Hi everyone,
For many years, Thinking Critical Care has been a place to explore physiology, question established practices, and try to make sense of what actually happens at the bedside. Thank you to everyone who has followed, commented, challenged ideas, and contributed along the way.
Over the years, something else grew out of the blog: an incredible international community of clinicians and educators, particularly through our Hospitalist & Resuscitationist (H&R) conferences, courses, and collaborations.
One of the most rewarding parts of these gatherings has always been what happens outside the lectures: the conversations, the exchange of ideas, the friendships, and the collaborations that continue long after everyone goes home.
I’ve wanted to find a way to bring that spirit together throughout the year, rather than just at conferences.
That’s why I’ve created The Praxis Project.
Praxis is an international educational community dedicated to applied physiology, clinical reasoning, and better bedside decision-making. It brings together people from internal medicine, critical care, emergency medicine, anesthesia, nephrology, and other specialties who share an interest in understanding why things happen, rather than simply following protocols.
But Praxis is intended to be more than an educational website. The goal is to build a genuine, collaborative community where clinicians at different stages of their careers can exchange ideas, discuss difficult cases, learn from one another, develop research projects, and create new educational material together.
We want to break down some of the traditional barriers between specialties, institutions, countries, and levels of experience. A good clinical question or an interesting physiological observation can come from anyone, and meaningful collaborations often begin with a simple conversation.
We’re building several things around that philosophy:
- Interactive clinical cases, starting with VExUS and hemodynamics, where you work through evolving bedside scenarios and make decisions as new information becomes available.
- AI physiology coaches, designed to help explore concepts, interpret ultrasound and waveforms, and challenge clinical reasoning rather than simply provide answers.
- Courses and conference archives, including years of H&R teaching, with new educational material being added.
- Praxis newsletters, short, carefully selected reviews of important papers in internal medicine, critical care, emergency medicine, and POCUS, focusing on what the findings actually mean for clinical practice.
- Live discussions and faculty exchanges, bringing together clinicians and educators from around the world for informal case discussions, questions, and shared learning.
- A growing collaborative network, intended to help connect people with common interests, develop research and educational projects, and turn good ideas into something useful.
And there’s more coming.
One important part of Praxis is that you can join for free. There is open-access educational content, and additional membership options for those who want access to the more advanced material, courses, and collaborative activities.
My goal isn’t to build another collection of lectures or another website telling people what to do. It’s to create a place where we can think together, challenge assumptions, share what we’re learning, and build things together.
Ultimately, I hope Praxis becomes a community where people don’t just consume educational content, but contribute to it, question it, improve it, and collaborate with others who share their curiosity.
Thinking Critical Care isn’t disappearing. The blog and its archive will remain online as part of the journey, and you’ll always be able to find it through Praxis (praxis-project.com/thinking-critical-care).
If you’ve enjoyed what we’ve done here over the years, I hope you’ll join us for this next chapter.
Join The Praxis Project for free
Cheers,
P









