SOHO trial link
#EvidenceRounds
#HospitalMedicine
#PulmCrit
www.nejm.org/doi/ful...
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...
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
So I'm looking for a better affirmation. How do I acknowledge without elevating myself above them?
#medsky #emimcc #pulmcrit #criticalcare
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
LIBERATE-D Trial here
#EvidenceRounds
#Nephrology
#Pulmcrit
jamanetwork.com/jour...
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
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
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
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?
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
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...
🔹 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
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
🚀 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
🤖 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
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
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
Midtown joining Bluesky! 😎💙 Our first post is celebrating our senior class #FellowshipMatch #Match2025
We’re so proud of your achievements 💙 #GI #Cardiology #PulmCrit
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
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
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
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
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