If you spend enough time in the ICU, you will miss lines. That doesn’t mean you’re bad at procedures—it means you’re learning. This attending’s guide shows how setup, mindset, and recovery turn hard attempts into confidence.

RRT doesn’t require you to be a nephrologist—it requires a system. Written to help trainees, this guide helps students and residents understand when dialysis is needed, how to choose the right modality, what orders to write, and how to tell if therapy is actually helping at the bedside.

VTE is a leading cause of preventable hospital death. Effective prophylaxis requires more than "checking the box"; it demands tailoring orders to patient physiology. For medical patients with renal failure, switch from Enoxaparin to Heparin 5,000 units TID. Trauma patients often require aggressive 40 mg BID dosing due to high metabolism, while neuro-trauma requires 30 mg BID. For obesity, use weight-based dosing (0.5 mg/kg) and consider Anti-Xa monitoring to ensure safety.