Are Three ❤️'s Better Than One?
Did you know that octopuses have not one, not two, but three hearts? This incredible adaptation helps these fascinating cephalopods thrive in the depths of our oceans.
Two of these hearts, called branchial hearts, are dedicated to pumping blood through the gills, where it picks up oxygen. The third, the systemic heart, circulates this oxygenated blood to the rest of the body.
Interestingly, octopus blood is blue, thanks to a copper-based protein called hemocyanin that transports oxygen. This three-heart system is highly efficient, allowing octopuses to adapt to high-pressure deep-sea environments.
When an octopus swims, its systemic heart actually stops beating, which is why they prefer crawling to swimming. This unique cardiovascular system is just one of many remarkable adaptations that make octopuses some of the most intriguing creatures in the ocean.
On that note, let's get straight into the newsletter...
Welcome to the 8 edition of ResusNation!
SuperQuickCrit: The GI Cocktail
I'm trying a new format this week...super fast summaries of videos that I love. I give you the highlights and then you watch the video for some spaced repetition. Here's the first one with Anand Swaminatham on the GI cocktail...bottom line, just use antacids. Now, go watch the video.
Watch the full video here and leave a comment.
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The Failing Liver
In this episode, Dr. Alice Gallo de Moraes discusses the critical management of acute liver failure, focusing on the systematic approach needed to stabilize patients in crisis. Recorded at the ResusX: Golden Hour conference, Dr. Gallo de Moraes covers everything from early diagnosis and hemodynamic support to managing coagulopathy and preparing for potential liver transplantation. Her detailed and compassionate approach offers practical guidance for healthcare providers facing the complexities of liver failure in the ICU. Tune in to learn how to improve patient outcomes with targeted, timely interventions.
Check out this video now and watch the entire ResusX: Reset conference for more content Dr. Gallo De Moraes and our other all-star faculty!
🚨 Last Chance To Register!🚨
The countdown to the BIGGEST resuscitation event has begun! ResusX:ReUnion is starting in just one week. Now is your chance to attend live in Philadelphia or streaming on-line. The conference is three-days of jam packed resususcitation goodness, mixed with hands on workshops, and lots of fun and surprises.
Becasue we are trying to sell the conference out and there are only a few seats left you can take advantage of our HUGE sale and save 20% off the registration price. Save 20% on workshops, the main conference, or the streaming option. Whichever experience you choose, you'll save 20% off.
We anticipate selling out this week, so register right now!
HIT Probability Scoring
Full Blog Post By: Dr. Lauren Igneri
Heparin-induced thrombocytopenia (HIT) is a critical complication of heparin therapy, characterized by antibody-mediated platelet activation and increased thrombosis risk. More common with unfractionated heparin than low-molecular-weight heparin, HIT typically manifests as a significant platelet count drop 5-10 days post-heparin exposure. Diagnosis relies heavily on clinical assessment, primarily using the 4Ts score, which evaluates thrombocytopenia severity, timing, thrombosis occurrence, and alternative causes.
For cardiopulmonary bypass patients, the Lillo-Le Louët score offers a tailored alternative. Management has evolved from traditional direct thrombin inhibitors to include direct oral anticoagulants for stable patients, simplifying long-term care. The complexity of HIT necessitates vigilant monitoring and individualized treatment approaches, balancing thrombosis prevention against bleeding risks.
The Debrief:
• The 4Ts score is crucial for HIT assessment, but alternative tools like the Lillo-Le Louët score may be necessary for specific populations.
• Direct oral anticoagulants are emerging as preferred treatment for stable HIT patients, marking a shift in management strategies.
• Successful HIT management requires balancing thrombosis prevention and bleeding risk, emphasizing individualized care and ongoing clinical vigilance.
Read the full post here and comment at below if you use the DuCanto catheter and let us know your thoughts.
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Basics of Vasopressors
In this episode, Dr. Haney Mallemat demystifies the use of vasopressors in critical care, offering practical advice on when and how to use each option. From the ResusEM5 conference, Dr. Mallemat covers everything from the best go-to choice, norepinephrine, to less commonly used agents like vasopressin and Angiotensin II. With his clear, down-to-earth explanations, you'll gain confidence in selecting the right vasopressor for your hypotensive patients, whether you're dealing with septic shock, cardiogenic shock, or other emergencies. Tune in to sharpen your resuscitation skills!
Check out this video now and watch the entire ResusEM5 conference for more content Dr. Mallemat and our other all-star faculty!
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