🚨 Pediatric hospitals are overwhelmed right now 🚨

What simple actions can YOU take TODAY to help?

- get your flu 💉
- wash your 👐 and wear a 😷
- 🔒 your 💊 and guns
- encourage 💺belts and 🚴🪖
- donate🩸
- 🗳 to #PutKidsFirst

Please RT!

#PedsICU #PedsInCrisis

An excellent article outlining how to think about manuscript rejections as opportunities to learn about the journal, your writing, and reasons for rejection that may not be you. Bottom line revise and submit elsewhere. #meded ⁦⁩ ⁦ #meded chat. journals.stfm.org/primer/2022/ro…

#Genderbias can make negotiations hard. Fix the system, not the women!
-Women DO negotiate well
-System should close #genderpaygap not put that task on women too
-Yep, good women negotiators can be called aggressive - I expect it!
hbr.org/2022/10/3-nego…
#WomenInMedicine

Today the American Medical Association, American Academy of Pediatrics, and Children’s Hospital Association called on Merrick Garland & major tech companies to address the recent attacks on pediatric hospitals by anti-trans extremists

Please amplify their demand for action

Which driving pressure is best? #FOAMcc #ICU #MedTwitter

Aggressive hydration in pancreatitis is associated with worse outcomes in adult patients with pancreatitis. This is big and why it is important to be curious. nejm.org/doi/full/10.10…

Excellent question Amy. Think of it this way: all four sources must also inform learners directly. Informed self-assessment is then not just one source in parallel to others.

Every academic knows that the BEST software for citation and reference management is Zotero.

BUT many folks don't know how to take notes and annotate PDFs in Zotero.

Here's how to get started 👇

Zotero Annotations 101: A step-by-step guide with visuals 🧵

Great workshop this morning on Entrustable Professional Activities (EPA:s) at #AMEE . Requires a transition to a #growthmindset among trainers and students alike.

Clinical supervisors; ’Your job is not to grade the students. Your job is to assess, and coach.’

Dr. Rachel Stork Poeppelman

Very nice and concise #onepager on #hypoxia . Thank you Nick Mark MD for another great one! #PedsICU #MedTwitter

Low-dose Ketamine stimulates breathing and provides analgesia - may be better than opioids in surgical ICU patients who are ready for weaning. Mass General Anesthesia, BIDMC Anesthesia, Critical Care and Pain Medicine, @montefioreanesthesia, #ketamine , doi.org/10.1177/088506…

🙋‍♂️ Best bedside #POCUS & Echo summary I have seen!
#MedEd #MedTwitter #FOAMcc

Thanks to Cathy Cichon for this amazing medical art!

As a medicine-trained intensivist, I did not get too much into the weeds of base excess and base deficit. Well, here’s a good 3-page breakdown. 🎩 tip to the authors.

eddyjoemd.com/foamed/

This morning was incredible. Abby was interviewed on 99.7 The Blitz and Loper and Randi in support of their Christmas in July Toy Drive for Nationwide Children's Hospital. This event has SO MUCH HEART. If you’re interested, Abby’s interview starts around the 1:50:00 mark.

open.spotify.com/episode/7A447G…

Please don't listen to The Wall Street Journal and The Wall Street Journaleditor. They are not doctors and have no idea what they are talking about. I am both a practicing physician and a tenured professor with a well-established career in medical education.

A thread.

1/x

Myth-busting the nephrotoxicity of piperacillin-tazobactam plus vancomycin:
🪄Piptazo is a pseudo-nephrotoxin that increases Cr due to reduced secretion
🪄Piptazo doesn't ⬆️ hemodialysis or mortality
🪄New study: No effect on BUN or renal biomarker
emcrit.org/pulmcrit/myth-…

Tip for medical trainees: When you are told there is a “policy” preventing your patients from getting what they want and need, ask to see the policy. I promise you, often you will find so such policy exists

Happy July 4th!

Today's ICU #OnePager is non-invasive positive pressure ventilation ( #NIPPV ) - a great topic for new interns!

What are the modes of NIPPV ( #CPAP , S/T, AVAPS, etc)? What interfaces are available? What settings will change oxygenation & ventilation? #FOAMed