I watched a mock interview recently where a student was asked about their greatest strength. They told a dramatic story about catching a rare diagnosis that the attending missed. They thought they looked brilliant. The feedback they got? “Unbelievable and arrogant.” Here is

In this analysis of >1,000 TAVI patients, we demonstrate that underexpansion of balloon-expandable transcatheter aortic valves, as assessed by fluoroscopy, is associated with an increased risk of hemodynamic valve deterioration at mid-term follow-up. https://t.co/8imr7NRBd2

I was excited to read this submission to @Sensible__Med from @Wil_Ward_ on anecdote not being data. Then I got even more excited because it used the wearable cardiac defibrillator and VEST trial as an example. Superb. Superb. Please do read https://t.co/NVXBH9Stt8

📉 The ADAPT-Sepsis Trial PCT-based protocols ↓ Abx by 1 day but ↑ mortality (5%) CRP didn’t meet non-inferiority ⚠️ Biomarkers ≠ clinical judgment 📖 h https://wp.me/pdrP8b-5mL ✍️ By @MRamzyDO 🧠 Peer reviewed by @EMSwami & @Marco_Propersi #FOAMed #FOAMcc #MedED #MedTwitter

After propensity score matching, TAVR was associated with ⬇️ mid-term survival and ⬆️ heart failure readmissions vs SAVR in pts <65 years 🔗: https://t.co/fGjTHvBRPf @EishanAshwatMD @sarahyousefmd @DSGMD @Irsa_Hasan @IbrahimSultanMD @AATSHQ #JTCVS #JTCVSOpen #TAVR #SAVR

Sample Size Calculation in Scientific Studies 🏎️ https://t.co/vwVhc2cdjY

🚨More rehospitalizations (x2) after TAVR in EARLY TAVR (26%) than in PARTNER 3 (13%) at 5y— despite asymptomatic patients and similar STS risk? Slightly higher age in EARLY TAVR is no excuse. If the idea was to intervene earlier, it’s hard to see where the benefit lies.

💬 Editorial: Personalized perioperative blood pressure management did not reduce organ injury or disability compared with standard MAP targets. #ANES25 @ASALifeline https://t.co/cHLjqP0k2v

Sleep-wake regulating pharmacologic agents may help reduce delirium prevalence in hospitalized patients, but further high-quality trials are needed to confirm these findings and evaluate drug-specific efficacy. 🔍 Read the research in CCM: https://t.co/30D2YrnceN #CritCareMed

🎯 2025 ESC Guideline Update Low-Flow, Low-Gradient AS + ↓EF 🫀 Old: Mandatory Dobutamine Stress Echo (DSE) 🆕 New: DSE not mandatory ❌ → Use CT Aortic Valve Calcium Score (AVCS) ✅ 📌 Severe AS: 👩 >1200 AU 👨 >2000 AU

🔍 The IMPROVE trial, a 12-week cognitive and physical training intervention for ICU delirium survivors, did not result in improved cognitive, physical, mental health, or quality of life measures. ✅ Read the research in CCM: https://t.co/qJ3P8HWvFN #CritCareMed @SCCM @ICUKhan

PRINCE Randomized Trial: Remote ischemic preconditioning (RIPC) in noncardiac surgery did not reduce postoperative myocardial injury or improve clinical outcomes compared to sham treatment.

Nine uncomfortable facts about Global longitudinal left ventricular strain.

In a large retrospective study of Florida patients undergoing major diagnostic or therapeutic surgery, Epstein et al. compared those who survived to discharge or died between the elective and nonelective groups. Learn more: https://t.co/1OA5AReElV

There is no clinically meaninful differences in postoperative chronic #opioid use or #dependence in groups who received a single-shot peripheral nerve block or continuous catheter infusion during total knee arthroplasties. #pain #TKR #regional https://t.co/sgyDawOjeR

Presented at #CCR25: In the ANH phase 3 trial involving adult patients undergoing elective cardiac surgery, acute normovolemic hemodilution did not reduce the number of patients receiving allogeneic red-cell transfusion. Full trial results: https://t.co/c9eA8EyHdt

Presented at #CCR25: In a cluster-randomized, crossover trial, hospital-wide use of lactated Ringer’s solution as compared with normal saline did not alter the incidence of death or hospital readmission within 90 days. Full trial results: https://t.co/3Fv4wlNESh

Turns out targeting a particular blood pressure while under anaesthesia doesn’t make much difference, and the permissive group actually had less atrial fibrillation. #rcoaupdates

eFAST exam shows high specificity, but low sensitivity in most pathologies in penetrating thoracic trauma. Urgent interventions were frequently required in patients with false negative studies. https://t.co/8h9hLhUaeI

🧵 Is Proximal Intercostal Block a safer alternative in arrhythmia care?? Key findings: ✅100% of successful blocks reached the cervicothoracic chain ❌PVB/epidural spread inconsistent 💡Suggests direct fascial spread as main mechanism 🔗 https://t.co/ZXzUgCKTQd