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emcrit.bsky.social
EMCrit 413 - Translating Recent Sepsis Papers to the Bedside with @PulmCrit (Farkas)
- Confounding Effects of Vasopressin
- Perfusion Index?
- Echo-Pressor-Echo
& so much more...
[#FOAMed for now]
emcrit.org/413
EMCrit 413 - Translating Recent Sepsis Papers to the Bedside with PulmCrit (Farkas)
Ok, new sepsis papers, but what should we actually do?
emcrit.org
November 30, 2025 at 12:22 AM
rkchoi.bsky.social
@HopkinsNCCU
@PulmCrit
@drdangayach
@neurochristiana
@nirmalregency
@interneurona
@MicieliA_MD
@mettermd
@oneDRwoman_
@OGdukeneurosurg
@AvrahamCooperMD
November 26, 2025 at 7:02 PM
evidencerounds.bsky.social
LIBERATE-D Trial here

#EvidenceRounds
#Nephrology
#Pulmcrit

jamanetwork.com/jour...
November 20, 2025 at 8:15 PM
pulmcrit.bsky.social
super sick patients who should mount a lactic acidosis but dont often have autonomic dysfunction with inability to produce endogenous epinephrine; they may respond well to exogenous epinephrine

emcrit.org/pulmcrit/und...
Understanding lactate in sepsis & Using it to our advantage
Introduction with a case 0 Once upon a time a 60-year-old man was transferred from the oncology ward to the ICU for treatment of neutropenic septic
emcrit.org
November 20, 2025 at 3:14 AM
rkchoi.bsky.social
@HopkinsNCCU
@PulmCrit
@drdangayach
@neurochristiana
@nirmalregency
@interneurona
@MicieliA_MD
@mettermd
@oneDRwoman_
@OGdukeneurosurg
@AvrahamCooperMD
November 12, 2025 at 9:02 PM
rkchoi.bsky.social
@HopkinsNCCU
@PulmCrit
@drdangayach
@neurochristiana
@nirmalregency
@interneurona
@MicieliA_MD
@mettermd
@oneDRwoman_
@AvrahamCooperMD
@daniel_gewolb
October 29, 2025 at 8:03 PM
pulmcrit.bsky.social
Not hugely practice-changing, as many folks are already using bicarb to reduce dialysis risk based on BICAR-ICU-1

Lack of mortality impact is unsurprising given how difficult it is to prove in ICU (discussed: emcrit.org/pulmcrit/mor...)

Reduced dialysis & bacteremia are important pt-centered wins
a baby is crying while being held by a woman in a crowd .
ALT: a baby is crying while being held by a woman in a crowd .
media.tenor.com
October 29, 2025 at 2:59 PM
pulmpeeps.bsky.social
New episode out today wrapping up our asthma guidelines series!

www.pulmpeeps.com/2025/10/28/1...

Infographics below 👇

Stay tuned for our next guidelines series about Pulmonary Hypertension!

#pulm
#pulmcrit
#meded
October 28, 2025 at 12:40 PM
drghem.bsky.social
emcrit.org/pulmcrit/202... #EMIMCC Some @pulmcrit.bsky.social 's highlights about aha vs erc cardiac arrest guidelines #Emcritters
PulmCrit - 2025 AHA & ESICM guidelines on post-arrest care
The ESICM and AHA both just released new guidelines on post-arrest care. It's always interesting when two professionals produce "evidence-based"
emcrit.org
October 27, 2025 at 9:00 PM
pulmcrit.bsky.social
New blog: Fresh dueling guidelines about post-arrest care from the AHA and ESICM

💔 BP targets
💔 Who needs an emergent cath?
💔 O2 targets
💔 pan-CT scans
💔 temp targets
💔 neuroprognostication

Which guideline do I love? 😍 You'll have to read the post to find out.

emcrit.org/pulmcrit/202... #EMIMCC
October 26, 2025 at 2:51 PM
rkchoi.bsky.social
@HopkinsNCCU
@PulmCrit
@drdangayach
@neurochristiana
@nirmalregency
@interneurona
@MicieliA_MD
@mettermd
@oneDRwoman_
@OGdukeneurosurg
@AvrahamCooperMD
@daniel_gewolb
October 15, 2025 at 8:02 PM
pulmcrit.bsky.social
Fresh blog: Six pearls on heparin-induced thrombocytopenia (HIT) in 2025

💎 enoxaparin causes 10x less HIT than UFH

💎 HEP score

💎 approach to intermediate 4T score?

