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A CHEST Special Feature discusses the lack of standardization in subspecialty provider training for pulmonary vascular disease and provides recommendations for curriculum requirements. Read more in the April issue: hubs.la/Q03h3tQ40 #MedEd #MedTwitter #PulmonaryHypertension

This is what i saw one day on rounds. NIV PRVC? We discussed at #SEVAVentRounds. youtu.be/LW_76jvj2Ho?fe… CCF Pulmonary and Critical Care Fellows Kshitij Chatterjee Anika Nair Matt Siuba Society of Mechanical Ventilation Mohammed Megri. MD Sameed M Dr. Miguel Ibarra-Estrada Ariel J Garnero Fede Gordo-Vidal WeVent Paco Dardón VentBusters

IV crystalloid is medicine—and like any medicine, it can harm if misused. Before reflexively giving 30 mL/kg to every hypotensive patient, think critically. If the clinical picture doesn’t scream hypovolemic or distributive shock, grab the probe first 🧐 #POCUS #Shock

Here are 10 lessons they don't teach in medical school (but should) that I've learned the hard way over the years. 🧵 (0/10)

Judith Maria Brock, MD, joins CHEST® Journal Podcast Moderator, Alice Gallo De Moraes, MD, FCCP, to discuss her research into the differences in severity grades of pneumothorax and their effect on clinical practice. Listen now: hubs.la/Q03jYfy80 #MedEd #JournalCHEST

A new infographic from the CHEST Critical Care Network describes the conditions for patient-ventilator synchrony, what happens in early cycle dyssynchrony, and causes of early cycle dyssynchrony. Learn more: hubs.la/Q03k4dhl0 #CHESTCritCare #MedEd

The AASM recently released updated clinical guidelines for the management of restless leg syndrome. What can clinicians learn from these latest changes? Find out in #CHESTPhysician: hubs.la/Q03lxc9n0

A new infographic from the CHEST Critical Care Network describes the conditions for patient-ventilator synchrony, what happens in early cycle dyssynchrony, and causes of early cycle dyssynchrony. Learn more: hubs.la/Q03mcnZK0 #CritCare #MedEd

What is the TAG, inspiratory load, and expiratory load? What are your thoughts about the patient–machine interaction? What can you do to help the patient? Ariel J Garnero Eduardo Mireles-Cabodevila Sameed M VentBusters Philippe Rola Matt Siuba IMCrit Critical Concepts Pulm PEEPs CHEST

Congrats to all CHEST Challenge finalists! 👏 Shoutout to the Marshall Pulmonary & Critical Care program – strong work! 💪 Good luck to Marshall, Buffalo, & Colorado! See you in Chicago at #CHEST2025! #MedEd

Thought of the day. #POCUS #FOAMed #Nephpearls

Excellent summary of #HR25 highlights by Dr. Kiran Rikhraj. Eagerly waiting for the online version from Philippe Rola—each update makes me even more excited to catch the full talks!

This time of year, some doctors are starting their training, some are graduating, and others are continuing The road is tough, but full of opportunities. The goal is one: to grow and help patients feel better. Congratulations all, You’re doing a great job. 👏 #MedTwitter

Still struggle with this simple math...

🩸Lactic acid is a powerful prognostic marker in normotensive 📈Lactate ≥2 = • Occult shock • ↑ 30-day mortality • Higher decomp risk 🔬Vanni et al. (Chest 2013): Elevated lactate helps ID intermediate-high risk PE needing ICU or PERT. 💡Normal BP ≠ stable perfusion

Can we personalize mechanical ventilation beyond traditional parameters? EIT shows promise in optimizing PEEP, reducing mechanical power, and improving weaning. Still early — but the future looks interesting. chestphysician.org/electrical-imp…

📖 Explore fresh perspectives from CHEST® Editorial Board members on key topics: managing pulmonary subsolid nodules, opioid use in the ICU, and cardiac arrhythmias in pulmonary arterial hypertension. #CHESTJournal chestphysician.org/top-reads-from…