Outpatient pulm: let’s figure out how we can get you coughing less. Inpatient pulm: let’s figure out how we can get you coughing more.

the ERC-ESICM algorithm for neuroprognostication post cardiac arrest is undefeated. I’ve been using & recommending this algorithm for years. it’s validated, guideline-backed & practical. (much better than the Neurocritical Care Society guideline) emcrit.org/ibcc/np/#multi…

EMCrit 382 - A Deep Dive on Vasopressin: Timing, Push Dose Vasopressin? and the Vasopressin Load Test. emcrit.org/382

most impactful & influential member of the staff 10/10 would recommend for promotion to associate

(1/x) After 15 years of university/medical training, I can officially say I have never learned to study the ‘right way’ . 🎓 Instead, I have developed a toolbox of learning strategies I can implement when needed. Here they are 👇 A 🧵 #medtwitter #meded #foamed

PulmCrit Wee: We need a heart failure classification system that doesn't ignore half of the heart. 💔Diagnose, document, and communicate about RV failure. 💔Support #ThePeoplesVentricle by classifying heart failure more comprehensively. blog: emcrit.org/pulmcrit/hfxef…

best pearls & pitfalls on insertion and monitoring with Swan-Ganz catheters? (writing new IBCC chapter) (yes I remain skeptical, but they're increasingly used esp in the context of mechanical circulatory support/transplant patients so we need to know how to do this correctly)

2nd hand history: prior to intubation there were seizure-like movements me: 🤷‍♂️ LP results show the seizures were real 😳 (explaination: emcrit.org/ibcc/id/#CSF_l…)

(1/x) As you might know, I research venous congestion in critically ill patients. This is a fascinating field but is changing a TON as new evidence emerges. Here are my top 5 learnings about venous congestion in the past months. A 🧵 Pinging some experts in the field for their

cardionerds: what is your strategy for using inotropes, pulmonary vasodilators and/or mechanical support to treat RV failure?

Hypervirulent Klebsiella pneumoniae (hvKp): ☣️may cause severe infection in anyone ☣️gram-neg rod that behaves like MRSA ☣️increasing in America, Europe ☣️lab tests lacking, so clinical recognition is important short IBCC section on need-to-know info: emcrit.org/ibcc/antibioti…

EMCrit RACC Lit Review for September 2024. Amazing papers including: - When to Get Torso CTs for Geriatric Trauma - Finally a holy grail for non-CT Aortic Dissection Dx??? - An easier way to avoid DOAC reversal emcrit.org/x9ev

the rapid response team preparing to venture into the radiology department

Surgical errors and bad outcomes unfortunately do happen. I've published a few of them: - neurosurgeon operates on the wrong side of a head - vascular surgeon removes clavicle instead of first rib for thoracic outlet syndrome - colorectal surgeon makes an anastomosis to a vagina

1/ Hi 👋 #medtwitter #neurotwitter #neurocritcare #FOAMed #meded have another interesting case I wanted to share with you and see if perhaps you learn something new!

this is largely incorrect MANY pts meeting these criteria would respond well to BiPAP & avoid intubation often depends on trajectory & serial evaluation any cookie-cutter approach with specific ABG cutoffs is arbitrary & amateurish explored in IBCC emcrit.org/ibcc/AECOPD/#n…