Jinal Sheth

EM/Critical Care @Inovahealth | Medical Education | Foodie | Outdoor Adventures | #FOAMed #WomenInMedicine

[Tommaso Scquizzato, MD @tscquizzato]

🫁 Fantastic new @TheLancet Series on #ARDS, announced today at #ERS2022

Two must-read reviews:

1️⃣ Causes, pathophysiology, and phenotypes
https://t.co/h7NygZ1WmP

2️⃣ Diagnosis, outcomes, long-term sequelae, and management
https://t.co/PVTMFJ1rZe

#FOAMed #FOAMcc

[nick pulmcrit @pulmtoilet]

Following case has been altered but is based on real events:
I was called to the patient’s bedside for episode of SVT and hypotension. Our patient was admitted recently with acute renal failure and cardiogenic shock.

[nick pulmcrit @pulmtoilet]

One of my cofellows was killed in a tragic and senseless act of violence. The ID/ccm world lost a hero yesterday.

[Jinal Sheth @JShethMD]

@MedBookClub1 @pulmtoilet @GoldnerBreanna

[Nitin Seam @NitinSeam]

Sharing a couple of slides from our Mechanical Ventilation course for 1st year #CriticalCare fellows across DC & Maryland.

Eric Kriner & @docwoods725 from @whcpccm w/ excellent insights into harm & how to fix reverse triggering on ventilator

#MedEd

[MedStar Washington Hospital Center Pulm/Crit Care @whcpccm]

We are very pleased to announced our fellowship match!!!! Looking forward to working with these great docs!
⁦@IMMWHC⁩ ⁦@IMCreighton⁩ ⁦@MedStarHealth⁩ ⁦@MedStarWHC⁩ ⁦@docwoods725⁩ ⁦@JShethMD⁩ ⁦@nickpulmcrit⁩

[Juan Carlos Q Velez @VelezNephHepato]

Wonder why #nephrologists order that crazy 240 mg dose of IV Lasix for patients in #AKI? Here is a 30 sec animation, go:

[MedStar Washington Hospital Center Pulm/Crit Care @whcpccm]

Some of our faculty and fellows in action giving rising PGY2s the skills needed to thrive in the critical care Environment! @MedStarWHC @JShethMD

[Salim R. Rezaie, MD @srrezaie]

The HOT-ICU Trial: Lower vs Higher O2 Targets for Acute Hypoxemic Respiratory Failure via @JShethMD

-RCT of 2900pts
-Median O2 sat 93% vs 96%
-No diff in 90d Mortality
-Results not surprising
-Continue to target SpO2 of 92 to 96%

https://t.co/UioECUnUzW

#FOAMed #FOAMcc

[NephroPOCUS @NephroP]

#POCUS #IMPOCUS
Understanding #VExUS from scratch:
A mini #tweetorial on normal hepatic vein waveform genesis 👇 #MedEd #echofirst

1/ Understanding color and direction

[Gretchen Winter, MD 🌼 (Warning: Feral) @gretchemaben]

At the request of several people, here is a thread on acute liver failure and decompensated cirrhosis in the ICU. Disclaimer: This is a broad overview of some key issues, but I am not a hepatologist. 1/

[Jennifer Spicer, MD, MPH, MHPE @JenniferSpicer4]

1/ As a learner, why do some rotations have you looking forward to work but then others leave you counting down the days until it’s over?

And, as a team leader, how can you create an environment that results in the former?

This week: Rapport & Inclusion - the #MedEd foundation

[Salim R. Rezaie, MD @srrezaie]

The VEINART Trial: VBG vs ABG

In non-hypoxemic pts...
-VBG is less painful compared to ABG
-VBG is easier for the healthcare team compared to ABG
-VBG provides useful information similar to ABG for physicians in regard to treatment decisions

https://t.co/TSewxeNJ2h

#FOAMed

[Paul Wischmeyer MD @Paul_Wischmeyer]

1/3-Back by request for new ICU residents!

💥 12 KEY TRIALS I teach on #ICU Rounds each week they must know!

Do you agree?
Any you would add?

1. ARDSNET @NEJM -PMID 10793162

2. LEUVEN Glucose 1 @NEJM-PMID 11794168

3. SAFE Trial @NEJM PMID: 15163774
#FOAMcc #medtwitter #MedEd

[The STARRT-AKI Trial @STARRTAKI]

10/10 - No. of days from the first patient randomized to trial publication in @NEJM: 1738

https://t.co/roNVRDZpjx

@drseanbagshaw @DrRonWald @UAlberta_ICU @SMHcriticalcare @CCCTG_ @anzicsctg @ICCCTN @UKCCRGroup

🇨🇦🇦🇺🇦🇹🇧🇪🇧🇷🇨🇳🇫🇮🇫🇷🇩🇪🇮🇪🇮🇹🇳🇿🇨🇭🇺🇸🇬🇧🌎🌏🌍

[Ken Milne MD @TheSGEM]

EM residents need to know that we have no RCTs showing efficacy of thrombolytics for stroke now that ECASS-3 and NINDS have been reanalyzed. #EBM #FOAMed https://t.co/cVyV1MklMB

[M Velia Antonini @FOAMecmo]

Perfusion pressure is not exactly MAP: look at both sides of circulation: venous (dark side) of circulation need some attention! how much congestion is affecting organs??
VExUS Venous Excess #ultrasound
@ThinkingCC #COVID19POCUS #POCUS #echofirst #FOAMus https://t.co/7EeSbNleTg

[Anand Swaminathan MD MPH 🏳️‍🌈🇺🇦 @EMSwami]

BREAKING: HALT-IT Trial (TXA in GI bleed) published https://t.co/rICXiD07J0

Death from bleeding @ 5d: No stat sig diff
Death from any cause @ 28d: No stat sig diff

No diff in any secondary outcomes
VTE higher in TXA group 0.8% vs 0.4%

TXA should NOT be given for GI bleeding

[NEJM @NEJM]

Original Article: Remdesivir for 5 Days or 10 Days in Covid-19 #COVID19 #SARSCoV2

[AnnalsofEM @AnnalsofEM]

Hot off the Press: Addressing the Elephant in the Room: Microaggressions in Medicine https://t.co/nEAPvuSrmt @AdairaLandryMD @MelMolinaMD @anitachary @BurnettBowie