Mehraj Din

MD
#INTENSIVIST

[NEJM @NEJM]

In a cluster-randomized trial involving patients having major noncardiac surgery, tranexamic acid reduced the need for red-cell transfusion during hospitalization and was noninferior to placebo for venous thromboembolism within 90 days. Full TRACTION trial results and Research Summary: https://t.co/OotL24YPLm

[Heart_BMJ @Heart_BMJ]

Mechanical circulatory support for patients with infarct-related cardiogenic shock: a state-of-the-art review

In this episode of the Heart podcast, Digital Media Editor @jhfrudd is joined by Prof. Jacob Eifer Moller from Odense, Denmark. They discuss his review paper on mechanical circulatory support, along with supporting guidelines and papers in this area.

Podcast: https://t.co/aQQGioFhRI

Paper: https://t.co/DjFxj3J5ei

[nature @Nature]

A machine-learning model trained on thousands of electrocardiogram recordings identifies a previously unrecognized group of at-risk people

https://t.co/SbQ9SnbD2B

[JAMA @JAMA_current]

💬 Viewpoint: #AI-enabled tools in clinical education offer real-time guidance and personalization but raise concerns about automation bias, illusion of explanatory depth, and erosion of clinical judgment if uncritically adopted. https://t.co/a7CV5VXIqe

[Yuki Sahashi @Yuki_Sahashi]

AIで心臓突然死の予測モデルを作成・多国間検証し、変分オートエンコーダー(VAE)を用いて潜在空間から、どんな特徴量が心臓突然死に寄与したと解析
aVLのPost-QRS Slurという、これまで人間が気づかなかったバイオマーカーを発見したNature論文

https://t.co/tEXbxxI7Hr

[Heart_BMJ @Heart_BMJ]

Cardiopulmonary exercise testing in contemporary cardiology: physiological insights, novel applications and evolving algorithms https://t.co/y6tTSsvc5V

[JAMA @JAMA_current]

Among ICU patients with a central venous access device, locking with 4% t-EDTA reduced the incidence of a composite outcome including bloodstream infection, occlusion requiring alteplase, and catheter removal vs control fluids.

https://t.co/iVesnNZU3m

[European Society of Cardiology Journals @ESC_Journals]

🚨 Not all cardiogenic shock is the same.
In this meta-anaylsis, patients with cardiogenic shock due to AMI or ADHF showed distinct clinical phenotypes and outcomes, highlighting the need for tailored management strategies.
https://t.co/XKz6G42xlY

@EJHFEiC @AmrAbdin10 @GiuseppeGalati_ @HanCardiomd
#EJHF

[NIH Innovates @NIH_Innovates]

https://t.co/KYaivgZs8x

[Heart_BMJ @Heart_BMJ]

Artificial intelligence in cardiovascular imaging: risks, mitigations and the path to safe implementation

https://t.co/X9egMMRJ49

[JAMA @JAMA_current]

📊 Research Summary: In adults with symptomatic #RheumaticHeartDisease, digoxin reduced death or worsening #HeartFailure risk vs placebo, mainly through fewer heart failure events, with low toxicity. #HeartFailure26 https://t.co/efZ5yByQFx

[Satya Nadella @satyanadella]

https://t.co/vLmiBKTtX3

[Mehraj Din @docmehraj]

Start the day with a cup of coffee pure and icy.
“Focus on being productive instead of busy.” — Tim Ferriss
In fast-paced environments: Identify your single highest-impact task and complete it first in an uninterrupted 60–90 minute block—before email or meetings.
Protect peak focus for meaningful progress.
#Productivity #Leadership #TimeManagement

[Mehraj Din @docmehraj]

@thekaransinghal This looks fantastic and promising as we see our daily workflow getting streamlined with the help of AI, like a personal secretary to help in documentation, besides providing clinical insights, HIPPA compliance should be enforced by default rather than optional.

[Chris Bray @docbraymd]

A great resident or fellow learns to navigate uncertainty, communicate clearly, prioritize well, and balance self-care with professional duty. They take ownership, remain teachable, and design care around the individual patient. Just as importantly, they understand exactly which studies support current practice, including who was studied, what treatment was given, and what outcomes were measured. Knowledge matters, but so do reliability, judgment, humility, and the ability to connect evidence to the person in front of you.

[Nature Medicine @NatureMedicine]

In a randomized controlled study of 1,298 participants, performance of humans when assisted by an #LLM was inferior to the LLM alone when assessing 10 medical scenarios.

https://t.co/vCMVfZn9ZW

[SCCM @SCCM]

Dive into the newly updated Surviving Sepsis Campaign guidelines with two free webcasts: https://t.co/WWW2udayau

Cochairs from the guidelines panels will walk through the recommendations & discuss how the changes influence recognition & management of sepsis & septic shock.
#SCCM

[NEJM @NEJM]

Induction medication for emergency intubation — does the choice matter? NEJM Editorial Fellow Katerina Lin, MD, explains a randomized trial to determine the effects of ketamine vs. etomidate for induction of anesthesia during emergency tracheal intubation. Full RSI trial results: https://t.co/ovSy71Gi1j

[NEJM @NEJM]

Original Article: Selective Decontamination of the Digestive Tract during Ventilation in the ICU (SuDDICU trial) https://t.co/bKf46ene0N

Editorial: Selective Digestive Decontamination — Finding the Way Forward https://t.co/uadSTXlu6X

📖 Further reading in @NEJMEvidence:
Original Article by N.E. Hammond et al.: Selective Decontamination of the Digestive Tract in Mechanically Ventilated Patients — An Updated Systematic Review with Bayesian Meta-Analysis https://t.co/osWdWAHHZG

[DAN KOE @thedankoe]

Habits so simple you think they’re not worth doing, but have a profound impact on your life:

- Not touching your phone when you wake up
- Not thinking about work after work is done
- Putting a book down once you find an idea worth thinking about
- Setting aside time to do nothing for 10 minutes a day
- Going on a short walk after each meal
- Eating a meal without a screen in front of you
- Saying "I don't know" instead of pretending you do
- Asking "What if this isn't actually a problem?" before trying to solve it
- Letting yourself be bad at something instead of expecting perfection
- Trying to understand something you disagree with instead of looking for flaws
- Defaulting to "no" until you think through the commitment