Three acute care medicine 'anti-patterns' (physiological scenarios that go against common practice) that should make you stop and think 🤔 A brief 🧵 What are your favorite clinical anti-patterns?☯️ #foamed #physiology #foamcc #meded

#1: Falling blood pressure with increasing doses of epinephrine... Consider dynamic LVOT obstruction - epinephrine and other inotropes will make the hypotension and stroke volume WORSE, not better. Screen with #POCUS - look for hyperdynamic LV, aliasing over the LVOT, a PW

Check out James Perucho MD's video! #TikTok tiktok.com/t/ZTLXdR4db/

As a queer woman of South Asian descent living w/ chronic illnesses, the "House of Surgery" didnt always seem like a welcoming place. Grateful to my mentors, WomenSurgeons & SocAsianAcadSurg for the opportunity to share my story for #AAPIHeritageMonth blog.womensurgeons.org/women/living-a…

What an honor to be recognized as Fellow of the Year by the UCSFChildrensOakland Pediatric Residency Program. So happy to work alongside such an amazing group of doctors! #PedsICU #ICU #Pediatrics #CriticalCare #UCSF UCSF Benioff SF UCSF Pediatrics

You've probably heard "don't give lactated ringers because it raises lactate" This statement is ~98% false, but there's one crucial practice-changing fact that you need to know. A 🧵 all about lactic acid and lactated ringers! 1/

Cheat sheet of CVP waveforms:

Complete EKG Pocketcard: save this greatness.

Procalcitonin's role in ruling in or ruling out bacterial infection is overrated. However, its potential for guiding the duration of therapy may be under appreciated and underutilized. 🎩 tip to the authors. eddyjoemd.com/foamed/

Anyone who cares for critically ill patients should intimately understand the heart-lung interaction. I will admit that it’s not easy, as there is nuance and numerous variables to take into account. It’s worth the effort, though. 🎩 tip to the authors. eddyjoemd.com/foamed/

If we are going to continue providing empiric antibiotics at the current pace, we might as well do it right. The biomarkers are not yet where we need them to be. This paper covers antimicrobial management in sepsis. 🎩 tip to the authors. eddyjoemd.com/foamed/

Rapid review of patient-ventilator dyssynchrony 🔗journalmechanicalventilation.com/wp-content/upl… #FOAMed #FOAMcc

Meet the UCSFChildrensOakland Chief Residents for 2026-2027! 🎉 We’re excited to see these outstanding physicians lead, mentor, and inspire the next generation of pediatricians. Join us in congratulating our incoming Chiefs! UCSF Pediatric Residency

Game on! More #PAS2025 content! Dr. Monica Prieto joined the NEAR4PEM collaborative for a successful debate examining variability & best evidence practices in emergent #pediatric advanced #airway management. #emergencymed Pediatric Academic Societies

Just some Cohen Children's alums running into each other at PAS (NICU, Pulm, PICU, PEM) #PASMeeting #PAS2025 #PASselfie #neonatology #pulmonology #criticalcare #emergencymedicine #pediatrics

oh no i lost the racist homophobes

good news is my crowds will suck less now

Welp... I haven't been back on here in a while, are #MedTwitter and #PedsICU people still using this or have we jumped ship??

Identify 1⃣2⃣3⃣4⃣ Approximate transducer position shown. #POCUS #Nephpearls #FOAMed

1/ Shock isn’t “give fluids, then pressors, then inotropes.” That recipe misses the physiology. Here’s how to manage shock properly: 🧵 #MedX #haemodynamics