Josh Krieger

Emergency Medicine/Critical Care. Prefer upstairs to downstairs. Thoughts are my own.

[Josh Krieger @JKriegsCCM]

@ross_prager Nice work. I’d say if you’re waiting till somebody is at 40% FiO2 rather than 50%/8 of PEEP, you’re leaving too many patients intubated for too long. Shoot for that 10-15% reintubation rate and you know you’re liberating enough people…

[Josh Krieger @JKriegsCCM]

@armyemdoc Love this. AMA is not a shortcut to having a reasonable discussion and trying to optimize outcomes with shared understanding.

[Josh Krieger @JKriegsCCM]

@FaceThesaurus @armyemdoc @NEJM Key is no difference in functional outcome at 30 days. Would like to see the same functional outcome data out to 6 months, but concur with @armyemdoc, not reaching for the andexanet.

[Josh Krieger @JKriegsCCM]

@ResusOne @bougiemedic @fisherad1 @CommitteeonTCCC Yeah, maybe. It’s something else to carry. It’s something that’s easily displaced in transport. There’s nothing that says the medic can’t cric the severely injured casualty to get him/her to the next level.

[Josh Krieger @JKriegsCCM]

@bougiemedic @fisherad1 @ResusOne @CommitteeonTCCC If you can tolerate a combat prehospital SGA, with the associated absence of sedation, you likely have a devastating injury and your survival is not good. Can’t quote a study at you right now

[Josh Krieger @JKriegsCCM]

https://t.co/dL22tXz5J5

@NickJohnsonMD @thau_matturgist and the rest of our colleagues, many thanks!

[Josh Krieger @JKriegsCCM]

Do you use andexanet alfa to reverse life-threatening GI bleeding in patients who take a factor Xa-inhibitor? https://t.co/EzM33MAs9R

[Josh Krieger @JKriegsCCM]

AddThis | Home https://t.co/C18LjHS6Xa @NickJohnsonMD @CarlbomMD and my plethora of co-authors, many thanks and congrats!

[Josh Krieger @JKriegsCCM]

@basakcoruhUW @uwpccm @JRandallCurtis1 @UWDeptMedicine @UWMedicine @atscommunity @CambiaHealthFdn @SCCM @accpchest Some of my best memories from fellowship were with @JRandallCurtis1. You are missed.

[Josh Krieger @JKriegsCCM]

@armyemdoc @DoD_DHA @USArmy @ArmyMedicine Left the navy because I didn’t want to be on a boat… but I do like Sun Diahgo… what do you think about it?

[Josh Krieger @JKriegsCCM]

@armyemdoc @trauma_daddy @vbebarta @CUCombatCenter @DoD_DHA @JointTraumaSyst @CommitteeonTCCC Small cohort of mostly SOF physicians remains to maintain readiness and deploy ability at the unit level, but battalion docs rotate out frequently to continue practicing real medicine

[Josh Krieger @JKriegsCCM]

@armyemdoc @trauma_daddy @vbebarta @CUCombatCenter @DoD_DHA @JointTraumaSyst @CommitteeonTCCC Vast majority of docs are transitioned to the guard/reserves to maintain skills and life satisfaction, standing ready to be called upon when needed.

[Josh Krieger @JKriegsCCM]

@armyemdoc Counter-argument, why do I have to work shifts in addition to my full-time gig to stay relevant? Maybe active duty physicians should be the exception, and we should all stay relevant as civilians and be called to serve in times of need.

[Josh Krieger @JKriegsCCM]

@armyemdoc Agreed. Why do I have to ask permission to stay relevant?

[Josh Krieger @JKriegsCCM]

@armyemdoc Maybe a side conversation here, but my anecdata is that surgeons do not like these agreements. They work as hard or harder than their civilian counterparts, who make 2-3x what they make.

[Josh Krieger @JKriegsCCM]

First post. Hello, world.
@armyemdoc