New research led by former Duke University School of Medicine student Sam Hofacker / MassGeneral Medicine intern Important racial disparities in CPR initiation observed in US dialysis clinics "Of all forms of inequality, injustice in health is most shocking and inhuman" Dr MLK Jr resuscitationjournal.com/article/S0300-…

Hi #Medtwitter, #Nephtwitter! I’ve wanted to put together a tweetorial for a while, and now that my first manuscript is published, here are a few things I’ve learned about cardiac arrest in patients on dialysis, our resuscitative response, and #healthequity. Thread:

.Patrick Pun, MD MHS FASN Duke Clinical Research Institute and colleagues in @CJASN Trends in Use and In-Hospital Outcomes of Subcutaneous Implantable Cardioverter Defibrillators in Patients Undergoing Long-Term Dialysis cjasn.asnjournals.org/content/early/…

Effect of Finerenone on Chronic Kidney Disease Outcomes in Type 2 Diabetes | NEJM. When it 🌧 sometimes it pours in the most positive way!! Another #win for the kidney community! can’t wait to check out the late breakers ⁦American Society of Nephrology⁩ #KidneyWk nejm.org/doi/full/10.10…

.Sam Hofacker Patrick Pun, MD MHS FASN and colleagues in Nephrology Nursing Journal Barriers and Facilitators to Performing Cardiopulmonary Resuscitation During Treatment in Outpatient Hemodialysis Clinics: A Qualitative Study pubmed.ncbi.nlm.nih.gov/33107712/

Why $950 per cancer patient Why $560 per Alzheimer’s patient Why $18 per kidney patient #KidneyWk

Black dialysis patients with cardiac arrest are less likely to receive CPR than white patients. OR 0.4! W.T.F. #KidneyWk

Signal for sudden cardiac death (SCD) with azithro and with levofloxacin. #BestofNephJC #KidneyWk

Brenda Pun and WesElyMD receiving the Pioneering Spirit from American Association of Critical-Care Nurses! #NTI2023

So excited to celebrate Vanderbilt Health WesElyMD & Brenda Pun for their Pioneering Spirit Award at #NTI2023 American Association of Critical-Care Nurses

Created my first twitter account. Now to find some intelligent things to tweet about. #newbietotwitter

concept of "isothermic" dialysis is intriguing-- are we harming some patients by setting dialysate temp to 37? cjasn.asnjournals.org/content/early/…

Going on 10 hours without power at our hotel next to convention center, but the show must go on! #KidneyWk

So proud of Brenda Pun and her work on improving implementation of the #ABCDEFBundle #ICULiberation

Another great question is what to do about subclinical Afib, detected during HD in 20% of HD pts with ICDs ncbi.nlm.nih.gov/pubmed/24670418 #askasn

The 2017 American College of Radiology guidelines on contrast say that the risk of NSF with class II gadolinium agents is "sufficiently low or possibly non-existent" and recommend that no informed consent is needed for CKD pts. Does absence of evidence= absence of risk? #AskASN

But If we have stopped using gadolinium in ckd due to risk of nsf, how can we have any data that risk in ckd is “sufficiently low or nonexistent”? Do we need more evidence specifically in ckd pts before we subject our patients to gadolinium without informed consent?