Jon Pickos, DO

Critical Care Fellow at UMass Chan - Baystate. DRH EM Alum. EM-CCM, balanced resuscitation.

[Jon Pickos, DO @JPickosMed]

@JetBlue what’s the deal with cancelling flights and leaving your passengers stranded with no alternatives and no one at PDX to speak with customers? Poor business model much? Never flying with you again

[Jon Pickos, DO @JPickosMed]

@DillonHuth @TreeHouseBrewCo I can feel my wallet getting hot already

[ICU OnePager @OnePagerICU]

Continuing the daily duo of ICU OnePagers:

Today, a high yield pair of #toxicology themed ICU #OnePagers: hyperthermic toxidromes (5HT syndrome, NMS, sympathomimetic, and MH) & alcohol withdrawal. Two OnePagers that summarize the important but easy-to-miss toxicities in the ICU.

[emDOCs Team @emdocsdotnet]

Emergency Department Management of the Post-Laryngectomy Patient #FOAMed #FOAMcc @EMHighAK @TheShenger @long_brit https://t.co/bXGyipv3VE

[Mark Ramzy, DO, EMT-P @MRamzyDO]

KNOW HOW TO INTERPRET TEG!

🩸TEG guided resuscitation helps ensure patients are getting the appropriate product(s)
📖Here's some helpful references from @REBEL__EM, @OnePagerICU & @ICUAdvantage

#FOAMed

https://t.co/9IxuL7iPJ3

https://t.co/MzsHQiMm93

https://t.co/kL9xDoLi5o

[ICU OnePager @OnePagerICU]

5️⃣We use pulse oximeters every day in the ICU, but how do they work & when do they fail?

This #ICUOnePager reviews SpO2 & the factors that can affect it: skin color, nail polish, low flow/non-pulsatile states, abnormal Hb (metHb). Also the key concept of pulse ox lag time ⏱.

[Jon Pickos, DO @JPickosMed]

Matched! Excited to say I’m going to be an ICU physician and couldn’t be happier to join the team at UMass-Baystate!

[Josh Farkas MD 💊 @PulmCrit]

updated the chapter on HTN emergency. thoughts:
🚨 stepwise approach is key (IV antihypertensive is step #4, not #1)
🚨 *vasoconstriction* often key to pathophys --> vasodilator tx makes sense. Maybe this is why nicardipine & nifedipine XR work so well?
https://t.co/HZtTWXY5VI

[Tim Montrief @EMinMiami]

Badulak – ECMO Indications & Complications — Maryland CC Project

Great overview of ECMO from @JenelleBadulak #FOAMed #MedEd #medtwitter

https://t.co/IY3SStsWtR

[Josh Farkas MD 💊 @PulmCrit]

the IBCC podcast is back, with a fresh cast on SCAPE! 😃 @adamdavidthomas

[KK, MD @KK_medicine]

EM doc: *sees, treats, and DCs 99 patients with specialist complaints without consult*

Also EM doc: *consults on 1 patient with unclear history*

Our consultants: this tweet.

Friendly reminder to specialists that you have no idea how many people we see without consulting you.

[Detroit Receiving EM @ReceivingEM]

#blessed to have
@kidney_boy
discuss the myths surrounding CIN at conference! #renalism #vancoisworse

[Dr. Danya Khoujah @DanyaKhoujah]

Practical approach on incorporating #vulnerability in #MedEd - a valuable yet underappreciated trait
Hint: vulnerability ≠ weakness

https://t.co/U7qsyo3eRO
@CriticalCareNow @BreneBrown

[Salim R. Rezaie, MD @srrezaie]

Rebellion21: 5 Things Your Intensivist Wishes you did in the ED for Critically Ill Pts via @EmICUcanada

Optimize Resuscitation
Optimize Vent Parameters
Sedation Strategy
Peripheral Pressors Safely
Communication

https://t.co/zlCvkK1G0v

#FOAMed #FOAMcc #rebellion21

[Josh Farkas MD 💊 @PulmCrit]

Right Ventricular failure - fresh chapter!
❤️‍🔥common in ICU - esp ARDS (25%) & complex patients w/ comorbidities
❤️‍🔥don't need to be very invasive (e.g. Swan)
❤️‍🔥do need to understand physiology & provide RV-friendly resus
#ThePeoplesVentricle #DiuresisJedi
https://t.co/yg9YmcQRat

[Tim Montrief @EMinMiami]

RT emdocsdotnet: RT @emdocsdotnet: Bursting at the Skull: Skull Fractures #FOAMed @EMHighAK @long_brit https://t.co/CvwdDjZwzk #FOAMed @EMHighAK @long_brit @MprizzleER

[Salim R. Rezaie, MD @srrezaie]

The FAST Exam: Overused and Overrated? via @First10EM

"Whether your FAST exam is positive or negative, the patient still needs a CT, which is the definition of a useless test."

https://t.co/WDqxX8z3oG

#FOAMed #FOAMus

[Nick Mark MD @nickmmark]

🚨 New ICU #OnePager in collaboration with @pdsalinas all about percutaneous dilational #tracheostomy (PDT): how & why to perform PDT & tips for safety & troubleshooting.

1️⃣📟 Available in both English & Spanish, plus you can download open source from https://t.co/a5nxKnr6Q9

[Daniel J. Ritter, MD @DRitterMD]

Oh oh oh now do private equity!!

[Salim R. Rezaie, MD @srrezaie]

REBEL Crit Useful ICU Stuff

https://t.co/fOoXhpbW9B

#FOAMed #FOAMcc