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ed-intensivism.bsky.social
EM/ACCM zentensivist in perpetual training. Goal to bring the best of resuscitation science to where the patient is. Interests in ECMO, HEMS-CC, de-prescribing, and communication in high acuity settings. My opinions are my own, not of my employer.
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Posts 12 Comments 38

Having to give/receive "reprimands" for what boils down to hospital politics is making actively unwell. Especially when it places the feelings of a provider/surgeon over the need to deliver timely, transparent, patient-centered care. How have others navigated this as leaders/providers? #EMIMCC #icu

submitted 7 days ago • 0 comments

Sickening to read about the potential reuse of a known faulty drive shaft in the NY Helicopter tour crash. If true, I hope those responsible (and those applying the culture of financial pressure) go to prison. So tragic. They didn't have a chance. Safety before all else in the 🚁 world.

submitted 26 days ago • 0 comments

Doing an EMR biopsy of our CXR use in the various ICUs. Found 20 CV/SNICU patients who collectively had more CXRs done on them than the entire MICU had done in Q1 of 2025 (600+). Everyday in ICU: 70% odds of receiving a CXR in the CV/SNICU compared to 30% in the MICU. #EMIMCC #ICUSKY

submitted 30 days ago • 2 comments

Little creepy effect from the light going out and the colors of the stairway.

submitted 34 days ago • 0 comments

When I'm out of ICU beds I always signpost that, and finish the statement with "How can we help Mr/Ms __ today?" Gives the ED/OSH doc knowledge that I don't want to waste THEIR time with the presentation/workup as I can't accept, but reinforces that I can be a resource to them and their patient

submitted 34 days ago • 0 comments

Philosophical sap for the morning: Somewhere along the way in our pursuit of knowing everything about health and life, physicians become further removed from the uncertain art of and practice of living. Hope one day we embrace the deep work of connecting and understanding why we do what we do.

submitted 37 days ago • 0 comments

Half dose DOAC maintenance noninferior to full DOAC. Potential practice changing paper to reduce the risk of bleeding in patients who are rec. to receive >6mo anticoagulation. Take typical caution in industry funded research with a non-inferiority design, and low incidence of primary outcome.

submitted 39 days ago • 0 comments

Diuresis and fluid status comes up on almost every single ICU patient (especially in a cardiac ICU🫀) It’s very important to understand how each diuretic works, how they can be combined to augment urine output & their limitations Check out my starter guide for diuresis in the ICU #MedSky #Nephsky

submitted 39 days ago • 1 comment

Potentially unpopular opinion: The raw and reflexive anger towards a trained LIP manipulating the IV pumps or ventilator is an unhelpful baseline dynamic. That being said NEVER do things and not inform your colleagues with what you're doing-- that is objectively dangerous. Thoughts? #emimcc #icusky

submitted 40 days ago • 0 comments

A hard hitting but incredibly important piece by @sethina.bsky.social in the @bmj.com Anaesthesia and Intensive Care Medicine in the UK has work to do to ensure PoC (esp Black Drs) have an equal shot at specialty recruitment and career progression #emimcc www.bmj.com/content/388/...

submitted 75 days ago • 1 comment

Don't be afraid to fight for love, justice, and life. Support one another. Make eye contact. Smile. Connect.

submitted 74 days ago • 0 comments

We've all been there: a Saturday on call in the hospital, with a list of 30 patients to round on 😵‍💫 Ward rounding can seem like an endless task - but it doesn't have to be! ⏰ Here are my top 10 tips for ward rounding efficiency 🧵- #emimcc

submitted 82 days ago • 4 comments