Hayley Gershengorn

Intensivist & health services researcher at @UMiamiHealth, Editor at @journal_CHEST Critical Care, NYer at heart. Views expressed are my own.

[Hayley Gershengorn @HBGMD]

😖 Do you ever wonder if #ICU quality metrics are problematic?

Nishikimi & colleagues elegantly explore challenges w VAE given its defn & our use of PEEP 🐥:

https://t.co/Pc2ApbJOIc

✳️ spoiler alert — we have a problem ☹️

#OpenAccess in #journal_CHESTCritCare

[Hayley Gershengorn @HBGMD]

✅ out Beattie & Mendoza’s editorial on protocolized lyte management in #ICU:

Ed: https://t.co/we9dyGKdKw

Art: https://t.co/1fdfrNpMup

#journal_CHESTCritCare

[Hayley Gershengorn @HBGMD]

😖 #ICU care is complex & protocols can improve care (MV weaning, sedation management, etc.)… but are protocols ever bad? 👎

Bodley et al investigate this ❓ in the context of an existing electrolyte replacement protocol:

https://t.co/1fdfrNpeER

#journal_CHESTCritCare

[Hayley Gershengorn @HBGMD]

❓ Are you using melatonin in the #ICU? Do you wonder if others are? 😴

Miller & colleagues explore trends in use, specifically related to #PADIS guideline recs, just out in #CHESTCritCare:

https://t.co/3qTn2cfK6C

[Hayley Gershengorn @HBGMD]

🫀 Do you love #POCUS echocardiography?

Just out in #journal_CHESTCritCare, Ng & colleagues report a case where echo was 🔑 to knowing what was wrong 💔:

https://t.co/j3ypEZ7jhs

#OpenAccess

[Hayley Gershengorn @HBGMD]

🤔 Do feasibility studies really matter?

Wiseman et al show us they certainly do…

https://t.co/KAzASoMhM2

Without them we might be trying to do a big study “wrong”.

#journal_CHESTCritCare

[Hayley Gershengorn @HBGMD]

🤔 Do #ICU memories impact post-ICU mental well-being?

Phan & colleagues ❓ the assoc of memories w depression ☹️, anxiety 🥺PTSD, & cognitive 🧠 symptoms:

https://t.co/5SfTeQO5ns

❗️ spoiler… yes, probably.

#journal_CHESTCritCare

[Hayley Gershengorn @HBGMD]

🎯 How can we best ensure we’re in the trachea during ETT placement? 🫁

Robinson & colleagues outline the protocol for their “WAVE”trial — waveform 🌊 vs color 🟪🟨 capnography:

https://t.co/nyiBwXVJk7

#OpenAccess in #journal_CHESTCritCare

[Hayley Gershengorn @HBGMD]

❓We all cope differently… does #ICU survivor coping style affect handling of post-ICU cognitive challenges? 🧠

Christiaanse & colleagues perform an elegant analysis to get at this question:

https://t.co/jIDxqsKV3t

#journal_CHESTCritCare at #CHEST2026!

[Hayley Gershengorn @HBGMD]

✈️🚂⛵️ En route to #CHEST2026? Looking for something to read?

✔️ out Laake & Aslam’s editorial on how to think of physiologic data informing bedside decision-making:

Ed: https://t.co/jSr9dYjgo3

Art: https://t.co/VrESXsoy9V

#journal_CHESTCritCare
@journal_CHEST @accpchest

[Hayley Gershengorn @HBGMD]

🫁 Is spontaneous breathing in ARF requiring iMV good or bad❓

Just out in #journal_CHESTCritCare, @D_Jayasimhan et al present a 🔭 scoping review showing us we do (& don’t) know:

https://t.co/VrESXso0kn

#OpenAccess

[Hayley Gershengorn @HBGMD]

🔭 Looking for a tool to predict #ARDS resolution?

Bateman & colleagues show us CC16 🧪 has promise, just out in #journal_CHESTCritCare:

https://t.co/T7wRtS3ZdY

#OpenAccess as always!

[Hayley Gershengorn @HBGMD]

🧐 Curious how to support caregivers for #ICU survivors?

💡 Let’s ask them what they need❗️

Just out in #journal_CHESTCritCare, Wendlandt et al did just that:

https://t.co/aHHkkHqQ44

[Hayley Gershengorn @HBGMD]

❓ Does your #ICU have trauma-informed policies?

Do you know what a trauma/informed policy is?

@DeepAshanaMD & colleagues report on a survey of US adult ICUs to see what we all do, just out in #journal_CHESTCritCare:

https://t.co/rRoFWZFsXl

#OpenAccess

[Hayley Gershengorn @HBGMD]

👨‍⚕️👩‍⚕️🧑‍⚕️ #ICU clinicians often vary in how they practice…

…do they re: approaching end-of-life decision-making?

Mesfin et al explore variability in DNR timing & how timing of life support limitations associate w mortality:

https://t.co/Qo1M8DAYmE

#journal_CHESTCritCare

[Hayley Gershengorn @HBGMD]

😫 Do you ever struggle caring for #ICU patients w cirrhosis?

If so, ✔️ out the new #journal_CHESTCritCare ⭐️HIDI⭐️ by @EmilySchwitzer & colleagues:

https://t.co/wm1NwKvkcf

[Hayley Gershengorn @HBGMD]

🧪 Finding biomarkers for #ARDS is about identifying new ones ➕ learning how best to use them…

@jemeegan et al evaluate sLOX-1, both the utility of absolute values 🔢 & trajectories 📈:

https://t.co/IHSdG3BzrL

#journal_CHESTCritCare

[Hayley Gershengorn @HBGMD]

❓ Do you care for #ECMO patients? Do you wonder about their 1-year 🧠 & 💪 outcomes?

@WSherrillACNP & colleagues compare outcomes to iMV patients:

https://t.co/Swj9kx8fuy

#OpenAccess as always in #journal_CHESTCritCare!

[Hayley Gershengorn @HBGMD]

🤔 Ever consider “WiPO” in the #ICU?

Well, Menis et al do!

✅ out their new SR/MA ❓ing how often we see it… & if we even know how to define it:

https://t.co/lTVqjbJtQw

(✳️ WiPO = weaning-induced pulmonary oedema… better than WiPE for “edema”!)

#journal_CHESTCritCare

[Hayley Gershengorn @HBGMD]

❓ Can we assess alveolar recruitability in severe #ARDS? 🫁

de Fonseca Reis & colleagues evaluate 4️⃣ methods….

https://t.co/m0OLCG1GnO

#OpenAccess in #journal_CHESTCritCare

[Hayley Gershengorn @HBGMD]

🛋️ Is SOFA-2 better than the original SOFA vis-à-vis predicting post-#ICU survival?

Ihalainen & colleagues ❓ their respective discriminatory abilities:

https://t.co/RV11XfPHAl

#journal_CHESTCritCare
#OpenAccess

[Hayley Gershengorn @HBGMD]

@ross_prager I hear you… and I don’t necessarily love POCUS… but check this out, I think you’ll find it to be a very balanced discussion of POCUS for airway management.