Mariam Gabrial

Pediatric Critical Care attending @Inovahealth- former PICU fellow @MottChildren

[PICU Journal Watch #PedsICU #PedsCICU @PICJournalWatch]

Catching up on #CasesOverCoffee at the #PedsICU #WFPICCS22 #ECLS @GraemeMacLaren @GabrialMariam @AnnichGail and colleagues

I was 😲🤯🙆🙅
OMG!!! really??
People do catch up!

[Mariam Gabrial @GabrialMariam]

Sad @EuroELSO is over but grateful for the incredible learning, discussion, and inspiration- and of course for my mentor @HeidiDalton26 for getting me so excited to be in this field.#ECMO #EuroELSO2022 #PedsICU

[ELSO @ELSOOrg]

The updated @ELSOOrg adult & pediatric anticoagulation guidelines just out, open access, on @asaiojournal
🩸anticoagulants
🩸therapeutic monitoring of anticoagulants
🩸management of bleeding & thrombotic complications
#FOAMcc #FOAMecmo #PedsICU
🖇 https://t.co/sC8iQK6YL0

[Mariam Gabrial @GabrialMariam]

@MottPICU @ErinCarlton @JoeKohne @gorgamd @KristenSmith16 @EricaAndrist @MwstevensMD @silvia_ardilaMD Cypher- joining the #PedsICU doggy fam soon (this Sunday!)

[Mariam Gabrial @GabrialMariam]

I retweeted this mostly for the awesome education component, but partly for the hilarious GIF. @gorgamd #picumatch

[Michigan PICU Fellows @MottPICU]

Good morning! We are on a cards kick early in the year - for today's AM conference, we're talking about critical heart failure and myocarditis! #PedsICU #PedsCICU #umichpedscards

[Bassam Osman @_bosman_]

I leave the hospital now after more than 52 hours of nonstop work, minimal sleep, minimal food and a rage of emotions. The event was tragic. There are no words that truly describe the horrific scene, but what we were going through can't be left untold.
@AUBMC_Official

[Michigan PICU Fellows @MottPICU]

Good morning! Great #conference talking about cardiac involvement in severe malnutrition and anorexia nervosa #PedsICU

[Michigan Medicine @umichmedicine]

This year, @Newsweek’s World’s Best Hospitals list placed Michigan Medicine at #15 in the world and #5 in the U.S. 🌎 🏥

“We are pleased to be deemed an international health care leader,” says Marschall S. Runge, MD, PhD, CEO of @umichmedicine. More: https://t.co/jPVpN6Zt7M

[Michigan PICU Fellows @MottPICU]

Setting the stage: making sure that important conversations are seen as important. Give time. Give space. Sit down. Great conversation by Dr. Andrist, Dr. Gabrial, Dr. Phelps, and Dr. Flori. @EricaAndrist @GabrialMariam @KbronderMD @DrHeidiFlori #PedsICU

[Mariam Gabrial @GabrialMariam]

@karolinecelly Point is: this is a global problem. Egypt is IN AFRICA, and I’ve been heartbroken to see how much racism happens there. So, as stated, this isn’t an issue in one country/region and therefore needs a global response/action.

[Mariam Gabrial @GabrialMariam]

@karolinecelly I'm American/Egyptian. I was in Dublin with my (Irish) husband. We were eating late night in a store when a woman came in drunk, causing chaos. Someone in the store called security, who happened to be originally from Nigeria (we later found out), (cont)

[Mariam Gabrial @GabrialMariam]

@karolinecelly is far more welcome in Ireland than someone like her. We told him we were so sorry he went through that and admired his calm demeanor. I teared up when he thanked us for standing up for him, saying this has happened to him before an not often does anyone say anything (cont).

[Mariam Gabrial @GabrialMariam]

@karolinecelly asked her nicely to leave. She said degrading comments/spat at him. We kept looking around, waiting for one of the store employees to stand up for him. We realized then we needed to say something. My husband helped escort her out, as he explained that the guard (cont).

[Critical Care Medicine @CritCareMed]

Suttle et al: #PedsICU fellows in US- high #burnout. Influenced by demographics, work environment perceptions, & career choice

Link: https://t.co/Ee0cdAzIiI

Editorial: https://t.co/ldE5AaeMmO

#CritCareMed @SCCM @pedcritcare

Fig: Maslach Burnout Inventory domain scores

[Paediatric Critical Care Society @PICSociety]

*Urgent alert*

Rising no of cases presenting to #PedsICU with multi-system hyperinflammatory state, overlapping features of toxic shock syndrome & atypical Kawasaki disease, bloods consistent with severe #COVID19 - seen in both #SARSCoV2 PCR +ve AND -ve

Please share widely

[Mariam Gabrial @GabrialMariam]

Working in an adult #covid unit makes me realize that from a medical standpoint, I couldn’t be more excited to go back to the #PICU. However, I spent more time doing things that reminded me of why I went into medicine in the first place. These stories really hit home.

[Betsy Trapasso @BetsyTrapasso]

End Notes: What #PalliativeCare Looks Like in a #Pandemic https://t.co/BKPmiC9qxT via @nybooks #hospice #hpm #covid19

[Joe Kohne @JoeKohne]

Does it matter what the CXR looks like in pediatric acute hypoxemic respiratory failure?
Excited to share my work with @DrHeidiFlori @maq_curley and others!
https://t.co/kAiVFz0ssE

[ELSO @ELSOOrg]

On VA #ECMO, increase of LV ventricular afterload can potentially delay recovery from cardiogenic shock: here, systematic review & meta-analysis on LV unloading including 7581 pts on VA #ECLS to assess impact on early outcomes of different strategies. https://t.co/4DGrP6RlQA

[Eric Topol @EricTopol]

Big for #COVID19 therapy: the compassionate use results for remdesivir in 53 patients looks very encouraging, especially in very sick patients on mechanical ventilation with 18% fatality (only, expect > 50%) and overall 68% improvement https://t.co/oP8eDK6jYL @NEJM

[NEJM @NEJM]

A cohort of patients with severe Covid-19 received treatment with remdesivir under a compassionate-use protocol. Improvement in oxygen-support status was observed in 68% of patients, and overall mortality was 13% over a median follow-up of 26 days. #COVID19