Grateful to be part of the family. @SCCM Congress Planning Comittee!

Great time at @UAB_CRRT. Learned a lot and excited to apply it in clinical practice. Thanks to Dr. Ashita Towlani, Dr. Javier Neyra, Haley Cagle, and others for organizing. Favorite moments: hands-on learning, olympic games, and networking. @DukeKidney @AleTomasiMD @luck_urine

Right ventricle and venous system: bridging physiology and clinical practice. A narrative review CCR Journal Watch - tracking the critical care literature daily https://t.co/Sp06oA6IDG

It is difficult to capture in words the appreciation and value of learning, training, and working with dedicated, humble and skilled doctors everyday at Mayo Clinic Florida. Impromptu nephrology-rheumatology table rounds on a complicated patient.

Multisystem hemodynamic effects of terlipressin in cirrhosis: A scoping review https://t.co/m7f5KobIxk

So proud of my sister for matching at @MayoAnesthesia Florida! @MayoFL_IMRES @nathanhwaldron

Clinical validation of pulmonary artery catheter for continuous thermodilution CO monitoring in VA #ECMO?  🖥️ strong agreement between PAC and #POCUS CO, maintained across different flow settings (0.5, 2, 4 LPM); CO trends induced by EBF variations also demonstrated good

🚨ECMO & AKI: A Deadly Combo🚨 Non-pulsatile flow & venous congestion—ECMO risks renal hypoperfusion, leading to AKI🫀🫘 Can we prevent it? Dive into this review👇 📖AKI in ECMO: Research Progress 🔗 https://t.co/hQOJDOlxVZ #Nephrology #ECMO #AKI #Cardiology #MedTwitter #NephX

🔥 #IRONMAN trial : 1st study that show no risk of infection after IV ferrum in #HFrEF ✅ No death of hospitalizations due to infection #HFUA @EJHFEiC @MicheleEmdin @AndrewJSauer @JJheart_doc @gcfmd @ShelleyZieroth @JBauersachsMD @DrRajivsankar https://t.co/2B86kM1Pdc

In critically ill adults with suspected sepsis, antibiotic regimens were safely reduced when guided by measurement of procalcitonin but not by C-reactive protein. https://t.co/Y3NVgYZsLr

As emergency doctors, we fight for every life. But when we lose, our role shifts—to heal not just the body, but the broken hearts left behind

Happy ❤️ day - unfiltered love from the kidneys!

Our new paper explores how pass/fail grading has created a "shadow economy of effort," as medical students engage in extracurricular activities to compete for residency positions, often at the expense of clinical skill and well-being. @Midwest_MedPeds https://t.co/yz5E4TYkbt

...🧵This is a thread about 8.4% sodium bicarbonate (aka bicarb amp) in critical care. This the first part in a series of three about sodium bicarbonate 🧂in critical care: 🧐I will get in deep to complexities, benefits, risks and clinical implications of this (overused) drug.

“I don’t know” is not an admission of ignorance. It’s an expression of intellectual humility. “I was wrong” is not a confession of failure. It’s a display of intellectual integrity. “I don’t understand” is not a sign of stupidity. It’s a catalyst for intellectual curiosity.

Hepatic Hydrothorax & Spontaneous Bacterial Empyema ▪️HH & SBE ➡️ poor prognosis ▪️No MELD exception points for HH/SBE ▪️HH often RIGHT-sided! ▪️HH Dx when serum:pleural albumin>1.1 ▪️AVOID chest tube/pleurodesis for HH ▪️SBE when (+) Cx and >250 PMNs 🔗 https://t.co/arSxV7UMkd

I missed this when it came out: 2024 HHS/DKA guidelines: No more "the gap has closed". Following the anion gap is no longer recommended. Instead, follow plasma ketones directly, venous pH, and/or bicarbonate.

Veno-arterial PCO2 gap Looks simple. But complicated. You need to consider a lot of factors in the interpretation. More importantly, it can be normal or high in sepsis. Tip: Make sure you study the CO2 dissociation curve before attempting to understand this concept.

As angiotensin II slowly makes its way into our ICUs, it’s worth recognizing the effects noted in septic shock patients. Do you use angiotensin II at your shop? 🎩 tip to the authors including @KhannaAshishCCM @YukiKotani5 @giovannilandoni and @pwierusz https://t.co/4Ise541cSv

🎉 Huge congratulations to our residents on their Fellowship Match!! 🎉 We are so proud of our residents and know they will continue to accomplish amazing things in the future!! 👏🏼 @MaryHedgesMD #Fellowship #Match2024