💎 rising use of DOACs

💎 autoimmune HITT

💎 IVIG for immediate inhibition of HIT antibodies

blog emcrit.org/pulmcrit/hit... #EMIMCC
October 4, 2025 at 3:56 PM
rkchoi.bsky.social
End/ Patient did well and went to rehab on #DAPT. Thanks for following til the end. Please make sure to let me know your thoughts, any feedback is welcome!
@aartisarwal @caseyalbin @CajalButterfly @PulmCrit @drdangayach @namorrismd @nirmalregency @mettermd @OGdukeneurosurg @AvrahamCooperMD
October 1, 2025 at 8:01 PM
pulmcrit.bsky.social
some refs here

emcrit.org/pulmcrit/nlr/
PulmCrit: Neutrophil-Lymphocyte Ratio (NLR): Free upgrade to your WBC
introduction The neutrophil/lymphocyte ratio (NLR) has been gaining increasing attention across many fields of medicine within the past five years.
emcrit.org
September 22, 2025 at 8:35 PM
moeritzl.bsky.social
Wie oft Leukos bei dicker Sepsis bei Aufnahme noch (hoch)normal sind, und dann am nächsten Morgen 8 Stunden später bei 20 tausend.

Ich glaube wir nutzen Diff-BB und NLR zu wenig.

emcrit.org/pulmcrit/nlr/
September 22, 2025 at 2:11 PM
pulmcrit.bsky.social
NLR isn't perfect, but it's a whole lot better than WBC

it can be an early signal of serious trouble

or, if NLR is normal, it argues against sepsis (look for some other problem)

NLR-blind clinicians will think you're a genius 😆

full discussion of NLR here:
emcrit.org/pulmcrit/nlr/
a woman is holding a crystal ball with the words saw that coming written below her
ALT: a woman is holding a crystal ball with the words saw that coming written below her
media.tenor.com
September 22, 2025 at 1:35 PM
rkchoi.bsky.social
@HopkinsNCCU

@PulmCrit

@drdangayach

@neurochristiana

@nirmalregency

@interneurona

@MicieliA_MD

@mettermd

@oneDRwoman_

@OGdukeneurosurg

@AvrahamCooperMD

@LorenzoPinelli

@daniel_gewolb

September 17, 2025 at 8:02 PM
pulmcrit.bsky.social
this TWDFNR article is accurate and good.

but, understanding the physiology of how to convert a VBG to an ABG is a more generalizable and powerful approach to this problem

more here:

[1] initial study: emcrit.org/pulmcrit/vbg...

[2] international validation study emcrit.org/pulmcrit/val...
September 9, 2025 at 11:25 AM
pulmcrit.bsky.social
Nalbuphine is the Diet Coke of opioids: fresh blog

🥤 Multimodal mechanism of action: partial mu-opioid agonist (like buprenorphine) & kappa-opioid agonist

🥤 Reduced incidence of mu-opioid agonist side-effects (respiratory suppression, emesis, abuse potential)

emcrit.org/pulmcrit/nal... #EMIMCC
September 8, 2025 at 3:08 PM
joshuaschwimmer.bsky.social
PulmCrit Wee: Triple-Threat strategy for using LLMs to answer a medical question
PulmCrit Wee: Triple-Threat strategy for using LLMs to answer a medical question
We've all heard a lot about using large language models (LLMs) in medicine, but it's generally in the abstract. I'd like to explore concretely how to
emcrit.org
September 4, 2025 at 11:23 PM
rkchoi.bsky.social
@aartisarwal @caseyalbin @CajalButterfly @PulmCrit @drdangayach @namorrismd @nirmalregency @mettermd @OGdukeneurosurg @AvrahamCooperMD @AANMember
September 3, 2025 at 8:01 PM
emswami.bsky.social
This is a great way to use LLMs in medicine. Simply letting the LLM do all the work will invariably lead to numerous issues but a "triple-threat" approach makes a lot of sense

@pulmcrit.bsky.social
emcrit.org/pulmcrit/tri...
September 1, 2025 at 7:20 PM
pulmcrit.bsky.social
Triple-threat strategy for using LLMs to answer a medical question:

3️⃣ Have your own opinion & use conventional sources

3️⃣ Narrow-spectrum LLM (OpenEvidence) looks at highest quality sources, but has blinders

3️⃣ Broad-spectrum LLM gives 3rd opinion

fresh tiny blog emcrit.org/pulmcrit/tri... #EMIMCC
September 1, 2025 at 5:07 PM
pulmcrit.bsky.social
nice!!

I need to read the study but it’s consistent with PROPHY-VAP which supports its validity.

https://emcrit.org/pulmcrit/prophy-vap/
August 28, 2025 at 11:13 PM
pulmcrit.bsky.social
glad to see validation for using balanced crystalloid in DKA >10 years after I started pushing this (emcrit.org/pulmcrit/fou...)

But balanced crystalloid in DKA is so passe now

The next frontier is using KAcetate & KCitrate to avoid NAGMA

c'mon... let's get that published by 2035 😁

#EMIMCC
eddyjoemd.bsky.social Eddy Joe Gutierrez @eddyjoemd.bsky.social · Aug 21
Are you using 0.9% NaCl or balanced salt solutions such as Lactated Ringer's or Plasmalyte to resuscitate your patients with DKA? This paper suggests that we should be using the latter. 🎩 tip to the authors.
eddyjoemd.com/foamed
August 21, 2025 at 11:10 AM