docstrand.bsky.social
Intensivist in Stavanger, Norway. Jack of all trades, master of none. Sometimes I do research.
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111 following
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Sometimes you gotta do what you gotta do, but calciumsignaling is complex and striving for normal not necessarily a good thing pmc.ncbi.nlm.nih.gov/articles/PMC...
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Rolness? Virkelig? Temmelig billig og uredelig å Trump-stemple en meningmotstander på den måten.
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CCM observational trials primer: "sicker pasients have worse outcomes than less sick patients". You're welcome.
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As I tell my residents, in the unconscious, undifferentiated patient with shock, the only safe crystaloid is saline.
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When on high dose pressors we almost always switch to a central arterial line. If radial cannula MAP equals NIBP MAP, we might skip putting in a new line. I would postulate that chasing a radial MAP of 65 in a really sick pt. is game of chance.
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And if he really needed NIV, how would you proceed? Shave or intubate?
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I think most clinicians would be happy stopping at 0.5, but maybe not at 80% reduction if the baseline was 60.
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Too bad metabolic alkalosis is the most common acid-base disturbance in ICUs
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Oh, come on! The guy's annoying and sometimes wrong, but he is not right wing by any definition of the term.
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Actually, the pretty normal TAPSE is a kind of artefact. If you had an apical view, you would see the apex rocking, the lateral LV wall dragging the limp dilated RV. If you measured the relative RV free wall shortening wrt apex, it would be low.
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Is this what they call cancel culture?
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The polarization in the US is mind boggling. You can't even discuss fluoride in drinking water now without cancelling subscriptions.
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When adequately resuscitated it is mostly about the oxygen extraction.