bike_run_jwalk

Critical care & EM physician in FWTX/ ICU Liberation, Sepsis, MedEd, Resuscitation, Outcomes / Mountain biking, trail running, mobility / Border collies

[bike_run_jwalk @BikeRunJwalk]

After the 2017 fire, I visited a local 6th grade class to talk about how important it is to remember self-care in stressful times of crisis. I taught them my SHINES-MG mnemonic for self-care. I also showed them some “ewww grody” doctor-stuff that sparked interest!

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@natalie_htet gave a great talk today on the Modern Stethoscope #POCUS in #ICUMedicine @SCCM @SCCM_EM #SCCM2024

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@KunalKaramchan2 great talk from a fellow DFW area physician 🙌

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The physiologically difficult airway is a hot topic @SCCM #SCCM2024 #SCCM @SCCM_EM @RespiratorySCCM @natalie_htet @QuincyTran @DanielJafari

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Excited for my friend, mentor and colleague @aartisarwal for receiving this award @SCCM #SCCM2024 . Well-deserved. @SCCM_Neuro @wakeforestmed

[Wake Forest University School of Medicine @wakeforestmed]

Congratulations to @aartisarwal, professor of neurology, who was selected as the recipient of the 2024 Distinguished Service Award by the Society of Critical Care Medicine (SCCM). Learn more. https://t.co/amBOrEXb6F

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How do you apply complex, best-practice interventions within a complex system? Thinking a lot about this when rolling out #AtoF in a hospital @SCCM #SCCM2024 #ICULiberation

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How do you manage your pre-oxygenation pre-intubation in the hypoxemic patient? @SCCM #SCCM2024 #SCCM @SCCM_EM @RespiratorySCCM #MedEd

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The depth and extent of #PICS is the topic @SCCM #SCCM20224 #SCCMDiscoveryNetwork #ICULiberation #AtoF

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#SCCM2024 #SCCMSoMe

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Disparities in critical care. When our methods of diagnosis are biased, what can we do to change our system? @RespiratorySCCM @covid19registry @SCCM

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#SCCM2024 @SCCM new guidelines dropped this week

[Andrea Nei @Dre_pharmd]

Full guideline link available here: https://t.co/YiWgNqOKSL #SCCM2024

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https://t.co/UXEgNrcUeM

#SCCM2024

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Meta-analysis of early ceftriaxone for VAP PPX in Neuro injured patients. Will this change your practice? @SCCM_Neuro @SCCM @SCCM_EM @aartisarwal #NeuroOutcomes

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New hoodie in the house! @SCCM #SCCM2024 @ELSOOrg #ELSOCourse #Phoenix

[Josh Farkas MD 💊 @PulmCrit]

nobody:

absolutely nobody:

EPIC: Howdy everybody guess what?? We moved around all the buttons again! You’re welcome!!

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@BSWH_FW_GME @TCUBurnettMed

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Great teamwork with a great group of #EMCCM @SCCM_EM researchers! I’m looking forward to our next project!
https://t.co/aOxD7U3kyM

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@acepccmsection @SCCM @aartisarwal @DaneshVC @DaytonICU

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I think patient QOL metrics are important. Not sure 180 survival is it. I imagine too many confounding variables by then

https://t.co/0HGoALoeja

Tipping et al. looked at QOL metrics in meta-analysis showing improved ability to walk out of ICU, incr muscle strength, QOL

[Critical Concepts @critconcepts]

Thanks to everyone who participated in our #iculiberation JC this weekend on the #TEAMS trial. To conclude with the money question:

In contradiction to prior trials, why do you think this trial failed to show an effect from early #ICU mobilization on the primary outcome?

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It’s hard to imagine a mean dif of 12m/d for ? Numb of days would change survival at 180 days. But it would be interesting to look at a regression analysis of those who did not survive and determine what their group was as well as their baseline conditions/apache

[Critical Concepts @critconcepts]

Q3 of #iculiberation JC on the #TEAMS trial:

The mean difference in activity between groups was 12 minutes of active mobilization per day. Would you expect this difference to significantly impact outcomes?

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Very low percentage of “adverse effects” that don’t reach significance but something to consider when selecting patients to include in early mobility. Also important to allow patients to equilibrate when mobilizing @HeidiEngel4 @critconcepts @SCCM

[Critical Concepts @critconcepts]

Q2 of #iculiberation JC on the #TEAMS trial:

Do you think the increased incidence of "adverse effects" in the intervention group is an important harm?