New study w/ 4PCC for DOAC/VKA reversal showing 9% VTE rate. Good study, huge numbers (n=542), and interesting results w/ higher doses (among others) as one of the implications for increased risk of VTE post-4PCC pubmed.ncbi.nlm.nih.gov/32788109/

Proud of my bestie Kripa Patel on this awesome publication !!

We love our multidisciplinary teaching approach to analgesia/sedation in the ICU! Always a great time to discuss and talk about our favorite pearls Mehrnaz Adrian Wong

NMBA in #ARDS in adults: ➡️ current evidence does not support early routine use of infusion in all pts ➡️ avoid infusion if lighter sedation strategy, but for pts requiring deep sedation & blockade to facilitate protective MV/PP, infusion reasonable option bit.ly/3kuzCfz

"Stop Giving Amps of Bicarb!" -By Duncan Grossman, DO maimonidesem.org/blog/stop-givi… . . . #EmergencyMedicine #FOAMed #MedTwitter #MedEd #MedTwitter #Nephrology #Bicarb #AcidBase #CriticalCare #CritCare #ICU #FOAMcc Mark Ramzy, DO, EMT-P reuben strayer Haney Mallemat

Interested in PGY2 Critical Care #PharmRes? We are having our open house next Tuesday 11/17 from 5-6 PM EST! Some aspects that make our program unique: 1⃣ Harvard teaching hospital ➡️ many opps to learn and teach! We are integrated into team teaching, including JC and sedation!

Alright ID Tweeps, Shorter Is Better table is now updated with new DFO study. Table is getting awfully full! bradspellberg.com/shorter-is-bet…

Many ongoing RCTs are looking at #anticoagulation in #COVID19. All together the total n will be > 10k. So far it doesn't look good for therapeutic anticoagulation though... one of the largest studies was just stopped early for futility and possible harm.

In the MICU we don’t say I love you, we say “I’ll adjust the insulin sliding scale for you” and I THINK THATS BEAUTIFUL. Mehrnaz Gabrielle Cozzi you guys are one of the best parts of this rotation! BIDMC IM Residency

Like X10000000 🥰🥰🥰

1/ 🧵 Why can propofol infusion at high doses cause Propofol-related Infusion Syndrome (PRIS)? To understand why we have to revisit the old adage of supply and demand. #Tweetorial #MedTwitter

Once a month my #MICUFICU partners Adrian Wong, Gabrielle Cozzi, and I give a #PharmICU lecture on mgmt of PAD as part of the MICU curriculum to our amazing BIDMC IM Residency residents thanks to 藁城上门/藁城约炮/藁城附近/藁城学生妹/藁城兼职/藁城楼凤

So excited this course is just around the corner! 🥳🤗😁 Sign up now if you haven’t yet (criticalmedboston.com) we have a great curriculum with knowledgeable and engaging speakers! Can’t wait!!

Look at this amazing #criticalmedboston day 2 ⬇️ You’ll 👂 about #sedation tips, tricks and challenges in the #ICU from our amazing #criticalcarepharmacists Adrian Wong Gabrielle Cozzi BIDMC Pharmacy Residency Programs And an awesome talk on #respfailure from Elias Baedorf Kassis! 🫁 Sign up!

Looking forward to Harvard Medical School #criticalmedboston, which starts tomorrow! 👏🥳🎉 Extremely proud to see multiple preceptors presenting to an interdisciplinary group over the next few days! 👍 More info here: criticalmedboston.com

.Gabrielle Cozzi presenting on propofol and triglycerides CriticalMedBoston #criticalmedboston! 1⃣ What is your TG threshold for stopping prop?

Perfect timing for this thread! Came up last week on #MICUFICU rounds. Read ⬇️ for an awesome explanation BIDMC Pharmacy Residency Programs BIDMC IM Residency

We are excited for the 10th annual CriticalMedBoston in a few weeks (9/14-9/16)!🥳 Thrilled to see great representation from our preceptors, including: 💊 I. Mary Eche: Co-director; Role of midodrine for vasopressor weaning 💊 Mehrnaz: Empiric ABX for sepsis

Just one week until criticalmedboston.com!! Don’t miss out!! Register now! David Furfaro Jeremy Richards, MD, MA, FACP, ATSF I. Mary Eche Mehrnaz Gabrielle Cozzi Adrian Wong Jakob McSparron