Joshua Szynkowski

Acute Care Surgeon

[Patrick Georgoff, MD @georgoff]

Is clamshell the incision of choice for an ED thoracotomy?

👇🏼 fantastic color-coded visualization showing what you CAN & CANNOT access w/ different incision types: https://t.co/4C9xvcqUKJ

Thanks for sharing @bryanacotton1

[Joshua Szynkowski @szynkowski]

Love that people are spending time thinking about communicating well with patients that have serious illness. Awesome table here that gives solid alternatives for commonly used phrases that are less than ideal. Always something that we can be improving on.

[RanaAwdishMD @RanaAwdish]

My friends and I think a lot about what language to use with seriously ill patients and how it impacts healing. Sometimes we write about it for @MayoProceedings ❤️‍🩹@ProfLenBerry @gfgrafton
Never-Words: What Not to Say to Patients With Serious Illness https://t.co/OGrkQFgtGA

[Ross Prager @ross_prager]

1/7: This year, let's fully understand the concepts of fluid responsiveness, fluid tolerance, venous congestion, dynamic fluid intolerance, and perfusion.

This is crucial for all providers as dedicated RCTs (1500 pts!) (@AndromedaShock 2) will help inform how to integrate these into practice.

A 🧵

Here's our recent paper for a deeper dive right off the bat. https://t.co/5moUYWBFTE

#medtwitter #foamed #foamcc #meded #medicine #evidencebasedmedicine

[Joshua Szynkowski @szynkowski]

@TraumaSoapBoxes This so very correct

[Elliott R Haut, MD, PhD, MAMSE @elliotthaut]

“We specialize in physiology.” Joaquim Havens perfectly describing the specialty of “Acute Care Surgery” at the World Trauma Congress #WTC2023.

[Josh Farkas MD 💊 @PulmCrit]

again for the people in the back: aggressive fluid administration makes acute pancreatitis worse

new meta-analysis in Critical Care: https://t.co/UO9LO2F85y

pulmcrit blog from 2014: https://t.co/HNLygZW9O6

[Josh Farkas MD 💊 @PulmCrit]

BE THE KIDNEY 👊

[Joshua Szynkowski @szynkowski]

@christinercoy Do it. Let me live vicariously through you.

[BJS @BJSurgery]

🩹No pain no gain?

🛑Not when packing perianal abscess cavities in the PPAC2 RCT - packing caused more pain, with no gain!

Postoperative Packing of Perianal Abscess Cavities (PPAC2): randomized clinical trial

🔗https://t.co/1wsw77P3Mp
#SoMe4Surgery #CollaborativeResearch

[Emily Fridenmaker @emily_fri]

Good critical care is 10% performing dramatic interventions, 90% being aggressively persistent with the seemingly mundane details.

- Fluid balance
- Weaning sedation
- Weaning the vent
- BMs
- Deescalation of lines and tubes
- Deescalation of abx/other meds

[Trauma Surgery & Acute Care Open (TSACO) @TSACO_AAST]

#TSACOTuesday 🔥 !
Check out what the AAST Critical Care Committee has to say about the managing Decompensated Cirrhotics in the SICU! https://t.co/lKVn9Y50xO

[Jennifer Hartwell, MD FACS @traumamom4]

I hope the pro-life crowd is furiously drafting legislation to bolster parental leave, subsidized childcare, universal healthcare, free contraception, mental health funding, and gun safety. Cause that would feel more pro-life to me.

[Joshua Szynkowski @szynkowski]

@jzaraterod @Designs4Vision This is weird. Would be interested in their explanation.

[Joshua Szynkowski @szynkowski]

@christinercoy Lol I do this to Jenny every time.

[Ryan Hana @RyanHanaWWP]

Come for the fight, stay for Wes McCauley's penalty calls.

[Dr. Glaucomflecken @DGlaucomflecken]

The golden consult award

[Matthew Martin, MD, FACS, McRIB @docmartin22]

Great work further confirming that contrast nephropathy in the modern era is a myth

[WesternTrauma @WesternTrauma]

The Small 14-Fr Percutaneous Catheter vs. Large (28-32Fr) Open Chest Tube for Traumatic Hemothorax (P-CAT): A Multi-center Randomized Clinical Trial

*Better Insertion Perception Experience without increase in tube failure rates

#WTA2021
#Fellowshipofthesnow
@NKulvatunyou

[Kaweah Surgery @KaweahSurgery]

Thinking of applying here?
Take the tour!
https://t.co/J2zlVLfAra