Shan Modi

@UTAustin ‘13 || @utmbhealth ‘17 ||@TamingtheSRU ‘21 || @PittCCM '23|| Cardiothoracic Intensivist @AHN_CVI || Amateur Twitterist

[Jonah Rubin MD, FCCP @JonahRubinMD]

Can we agree on the key steps and skills needed for ECMO cannulation?

Superb work led by @RealShanModi @AHN_CVI now in @JCardFail-Intersections suggests we can, advancing the @ELSOOrg quest to create an evidence-based comprehensive global ECMO curriculum!

& TY Delphi experts!

[Shan Modi @RealShanModi]

Thank you for the help with this manuscript!

Main Point: Liberate critical care trainees from didactic purgatory and make it easier for trainees to access education for spaced repetition

[Ricky Hansra, MD 🫀 @RickyHansra]

Great work led by @RealShanModi on MCS Management: Current Knowledge Deficit in CCM Trainees

⭐️Clinical exposure alone 🚫improve knowledge of MCS

⭐️Asynchronous curriculum allows spaced repetition/retrieval

@JCFINT @JasonKatzMD @noshreza #MedTwitter

https://t.co/eeAE9dJxpq

[Karthik @ranga1949]

Looking forward to an exciting conference on Cardiogenic Shock and engaging discussions with the thought leaders in this field. @tonkhueMdPhd @JumeanMarwan @aniket_rali and Katherine Wood. @AHN_CVI Join us this Saturday, at the Fairmont hotel in downtown Pittsburgh.

[Adam Gottula @laertezz]

ECPR improves outcomes in refractory OHCA, but most patients never reach an ECMO center in time.

📍New systems are expanding access by initiating ECPR in the prehospital 🚑🚁 or non-ECMO center setting.

But what happens after cannulation?

🧵👇 (1/5)

[AHN_CVI @AHN_CVI]

Milestone achievement! Dr. Candice Lee performed the 100th pulmonary thrombectomy to treat CTEPH.
#CandiceLeeMD #AmreshRainaMD #HayahKassisGeorgeMD @barnes_kileigh @AHNtoday
Read the full story: https://t.co/SMDVNg2w80

[M Velia Antonini @FOAMecmo]

📢 Participate in a needs assessment survey to help develop a standardized curriculum for #ECPR!
The @ELSOOrg team is developing a more comprehensive ECPR curriculum, and we need your input. We're looking to identify areas where your current educational needs aren't being fully met. Your feedback will help us design targeted educational programs and create standardized teaching modules that benefit the entire ECPR community.
Please take about 10' to complete this brief, confidential survey, and help us better support you.
🖋️ https://t.co/wmPP793fA5

[Chandan Kumar Dash @ckdash95]

Excited to represent my program @AHNIMres and share our research on mental health outcome in ECMO survivors at #CHEST2025 as an oral presentation ! Grateful for all the support and guidance from the mentors at @AHNidccm @ahnpccm @PjTiberio @RealShanModi

[Shan Modi @RealShanModi]

@AndreaElliottUM The power couple @CopplerPcas

[Shan Modi @RealShanModi]

Happy for the opportunity to collaborate with @manreetkanwar on an editorial in Circulation: Heart Failure—
Survival isn’t the finish line: Most disability among VA-ECMO survivors emerges within the first 6 months post-cannulation — discharge is only the start of recovery!

[Circ: Heart Failure @CircHF]

Forgotten After Discharge? ECMO Patients Deserve Better @RealShanModi #AHAJournals https://t.co/GT6GfGhBZi

[Ak @AdnanKhalifMD]

Also, the @AHNtoday way lol @ranga1949 @tjvandyck @RealShanModi @AHN_CVI @AHNCVFellows, since you know, they used our ER to make this look so smooth. Thanks for the inspiration @DYannopoulos

[Ak @AdnanKhalifMD]

Honor and a privilege to work with these folks. @ranga1949 @RealShanModi @tjvandyck @KhandelwalMD @AHN_CVI

[Shan Modi @RealShanModi]

@AHN_CVI @manreetkanwar @AdnanKhalifMD @ranga1949 @Raj__Ramanan @laertezz @JimMakinen @EMcshawCCM @ELSOOrg

[Shan Modi @RealShanModi]

Excited to publish our ambulatory protocol for pVA-ECMO and femoral IABP from @AHN_CVI

Main Points:
⭐️ Ambulation is feasible and can improve prehabilitation for advanced therapies
⭐️ Multidisciplinary team required for success
🔓 https://t.co/jjQ2hU9WpN

[AHN_CVI @AHN_CVI]

Allegheny General Hospital, City of Pittsburgh EMS Join Forces to Introduce New Resuscitation Protocol for Out-of-Hospital Cardiac Arrest Incidents @AHNtoday
https://t.co/be9hO0wzDz

[Cali Clark, DO MBA @CaliRClark]

Shock transport by @RealShanModi

Checklist:

1️⃣Pre-Transport: shock team, 1️⃣ person leads, only essentials
2️⃣Modality: 🚁 may not be the best choice, need training for MCS transport
3️⃣Facility: stay in contact, prep the room
4️⃣Follow-up: debrief with the transferring 🏥

[ELSO @ELSOOrg]

Dysfunction in PMP #ECMO membrane lungs
🔎 retrospective analysis including 19 pts supported with 3 different MLs
⚙️ radial flow ML prone to higher resistance & lower post-ML PaO2 vs transverse
💨 no significant difference in O2 transfer
🖇️ https://t.co/xtXQuEijME

[Raj Ramanan @Raj__Ramanan]

Comparative analysis of oxygenator dysfunction in PMP oxygenators
🫁 AMG, Nautilus Smart, Quadrox/Cardiohelp ⭐️No difference in O2 transfer
⭐️Radial flow ML have higher R to Q and lower Ppost-oxy O2
@RealShanModi @brandalo227 @FOAMecmo
https://t.co/8FMwt6mxJS

[UC EM Residency @TamingtheSRU]

We are so proud of the class of 2024 - they loved training so much that 11 of the 14 are going for more, with 5 of those in #CritCare
Congratulations @Courtney_Kein @JoshFerreri @LEGillespie3 @Bron_Winning

[Shan Modi @RealShanModi]

The wave of the future is HEMS transport for ECPR— amazing work from the HEMS/ECMO expert @laertezz and the @TamingtheSRU alumni

[ELSO @ELSOOrg]

🚑 🚁 Prehospital based #ECPR reduce barriers to #ECLS, potentially improving #OHCA survival! GIS model demonstrating 2-fold ⬆️ in #ECMO eligibility for field-deployable ground-based system & 4-fold ⬆️ for HEMS-based system vs 🇺🇸 hospital-based system
🖇️ https://t.co/BY6dAA9oMP

[AATS @AATSHQ]

See what researchers from @UPMC found when analyzing survival outcomes after concomitant use of extracorporeal membrane oxygenation and percutaneous microaxial assist device support for cardiogenic shock in #JTCVS Open: https://t.co/8ox6XgrtPS