Our new editorial from @CritCareMed accompanying McDougall et al's systematic review of RCTs comparing video laryngoscopy (VL) with direct laryngoscopy (DL) in critically ill adults is now available. 👇 @SOCCA_CritCare https://t.co/EAwDkCeQHB

Nearly 400 primary care doctors at Mass General, Brigham and Women’s hospitals file to unionize

placing a 20g in the largest foot vein I’ve ever seen

I’m sorry the what

Many things to be said, but if you are counting on PSLF I would start making alternate plans right now.

this is how I found out

let's talk about the final battle between katara and azula

bears fans 🫱🏻‍🫲🏼 Amon-Ra St Brown

turning the room temperature down for the surgeons as a little treat

Up to 82% of pregnant surgeons experience miscarriage, preterm delivery, and intrauterine growth restriction. Occupational hazards, including prolonged standing, physical exertion, overnight shifts, and teratogenic exposure, contribute to these risks. https://t.co/ZDFI7qGydw

@JHealthAdvocacy released new content in it's first Advocacy and Policy Corner, just in time to provide a pre-election issue brief and steps to begin your advocacy journey. Check it out at: https://t.co/iIOVC01smo. @tamibartell @trpender @karensheehanmd

Thank you to this team for including me on this paper, especially @CraigJabaley! @CritCareMed https://t.co/EAwDkCeQHB

Closing thoughts: - “newer,” “advanced,” and “technology-based” are not synonyms for “better” - tools are developed to improve the ability to perform tasks, and improvement requires comparison using a metric @CritCareMed https://t.co/EAwDkCfox9

Other reflections: - first pass success is a process-oriented outcome and may affect patient-centered outcomes only indirectly - the ability to link direct interventions to outcomes is challenging, especially in the critically ill @CritCareMed https://t.co/EAwDkCeQHB

Our thoughts on VL & Trainees: - Both VL and DL require extensive education and practice, but the curriculum and the procedures are different - Appropriate learning paradigms and an optimal educational approach are under consideration for VL @CritCareMed https://t.co/EAwDkCeQHB

Our thoughts on VL & Trainees: - VL facilitates a shared view of the airway, therefore improving communication and likely reducing the cognitive load when both instructing and learning a complex, multi-step process @CritCareMed https://t.co/EAwDkCfox9

Our thoughts on VL & Trainees: - VL was comparably more successful in the hands of less experienced operators - VL probably reduces the intubator’s and, where applicable, supervisor’s anxiety during tracheal intubation @CritCareMed https://t.co/EAwDkCeQHB

Data from McDougall et al 2/2: 🫁esophageal intubations, aspiration, and dental injuries were decreased in VL (but did NOT achieve significance) 🫁NO difference in failed intubation, peri-intubation physiologic complications, or mortality @CritCareMed https://t.co/wjReLv0cQi

Data from McDougall et al 1/2: 🫁20 RCTs representing 4569 patients 🫁overall rate of first pass success of 81.7% with VL and 71.7% with DL 🫁VL was associated with a 10.6% increase in first pass success (95% CI, 4.9–17.2%) @CritCareMed https://t.co/wjReLv0KFQ