muistakim @muistakim
Emergency Physician HLDU who interested in emergency cardiology, critical care, Pocus and wilderness medicine Lahad Datu, Sabah Joined April 2014-
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ICU #Airway Secrets: Intubation may be difficult due to anatomic airway abnormalities but also due to physiologic derangements that predispose patients to cardiovascular collapse during the procedure This is the concept of "physiologically difficult airway":
The Role of Selected Adjuncts in the Management of the Bleeding Trauma Patient: Calcium and Vasopressin CCR Journal Watch criticalcarereviews.com/latest-evidenc…
The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2024 CCR Journal Watch criticalcarereviews.com/latest-evidenc…
ICU ID - Pneumonia: Since we are still facing a tsunami of respiratory tract infections, it's a good idea to review the 2023 clinical practice recommendations for diagnosis, empirical treatment, & antibiotic therapy for severe community-acquired pneumonia (sCAP)
Neuro examination card #neurotip #neuroexamination
“Struggling to Remember Oxygen Delivery Devices? @Asshahrani1 Makes It Simple!”
Severe hyponatremia... is rapid correction (8-12 mEq/24h) or slow correction (<8 mEq/24h) better? Bottom line: Rapid correction is better by nearly every metric and confers no additional risk of osmotic demyelination syndrome. This is based on an SR-MA of 16 studies, 11,811…
Takeaways from #AHA2024. Late breaking trials - take home points @AHAScience 1. BPROAD Trial: Intensive treatment targeting SBP ≤120 mmHg reduced the incidence of MACE at 5 years vs. standard treatment targeting ≤140 mmHg in patients with type 2 diabetes and hypertension with…
A recent CHEST guideline includes recommendations on hemoglobin targets in critical illness, with isolated troponin elevation, and in acute coronary syndrome. Read the full guideline: hubs.la/Q02XZHfb0 #CritCare #MedEd
The @SCCM guidelines for rapid sequence intubation were just released. Here's the summary: -Use the semi-Fowler postion -Use HFNO or NIPPV to preoxygenate, especially if severe hypoxemia present -NGT decompress only if at high-risk for aspiration of gastric contents (eg bad…
Let's review an intubation together - a 🧵
ECG interpretation basics @Medical_MD1 #MedEd #MedTwitter #ECG
The Pain Management of Trauma Patients in the Emergency Department CCR Journal Watch criticalcarereviews.com/latest-evidenc…
GRACE-3 is out 🔥 🔥 🔥 First evidence-based clinical practice guideline on the diagnosis and management of acute dizziness and vertigo in the emergency department onlinelibrary.wiley.com/doi/epdf/10.11…
2023 Update on Sepsis and Septic Shock in Adult Patients: Management in the Emergency Department CCR Journal Watch criticalcarereviews.com/latest-evidenc…
Top 10 #POCUS Papers of 2022 These are POCUS papers from the past year that caught our eye, with either a great clinical take-home, or an eye to the future of where #ultrasound is going #VanPOCUS23 @VancouverPOCUS

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