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A brief discussion of the stuff in your pockets as you practice medicine.
Category: TIRBOs
TIRBO #43: Lying to ourselves (the clinician’s perspective on end-of-life care)
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From the Critical Concepts blog, thoughts on our personal biases and lack of humility when contemplating end-of-life decision making.
TIRBO #42: The mobile locus of control
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When are patient outcomes your fault?
TIRBO #41: Tissue compression and elasticity during procedures
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Dealing with the good and bad aspects of tissue mobility during percutaneous procedures.
TIRBO #40: Ventilating the breathing patient
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The dilemma of lung-protective ventilation in patients with strong spontaneous breathing.
TIRBO #39: 5 rules for clinical excellence
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5 things you pretty much must be doing if you want to be excellent at critical care.
See also on the blog:
TIRBO #38: Why you should follow up
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The value of performing chart checks to see how your patients are doing after your care.
TIRBO #37: Remote brains
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The importance of using an app to keep notes and establish a second, more reliable medical memory.
TIRBO #36: Liberty or death
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A brief overview and call to arms around the key concepts of ICU liberation.
TIRBO #35: Vent double-triggering
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Understanding the causes of doubled vent breaths, including premature/short cycling and reverse triggering, plus a basic approach to managing them.