Presented in this fantastic review article are the studies that support our current management, both pharmacological and mechanical circulatory support, of cardiogenic shock. There’s so much more, too. Check it out and share.🎩 tip to the authors. eddyjoemd.com/foamed/

When I was an intern, I botched a central line on a patient with an INR >3 Then I generalized that moment into me being a terrible doctor 15 years later, one of the greatest skills I’ve learned is how to stop shaming myself, and to realize we are more than any single moment in

A Multidisciplinary team from NYU Langone Health & NYC Health + Hospitals/Bellevue discusses the TAPSE/PASP ratio as a predictor of hemodynamics & normotensive shock in acute PE in @AmJCardiology 🔓 bit.ly/4hVyQqd #PulmonaryEmbolism #CriticalCare #Cardiology #PERT #VTE

🎉 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!! 👏🏼 Mary Hedges, MD #Fellowship #Match2024

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 Ashish K. Khanna, MD,MS,FCCP,FCCM,FASA 小谷祐樹 Yuki Kotani｜集中治療医 Intensivist Giovanni Landoni, MD and Patrick Wieruszewski eddyjoemd.com/foamed/

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.

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. Benjamin Kinnear journals.lww.com/academicmedici…

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.

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 🔗 journals.lww.com/hep/fulltext/2…

“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.

...🧵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.

Happy ❤️ day - unfiltered love from the kidneys!

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

In critically ill adults with suspected sepsis, antibiotic regimens were safely reduced when guided by measurement of procalcitonin but not by C-reactive protein. ja.ma/3D8YB72

🚨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 🔗doi.org/10.1007/s10157… #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 EJHF Editor-in-Chief Michele Emdin Andrew J Sauer MD @JJheart_doc Gregg Fonarow MD Shelley Zieroth Johann Bauersachs Dr.Rajiv Sankaranarayanan bit.ly/4blDhI1

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

So proud of my sister for matching at Mayo Clinic Department of Anesthesiology Florida! Mayo Clinic Internal Medicine Residency - Florida Nathan Waldron

Multisystem hemodynamic effects of terlipressin in cirrhosis: A scoping review sciencedirect.com/science/articl…

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.