Kevin Frank

Resident/Fellow in Emergency Medicine, Internal Medicine, Critical Care. Interest in ultrasound and advanced echo, resuscitation.

[Kevin Frank @CriticalGestalt]

@NickJohnsonMD Maybe it’s a single slide with a stop sign on it? 🛑

[Zucker EM + EM/IM @NSLIJ_EM]

Conference should be interactive they said.
Encourage audience participation they said.
Fiberoptically bronch your PD they said.
#EMConf

[Kevin Frank @CriticalGestalt]

#meantforthis

[Brad Spellberg @BradSpellberg]

Ever been frustrated by the excuse, “Sorry, it’s against hospital policy” when you needed to do something important to help someone? Well, we solved that. Get your hospital to adopt the Policy to Override Policies!

https://t.co/4jBLuItmLE

[Katia Donadello @KatiaDonadello]

🔥Cycling may improve physical function at ICU discharge
12 trials, 1,291 patients, low certainty
🔥Cycling may have no effect on physical function at hospital discharge
7 trials, 645 patients, low certainty
🔥Cycling may improve physical function post-hospital
8 trials, 865 patients, low certainty
🔥Cycling may decrease ICU length of stay by >1 day
29 trials, 2,575 patients, low certainty
🔥Cycling probably decreases hospital length of stay by >1.5 days
22 trials, 2,060 patients, moderate certainty

#lives2024

[Josh Farkas MD 💊 @PulmCrit]

How to create oral resuscitation fluid at the bedside using soy sauce packets:

🍣 replicate normal saline or a balanced crystalloid (alkali not included though)

🍣 easy, fast, cheap

🍣 conserve IV fluid in situations where it’s safe to do so

https://t.co/K3Qfls0lqw

[NephroPOCUS @NephroP]

Organ perfusion assessment in the shocked patient.
#POCUS #MedEd #Nephpearls #FOAMcc
🔗 https://t.co/2YAG7ISUsK

[Karim Brohi @karimbrohi]

If you think empiric resuscitation with 1:1 RBCs & plasma is sufficient to correct coagulopathy then we @CommsC4TS, @Bokarelli & INTRN have just the paper for you:

"Correction of Trauma-induced Coagulopathy by Goal-directed Therapy" @_Anesthesiology

https://t.co/jFFq6TRX32

[Hans Huitink @AirwayMxAcademy]

#Foamed
#airway #meded

Airway Management Academy Multimedia Library

Video’s, apps, innovations, webinars, new techniques, interviews

🎥 https://t.co/0xr4QKNOfX

[Salim R. Rezaie, MD @srrezaie]

TEG Made Easy...Just Ask 3 Questions...

-How Fast: Coagulation Factors
-How Strong: Fibrin/Platelets
-How Long: Fibrinolysis

#FOAMed #FOAMcc #Resuscitation #CriticalCare

[Kevin Frank @CriticalGestalt]

@EM_RESUS Also a bit awkward for the tech performing the EKG…

[NephroPOCUS @NephroP]

#VExUS Score at Discharge as a Predictor of Readmission in Patients with Acute Decompensated #HeartFailure: A Cohort Study
🔗 https://t.co/kgPFReCGYa

[Kevin Frank @CriticalGestalt]

@emily_fri Logistically, I’m not convinced that third point makes sense. Lot quicker to push tpa than it is to get a patient to a fluoro suite, insert a catheter, and remove the thrombus, in >99% of cases I’d estimate.

[Kevin Frank @CriticalGestalt]

@PulmCrit And then try to take into account how EF doesn’t tell the whole story with ventriculo-arteriolar coupling and now you’ve really got a classification system!

[Timothy Li @drtimothyli]

Pulmonary infections according to types of immunosuppression

[NephroPOCUS @NephroP]

ePLAR: parameter to differentiate between pre & post-capillary pulmonary HTN.
Essentially its a ratio of the #echofirst surrogates of pulmonary artery pressure & left atrial pressure.
#POCUS #FOAMed #Nephpearls

[Josh Farkas MD 💊 @PulmCrit]

Fresh blog: PPIs are safe and effective for GI prophylaxis… the end.

😁Review of SUP-ICU, PEPTIC & REVISE

😁PPIs are effective & safe (no increase in PNA or CDiff)

😁Mortality trends are statistical noise (REVISE shows *less* mortality w/ PPIs)

blog: https://t.co/csS7Ayi3dr

[ANDROMEDA-SHOCK @AndromedaShock]

Glorious day! Just reached 75% of sample size in ANDROMEDA-SHOCK-2!1125/1500 pts, only 375 left! Thanks to all dear friends, co-investigators of >80 centers around the world. Just an investigator-generated, non-funded trial. A triumph of spirit, passion over money! Some hope😍!

[𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 @Anaes_Journal]

HAVL vs MAC VL for expected difficult airway

2540 adults assessed; 182 patients identified as difficult

Percentage of glottic opening visualised:

⭐️89% HAVL v 54% MAC VL⭐️

First attempt success rate:

⭐️97% HAVL v 67% MAC VL⭐️

@UKEHamburg

🔗https://t.co/yRoKbnKx6o

[Eduardo R Argaiz @ArgaizR]

Can venous Doppler be used to monitor decongestion EVEN in patients with persistently severe TR?

🚨Portal Vein Doppler tracks volume status in patients with severe tricuspid regurgitation: A Proof-of-Concept Study🚨

https://t.co/PKUfGsPwKD

I am really proud of this one!! Fantastic work by lead by cardiology fellow⭐️ @SergioAlday11 👏👏👏

We cover this study at length at our recent HCP-Rounds with @ross_prager (min 26:00): https://t.co/VXlu4wI2Ul

[IMCrit @IM_Crit_]

ICU Renal Secrets:

Color pulse wave-Doppler US is the primary imaging tool for characterization of acute kidney injury (AKI). Probing (literally) the renal artero-to-venous coupling can help us phenotype AKI cases and place them in different profiles. For example,