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SOHO trial link

#EvidenceRounds
#HospitalMedicine
#PulmCrit

www.nejm.org/doi/ful...

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One of the most intense rapid responses during my first year as an ICU fellow (rapid nurses & I still talk about it!) Check out the details of the case, now out in BMJ Thorax. #PulmCrit #MedSky #AcademicSky

thorax.bmj.com/content/earl...

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Ketamine vs Etomidate for RSI-NEJM trial
-28-day mortality: No difference (Ketamine 28.1% vs Etomidate 29.1%)
-Ketamine ↑ risk of peri-intubation cardiovascular collapse (22.1% vs 17.0%)
@nejm.org
Graphic generated using AI
#CriticalCare #RSI #ICU #MedTwitter #PulmCrit

tinyurl.com/bdzekh49

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So I'm looking for a better affirmation. How do I acknowledge without elevating myself above them?

#medsky #emimcc #pulmcrit #criticalcare

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Impaired serum neutralization and death in Omicron-infected critically ill patients: insights from the French SEVARVIR study
Early strategies boosting neutralization may be key.
🔗 doi.org/10.1186/s40635-025-00831-y
#MedSky #FOAMed #PulmSky #PulmCrit #IDSky #ImmunoSky

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LIBERATE-D Trial here

#EvidenceRounds
#Nephrology
#Pulmcrit

jamanetwork.com/jour...

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New episode out today wrapping up our asthma guidelines series!

www.pulmpeeps.com/2025/10/28/1...

Infographics below 👇

Stay tuned for our next guidelines series about Pulmonary Hypertension!

#pulm
#pulmcrit
#meded

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Hello physician community. And especially our emergency, infectious diseases, pulmonary docs.

Had a friend reach out about a case in Texas of Melioidosis (Burkholderia pseudomallei) in a patient without a travel history.

#idcrit #idsky #Pulmsky #EMsky #emcrit #pulmcrit #bioterrorism

1/x

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Out of China:

A new 11-variable scoring system using routine admission data predicts in-hospital mortality in COPD exacerbations—showing promise over older prognostic tools. #COPD #PulmCrit

Read in #JGIM: rdcu.be/ewEco

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This week marks 10 years since I arrived as an intern to the US. What an incredible journey! A residency at @nyulangone.bsky.social and #PulmCrit fellowship at @upenn.edu - where I am now lucky enough to be an attending. A wife, two beautiful kids, and a Great Dane!

Who would have thought?

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In a new ICU mouse model, age and sex drive divergent responses to LPS-induced lung injury. Old males benefit most from ventilation, but old females fare worst. A step forward for translational critical care research.

🔗 doi.org/10.1186/s40635-025-00756-6

#MedSky #PulmSky #PulmCrit #IDSky

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High-Flow Nasal Oxygen vs Noninvasive Ventilation in Patients With Acute Respiratory Failure This randomized clinical trial compares the use of high-flow nasal oxygen vs noninvasive ventilation on the rates of endotracheal intubation or death at 7 days across 5 patient groups with acute respi...

Compared with noninvasive ventilation, high-flow nasal oxygen met prespecified criteria for noninferiority for the outcome of endotracheal intubation or death within 7 days in 4 of the 5 patient groups with acute respiratory failure. #MedSky #PulmCrit #PulmSky

jamanetwork.com/journals/jam...

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Comparison of artificial intelligence and logistic regression models for mortality prediction in acute respiratory distress syndrome: a systematic review and meta-analysis - Intensive Care Medicine Experimental Background The application of artificial intelligence (AI) in predicting the mortality of acute respiratory distress syndrome (ARDS) has garnered significant attention. However, there is still a lack…

🔹 AI vs. traditional models in #ARDS mortality prediction 🤖⚕️
Is AI better than logistic regression for predicting outcomes in ARDS? This systematic review & meta-analysis compares their performance.
Find out more: 🔗 doi.org/10.1186/s40635-024-00706-8
#MedSky #FOAMed #PulmSky #PulmCrit

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presented our research “The Association Between Pre-ICU Length of Stay and Hospital Survival” at #SCCM2025 today! Thanks to all who came out to support me, and thanks to Monte Medicine and @montefiorecritcare.bsky.social for all their support!
#criticalcare #pulmcrit

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🚀 NIV & Automation: A Better Match?

