Mark Hieromnimon, MD

PGY-3 @IMResidencyDuke interested in Cardiac Intensive Care | Previously @DukeIR @LoyolaIMRES and @UICCOM | B.S. Physics @Pepperdine

[Mark Hieromnimon, MD @MHieroMD]

These last four years were the adventure of a lifetime. I couldn’t have done it without her. @hieromnimon

[Mark Hieromnimon, MD @MHieroMD]

@Paul_Wischmeyer @IhabFathiSulima Distal limb perfusion

[Mark Hieromnimon, MD @MHieroMD]

@TheNotoriousHPB Free air? Obstruction? Free fluid?

[Mark Hieromnimon, MD @MHieroMD]

@JefeElJefe1 @aribindi @IM_Crit_ No one will argue that anesthesiologists aren’t the best airway operators.

A crashing patient level 1 to OR are a minority of their cases though. Compare these types of cases to emergent ICU airways and I bet the peri-intubation mortality looks more similar.

[Mark Hieromnimon, MD @MHieroMD]

@aribindi @IM_Crit_ They are intubating these patients when they are as medically optimized as possible. ICU and ED don’t have this luxury often times.

[Mark Hieromnimon, MD @MHieroMD]

@intensivaev Collapsed IVC, EPSS of essentially zero with SAM, markedly elevated LVOT VTI with dagger shaped waveform consistent with obstruction.

[Mark Hieromnimon, MD @MHieroMD]

@Papa_Heme !!!

[Mark Hieromnimon, MD @MHieroMD]

@milos_ai Exciting!

[Mark Hieromnimon, MD @MHieroMD]

@MehnazRahmanMD @ASE360 @ACCinTouch @iamritu @argulian @CASivaram1 Seems like this may be the hepatic vein correlate of a notched RVOT waveform seen in pulmonary hypertensive states

[Mark Hieromnimon, MD @MHieroMD]

@MehnazRahmanMD @ASE360 @ACCinTouch @iamritu @argulian @CASivaram1 Dynamic obstruction?

[Mark Hieromnimon, MD @MHieroMD]

@LangahAbubakar @MehnazRahmanMD @ASE360 @ACCinTouch @iamritu @argulian @CASivaram1 S wave is hepatofugal here is it not?

[Mark Hieromnimon, MD @MHieroMD]

@Paul_Wischmeyer @drkeithsiau @TomVargheseJr @LifeWithoutDiet @Tweet_Nutrition @nickmmark @flochman @NutritionNerd @GIdietitian @agingdoc1 @carrierd Amazing!!

[Jay Giri @jaygirimd]

🧵 1/ First ever AHA/ACC/multi-society guidelines re: diagnosis & management of acute PE released today!

2 year effort with 38 authors from 10 specialties.

Link attached & summary in this thread:

https://t.co/uUUyUvz3pR

[Mark Hieromnimon, MD @MHieroMD]

@GaltMD @PulmCrit “But there’s no gas on the CT”

[Mark Hieromnimon, MD @MHieroMD]

@GaltMD @PulmCrit And now the patient is in four pressor shock, obtunded, and intubated

[Mark Hieromnimon, MD @MHieroMD]

@IM_Crit_ Open evidence?

[Mark Hieromnimon, MD @MHieroMD]

@esanum @DrPharmDMDTh 🤨

[IMCrit @IM_Crit_]

*Pulmonary embolism* versus *Acute myocardial infarction*:

Above and below the pen: the size of the clots in each scenario

I was looking for a picture like this and found it in a lecture by Dr Sripal Bangalore

#foamed #foamcc #meded #MedTwitter

[Mark Hieromnimon, MD @MHieroMD]

@IM_Crit_ Wow

[JAMA @JAMA_current]

Among adults hospitalized with #sepsis from #pneumonia or #bacteremia, precision #immunotherapy tailored to immune subtype improved organ dysfunction by day 9 compared with placebo.

🎥 Watch the video and read the full study: https://t.co/YCIdqDPoF7