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Excited to share our take -- ED-ICU Time: The EF of the ED? : Critical Care Medicine journals.lww.com/ccmjournal/abs…

New resource! We’d like to announce the launch of our living textbook for hemodynamics, Shockwaves! Edited by Max Hockstein and I with contributions by many great clinicians and educators

Honored to be a part of this!

“The wedge.” The holy grail of RHC and hemodynamics Hate it or love it, major decisions are made based on it Whether you: • Perform the procedure yourself • Review someone else’s tracings • Review someone else's report   Learn 7 tips to ensure “the wedge” accuracy

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Will make a proper thread soon, but happy to share another step towards understanding subphenotypes in ARDS. More pulmonary vascular and RV dysfunction in a subphenotype characterized by higher inflammation and illness severity

Max Hockstein is an EM doc and CV Intensivist who is speaking at #HR25 this year. His wise words: "You need to optimize ventricular-arterial coupling in shock patients. Understanding VA coupling helps you decide between an inopressor, inodilator, vasodilator, and vasopressor!"

Link to chapter: shockwaves.icu/app/page/1O3wE… cc Max Hockstein

If you need a refresher on Swan-Ganz catheters and PA pressures, this is good. Actually, I am lying. It is VERY good... Thank you Matt, Sergio, Max et al!

IMCrit That pocus image should be burnt into everyone’s mind who wanted to push adenosine or metop , is they rate “the symptom or the disease” as the venerable Max Hockstein usually preaches

nick pulmcrit IMCrit Max Hockstein As a rapid response nurse I’m always wary of ‘treat the number’ and a large part of that is knowing that Max or Rory are on speed dial

See the full post at shockwaves.icu under the RHC tab cc Max Hockstein

To be honest, no, I do not think the 5th liter of fluid will make all the difference.

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Want to learn about VA coupling? (I promise only mild-mod use of calculus.) Do you like Montreal, specifically on May 22-23, 2025? Check out the H&R Conference! ccusinstitute.wixsite.com/ccus/events/hr… Philippe Rola, Ross Prager, Katie Wiskar, Kiran Rikhraj

Max Hockstein Philippe Rola Katie Wiskar Kiran Rikhraj Max is the person you want to explain this to you! He can make super complicated concepts simple. I’m pumped to hear how you explain it man

One last plug: there is no better conference to teach you all about volume status than The Hospitalist and The Resuscitationist! The speaker panel is full of hemodynamic allstars 💫Check it out! ccusinstitute.wixsite.com/ccus/events/hr… Ping Ross Prager Philippe Rola Matt Siuba NephroPOCUS Eduardo R Argaiz

Looks like this year at #CHEST2025 I’ll be talking about some combination of: - Invasive hemodynamic monitoring - #ThePeoplesVentricle - VA coupling at the bedside - Portopulmonary hypertension See you in Chicago!

New 📝 We know RV dysfunction occurs on VV-ECMO in ARDS despite ECMO mitigating many of the traditional RV dysfunction risk factors (hypercapnia etc) We don’t understand RV function dynamically over time on ECMO…

Is emergency medicine a place for precision medicine? Check out Dr. Maggie Davis, MD, MPH' piece: Clinical Phenotypes in EM-Critical Care: Bringing Precision Medicine to the ED and ICU 💪 acep.org/criticalcare/n…