#Sedating

Welcome back to the hidden ICU curriculum. This is definitely something you will see when working in a medical ICU. A few focused & targeted diagnostic & therapeutic interventions can really save a life here. Hope you found this helpful Follow for ICU made simple #icu #meded #FOAMed #criticalcare

Sedation and analgesia in the icu made easy #icu #criticalcare #icunurse #criticalcarenursing #criticalcaremedicine #internalmedicineresidency #ccu #emergencymedicine #pharmacylife💊 #medicalstudent #residencylife

Word to the wise: read the full echo report Share with a friend & follow for more ICU made simple #icu #meded #FOAMed

In the modern era, we’ve gotten really good at intubation, but despite the data regarding tracheostomy timing, it’s important to individualize decisions for the situation at hand, explain the pros/cons to all stakeholders, and often make tough calls. 🏥 —— Learn More: https://rk.md My iOS Apps: https://rkref.app #meded #icu #foamed #medicine #ventilation

My ICU machine noise knowledge #icu #criticalcare #intensivecare #healthproblems #coma

This is what your ICU attending wants you to know. Step 1: if your patient is on vasopressors, recognize that your patient is in shock Step 2: ask yourself, why is my patient in shock? Could it be septic shock? Step 3: look for clinical, biochemical, radiographic, microbiologic evidence to support your theory. Share with a friend & if you found this helpful, follow for more ICU made simple. #icu #meded #FOAMed #sepsis

#icu #criticalcare #residency #residencylife #medicalstudent

This is nerding on a whole other level. Today we are talking metacognition: thinking about thinking. 💭Thoughts? Clarifications? Confessions? Share them below! Follow for more ICU made simple. #criticalcare #icu #meded

Welcome back to the Hidden ICU Curriculum👻: what I wish I knew in residency but was too embarrassed to ask.   Presenting on rounds is hard. And every ICU attending likes it done differently.   I can tell you now – my biggest frustration when people present on ICU rounds is when they’re a minute into their presentation & I still don’t know why the patient is in ICU.   Patients come to ICU for specific life or organ-saving interventions, and it’s important to know where to direct our attention.   Save for next time you’re on ICU rounds.   Follow for more ICU made simple & share with a friend   #icu #meded #criticalcare #foamed

I got this question from one of y’all and wanted to share the answer with everyone so we can all learn together. Preload = filling the tank Afterload = how hard does the heart have to work to eject blood As the LV fills with blood, it stretches the myocytes. The more they stretch, the harder they contract UP until a point where they can’t contract any harder. If you found this helpful, follow for more ICU made simple #icu #meded #FOAMed

Welcome to the Hidden ICU Curriculum👻: what I wish I knew in residency but was too embarrassed to ask.   We’re kicking it off with: WTF is the P:F ratio?   It’s an objective measure of oxygenation.   PaO2:FiO2   At rest, on room air, at sealevel, in a healthy person (say that 5x real fast) – PaO2 is around 100 mmHg and FiO2 is 0.21 and when you divide them you get a P:F of 476.   Higher P:F ratio = better oxygenation Lower P:F ratio = worse oxygenation   Save for next time you’re on ICU rounds.   Follow for more ICU made simple & share with a friend   #icu #meded #criticalcare #foamed

🚨 10 Mistakes in ICU that can cost a life If you’re work in icu—watch/read this before you touch a patient in ICU. 1️⃣ Not checking vitals before touching the patient • Never begin any intervention without knowing HR, BP, SpO₂, and RR. 2️⃣ Ignoring sudden desaturation during treatment • Continuing therapy when SpO₂ drops is dangerous—stop immediately. 3️⃣ Handling lines, tubes, or ventilator circuits casually • IV lines, ET tubes, and catheters are lifelines, not obstacles. 4️⃣ Poor communication with nursing staff • Many ICU crashes happen due to missed or delayed communication. 5️⃣ Treating ICU like a normal ward • ICU patients are unstable—routine ward behavior can be fatal. 6️⃣ Not understanding ventilator mode before intervention • Every ventilator mode responds differently to movement and handling. 7️⃣ Overconfidence and ego • ICU punishes ego. Always ask, confirm, and double-check. 8️⃣ Poor positioning and rough handling • Improper positioning can worsen oxygenation and hemodynamics. 9️⃣ Inadequate documentation • If changes, vitals, or responses aren’t documented, patient safety is compromised. 🔟 Delaying escalation when something feels wrong • Trust your clinical instinct—early escalation saves lives. “In the ICU, your first responsibility is not to do more—but to do what is safe, appropriate, and necessary.” #doctor #icu #medical #reels #meditation