Siddique Chaudhary

Pulmonary Critical Care fellow

[Dan Qayyum @DanQayyum]

https://t.co/Q3ZRsR9cfL

[Dr. Glaucomflecken @DGlaucomflecken]

Do I have this right?

- ABIM requires yearly fees from physicians who are already cert to “maintain certification”
- no evidence that MOC helps pt care
- ABIM will report you as “not certified” if you don’t pay
- hospitals require certification

Idk kinda sounds like extortion

[Tommaso Scquizzato, MD @tscquizzato]

4 RCTs published in the last few hours you can’t miss if you work with critically ill patients:

#1 Fluids in septic shock
#2 Mobilisation and long-term cognitive impairment
#3 NIV for extubation of obese patients
#4 Nutrition before extubation

A thread 🧵👇

#FOAMcc #SCCM2023

[Dr. Glaucomflecken @DGlaucomflecken]

It’s not about the money

[L J Hirsch @DrHirschEEG]

The American Clinical Neurophysiology Society 2021 critical care EEG Terminology Training Module is posted and available for viewing or downloading (for free!). Thanks to Markus Leitinger and Michael Fong for all the help with this. Enjoy! https://t.co/MQO3r4D0iN

[POCUS 101 @Pocus101]

Just had the best RVOT (Right Ventricular Outflow Tract) Doppler lecture ever by @khaycock2 at our fellows conference! Watch the video below 👇
https://t.co/WPCzGPGpcy

This will seriously🤯 your mind!

Thanks @khaycock2, it's always an honor!

🔗👉https://t.co/WPCzGPGpcy

[Cardio Crit @CardioCrit]

"HOW TO ASSESS SHOCK
The Congestion Cascade - Episode 1 - The Primer"

Episode 1 provides the framework for understanding the congestion cascade and sets the stage for this year's season! @msenussiMD
@Kartopia

Premieres NOW! Be sure to subscribe!
https://t.co/R12PaIGEIr

[Casey Albin, MD @caseyalbin]

1/
A pt w/ ESRD on HD, a fib on coumadin is transferred after a 2 wk hosp for SDH/contusions + ESBL PNA w/ status epilepticus

Scan ⬇️

AEDs: fPHT 100mg Q8H, LEV 1g BID, LAC 100mg BID, VPA 750mg BID + propofol 30, midaz 5.

Admission VPA level 13 (tx range 50-~100)
🤔🤔🤔

[Josh Farkas MD 💊 @PulmCrit]

COVID-STEROID 2
🥈5% lower mortality with 12 mg dexamethasone (vs 6 mg) - which is *huge* - but p=0.09 😩
🥈RCTs with toci/bari show that 6 mg dex alone is suboptimal.
🥈If using dex monotherapy, 12 mg is now a sensible dose for sicker pts.
Fresh blog: https://t.co/oPz7vAYHGN

[Ashish K. Jha @ashishkjha]

When folks think about highly vaccinated places in America

They think Vermont or CT or MA

Those places are good

But not the most vaccinated place in America

So who's #1?

Puerto Rico!

But PR has gotten way too little attention

Its worth reflecting on how they did it

Thread

[Dr. Glaucomflecken @DGlaucomflecken]

It’s ok to ask for help

[Ashish K. Jha @ashishkjha]

As of today,

4 "green" states on @CovidActNow map

3 New England states & South Dakota!

Why green? Because they have very low numbers of infections

How? Largely from population immunity

Lets compare VT and SD -- two states that took different paths to get here

Thread

[Eduardo Mireles-Cabodevila @emireles_c]

The recording for SEVA VentRounds: Four Top Waveform Submissions of the Month https://t.co/DHYF9GS3KX. Excellent cases: dual targeting, early cycle, work shifting. @MegriMohammed @be_an_rt @Ariel_RRT @HawraaHH @Thind888 @msiuba @CCF_PCCM @curso_vm @ventilacionmeca @some4mv

[IMCrit @IM_Crit_]

ICU stories: COVID(+), sick > 4 wks, with tracheostomy just 1 day ago. 1st encounter with pt, I didn't know his "behavior" and I found him on ACV, ARDSnet protocol on 100%-peep 12, sedated-paralyzed, with sat 75%, crashing... No time to "study the chart". What would you do?

[Joscha von Rappard @JoRappard]

scary shit story

85y/o lady. Severe GI bleeding (due to colon diverticulosis) -> got 5 EC transfusion -> heart failure due to volume overload -> pleural effusion on both sides -> diuretic therapy
right side and left side:

[Einstein PCCM @EinsteinPccm]

New things are happening! First bronchial thermoplasty being performed by our own IP director Dr. Arjan Flora #Interventionalpulm @EinsteinPccm @Siddiquemdc @dratulmatta

[James Talarico @jamestalarico]

3 years ago I almost slipped into a coma and died. I was diagnosed with type 1 diabetes.

I paid $684 for my first 30-day supply of insulin. Some pay $1000+ a month. Many die without it.

Today I introduced legislation to cap the price of insulin at $50 a month. #txlege

[Dr. Glaucomflecken @DGlaucomflecken]

Happy doctors day!

[James Horowitz @jameshorowitzmd]

🔥I am excited to share the outstanding interim results from #FLASH registry that were presented yesterday at #SIR2021!!💥

#medthread #tweetorial
1/11

[Nicolas Lim @POCUSClub]

Patient in Janus Jeneral Hospital with neutropenic septic shock. 3ml/hr of single strength noradrenaline - MAP 65, FiO2 30%, Lactate 7. CVP 5. UO 50ml/hr. CTPA negative for PE. AP4C on arrival. #vexus #echo #shock #FOAMed @GUH_ICU_Anaesth @IrishEMtrainees @ICSIreland