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Critical Care Medicine

A physiology-first approach to shock, mechanical ventilation, acute respiratory failure, hemodynamics, critical care ultrasound, organ support, and liberation from life support.

Critical Care Topics

Explore each topic through a recent review or authoritative evidence synthesis.

Mechanical Ventilation

Lung-protective ventilation, PEEP, driving pressure, patient effort, mechanics, asynchrony, and liberation from ventilation.

Recent ventilation review →

Shock & Hemodynamics

Venous return, Frank-Starling physiology, vasopressors, preload, fluid responsiveness, and perfusion assessment.

2025 ESICM guideline →

Critical Care Ultrasound

Cardiac, lung, venous Doppler, congestion assessment, and ultrasound-guided bedside decisions.

Recent ultrasound review →

ARDS & Acute Respiratory Failure

Gas exchange, recruitability, PEEP selection, prone positioning, lung stress, VILI, and P-SILI.

Recent ARDS review →

Sepsis & Organ Dysfunction

Sepsis physiology, renal and hepatic dysfunction, acid-base problems, and multi-organ support.

Recent evidence synthesis →

Weaning & Diaphragm Function

Readiness testing, respiratory muscle function, MIP, RSBI, diaphragmatic ultrasound, and rehabilitation.

Recent diaphragm review →

Featured Critical Care Teaching

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Article / Review

In sepsis, fluid responsiveness is only half the question

A septic patient may increase cardiac output after fluid and still be harmed by the volume.

Read article →