Interfaces with Rory Spiegel (@EMnerd)! #FOAMed, #FOAMcc, #FOAMer

So over the years I’ve learnt invaluable stuff from each and every one of the colleagues I’ve managed to build a network with, and certainly I have learnt – and unlearnt – a lot from this guy. Here, Rory and I discuss the concept of interfaces that a group of us painstakingly crafted over the last year.

So I hope this starts to spark some interest. Recently I’ve heard of a few discussions around sepsis and shock resuscitation that took place at pretty respectable and large conferences, and, to be frank, I was fairly aghast at what was being taught, especially to the young trainees. This type of pure forward-flow/fluid responsiveness obsession with no regard for tissue perfusion, congestion, etc is really distressing to hear… We have a lot of teaching to do.

If you want to master a global approach to hemodynamics, come learn how to understand, analyze interfaces and generate a coherent management plan for your shock patients. Oh yeah, and also learn a lot about congestion! https://thinkingcriticalcare.com/2024/06/05/hr2025-the-hospitalist-the-resuscitationist-montreal-may-21-24-2025-hr25/

cheers!

P

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