"The universe is what it is, not what I choose that it should be." — Bertrand Russell

Happy Earth Day! 🌍

From: Current Anesthesiology Reports (2024) 14: 446-57. doi.org/10.1007/s401... Just one of the personalized peri-intubation resuscitation approaches:

🚨 BONUS EP — live with ICS Cast. Meningitis. Kent outbreak. Young lives lost. Jonny + Martin Beed, Peter Brindley & Andrew Conway-Morris. Antibiotics early. Vaccines matter. No delay. This one's urgent. Listen now. 🎧 #CriticalCare #FOAMcc #ICU #MedEd #TheCriticalCareCommute

🎙️ New #ESICMPodcast series: 𝗧𝗵𝗲 𝗙𝘂𝘁𝘂𝗿𝗲 𝗼𝗳 𝗜𝗻𝘁𝗲𝗻𝘀𝗶𝘃𝗲 𝗖𝗮𝗿𝗲! Episode 1 👉 𝗖𝗮𝗻 𝗶𝗻𝗻𝗼𝘃𝗮𝘁𝗶𝗼𝗻 𝘁𝗿𝗮𝗻𝘀𝗳𝗼𝗿𝗺 𝗜𝗖𝗨 𝗰𝗮𝗿𝗲? Prof. Maurizio Cecconi & Dr Massimiliano Greco explore how to tackle workforce and sustainability challenges—and turn ideas into real bedside impact. 🎧 www.esicm.org/esicm-talk-h...#ESICMPodcast#ESICM#ESICM

A major revision with more detail and new chapters on minimum equipment standards, medication management, paperwork and documentation requirements. Access the guidance now - a significant new resource for the intensive care community 👇 bit.ly/transfercriticallyilladult

We are delighted to announce the fifth edition of the Guidance on the Transfer of the Critically Ill Adult. Dr Scott Grier, one of the lead authors of the guidance, is here to run you through what this resource can do for your unit.

What would Weingart do in a small remote ED a thousand miles from an ICU? Find out here: broomedocs.com/2026/04/dr-s... #emimcc

▶️BALANCE PLUS: a platform trial answering challenging questions on Gram-negative infections Beta lactam oral transition domain DOOR #ESCMIDGlobal2026 #idsky

Super proud to be part of the BALANCE+ family 😇 #IDSky

➡️ Can oxygen use influence outcomes after cardiac arrest? ➡️ Can hypoxic-ischaemic encephalopathy be reduced with this simple intervention? ➡️ Join us at CCR26 to find out! ➡️ Register: https://criticalcarereviews.com/meetings/ccr26

Do PPIs cause kidney damage? Read an update at the bottom of our summary www.nephjc.com/news/compass... #MedSky #NephSky #EMIMCC

I’m at the point where I think most sepsis (trial level) research is so fundamentally flawed that it is unlikely to show anything other that random noise. I don’t agree with everything Lawrence says, but he makes some extremely good points on this topic.

▶️Wars have become a breeding ground for lethal drug-resistant bacteria A shocking example, look at CPE rate increase in NL hospital near Ukraine #ESCMIDGlobal2026 #idsky

A sobering but very important observation about war and antibiotic resistance #IDSky #ClinMicro #AMR

Adjunctive immunomodulation to improve outcomes from a respiratory infection! 👀 👇 #IDSky #mycoplasma

Today's Paper of the Day is: Advanced neuromonitoring techniques for medical and neurological ICU patients https://criticalcarereviews.com/latest-evidence/paper-of-the-day Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2026

Temperature control in acute brain injury CCR Journal Watch criticalcarereviews.com/latest-evide...

“To the rest of the Galaxy, if they are aware of us at all, Earth is but a pebble in the sky. To us it is home, and all the home we know.” — Issac Asimov, Pebble in the Sky

The single most important thing in a scientific presentation is clarity. A good presentation is a clear presentation.

Normal urine is not sterile! Urine microbiome being introduced by @nicoledenisco.bsky.social #ESCMIDGlobal2026 #UTISky

Today's Paper of the Day is: Therapy of Aspiration: Out-of-Hospital and In-Hospital-Acquired https://criticalcarereviews.com/latest-evidence/paper-of-the-day Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2026

➡️ Does bicarbonate improve outcomes in in-hospital cardiac arrest? ➡️ Or could correcting acidosis during CPR be ineffective—or even harmful? ➡️ Join us in June to hear the BIHCA trial results Register now: criticalcarereviews.com/meetings/ccr...

