Ian Ward A. Maia

Emergency Physician from Brazil 🇧🇷. Opinions e pictures by my own.

[Ian Ward A. Maia @ianwardd]

During the emergency residency we tried to convince our supervisor to purchase a CMAC for our shop. A special thanks to @guigpz and his deep throat.

[Josh Farkas MD 💊 @PulmCrit]

end-stage academia:

how to game the system to score more grants and publications

this is ultimately a zero-sum rat race that doesn't help patients or science

[Ian Ward A. Maia @ianwardd]

@TheSGEM @emcrit 👏👏👏

[Ken Milne MD @TheSGEM]

SGEM#500: Don’t You Want Me – Etomidate or Ketamine for Induction of Critically Ill Patients

https://t.co/aVtyBe9mM7 #EBM #FOAMed

Guest Skeptic is Dr. Scott Weingart from @emcrit

[Jonas Ludvigsson @ludvigsson]

Today @Gut_BMJ publishes my review titled
➡️My first 1000 manuscript rejections.

I often meet young researchers who are devastated by a manuscript rejection, but rejections are part of life. Here are some of my most memorable ones 😃:
https://t.co/asXsKX3CT6
@karolinskainst

[Boris Sobolev @soboleffspaces]

A seminal paper dismantling 50 years of critical care dogma and RCTs failing patients

@PatientStormDoc publishes a historical review revealing that decades of critical care trials for sepsis and ARDS rely on the flawed "Petty-Bone" design, which substitutes synthetic, threshold-based syndromes for distinct biological diseases.

Using Causal Symbolic Modeling and Directed Acyclic Graphs, the author demonstrates that these synthetic surrogates function as cohort colliders, mixing incompatible pathologies like viral and bacterial pneumonia into unstable groups.

This conceptual error renders trial results non-transportable, explaining replication crisis in critical care RCTs and high-profile reversals after causing patient harm.

The study exposes how international task forces have perpetuated a "pathological consensus" by recycling arbitrary surrogates rather than addressing the fundamental lack of causal validity in their designs.

The author argues we must abandon the Petty-Bone RCT framework immediately to end this era of "science mimicry"—and mandate causal modeling in all future grant-funded research and CONSORT guidelines.

https://t.co/9JKFnq0Tm3

[JAMA Network Open @JAMANetworkOpen]

For patients intubated in ERs in Brazil, etomidate was associated with higher 7d and 28d mortality vs ketamine, despite more immediate post-intubation hemodynamic instability with ketamine. https://t.co/KwOFsIWKKT

[Ian Ward A. Maia @ianwardd]

@hellmann_von

[Ian Ward A. Maia @ianwardd]

New observational study using Target Trial Emulation compares Etomidate vs. Ketamine for ED intubations. Cohort: 1,810 patients (BARCO registry). Design: Inverse probability of treatment weighting (IPTW). Primary Outcome: 28-day mortality. -https://t.co/yKyz9rKDrW -

[Ian Ward A. Maia @ianwardd]

Thanks to all collaborators from the BARCO study, this was a non-funded research project and the first Latin American airway registry.

[Ian Ward A. Maia @ianwardd]

@PulmCrit

[Ian Ward A. Maia @ianwardd]

@AirwayMxAcademy
@JohnCSakles
@emcrit
@armyemdoc
@IM_Crit_
@AirwayLegend
@julesantosER
@jducanto
@lucasojesilva12
@doctimcook
@VirtueOfNothing

[Ian Ward A. Maia @ianwardd]

6/6 These data reinforce why we need adequately powered trials in LMICs, not only North American settings.

[Razia Aliani @RaziaAliani]

"I watched my advisor publish 21 papers in 1 year. Meanwhile, I spent 8 months on a single study that might never see daylight. I felt like I was failing at academia."

A PhD friend told me yesterday ⤴️

Then she shared what changed her perspective completely.

Those 21 papers were strategic collaborations solving critical problems across multiple fields.

Her single study? That was preventing outbreaks in rural communities!

She realized she was comparing apples to oranges.

This and other conversations with my PhD friends taught me something important about research careers:

𝗧𝗵𝗲𝗿𝗲 𝗮𝗿𝗲 𝗺𝘂𝗹𝘁𝗶𝗽𝗹𝗲 𝗽𝗮𝘁𝗵𝘀 𝘁𝗼 𝗶𝗺𝗽𝗮𝗰𝘁:

→ The deep-dive specialist (months/years on one breakthrough)

→ The strategic collaborator (connecting dots across projects)

→ The methodology expert (enabling others' discoveries)

→ The translator (making research accessible and actionable)

Quality research isn't about doing less work.
It's about doing purposeful work

⤴️ whether that's deep solo research or strategic collaboration.

---------------------
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[Ian Ward A. Maia @ianwardd]

@julissima96 👏👏👏

[Rafael von Hellmann @hellmann_von]

We are pleased to present our latest SRMA: Effect of hyperangulated videolaryngoscopy on first-attempt
success in tracheal intubations: A systematic review and meta-analysis.
https://t.co/1XquryLQ7W

[armyemdoc @armyemdoc]

In this systematic review from last month, Von Hellmann et al found that opioid pre-treatment had an odds ratio of 2.15 (1.22-3.78) for peri-intubation hypotension.

https://t.co/gotzm3p9Oc

#emergency #emergencymedicine #criticalcare #icu #science #data #research #army #armymedicine #armyemdoc #airway #ketamine #medx #medtwitter