James Perucho, MD, MLS

#PICU Fellow at @UCSFChildrens/@UCSFBenioffOAK chronic critical illness, complex care, health equity | Alum @coopermedschool @cohen_childrens #PedsICU

[James Perucho, MD, MLS @JamesPerucho]

Like the Holy Infant, my arm is also tender and mild 💉
#IGotTheShot #vaccinated #VaccinesWork

[Mushtaq Bilal, PhD @MushtaqBilalPhD]

Sci-Hub is an evil website that pirated 85M+ research papers and made them freely available

And now they've added AI to their database to make Sci-Bot.

It answers your questions using latest, full-text articles.

But DO NOT use it. We should all try to make billion-dollar academic publishers richer.

I'm putting the link below so you know how to avoid it.

[NEJM @NEJM]

Original Article: Balanced Fluid or 0.9% Saline in Children Treated for Septic Shock (PRoMPT BOLUS trial) https://t.co/ocZ53eWpFW

#PAS2026 | @PASMeeting

[Pediatric Academic Societies @PASMeeting]

"📢 Don’t miss your chance to present at #PAS2026 in Boston! 🏙️ Submit your abstract by November 3rd!

🔗https://t.co/qCPw5sfGL2

[James Perucho, MD, MLS @JamesPerucho]

Presenting (and smiling through the nerves) a Works in Progress for one of my fellowship projects at PALISI (the Long-Term Ventilation subgroup which is the best one but I’m biased!) @PALISInet #PALISI #PALISI25 #PedsICU #MedTwitter #PICU

[Ross Prager @ross_prager]

Intubating shock patients might be the most dangerous thing you do in your medical career. Here’s some things to make it as safe as possible.

[Eddy J. Gutierrez, MD @eddyjoemd]

As we advance in our expertise in managing critically ill patients, we must question some long-standing practices. In this case, the MAP target of >65 mmHg is an oversimplification that overlooks others. 🎩 tip to the authors.
https://t.co/Sfr6vCn6le

[Ashley Miller @icmteaching]

1/
Shock isn’t “give fluids, then pressors, then inotropes.”
That recipe misses the physiology.
Here’s how to manage shock properly: 🧵
#MedX #haemodynamics

[NephroPOCUS @NephroP]

Identify 1⃣2⃣3⃣4⃣
Approximate transducer position shown.
#POCUS #Nephpearls #FOAMed

[James Perucho, MD, MLS @JamesPerucho]

Welp... I haven't been back on here in a while, are #MedTwitter and #PedsICU people still using this or have we jumped ship??

[John Summit @johnsummit]

good news is my crowds will suck less now

[John Summit @johnsummit]

oh no i lost the racist homophobes

[James Perucho, MD, MLS @JamesPerucho]

Just some @Cohen_Childrens alums running into each other at PAS (NICU, Pulm, PICU, PEM) #PASMeeting #PAS2025 #PASselfie #neonatology #pulmonology #criticalcare #emergencymedicine #pediatrics

[James Perucho, MD, MLS @JamesPerucho]

@PEMatCHOP @PASMeeting This was such a good session!

[CHOP Pediatric Emergency Medicine @PEMatCHOP]

Game on! More #PAS2025 content!

Dr. Monica Prieto joined the NEAR4PEM collaborative for a successful debate examining variability & best evidence practices in emergent #pediatric advanced #airway management.

#emergencymed
@PASMeeting

[UCSF Pediatrics @UCSFPediatrics]

Meet the @UCSFBenioffOAK Chief Residents for 2026-2027! 🎉

We’re excited to see these outstanding physicians lead, mentor, and inspire the next generation of pediatricians. Join us in congratulating our incoming Chiefs!

@ucsfpedsres

[NephroPOCUS @NephroP]

Rapid review of patient-ventilator dyssynchrony
🔗https://t.co/bb6OUopMPi
#FOAMed #FOAMcc

[Eddy J. Gutierrez, MD @eddyjoemd]

If we are going to continue providing empiric antibiotics at the current pace, we might as well do it right. The biomarkers are not yet where we need them to be. This paper covers antimicrobial management in sepsis. 🎩 tip to the authors.

https://t.co/4Ise541cSv

[Eddy J. Gutierrez, MD @eddyjoemd]

Anyone who cares for critically ill patients should intimately understand the heart-lung interaction. I will admit that it’s not easy, as there is nuance and numerous variables to take into account. It’s worth the effort, though. 🎩 tip to the authors.

https://t.co/wtiQFg1wGN

[Eddy J. Gutierrez, MD @eddyjoemd]

Procalcitonin's role in ruling in or ruling out bacterial infection is overrated. However, its potential for guiding the duration of therapy may be under appreciated and underutilized. 🎩 tip to the authors.

https://t.co/4Ise540F2X

[Oren Gottfried, MD @OGdukeneurosurg]

Complete EKG Pocketcard: save this greatness.