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Version devBuilt at: 2026-10-10 01:38:52 EDT

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@load-dependent.eurosky.socialOct 4, 2026, 6:02 PM

Why the increased thrombotic events? Less use of antithrombotics/anticoagulants? #emimcc #critcaresky

@germhuntermd.bsky.socialOct 2, 2026, 12:36 PM

Shorter is also better in ICU patients

Timsit, Roberts, @angelahuttner.bsky.social, Daneman &c State-of-the-Art in AJRCCM @atsblueeditor.bsky.social

For most ICU patients with (suspected) infections, abx can be 🛑 at 5-7d w clinical improvement

academic.oup.com/ajrccm/advan... #IDSky #CritCareSky

Duration of antibiotic therapy in sepsis and severe infections in critically ill patients decision pathway. 

Day 1 empiric therapy: sampling (culture) before therapy, clinical exams, consider alternate diagnosis;

48-72h Tailor treatment and switch to targeted therapy where possible, PK optimization, source control

Indications for extended courses: endocarditis (4-6 weeks), brain abscess (6-12 weeks), spondylodiscitis (6-12w), prosthetic joint infection (6-12 w), incomplete removal abscess, empyema, retained prosthesis: individualized

Day 5-7: 

if Patients NOT responding or positive cultures: reassess treatment, individualize according to source control, immune status, high risk microbiology (S aureus, candida), possible suboptimal therapy (MDR), intravascular devices, ? role of serial PCT for stopping early questioned

if Clinical improvement: STOP antibiotics
@rajlb.bsky.socialSep 15, 2026, 6:38 PM

Holy shit, I saved this post! Good work, past me!

Anyway #MedSky #CritCareSky, this flowchart/thread seems so much simpler than what I had to learn for my exams.

@load-dependent.eurosky.socialSep 10, 2026, 8:03 PM

You cannot assess safety nor efficacy in a single arm observational trial! I don't know how these things pass editorial and peer review. #emimcc #critcaresky #cccsky #cardiosky journal.chestnet.org/article/S001...

@load-dependent.eurosky.socialSep 6, 2026, 2:05 PM

If anyone has contact with @intenscaremed.bsky.social social media team, could they let them know that their obvious cross posting to bluesky isn’t working? #critcaresky