This study finds that IntelliSync+ improves synchronization, particularly with obstructive #lung mechanics & high leaks. Could this reshape #NIV delivery?

🔗 doi.org/10.1186/s40635-025-00726-y
#MedSky #PulmSky #PulmCrit

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🤖 AI vs. Logistic Regression: Who predicts #ARDS mortality better?

A new meta-analysis finds AI models outperform LR models in sensitivity & accuracy, especially in moderate to severe ARDS. Could #AI enhance critical care decisions?

👉 doi.org/10.1186/s40635-024-00706-8
#MedSky #PulmSky #PulmCrit

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Help!!Who has calculated ApacheIV scores? u are suppsed 2 take worst lab initial 24 hrs.

Ex.Floor pt has Cr 3.0@4am. Admit to ICU@6am. Cr@8pm is 2.6

Which Cr to use?
What if in ED@4am w/3.0 & admit 2 ICU@6am? Same?
And "24 hrs" stop at MN or regardless of calendar day?
#EMCC #pulmcrit #medsky

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Who's planning to be at #SCCM Congress next week? Love to meet up. I'm also bringing a camera/mic, so if you want 60 seconds to opine on your favorite soapbox, it's yours!

#medsky #FOAMcc #FOAMed #pulmcc #pulmcrit #emimcc

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Midtown joining Bluesky! 😎💙 Our first post is celebrating our senior class #FellowshipMatch #Match2025
We’re so proud of your achievements 💙 #GI #Cardiology #PulmCrit

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a man in a blue shirt and tie is standing in front of a bulletin board with papers on it . ALT: a man in a blue shirt and tie is standing in front of a bulletin board with papers on it .

Since we’re entering the last month of 2024, here is a non-systematic review of #pulmcrit trials published this year that I found particularly noteworthy. Not comprehensive, so please include any that I may have missed!

(🧵1/11)

#emimcc #critcare #pulmsky #medsky

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Fresh post: BSI (bilevel sequence intubation) will become standard therapy based on PREOXI 🔥🔥

How should BSI be optimized?

🤿 CO2 clearance is irrelevant

🤿 maximize ePAP (PEEP) for recruitment

🤿 low driving pressure

Post: emcrit.org/pulmcrit/bsi/ #FOAMed #MedSky #PulmCrit

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PulmCrit Blogitorial - Use of ECGs for management of (sub)massive PE (A blogitorial is like a tweetorial in blog form, so folks on different platforms can see it). Our approach to risk stratification and management of

fresh blogitorial: we should pay more attention to ECGs in management of (sub)massive PE

🫁 help with risk stratification
🫁 substitute for troponin to expedite management?
🫁 diagnostic help if too unstable for CT
🫁 sleuth out chronic RVH

post: emcrit.org/pulmcrit/ecg... #FOAMed #PulmCrit

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PulmCrit Wee: Propofol induced eyelid opening apraxia - the struggle is real Eyelid opening apraxia refers to a specific inability to open the eyelids. This may result from non-dominant hemispheric strokes. On superficial

fresh wee blog: Propofol-induced eyelid apraxia.

🥛patients wake up from propofol but can't open eyes for ~15 minutes
🥛easily misinterpreted as delirium or coma
🥛diagnose based on ability to follow commands w/ extremities

emcrit.org/pulmcrit/pro... #FOAMed #PulmCrit

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free match day book giveaway: the Internet Book of Hospital Pulmonology😁

67 new chapters were added to the IBCC, to more broadly cover pulmonology & thoracic radiology

carefully curated from the finest books & articles, delivered straight to your phone

emcrit.org/pulmcrit/ibhp/ #PulmCrit #MedSky

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