Ever left a job/relationship/situation? Chances are one of these core emotional concerns were not being met - Samantha Louden at #RCEMAC26

www.nephjc.com/news/... Check out the excellent #NephJC summary by @msocomd.bsky.social and @sejalplakhani.bsky.social

Dialyze Less, Recover More? AKI’s Chance to Get LIBERATE-D — NephJC

This week, we will discuss whether less is more when it comes to discontinuing dialysis in patients with AKI and a chance to recover.

nephjc.com

AAN guidelines for functional seizure/PNES were just published, which covers a small group who end up in the unit Key takeaways: 1️⃣ Median time to dx is 7-8 YEARS! 2️⃣ Pts can have both PNES & epilepsy 3️⃣ Psych/therapy can reduce PNES freq 4️⃣ Meds don't work for PNES www.neurology.org/doi/10.1212/...

Thanks for at least serving as conference pro-con debate fodder for almost 10 years Andexanet alfa, 2018-2025

End of an era, you will not be missed

In a randomized trial involving critically ill patients undergoing intubation in EDs or ICUs, the use of ketamine for the induction of anesthesia did not lead to significantly lower in-hospital mortality than etomidate. Full trial results: nej.md/44EOlxB @criticalcarereviews.com

Looking to learn more about aSAH care and get some CE credit? Tune in to my webinar today at 1pm or 8pm EST on nimodipine in aSAH For my pharmacist friends - this is accredited for med safety! Tis the season to get your CEs www.pharmacytimes.org/courses/unde...

Found on the same MAR Which one will win!

Petition to ban the phrase "maxed out on pressors" There is not a max dose of any pressor Sign below 👇🏼

Putting together a presentation on aSAH and I am always amazed re-reading the nimodipine trials just how different aSAH care is from how it was then Mean time to azm clipping in British Aneurysm Trial was ~11 DAYS and they simply stopped tx if no azm was found Best data we have 🤷

Excited to share our newest work on free VPA: improving ability to predict levels with the Fraser equation. We reveal that the orig eq. is modestly accurate in an external cohort and make improvements to the eq, but confirm measurement remains ideal @cbthepharmd.bsky.social doi.org/10.1002/phar...

Kicking off SOCHIMI 2025 in beautiful Pucon, Chile listening to Jason Roberts discuss PK/PD of antibiotics in the ICU

Augmented renal clearance (ARC) is so important, we all need to think about this more. 👌👌 ARC most commonly comes into play regarding antibiotics, but it can be relevant for any renally cleared drug.

Richard Choi, DO, FNCS@rkchoi.bsky.social · 9mo ago

1/ 👋 there #neurotwitter #neurosky #neurocritcare, as part of my @neurocritcarej #SoMeAmbassador role, today we will be breaking down the following article: link.springer.com/ar...

Do you use vasopression for MAP augmentation in your SCI patients? In our newly published series, we describe significant hyponatremia frequently develops when used just to push up the MAP - quite literally induced SIADH pubmed.ncbi.nlm.nih.gov/41051384/

Excited for #NCS2025! If you're attending, be sure to participate in the @neurocritical.bsky.social Social Media Contest to potential win some great prizes - see more below www.neurocriticalcare.org/Events/Annua...

Have you seen the new package insert tenecteplase dosing for stroke? It uses broad-stroke dose rounding that we think may put patients at risk of harm - a 40 kg patient will get a dose 50% higher than intended! See our editorial published today in Cerebrovascular Diseases karger.com/ced/article/...

Real-🌎 data in Veterans with fXaI-related ICH treated w/ andexanet alfa (AA; n=129) or 4F-PCC ( n=221) 🔷Propensity matched 🔷No difference in 90-day mortality 🔷⬆️30-day thrombotic events w/ AA (11.4 % vs. 2.4 %, p < 0.01) Free 👉https://www.sciencedirect.com/science/article/pii/S073567572500498X

Andexanet alfa increases 30-day thrombotic events relative to four-factor prothrombin complex concentrate for factor Xa inhibitors-related intracerebral hemorrhage in veterans

Two hemostatic agents are commonly used to reverse factor Xa (fXa) inhibitor-related intracranial hemorrhage (ICH): andexanet alfa (AA) or 4-factor pr…

sciencedirect.com

🔥🔥Just published 🔥🔥 ATS CAP guidelines 2025 Diagnosis and Management of Community-acquired Pneumonia. An Official American Thoracic Society Clinical Practice Guideline Free access pdf #IDsky#EMIMCC www.atsjournals.org/doi/10.1164/...

Ah nothing quite as useless as a clonidine patch being ordered for acute agitation

Webb et al: Clinical Consequences of Disproportionate Free Valproate Elevation in Critically Ill Adult Patients: A Multicenter Retrospective Cohort Study Link: link.springer.com/ar... @neurocritical #neurocritcare @AJWPharm

Excited to be speaking for @neurocritical.bsky.social on the treatment of SE with some phenomenal co-presenters. The Masterclass will have an interactive portion where participants can ask questions and join in discussion about treatment controversies! www.neurocriticalcare.org/NCS-Learning...

Results of an important study

#LessIsMore Again... link.springer.com/article/10.1...

Efficacy of targeting high mean arterial pressure for older patients with septic shock (OPTPRESS): a multicentre, pragmatic, open-label, randomised controlled trial - Intensive Care Medicine

Purpose We examined the effect of a high-target mean arterial pressure (MAP) on septic shock in a previously underrepresented region. Methods A multicentre, pragmatic, open-label, randomised controlle...

link.springer.com

Finally made my way over to @bsky.app and the #pharmsky #cardiosky community! 🫀💊

Our team is expanding! One of our cardiology pharmacists is moving to a clinic position full time so are recruiting an additional full FTE inpatient cardiology pharmacist. massgeneralbrigham.wd1.myworkdayjobs.com/en-US/MGBExt...

I bet white coat hypertension is like a thousand times worse at the vet

Pharmacists- any book recommendations for textbooks on ICU/hospital pharmacology? I’m finishing up Critical Care Pharmacotherapy 2e by Erstad and it’s a banger, but I’d like to read a couple more books if more good ones are out there?

a cartoon of a girl holding a book with the words i love this book

ALT: a cartoon of a girl holding a book with the words i love this book

media.tenor.com

1/ Hi 👋 #medtwitter #neurotwitter #neurocritcare #FOAMed #meded today, as your #SoMeAmbassador for @neurocritcarej we will be breaking down an oldie but goodie @neurocriticalcarej paper! link.springer.com/ar... Jump to 11/ for info on the paper

Association of External Ventricular Drain Wean Strategy with Shunt Placement and Length of Stay in Subarachnoid Hemorrhage: A Prospective Multicenter Study

Neurocritical Care - Survivors of aneurysmal subarachnoid hemorrhage (SAH) face a protracted intensive care unit (ICU) course and are at risk for developing refractory hydrocephalus with the need...

link.springer.com

A great summary table of the available literature for neurostimulant use after stroke - lots of small, underpowered trials leave a lot to be desired when deciding whether starting a stimulant is worthwhile after stroke www.ahajournals.org/doi/abs/10.1...