Swedish Anaesthetist. Resus-/CC-/Prehosp-/HEMS-/EM fiddler. Mountain dweller.
Östersund, Sweden
Joined October 2015
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Short on time for CME? Try these OnePagers. Short but sweet and could be stored in your pocket as well. Well done!
Today's pair of ICU #OnePagers concerns invasive monitoring devices used in the ICU: Arterial lines & external ventricular drains. How do these devices work? What subtle clues are present in the waveforms?
Lots of great physiology to unpack! #FOAMed #FOAMcc
Excellent Tweetorial on why NOT to diagnose ECG-configuration on cardiac monitors.
Here’s a situation many of us have seen in the ICU or ED: “It looked like there was ST elevation on the monitor but when I took a 12 lead it was gone?!”
A STEMI went MIA? Here’s a #tweetorial all about why ST segments look different on monitors.
#FOAMed #FOAMcc
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Sven Grauman retweeted
I'm hopelessly stuck in Kabul with my wife and child.
Like myself, hundreds of other journalists are also stuck here.
I have an 11—months old daughter.
Please pray for her safety.
Sven Grauman retweeted
Lokalisera tolkarna nu? När landet redan har fallit! Det skulle gjorts för minst en månad sedan! Eller varför inte för flera år sedan, och besparat dem allt detta lidande! expressen.se/nyheter/intensi…
Sven Grauman retweeted
Har aldrig skämts så mycket för att vara svensk. Att Sverige lämnade tolkarna och annan personal som har hjälpt Sverige på plats och skyddat svenska soldaters liv. Att de nu lämnade dem och deras familjer till avrättning. Sverige, hur kan ni leva med er själva.
Sven Grauman retweeted
It's not just Delta.
Two countries with the same time course of Delta dominance yet notable divergence in spread and fatalities
Sven Grauman retweeted
A performance comparison of the most commonly used minimally invasive monitors of cardiac output | buff.ly/3CGlolr #CJA #CJA2021 #Anesthesia #Anesthesiology
Sven Grauman retweeted
But there is nuance.
I agree with what @BenjaminAbella has said - the population matters. We also cannot ignore the results of HYPERION, in a population so different than what we saw in TTM2.
To say "TTM is dead" is premature in my opinion, especially with the 95% CI we show.
Sven Grauman retweeted
So where does this leave us?
Well I think we can all agree that the data does not support ROUTINE use of TTM in ALL comatose patients following OHCA. And we can say that deeper temperatures have not translated into better outcomes.
New guidelines will likely reflect this.
Sven Grauman retweeted
Our SR/NMA on the use of #TTM in out-of-hospital cardiac arrest is out in @yourICM.
With no more major trials planned on this question coming anytime soon, this was needed.
A brief thread on our findings, and what they mean for TTM in OHCA:
link.springer.com/article/10…
Sven Grauman retweeted
This is best practice emergency department management of atrial fibrillation.
link.springer.com/article/10…
Thank you, again, Canadians.
Sven Grauman retweeted
This video ought to be compulsory viewing for all of us. For ED staff a quick look at the care home transfer information sheet will tell you what the patient likes to be called. Otherwise just ask.
‘I may not be able to remember your name, so please remember mine.’ We love how residents of Maidstone Care Centre are getting their point across. A great reminder that people living with dementia don’t want to be patronised from @RCHhomes
Use these numbers and info as a conversation starter. Allow for a lot of uncertainty but don’t let that cloud the overarching point.
threadreaderapp.com/thread/1…
Sven Grauman retweeted
Cool. Now do placebo.
(Am I right that neither of these drugs have been shown to help cariogenic shock in placebo controlled trials?)
No difference between dobutamine vs milrinone in cardogenic shock.
nejm.org/doi/full/10.1056/NE…
Sven Grauman retweeted
after years of arguing about what flavor of inodilator is best for cardiogenic shock, turns out it doesn't actually matter 😂
nejm.org/doi/full/10.1056/NE…
Sven Grauman retweeted
When we see ourselves as resource gatekeepers, the logical next step is that we start making decisions about who is more or less “deserving” of what we can offer, and by extension, who is deserving of our care.
This is a short and rapid road to burnout, and the dark side.
Sven Grauman retweeted
The @theTHORnetwork #RDCR supplement from #Transfusion onlinelibrary.wiley.com/toc/… #trauma #resuscitation
A bit surprising but also very interesting. Most notably that our “instructions“ seems not very helpful. Nice graphics.
Interpretation is difficult though. A structural damage, would likely have different mechanics. Hard to extrapolate.
Collars for self extrication? Doing ‘science’ has certainly opened my mind! Would really welcome your thoughts! sjtrem.biomedcentral.com/art…