Terence Potter
@teapotterCritical care and emergency medicine physician, healthy lifestyle and self quantification enthusiast; former: bike racer, PA, and software engineer
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Just received a new batch of books! Pick up a signed and personalized copy by clicking the link below. 💪🏼💪🏼💪🏼 eddyjoemd.myshopify.com/products/the-v…
A 19 year old is brought to the ED after 2 days of progressive confusion and drowsiness Last week he had a fever and runny nose. Got better. He soon becomes unresponsive and requires intubation This is his MRI performed the next day. What’s going on? What do you do?
Today my team sat down with our insurance broker. My health insurance premium for my employees went up 30% for our renewal. The government cut their pay to me and all doctors by 3.37% this year for the first two months then reduced the cut to 1.66% for the remainder of the…
Results from #PROTECTION presented #CCR24 & published @NEJM - DB RCT of amino acid infusion vs placebo in n=3511 people undergoing cardiac surgery w/ bypass. - Reduced incidence of AKI (26.9% vs 31.7% NNT=20) & need for RRT (1.4% vs 1.9% NNT=200) Potential game changer! 🧵 1/
This may be my favorite episode of @CritCareTime we’ve done yet! @Askins_Razor & I go DEEP discussing diuretics: how do they work, when to use them, drip vs bolus, & most of all why a negative fluid balance is so beneficial. Plus rants on CVP & MIVF Don’t miss it!
Sometimes a negative (fluid balance) is a big positive! 🆕 episode of Critical Care Time about DIURETICS & why/how to achieve a NEGATIVE FLUID BALANCE. 1/
ICU puzzle: 70 yo female pt without being on any medications, no smoking history, no other known comorbidity factors except moderate obesity, underwent surgical repair of hip fracture. Per note: preoperative assessment: normal lung auscultation, moderate cardiac enlargement
Manage severe acute pancreatitis like a pro! The days of just arbitrarily flooding patients with fluids and not feeding our patients are behind us. 🎩 tip to the authors. eddyjoemd.com/foamed/
Members of CHEST’s Sepsis/Shock Section within the Critical Care Network provide an update on trials and guidelines that consider how low-dose corticosteroids impact mortality in adults with septic shock. Read more: hubs.la/Q02wSFyk0
What should we be using to anticoagulate patients on CRRT? Seems like the answer is citrate. 🎩 tip to the authors. eddyjoemd.com/foamed/
This is an parasternal long axis view demonstrating dynamic needle guidance during a pericardiocentesis in a hemodynamically unstable patient. For those of you who have performed this procedure before, share some of your tips and tricks! Image courtesy of @R_Tambelli
Presented today at #ACC24: In the DanGer Shock trial involving patients with STEMI and cardiogenic shock, mortality at 6 months was lower with mechanical circulatory support with a microaxial flow pump than with standard care alone. Full trial results: nej.md/3xyXU3t
🆕 Episode of CCT about Bronchoscopy Emergencies w/ guests the @PulmPEEPs! We cover the 6 times a bronchoscope can save you: 1️⃣Difficult airways 2️⃣Tracheostomy problems 3️⃣Foreign body aspiration 4️⃣Can’t ventilate mucous plugs 5️⃣Hemoptysis 6️⃣Makimg “bronch only” diagnoses 1/
New Episode: Hyponatremia in Critical Illness w/ guest Joel Topf @kidney_boy 🧠what is the risk of ODS? 📈how fast is too fast to correct? 🧂effect of hypoK on hypoNa 🗜️ddAVP + 3% saline & more! 🎧 podcasts.apple.com/us/podcast/cri… 📼 youtu.be/ntoeZcm-lmU?si… 📄 criticalcaretime.com/episodes/physi…
Intubated ICU patients using VR to take a short immersive vacation while getting some physical exercise in. Source: darlan nitz
A quick, 8-page article with mostly images on using POCUS for sepsis, respiratory failure, renal failure, localizing bleeding sources, and undifferentiated shock. 🎩 tip to the authors! eddyjoemd.com/foamed/
#MedTwitter #cardiogenicshock ICU story; open for discussion A pt > 50 y/o with Hx of stable HFrEF < 35% (stage C) s/p ICD. Was admitted for COPD exac complicated HFrEF decom and Cardiogenic shock Intubated on VC-CMVs with no dyssync, ABG 👍 On Nor epi 25 mcg/min MAP 60
I'm afraid I have to disagree. Goal blood pressure is 130-150mm Hg. These are the latest guidelines. @walinjom
A systolic blood pressure goal of 140 mm Hg is probably appropriate for acute hemorrhagic stroke.
The cause of abdominal pain in DKA is delayed gastric emptying and ileus due to metabolic acidosis and electrolyte abnormalities. Pancreatitis needs to be ruled out if pain persists after the resolution of ketoacidosis. Read well, Revise more, AIM high. #MedTwitter #meded
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