Grigory Ostrovskiy, MD, FACEP, RPNI

Neurointensivist & emergency physician @HMHNewJersey | cardiac arrest prognostication | views = mine | tweets ≠ medical advice | @GothamFC Go Bats! 🦇

[Grigory Ostrovskiy, MD, FACEP, RPNI @GrigoryMD]

The hidden danger of handheld ultrasound machines in the age of white coats falling out of favor is the return of the fanny pack. #POCUS

[Tufts Medical Center Neurology @TuftsMCNeuro]

Congrats to @GrigoryMD and @senelson13
for their recent article on breakthrough fever in cardiac arrest without the use of cooling devices! https://t.co/zUjCk7G3S1…
@MountSinaiNYC @MountSinaiNCC @HMHNewJersey @HMHSchoolofMed @TuftsMedicalCtr @TuftsMedicine

[MountSinaiNCC @MountSinaiNCC]

Our fellow graduates representing at @neurocritical #NCS2024!

@GrigoryMD (MSHS NCC ‘22) presenting on engaging EM learners in NCC, and @STsetsou (MSHS NCC ‘19) with one of the top scoring posters on her TBI research!

We are so proud of both of you 😍

[MountSinaiNCC @MountSinaiNCC]

Just some Sinai peeps at @neurocritical #NCS2024!

NCC fellow alum and former attending @STsetsou, current attending @fernandadc, Neurology residency alum @DrNikaP and NCC fellow alum @GrigoryMD!

[Grigory Ostrovskiy, MD, FACEP, RPNI @GrigoryMD]

Tried to set up call forwarding with @Verizon to have a colleague cover the ICU unexpectedly. When calling @VerizonSupport an automated message says this can only be done through the app. The app says it can only be done by calling support. Are there less incompetent providers?

[Grigory Ostrovskiy, MD, FACEP, RPNI @GrigoryMD]

@nirmalregency How many LPs? Would need 3 LPs, 20-30 ml each for cytology and flow cytometry. If truly negative then would biopsy. If any other organ involved would biopsy that. If not, then probably biopsy the left frontal lobe.

[Nida Qadir, MD @NidaQadirMD]

🔥🔥🔥Hot off the press in @ATSBlueEditor - new ARDS guidelines🔥🔥🔥

What we addressed:

💊 Corticosteroids
🔃 VV-ECMO
💉 Neuromuscular blockade
🐥 PEEP +/- recruitment maneuvers

👀 Read on for the recs & how to best apply them to your patients 🧵

https://t.co/DSh6EFA9ds

[Cliff Reid @cliffreid]

NEVER prognosticate on a single lactate measurement

EVER

A 🧵…

[Temara Hajjat, MD @temarahajjat]

@drkeithsiau Every hospital should have a cat 🐈😁

[Richard Choi, DO, FNCS @rkchoi]

1/ Hi #medtwitter #ED #neurotwitter #meded #foamed #neurology #neurointerventional #neurocritical have a quick case to present to remind us all of something very important.

[Ross Prager @ross_prager]

#POCUS transcranial Doppler can be hard to integrate into practice - a 🧵on how it can change management. Trauma post OR for laparotomy (no CTs yet) - still unstable, TCDs done given low GCS.. diastolic reversal suggesting severely elevated ICP 🧠🤯😢#medtwitter #echofirst

[MountSinaiNCC @MountSinaiNCC]

Work done when @GrigoryMD was a fellow with faculty mentor @senelson13! Very important work and confirmation of what so many of us worry about after TTM2. At #NCS2023

[Sarah Nelson, MD, MPH, FAAN, FNCS @senelson13]

Terrific work by @GrigoryMD! Following TTM2 publication, rates of post-cardiac arrest fever increased and cooling device use had a trend for decreasing at our institution. @MountSinaiNCC @neurocritical

[MountSinaiNCC @MountSinaiNCC]

Mini @MountSinaiNYC reunion at @neurocritical #NCS2023 with resident alum Benjamin Brush, former attending @senelson13 fellow alum @HelainaLehrer, current attending Hae Young Baang, PGY3 neuro resident Cam Yi, resident alum @DCSisniega, and fellow alum @GrigoryMD!

[ED ECMO Project @edecmo]

Jason Bartos at #parisrescue tells us that post cardiac arrest ECPR patients comatose for 2 weeks still have 25% chance of survival. Need to understand ECPR patients require time and patience. @LionelLamhaut

[Segun Olusanya (He/Him) [email protected] @iceman_ex]

ECPR on the roof in Rome.

@BartsHospital @learnECMOteam @GomorraDoc @drmamoun01 @intubatiem

[Grigory Ostrovskiy, MD, FACEP, RPNI @GrigoryMD]

@stephanamayer Will a lot of endovascular people be willing to do thrombectomies without a biplane though?

[Dr. Glaucomflecken @DGlaucomflecken]

This is the type of doctor @UHC employs as a “medical director.” This person is denying medical claims in the year 2023.

[Grigory Ostrovskiy, MD, FACEP, RPNI @GrigoryMD]

Who are you?
What do you want your vocation to be?
What are your three wishes?

[Grigory Ostrovskiy, MD, FACEP, RPNI @GrigoryMD]

The incomparable @WesElyMD on humility, wisdom, and compassion #SCCM2023

[Grigory Ostrovskiy, MD, FACEP, RPNI @GrigoryMD]

“The future belongs to the discontent”