Katie Baxter

Pulm/Crit Care physician. Interest in medED, QI/PS. Outdoors and mountain biking enthusiast. My opinions are my own and do not represent medical advice.

[Emily Porter, M.D. @dremilyportermd]

Every female physician felt this in her core.

[小谷祐樹 Yuki Kotani｜集中治療医 @YukiKotani5]

✅Summary of Key ICU RCTs in the 2nd half of 2023!

Specifically, this list covers 14 trials published in NEJM, JAMA, and Lancet between July and December of this year!

I hope this 🧵 will help you review the best RCTs of the year😉

#FOAMcc @NEJM @JAMA_current @TheLancet

[Katie Baxter @KatieBaxter_DO]

Very cool and thought provoking lecture on the physics of mechanical ventilation. If you manage vents it’s worth the time!

[Society of Mechanical Ventilation @OfVentilation]

Great Lecture by Prof Tom Barnes on “The physics of ventilation of the stressed lung” https://t.co/vU2MMoxY2h

[Katie Baxter @KatieBaxter_DO]

@mdlizs And I fully recognize that there are some at VCU who would think I didn’t take my own advice but training is even less conducive (another problem) and we all see more clearly after making it through the storm. Put your life jacket on 1st!

[Katie Baxter @KatieBaxter_DO]

@mdlizs I’m so sorry for all you’re going through but want to add that you are in no way obligated to give a rationale for taking time to recharge. I know we (docs) struggle with it in ways that others don’t quite get but you should NOT have to feel guilty/apologize. Need to normalize it

[Katie Baxter @KatieBaxter_DO]

@mdlizs Yeah I was pretty dumbfounded. Yes, your PCP referred you to a specialist nurse doctor for your lung disease. The confidence in her compliment got me the most lol. Good thing I was wearing a mask to at least partially hide my facial expression! 😅

[Katie Baxter @KatieBaxter_DO]

@mdlizs Crazy how so much of the bias comes from other women… my favorite was at the end of a pulmonary new pt visit, my female pt said “I think it’s just so great you went all the way to getting your doctorate of nursing”. Compliment?🤨🤯

[Casey Albin, MD @caseyalbin]

1/
Awhile ago, on a triage call: “I’ve got a guy here, pretty young, came in looking terrible. GCS 4, we intubated him. Scan shows a big bleed. ICH score 4. Not sure much you’ll be able to do, but need to transfer him.”

A #tweetorial about the ICH score. @medtweetorials

[Dr. Glaucomflecken @DGlaucomflecken]

Time for some new CDC guidelines

[Meg Tirrell @megtirrell]

AMA president says he’ll continue masking indoors regardless of CDC’s updated guidance and recommends others do the same to protect those at higher risk:

[Sam Ghali, M.D. @EM_RESUS]

Just a reminder that what has become routine to you may be one of the scariest times in your patient’s life.

[Katie Baxter @KatieBaxter_DO]

Powerful and honest 🧵 re-counting just a FEW of the realities of being a patient in the ICU. Well worth the read for everyone.

COVID is now preventable. Trust me, a couple of 💉are better than this.

Being “healthy”🚫= protection
#GetVaccinated

[Katie Baxter @KatieBaxter_DO]

The evidence shows👩‍⚕️ are 💪🦸🏻‍♀️ #WomenInMedicine

[Kashif Chaudhry @KashifMD]

The perception that male surgeons are more “competent” than female surgeons is so common that even I have wondered in the past if there was any truth to it.

So here is a thread comparing physicians of the two genders. 1/5

[Bryan Carmody @jbcarmody]

Thought of the day:

The current interest rate on federal student loans is 6.8%.

The average medical student graduates with around $200,000 of debt.

In real terms, for the average medical graduate, their student loan balance is increasing by $1.55 per HOUR.

[Katie Baxter @KatieBaxter_DO]

@MichaeLheureux @VCU_PCCM @crit_caring_MD @DrJaredDyer @PDjack1984 @mkashiouris @lkbrath @PSinkam @theandrewmac @NateWarnerMD @Dr_Mike_Stevens Though one. Curve suggests may be worth it, wish they’d enrolled more patients.
😯Surprised adverse event rates were also similar b/w groups

💊Many also got only 6d of 12mg

🔑to point out these were all people on at least 10L/NIV/MV

[Katie Baxter @KatieBaxter_DO]

@ETSshow Don’t think I’d put myself in the category of artist but do enjoy drawing (even if copy-drawing a favorite book cover). Thanks for this 🧵 -a fun reminder of what I’ll hopefully get back to post-🫁boards!

[Katie Baxter @KatieBaxter_DO]

Hey @VCU_PCCM @theandrewmac @crit_caring_MD check out this timely 🧵 for extra tips after our recent Blackmore simulation

[Mike Klaszky @oMichaelJo]

#tweetorial : Lessons learned from placing my second Minnesota tube
@NickJohnsonMD @JamesTownMD @shawkdoc @laertezz @karigorder @stevevanhoy1 @JenelleBadulak @vasisht @cjheebs @erinmdcincy @waknight4 @UCcritcare @HamergencyMD @TamingtheSRU @uwpccm @UWashEM @UWAnesthPainMed

[Katie Baxter @KatieBaxter_DO]

What a cool study! Anyone who ❤️’s 🎵 knows it can transport you to a different place & has💪emotional impact.

Why not use it to ⬇️ anxiety & sedatives in the ICU? I’d ❤️ to add it to our non-💊 interventions @VCU_PCCM @crit_caring_MD @MichaeLheureux @DrJaredDyer @lkbrath

[WesElyMD @WesElyMD]

MUSIC 🎶 in #COVID19 pts on #Ventilator?

JAMA RCT from 2013 of N=373 pts showed #MUSIC worked best to ⬇️ #ANXIETY & #BENZOS (noise cancelling headphones, too). Try ENVIRONMENTAL change for DR. DRE to reduce #DELIRIUM too. #A2Fbundle

https://t.co/r3hWeqzARE

#medtwitter #nurses

[Katie Baxter @KatieBaxter_DO]

@mdlizs Yep, not even close. No way this guy is an MD. His whole account is pushing mis-information.