RT @HeyEpic: Most clinical trials fall short of their enrollment goals. Finding the right patients is a big reason why. Study Finder he….

RT @ATSCritCare: 🚀 Thinking about private practice? Join the Career Transitions Group on 9/8 at 4:30 PM EST for an interactive session! 📢 F….

RT @COREIMpodcast: 1/ 🚨 NEW #5Pearls: Pneumothorax 🫁 . Three tests to diagnose:.1️⃣ CXR. - Only ~50% sensitive .2️⃣ POCUS. - Mo….

2/ 🔑 Risks: coagulopathy, longer ventilation, closed suction .⚠️ Ppeak ↑ but not clinically useful as many blocked tubes did not have this elevation! .Full paper: @HBGMD.@journal_CHEST.

1/ 🫁 Recently bronched a patient with a gunked up ETT and wonder how often this happens? From #journal_CHESTCritCare:.369 ETTs cut and measured degree of blockage (see pic).📊 Moderate blockage common (CICU 28%, MICU 17%)

@HBGMD @journal_CHEST 3) Variation persisted even with ARDS documented. Predictors of proning: COVID status, code status, lower P/F ratio. Take-home: Who your attending is may matter more than your oxygen level.

@HBGMD @journal_CHEST 1) 514 ICU pts eligible for proning: only 17% were actually proned. (why are we still so bad at this?). 2) 48 attendings analyzed → huge variation:.📊 Adjusted rates: 14.9%–74.2%.Greater effect than a 30 mmHg drop in P/F ratio.

Does it ever feel like some attendings prone everyone and some attendings prone no one? You're not imaging things! From #CLIFconsortium rockstar Anna Barker and #UMichMed.@HBGMD.@journal_CHEST .#journal_CHESTCritCare .

Super excited to serve on this with CLIF friends @Jc_rojas @AndrewBarros Kathryn Connell and everyone else! See you all at @HeyEpic UGM; can't wait to see the awesome campus!.

@journal_CHEST @HBGMD Results: ✅ Accuracy: 69% 🔍 Sensitivity: 58% 🔍 Specificity: 92% No difference by role. Agreement was poor for 🎨 color 💧 viscosity 📦 volume . Take-home: Bedside purulence checks = low accuracy + low consistency → risk of VAP overdiagnosis and unnecessary abx.

Just how reliable are bedside sputum assessments anyway? 📄 Schuiteman et al in #journal_CHESTCritCare @journal_CHEST . 📍 10 ventilated pts, videos/photos shown to 383 ICU staff.📍 Gold standard = gram stain PMNs . #MedTwitter #ICU @HBGMD.

Awesome work by @samf_7927 @alecpeltekian in building machine learning models to predict successful next-day extubation! With guidance from @NM_Lung & partnership with @NorthwesternEng ! Tweetorial thread by Sam here!.

@ATSBlueEditor Systemic corticosteroids are suggested for severe CAP (🛑 but NOT if flu-related). 💬 Still a debated area with mixed RCTs – low quality evidence acknowledged.Consider if ICU, severe respiratory failure (P/F<300), elevated CRP, and soon after symptom onset!~.

@ATSBlueEditor Outpatients w/ no comorbidities and positive viral test?.🚫 No antibiotics needed. Severe CAP:.✅ Empiric antibiotics recommended.⏱️ Duration: ≥5 days (Compare to outpatients: as few as 3 days may be enough). #MedTwitter.

🚨 The new @ATSBlueEditor CAP guidelines just dropped, featuring our very own Dr. Pickens! Highlights:. Lung Ultrasound is now an acceptable alternative to CXR for diagnosis. 📍Evidence-based, bedside, radiation-free — a win for POCUS!.

💖 Grateful to @JAMA_current for publishing our @WF_Parker letter advocating for code and acknowledgements of #MIMIC and #eICU! 🙏 Huge thanks to the authors for their thoughtful response + sharing their repository! Transparency drives science forward. 🔗

RT @HBGMD: 📖 A Tale of Two Strategies: CVCs vs pIVs for vasopressor administration 💉. Just out in #journal_CHESTCritCare, @Lzinger87 et al….

RT @HBGMD: There’s lots of heterogeneity of thought 🧠 re: whether to use paralytics in ARDS 🩻…. Might this be bc of heterogeneity of treatm….

RT @HBGMD: 🌍 Critical illness is a global phenomenon…. But do our severity scores generalize to everyone? . @tiaraforsyth et al show us the….

RT @NUFeinbergMed: Feinberg leads medical research and clinical trials, much of it fueled by federal funding. However, the impacts of froze….