Today's Paper of the Day is: Are corticosteroids in intensive care immunosuppressive? Reflections and hypotheses https://criticalcarereviews.com/latest-evidence/paper-of-the-day Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2026

Migraine in the ED: NSAIDs + fluids… but do the fluids actually matter?💧 This study might make you rethink your practices Read more www.annemergmed.com #EmergencyMedicine #EMDocs #EM #Neurology #Neuro #Migraine #Pharm #Pharmacology #FOAMed #MedED #MedicalEducation #EvidencedBasedMedicine

Post-intensive care syndrome remains fragmented across care settings and needs a shared framework. zurl.co/zeIp3

This "eye" on the Milky Way is a Chilean lagoon reflecting our galaxy. The smooth band contains billions of stars, light-absorbing dust, and glowing nebulae. Jupiter and Saturn are also visible. Credit: Miguel Claro (TWAN, Dark Sky Alqueva)

Sans doute l'une des vidéos les plus incroyables jamais prise par un téléphone ! Le coucher de Terre depuis la capsule Orion pendant la mission Artemis II

Positive end-expiratory pressure in pediatric acute respiratory distress syndrome: a narrative review CCR Journal Watch https://criticalcarereviews.com/latest-evidence/journal-watch

zurl.co/5p6Ig Refractory septic shock now has structured bedside criteria, while key thresholds, timing and validation remain unsettled.

This is a heartfelt, touching piece that everyone should read.

Interesting phase II trial of adding Daptomycin to Ceftriaxone for pneumococcal meningitis in France 🇫🇷 Needs more study but encouraging signal for a reduction in disability #escmidglobal2026

Consensus criteria define refractory septic shock using tissue perfusion, fluid responsiveness, vasopressor dose and critical care ultrasound. zurl.co/oSXbR

Today's Paper of the Day is: Clinical review of non-invasive ventilation https://criticalcarereviews.com/latest-evidence/paper-of-the-day Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2026

Cool study - an amp of sodium bicarbonate (50 ml 8.4%) raises sodium similar to a boils of 3% - as expected of course! pubmed.ncbi.nlm.nih.gov/41937305/ @pulmcrit.bsky.social @kidneyboy.bsky.social #nephsky #emimcc

Dynamic driving pressure in acute brain injury was associated with mortality, with interpretation varying across oxygenation severity and ventilation modes. zurl.co/GplK3

▶️Optimising treatment of severe infections due to DTR organisms Bookmark this table, everyone's favorite table! #ESCMIDGlobal2026 #IDSky #EMIMCC

“If knowledge can create problems, it is not through ignorance that we can solve them.” — Isaac Asimov

“Every kid starts out as a natural-born scientist, and then we beat it out of them. A few trickle through the system with their wonder and enthusiasm for science intact.” ― Carl Sagan

🛌🏽Rest is NOT Sleep! 🧠 Uncovering the seven types of rest can highlight diverse needs: physical, mental, sensory, creative, emotional, social, and spiritual 👀Check out our latest MIND Episode on the 7 Dimensions of Rest: https://loom.ly/IZcGTlQ #FOAMed #MedED @MRamzyDO @Marco_Propersi @EMSwami

State of the art in cardiogenic shock www.ajconline.org/article/S000... #cardiosky

In heterogeneous syndromes like ARDS and sepsis, I believe we generally are more likely to be able to find what causes iatrogenic harm than actual therapies. #emimcc #critcaresky

ICU delirium is common and is linked to mortality and long-term cognitive impairment. zurl.co/Ded3h

Anti-intellectualism has been a constant thread winding its way through our political and cultural life, nurtured by the false notion that my ignorance is just as good as your knowledge. -- Isaac Asimov

Today's Paper of the Day is: Critical closing pressure in the circulation: Understanding the vascular waterfall phenomenon https://criticalcarereviews.com/latest-evidence/paper-of-the-day Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2026

Precision medicine in sepsis = correct antimicrobial coverage, source control and tailored haemodynamic support. #emimcc

What Is Sepsis, Who Gets It, How, and Why? The Keys to Unlocking Precision Medicine in Sepsis CCR Journal Watch https://criticalcarereviews.com/latest-evidence/journal-watch

Hemodynamic phenotyping 4.0 CCR Journal Watch https://criticalcarereviews.com/latest-evidence/journal-watch