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Pulmonary consults: where you’re either too sick for bronchoscopy or not sick enough.

Used ultrasound to measure optic sheath diameter in a patient at high risk for cerebral edema last night. Still got an MRI (negative) but helped support my decision to hold off on hot salts since we were in a grey area. Neat and easy pocus101.com/ocular-ultraso…

CO/CI estimation w/ VTI has been a great tool to tailor my resuscitation and pressor strategies with mixed clinical pictures too

Give me the confidence of a first week intern answering the phone “Hello, this is Dr. ________”

Our patient had an elevated VEGF-D level, a renal angiomyolipoma identified on CT abdomen and imaging with diffuse cystic lung disease confirming her diagnosis of LAM. Make sure to check out the ICU OnePager below on cystic lung disease as another great resource

FDA gives emergency use authorization to Novavax's Covid-19 vaccine, which uses different technology than shots already available in US. cnn.it/3P1HHb0

1 year into fellowship and I’m subconsciously packing ultrasound gel instead of my water bottle 🤦🏽‍♂️ #hocusPOCUS

Charleston after hours

Look at this amazing Critical Care reading list CCM fellowship director Dr. Micah Long created UW Department of Anesthesiology !! Wish I had this when I was a fellow but glad I have it now!! anesthesia.wisc.edu/documents/reco… SCCM Anesthesiology Section SCCM UW Anesthesiology & Pain Medicine Başak Çoruh José L. Díaz-Gómez, MD, MAS, FCCM, FASE, NCC(UCNS) Aarti Sarwal, FNCS, FAAN, FCCM, RPNI, Professor

According to this study (DOI: doi.org/10.1016/j.ches…), it will be only 2 beats/min slower in the P group:

4 RCTs published in the last few hours you can’t miss if you work with critically ill patients: #1 Fluids in septic shock #2 Mobilisation and long-term cognitive impairment #3 NIV for extubation of obese patients #4 Nutrition before extubation A thread 🧵👇 #FOAMcc #SCCM2023

Happy to share our #ThePeoplesVentricle review out today in NEJM. We hope this is approachable and useful for all physicians, not just RV experts. Very appreciative of the collaboration with @Brian_Houston12 & #EvanBrittain. MUSC Cardiology MUSC Health nejm.org/doi/full/10.10…

Osmotic Demyelination Syndrome in Patients Hospitalized with Hyponatremia | NEJM Evidence evidence.nejm.org/doi/full/10.10…

Terrific short piece by Bob Arnold et al on the value of avoiding need-based language in the ICU around serious illness for those near the end of life If you work in or near an ICU, you should read it IU Pulmonary and Critical Care Fellowship Indiana University Internal Medicine Indiana University Med-Peds jamanetwork.com/journals/jama/…

1/ Have you ever wondered how it's possible to survive with 1 lung? We have 2 of them - you'd think that we need both. But it turns out humans can function fairly well with only a single lung. And there's evidence that lungs can actually REGENERATE... #tweetorial

Recommend using VuMedi to new fellows. Even a 10 min lecture will answer your questions from a long clinical day or solidify what you learned. vumedi.com/video/connecti…

Thanks for this gem Yasmeen M. Butt william kelly youtube.com/watch?v=mP6wIE…

If you intubate you need to read the #PREOXI trial! -n=1301 people requiring intubation in ED/ ICU were randomized to preoxygenation with oxygen mask vs non-invasive ventilation (NIV) -NIV HALVED the risk of hypoxemia: 9 vs 18% -NIV reduced mortality: 0.2% vs 1.1% #CCR24 🧵 1/

Me (or any pulmonologist) vs hypersensitivity pneumonitis

Music to my ears Landsberg Manual