Zach Jarrett

Girl Dad x3. Husband. @AuburnU and @VCOMAuburn alum. Pulmonary & Critical Care. United States Army 🫁🫀ECMO

[ELSO @ELSOOrg]

"OnScene team deserve tremendous credit for advancing #ECPR through national prehospital network. Bringing expert teams to selected pts with refractory #OHCA may improve survival/neuro-recovery. Destination is timely reperfusion; route should follow the patient." @DYannopoulos

[John-Henry Dean @JohnHenryDean]

For all fellows/trainees coming to #ACC26, join us for the Care of the Athletic Heart Sports Cardiology Pre-Conference!

🔑 sessions:
-Athlete CPET/ECG interpretation
-Paths to #SportsCardio panel

Register here: https://t.co/sHGXRykHtw

[Francisco Soto, MD, MS, MBA @FSotoMD]

“The wedge.”

The holy grail of RHC and hemodynamics

Hate it or love it, major decisions are made based on it

Whether you:
• Perform the procedure yourself
• Review someone else’s tracings
• Review someone else's report

Learn 7 tips to ensure “the wedge” accuracy

[Ron Barbosa MD FACS @rbarbosa91]

🧵regarding the introducer sheath commonly known as a 'Cordis' catheter.

We'll go over what it was originally designed for and why it ended up being adopted by other specialties for entirely different reasons.

Also we'll look at its accessories and see what's inside one.
(1/ )

[Katie Wiskar @katiewiskar]

1/
#POCUS exam of both the internal jugular vein (the POCUS JVP 🤩) and the IVC can be used to estimate central venous pressure ✅

⁉️ BUT - what happens when these two scans are discordant?? 🫢

A quick #tweetorial 🧵on interpreting contradictory IVC and JVP results

[Francisco Soto, MD, MS, MBA @FSotoMD]

Hemodynamics and Right Heart Cath tweetorials collection.
All in one place!

Threads:
1. PA Catheter (PAC 101). The basics

2. Waveform recognition (PAC in ICU)

3. Quality control: 🔑troubleshooting before you use the data

4. Preventing the most dreadful PAC complication

[Francisco Soto, MD, MS, MBA @FSotoMD]

RV failure thread 1/4
Post 1/5

@accpchest #CHEST2024 session:
“Mgmt of PAH in ICU: Keeping the RV 😄”

Pearls from @anjalivaidyaMD

Topic: “Mechanical Support in RV Failure”

Can’t miss. Bookmark thread👇🏻

Should I use an RVAD in PAH RV failure? Find out👇🏻

[Joseph Marcus @JosephMarcusID]

Check out my mentee’s podium at #ELSO2024

Pulm/Crit Care PGY-5 @ZachJarrett5 presents microbiome changes that preceded MDR bacteremia for a pt on VV ECMO

[Ross Prager @ross_prager]

It is hard resuscitating patients on the ward 🏥

You don't have the same resources, personnel, or familiarity with the physical space. This can lead to slow and clunky resuscitations. 🦥

Here are 10 tips for smooth resuscitations on the ward that I learned as a paramedic (and now ICU doctor) 🚑

#medtwitter #foamed #foamcc

[Joseph Marcus @JosephMarcusID]

‼️ New ECMO infection manuscript today ‼️

Many studies over last 5 years describe ECMO infections.

However, variety of definitions used and inconsistent reporting of the following elements lead to substantial bias:

https://t.co/beHLbsKIOF

#ECMOID

[Francisco Soto, MD, MS, MBA @FSotoMD]

1/11

#PAC 101 (The Catheter)

A cath lab pt just arrived in your ICU with a pulmonary artery catheter (#PAC) in place.

Your bedside nurse (limited #PAC experience) asks you to walk her through the basic PAC lumens and ports 😱

Fortunately for you, you had bookmarked the 🧵 👇🏻

[Nick Mark MD @nickmmark]

“The urine output trailed off after Lasix so I gave a bolus”

[nick pulmcrit @pulmtoilet]

First rule in ICU medicine: you cant breath underwater

[Joseph Marcus @JosephMarcusID]

So proud and excited to share this Review with @IDdocAdi @DrGilesPeek @GraemeMacLaren on ECMO infections for Infectious Diseases Clinicians in @CIDJournal with focus on:

✅Epi
✅ Diagnostics
✅ Prevention
✅ Treatment

Many ?s yet to answer

https://t.co/3caHAj3PZM

[armyemdoc @armyemdoc]

Congrats to our future Army intensivists that matched today!

-Karly Flemmons from @AUG_University
-Christian Cavaceve from @BrookeArmyMed
-Melissa Walsh from @WRNMMC_DHA

#emergency #emergencymedicine #foam #foamed #foamcc #army #armymedicine #armyemdoc #meded #trauma #icu #criticalcare #meded #medx #medtwitter #matchday @chungk1031 @mount_md

[Zach Jarrett @ZachJarrett5]

@sargsyanz This should be a part of the hidden curriculum of IM residency..

[Kirsten Bibbins-Domingo @KBibbinsDomingo]

Just published online first & presented #IDWeek2023

Cefepime vs Piperacillin-Tazobactam in Adults Hospitalized With Acute Infection: The ACORN Randomized Clinical Trial @EdQian @toddrice_ICU & colleagues

https://t.co/xA5SHNamml

[Josh Farkas MD 💊 @PulmCrit]

introducing the IBPH (internet book of hospital pulm)

expansion to the IBCC section on pulm, with a goal of covering inpatient pulmonology more thoroughly🫁

please help support the project by sharing & peer-reviewing the new chapters (coming soon)🐦

https://t.co/QDSQCv63IB

[Michael I. Prats @PratsEM]

#POCUS in PEA Cardiac Arrest, an interesting case + relevant literature #cardiacarrest #echofirst

First - pericardiocentesis?