So this just happened!! Filled my early career dream of a full length manuscript in the Blue Journal ATS Blue Journal. The Lung Allocation Score Remains Inequitable for Patients with #PAH, even after the 2015 Revision. The Pulmonary Hypertension Association American Thoracic Society (ATS)

One of my mentees just had their 1st standardize pt of med school & their proctor didn’t give them any structured or constructive feedback. Didn’t tell them ONE good thing they did. Made them feel bad about themselves. Educators have to be better at giving feedback. #MedTwitter

Tracheostomies are common but can be confusing if you are unfamiliar with them. This ICU OnePager covers the basics of tracheostomies & how to troubleshoot the 3 most common emergencies: decannulation, obstruction, & bleeding. #TipsForNewDocs #FOAMcc onepagericu.com/trach-emergenc…

Seeking participants for the SATURN study: looking at the benefit of H01 (hymecromone) on severity of disease in patients with pulmonary hypertension (PH) and interstitial lung disease (ILD)

Non-invasive positive pressure ventilation (NIPPV) can support ventilation/oxygenation & potentially avoid the need for invasive ventilation. This #Onepager covers the basics of NIPPV: when to use it (& when NOT to), interfaces, & modes of ventilation. onepagericu.com/nippv?rq=NIPPV

Not all data is equal

[1] #Hemodynamics Tweetorial #2 Heart failure pt in ICU is -3.5L after 2d of aggressive diuresis. On day 3, urine output is ⬇️and BUN/Cr is ⬆️ You personally wedge #PAC at bedside and obtain a mean wedge 17 mmHg (a normal mean wedge is 6-10 mmHg). Admission wedge was 24

An isolation period of 5 days after Covid is totally inadequate for most people. New report from >63,000 people. Negative rapid tests are an essential guide jamanetwork.com/journals/jaman… JAMA Network Open

🧵 on NIV in #ARDS 🫁 I’ve seen A LOT of inappropriate use of NIV in #COVID19 & have often ranted about it on Twitter. There’s also lot of new data on NIV that’s been inconsistent & confusing. Let’s break some of it down. I’ll also add in some highlights from #LIVES2022

A case everyone needs to know: A man admitted for CHF exacerbation is normoxic on ambient air. POCUS shows bilateral pleural effusions. He develops Afib w/ RVR (HR 150s). A med is given. Suddenly he develops hypoxemia (SpO2 84% on NC, 94% on NRB). What med & what happened? 1/

Brock Purdy ranks since Week 13 Rank Pass Rating 110.0 1st Pass TD/Att 7.5% t-1st Win pct 1.000 t-1st unreal

The thoughts and prayers of all of Bills Mafia are supporting you, Damar. 🙏

This tragic event in Cincinnati looks like it *may* have been commotio cordis: blunt trauma causing life threatening arrhythmia. Blunt chest trauma during a brief window (the 30 msec upstroke of the T) wave can initiate VF. Essentially a mechanical analog to R-on-T phenomenon.

Ryan Clark’s coverage of the Damar Hamlin injury is phenomenal.

Great demonstration of how the diaphragm enables respiration.

I made a video about dental insurance and Medicare and the ADA youtu.be/TL7zwBoCt18

Well that didn’t age well

"The journey will continue." ❤️💙 An incredible moment as 𝐃𝐚𝐦𝐚𝐫 𝐇𝐚𝐦𝐥𝐢𝐧 takes the stage at #NFLHonors.

The authors discuss the mechanisms, clinical presentation, and evaluation of right ventricular failure, as well as its management. nej.md/3FCpIFE