sense to expose and then quarantine a cohort of...
View ArticleHow was/is critical care fellowship?
I'm and EM first year resident and I was curious about how critical care fellowships were. How many hours do you work, do you feel overworked, do you get a lot of independence, is it fun/enjoyable? I...
View ArticleTreating COVID pre and post intubation
Anecdotally it seems like we have two categories of treatments. 1. Hydroxychloroquine +/- azithromycin. 2. Xeljanz/Anakinra/Tocilizumab. The first category is treating the virus and superimposed...
View ArticlePPE from photos of other countries looks MUCH safer, WHY?
Looking at photos posted recently of places like Spain, China, and Italy show their medical teams in protective gear I've never seen. It looks much more protective than the gear I'm accustomed to...
View ArticleKeck Neurocritical Care fellowship position
The Keck School of Medicine of USC is opening a 1-year Neurocritical Care fellowship position ideally starting July/2020. Both DO/MD accepted. Qualified candidates for the 1-year program should have...
View ArticleGowns
Hello everyone. I am a 4th year med student who is eager to help however possible during this pandemic. Some other students from my school and I are working on a project to help with the PPE shortage....
View ArticleAre we actually treating ARDS in ventilated COVID-19 patients?
Severe ARDS mortality is 45%. The mortality of COVID patients requiring mechanical ventilation approaches 80% according to couple of reports in addition to what I think most of you dealing with these...
View ArticleLarge Bore Access
What is the old school access of basically placing a large bore metal tube into the subclavian vein?
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COVID-19 Pre-Exposure Prophylaxis with Weekly Low Dose Hydroxychloroquine...
I thought it would be helpful to spread the trial information regarding an actively enrolling nationwide pre-exposure prophylaxis with weekly low-dose hydroxychloroquine. Neat study design with...
View ArticleRedeployed to ICU
Hey there, attending in another specialty. Will be getting redeployed to ICU to help out/basically do intern type work. I have a couple of basic questions for you guys doing this regularly 1) Fit...
View ArticleInteresting case
Thought I’d post an interesting case I’ve had recently and hear some opinions as to how people would have approached it. Will post the case sequentially. Some details changed to protect privacy. 30 yr...
View ArticleMethods to stay up to date with literature
What are the ways people here use to be automatically notified when a practice-changing study is released (ideally filtering out the 99% of clutter in most journals)?
View ArticleCodes in known hyperkalemia - best initial approach?
So you have a patient with known hyperkalemia in the admission, lets say it was running in the high 6s with some EKG changes and you have a good reason to think that's why he arrested. You start ACLS...
View ArticleSound Critical Care
Hey all, anyone know anything about working for Sound Critical Care? I’m considering a position at one of their locations. Feel free to PM if not comfortable using the public forum. Sent from my iPhone...
View ArticleOperative management of peritonitis in ICU patients
Just curious to hear how your hospital's surgeons manage peritonitis in ICU patients? I have a young guy who had perforated + feculent peritonitis from diverticulitis. He had a hartmann's and washout...
View ArticleKCl max clarification
General rule of thumb for KCl infusion in peripheral line is maximum of 10 mEq per hour, accounting for cumulative KCl from multiple sources. A provider brought up a question: If patient has multiple...
View ArticleVolume removal in right heart distension
Posted this thread to get other people’s viewpoints on this. I have trouble convincing some of my colleagues that in the shocked, cold patient with a grossly distended right ventricle and septal...
View ArticleCritical 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...
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