Max Hockstein
@MaxHockstein
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Joined December 2012
@A_Rad_Resident @medicalaxioms Not all hospitals are teaching hospitals. But they are all learning hospitals.
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It's official: We are bringing the Commanders home to RFK and activating 180 acres of opportunity on the banks of the Anacostia River. We’re ready to deliver for our city—our businesses, our people, our project. 🔗 https://t.co/yvheKDRKIT
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Like the troponin, imaging, or risk scores, AI will make good doctors great and bad doctors worse. We use technology. Technology doesn’t use us. #ChatGPT
Was interviewed by @TIME magazine about chatGPT in healthcare and it got me wondering whether we’ve forgotten what doctoring really is - a human exercise married to science and trchnology. Anyway not sure when it’ll come out but interesting times indeed @CMichaelGibson @DLBHATTMD
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21. A hyperdynamic LV (“kissing” papillary muscles) on echo is not necessarily a sign of hypovolemia & should not reflexively trigger iv fluid bolus. Give yourself 1 mg of iv epinephrine and see what happens in your LV. Actually: don’t do it!
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5. A normal SBP or MAP doesn’t always mean adequate end organ perfusion
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Few tips for the CA-1s who just started: 1. Call for help early 2. If an LMA doesn’t sit well, replace it or intubate, otherwise you will be fighting under the drapes the whole case 3. If the IV is not running well or you think you need another one, get it at the beginning of
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Sunday morning teaching session for fellows and attending at @SHEBA_ Trying to break old habits.. Thanks @ThinkingCC @EMNerd_ @MaxHockstein
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Is emergency medicine a place for precision medicine? Check out Dr. @MaggieDavisMD' piece: Clinical Phenotypes in EM-Critical Care: Bringing Precision Medicine to the ED and ICU 💪 https://t.co/nAvgnQzCIs
acep.org
In critical care, heterogeneity among patients with similar diagnoses often leads to varied responses to treatments, complicating care delivery and clinical outcomes.
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New 📝 We know RV dysfunction occurs on VV-ECMO in ARDS despite ECMO mitigating many of the traditional RV dysfunction risk factors (hypercapnia etc) We don’t understand RV function dynamically over time on ECMO…
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Looks like this year at #CHEST2025 I’ll be talking about some combination of: - Invasive hemodynamic monitoring - #ThePeoplesVentricle - VA coupling at the bedside - Portopulmonary hypertension See you in Chicago!
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One last plug: there is no better conference to teach you all about volume status than The Hospitalist and The Resuscitationist! The speaker panel is full of hemodynamic allstars 💫Check it out! https://t.co/vbtZyIHtnh Ping @ross_prager @ThinkingCC @msiuba @NephroP @ArgaizR
ccusinstitute.wixsite.com
For more info and for the preliminary schedule, please click here or copy/paste: https://thinkingcriticalcare.com/2024/06/05/hr2025-the-hospitalist-the-resuscitationist-montreal-may-21-24-2025-hr25/
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@MaxHockstein @ThinkingCC @katiewiskar @KiranRikhraj Max is the person you want to explain this to you! He can make super complicated concepts simple. I’m pumped to hear how you explain it man
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Want to learn about VA coupling? (I promise only mild-mod use of calculus.) Do you like Montreal, specifically on May 22-23, 2025? Check out the H&R Conference! https://t.co/vTiKiuBgCF
@ThinkingCC, @ross_prager, @katiewiskar, @KiranRikhraj
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To be honest, no, I do not think the 5th liter of fluid will make all the difference.
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“The wedge.” The holy grail of RHC and hemodynamics Hate it or love it, major decisions are made based on it Whether you: • Perform the procedure yourself • Review someone else’s tracings • Review someone else's report Learn 7 tips to ensure “the wedge” accuracy
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@pulmtoilet @IM_Crit_ @MaxHockstein As a rapid response nurse I’m always wary of ‘treat the number’ and a large part of that is knowing that Max or Rory are on speed dial
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