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Rana Awdish MD @ranaawdish.bsky.social · 1d

Some people truly do change the world. Dr. Bartlett was one of them ❤️‍🩹

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Kevin Frank, MD @criticalgestalt.bsky.social · 16d

Seems more like a neostigmine plus miralax drip sort of day, but colace is a choice…

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Soumya Rangarajan, MD, MPP @soumya-goblue.medsky.social · Sep 19

This made my month. I feel nothing will top this in September

Dave Lee @davelee.me · Sep 19

Dutch late night TV has its take

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Shematologist, MD @shematologist.medsky.social · Sep 18

Iron deficiency affects TWO BILLION people in the world but because they’re mostly women and children, almost nobody cares.

Had a great time getting on my usual soapbox at a fantastic #SABM25 meeting.

And if you don’t know about patient blood management, it’s very cool so check it out.

Matt Warner 🩸 @bloodhealth.bsky.social · Sep 18

Dr. Weyand @shematologist.medsky.social dropping some serious iron deficiency knowledge at #SABM25.

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Kevin Frank, MD @criticalgestalt.bsky.social · Sep 17

Several studies using LUS to guide diuresis have been positive, and it’s just as simple to look at, and has also been shown to be a good surrogate for LAP (though VeXUS plus LUS plus LV function and VTI is my own practice to guide decision making). This was poorly thought out imo.

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Robert Reich @rbreich.bsky.social · Sep 15

Kudos to Stephen Colbert on his Emmy win last night. It was a pleasure chatting with him a few weeks ago on The Late Show about how rampant inequality has brought us to this moment in American history — and what we can do to fix our politics.

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Physicians for a Healthy Democracy @physiciandemocracy.medsky.social · Sep 4

In 1900, 31% of all deaths were children under the age of 5. Today it’s 0.7%. Vaccines, medications, and modern science are the reason why. Trust the science, it’s been proven to work safely and efficiently time and time again.

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MedPage Today @medpagetoday.com · Aug 26

After the Supreme Court decision restricting the use of race in admissions, the share of medical school matriculants from groups underrepresented in medicine significantly dropped, a cross-sectional study showed.

Infographic presenting a statistic on the decline of medical matriculants from underrepresented groups, showing a decrease from 24.4% to 20.8%, representing a decline of 503 students. The background features blurred professionals in discussion.

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Dr. Jonathan N. Stea @jonathanstea.bsky.social · Jul 30

It has taken medical science 200 years to advance humans to the point where people are so healthy and living so long that they can deny that science and medicine is what got us here.

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Kevin Frank, MD @criticalgestalt.bsky.social · Jul 11

DOI: 10.1016/j.chest.2024.06.1618, pmids 38465145 and 37265888. Hope it helps!

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Kevin Frank, MD @criticalgestalt.bsky.social · Jul 11

Some case reports of methylene blue plus hydroxycobalamin are promising. But yes.

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Kevin Frank, MD @criticalgestalt.bsky.social · Jul 8

I feel like 2025 is more IVC plus VeXUS plus lung u/s plus echo (vti and E/e’ as a surrogate for wedge, specifically). But I’m a fancy boi, so.

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Christopher Webb @cwebbonline.com · Jul 4

Wow! France gifted her to us, and now they’ve captured what so many Americans are feeling on Independence Day. The values the Statue of Liberty stood for are no more.

📌 A stunning mural of the Statue of Liberty covering her face was unveiled in Roubaix, France, on July 3, 2025.

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Kevin Frank, MD @criticalgestalt.bsky.social · Jun 15

With hazard ratios like this, it’s pretty obvious the study was underpowered. Curious why the authors didn’t try to amend it for additional patients after an interim analysis.

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josh farkas 💊 @pulmcrit.bsky.social · Jun 9

ZODIAC trial: For ischemic stroke patients who are awaiting thrombectomy, flat positioning reduced the risk of neuroworsening or death

Premature termination but seems reasonable

Statistically robust results

Best available evidence; should change practice

pubmed.ncbi.nlm.nih.gov/40465238/ #EMIMCC

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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · May 29

Plenary at @hypertensioncanada.bsky.social with @drjmluther.bsky.social on new drugs

He starts of with the really old drugs!

#CHC25

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Mark Hamill @markhamillofficial.bsky.social · May 16

When they accidentally tell the truth... (Pt. 2)

(also try to avoid swimming in sewage)

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Kevin Frank, MD @criticalgestalt.bsky.social · Apr 16

Seems like a lot of the references come back to Edelstein’s 1995 article from Clinical Infectious Diseases.

Antimicrobial Chemotherapy for Legionnaires' Disease: A Review

Abstract. Controlled trials of antimicrobialchemotherapy for legionnaires' diseasehave not been performed, although erythromycin and tetracycline appear to

https://academic.oup.com/cid/article-abstract/21/Supplement_3/S265/318838?redirectedFrom=fulltext&login=true#no-access-message#no-access-message

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Kevin Frank, MD @criticalgestalt.bsky.social · Apr 16

Sanford guide agrees (and Hopkins abx).

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Barack Obama @barackobama.bsky.social · Apr 15

Harvard has set an example for other higher-ed institutions - rejecting an unlawful and ham-handed attempt to stifle academic freedom, while taking steps to make sure students can benefit from an environment of intellectual inquiry, rigorous debate and mutual respect. Let’s hope others follow suit.

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Cory Booker @corybooker.com · Apr 2

I may be tired and a little hoarse, but as I said again and again on the Senate floor, this is a moment where we cannot afford to be silent, when we must speak up.

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josh farkas 💊 @pulmcrit.bsky.social · Mar 30

what’s not to love about HIGH-INTENSITY bipap? 😂 💪 #EMIMCC

Skyler Lentz @skylerlentz.bsky.social · Mar 30

What’s the highest IPAP you’ll use with NIV in a patient with COPD and respiratory failure?

Before this trial I’d stop at ~ 20 cmH20, and think about intubating if not improving

After this trial:

Now up to 30 cmH20 may safely avoid intubation

jamanetwork.com/journals/jam...

Effect of Noninvasive Positive Pressure Ventilation on the Need for Endotracheal Intubation in COPD

This randomized clinical trial compares the effect of high-intensity noninvasive positive pressure ventilation (NPPV) vs low-intensity NPPV on the need for endotracheal intubation in patients with an ...

jamanetwork.com

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Liga @gettylenol.bsky.social · Mar 30

2025 ILCOR CoSTR
1/14 🧵 Just released! The 2025 @ILCOR_org Consensus on Science With Treatment Recommendations (CoSTR) brings major updates to #resuscitation guidelines. Let's break down the key changes across all task forces! #CPR #ECC #FOAMed #Emedsky #medsky #emimcc #emergencymedicine

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Kevin Frank, MD @criticalgestalt.bsky.social · Dec 5

Especially for LV function in critical illness, MAPSE rocks.

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Aoife Abbey 📟 🩺 ⚕️ @whistlingdixie.bsky.social · Dec 2

A sad day for critical care - and what a phenomenal legacy he has left us.

RIP Prof Gattinoni, a Giant ⚕️📟

www.esicm.org/obituary-luc...

Obituary: Luciano Gattinoni - ESICM

In Memory of Professor Luciano Gattinoni

www.esicm.org

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