i. my life is far richer for having had a great liberal arts education
ii. I would bet money it has made me far better at my job
iii. I am very grateful for being fortunate enough to be able to have gotten a great liberals arts education
i. my life is far richer for having had a great liberal arts education
ii. I would bet money it has made me far better at my job
iii. I am very grateful for being fortunate enough to be able to have gotten a great liberals arts education
Explain to me how hubs can put in a chest tube blindfolded but canโt for the love of god fold the ends of a Christmas present properly?
Today's Paper of the Day is:
Muscle Dysfunction and Physical Recovery After Critical Illness
https://criticalcarereviews.com/latest-evidence/paper-of-the-day
Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2025
1/ What started as a โhey, wouldnโt it be coolโฆโ ๐ก side project turned into a full study on how to identify immunocompromised patients.
Gold standard = research coordinators manually labeling statuses โ
โจEverything else tested against that.โจ๐ academic.oup.com/jamia/advanc...
Does it ever feel like some attendings prone everyone and some attendings prone no one? You're not imaging things! From #CLIFconsortium rockstar Anna Barker and #UMichMed:
#journal_CHESTCritCare
@hbgmd.bsky.social
@chriscarrollmd.com
@accpchest.bsky.social
www.chestcc.org/article/S294...
sharpie on white paper: Paragraph 1: we have a big problem P2: considering new thing X reveals pivotal, newly tractable gaps in our knowledge of the big problems P3: So our unifying scientific goal is... Aim N: Active Verb. Method to test interesting (not null) hypothesis in data . . . Impact: This will make the world better and open up new research frontiers via...
Handed out, yet again, the basic #ScrawledGrantAdvice Aims page structure
Brilliant editorial and I canโt believe someone beat me to incorporating a DFW quote into a paperโฆ
Humanism-first structure for family meetings (fresh blog)
๐ฃ๏ธ 1st part of the meeting explores who the patient is, quality of life, & goals
๐ฃ๏ธ Spend more time talking about the person & less time focused on the disease
๐ฃ๏ธ Physicians talk less & *listen* more
blog emcrit.org/pulmcrit/hum... #EMIMCC
Having major withdrawal from #CCR25โฆ Extraordinary event, extraordinary people, in an extraordinary place! @criticalcarereviews.com
And if you missed it, not to worry!
Donut day can be any (and every) day you choose.
Flyer for the ENCOMPASS trial results session at CCR25, investigating a nurse-led, care for high-risk sepsis survivors
๐จ ENCOMPASS TRIAL Results at #CCR25๐จ
๐ 8 hospitals
๐ฅ 4032 patients
๐ Stepped-wedge cluster RCT
๐ฏ Tests STAR: nurse-led, telehealth care for high-risk sepsis survivors
๐ฉบ Outcomes: 90-day readmission or death
๐บ Free livestream โ but itโs better in person!
Dr. Farah Kaiksow shares insight on a systematic review of diagnostic delay in @bmj.com #Quality & #Safety
๐ points
๐ต Organisational health literacy & cultural competence + explicit bias contribute to diagnostic delay
๐ก What was protective? A primary care provider who expresses empathy
Flyer for the FLUID trial results at CCR25
๐จ FLUID Trial Results๐จ
Balanced crystalloids vs saline in hospitalised patients
๐ 16 Canadian hospitals
๐ฅ >144,000 pts ๐ฎ
๐ Cluster-crossover RCT
๐ 90-day death or readmission
โก๏ธ Big trial !
โก๏ธ Big numbers !
๐ฉ The answer drops at #CCR25๐ฉ
. @atscritcare.bsky.social has been my intellectual home for two decades, and it was such an honor today to spend a few moments reflecting on the relevance of the great James Baldwin for teaching and working in this moment -- and what needed skills an intensivist can bring
#ATS2025
Standing ovation for @iwashyna.bsky.social extraordinary achievement award!!
We are excited for #ATS2025! Here's the Critical Care Assembly-at-a-Glance and Critical Care Roadmap!
@ats-assemblies.bsky.social
@atsearlycareer.bsky.social
@atscommunity.bsky.social
craftprd1.blob.core.windows.net/documents/me...
JAMA Internal Medicine is now on BlueSky! @jamainternalmed.bsky.social #MedSky
Diuretics in critically ill patients: a narrative review of their mechanisms and applications
CCR Journal Watch - tracking the critical care literature daily
https://criticalcarereviews.com/latest-evidence/journal-watch
Donโt forget to put out your bag of non-perishable food in non-glass containers for your mail carrier tomorrow! (Or make a donation for your local food charity.)
Loss of federal grants is hitting food banks hard. @hcwvshunger.bsky.social @shematologist.medsky.social @tmprowell.bsky.social
Me: if you blow all the wisps off in one breath, you get your wish!
9: But mom, you get as many tries as you want to get the things you really wish for.
๐
Highlights need for:
Early screening
Med optimization ๐
Targeted exercises ๐๏ธโโ๏ธ
Read more here: journals.lww.com/ccmjournal/p...
#icurehab #ICUcare #FallPrevention
@zudin.bsky.social @kelamb.bsky.social @catherinegranger.bsky.social er.bsky.social @selinaparry.bsky.social .social
Part 2/2
I do my own research by talking to my childrenโs doctor.
Our environment shapes our healthโfrom air and food to stress and neighborhoods. A new paper from a Banbury Center (@cshlbanbury.bsky.social) meeting at CSHL advocates for exposomics, a new way to measure it all.
www.science.org/doi/10.1126/...
Takeaways from @nejm.org acute abdomen review:
โก๏ธ Donโt withhold analgesia
โก๏ธ CT angio abd/pelv w/ IV contrast is usually ideal image; ultrasound for others but high performance variability
โก๏ธ Consult surgery ASAP
โก๏ธ Beware of cognitive bias
www.nejm.org/doi/full/10....
#medsky
Made it through church with the 11 year old snickering every time they said Christ is Rizzinโ
โAnd I suggest we only eat out of cansโ
โCheck out "A Person-Centered Approach to Supplemental Oxygen Therapy in the Outpatient Setting" by my mentee, Angela Suen. This article explores strategies to enhance care for patients using supplemental oxygen, emphasizing personalized education and equipment selection to improve patient outcomes.
If the use of EHR best practice alerts is, at its core, a behavior change technique, how often do they they follow an evidence-based development process? How can we improve BPA design and implementation to increase effectiveness?
Hallie Prescott speaking at podium
Hallie Prescott with IHPI Policy Engagement advisor Paula Lantz
Hallie Prescott is a leading voice in #sepsis care and policy. Her work has improved clinical guidelines and outcomes for patients with this life-threatening complication at state, national, and international levels. More about her: ihpi.umich.edu/our-experts/... @hms-mi.bsky.social
Drs. Ashwin Gupta and @davidpaje.bsky.social delivered fantastic presentations during the 2025 Michigan Medicine - Hospital Medicine Research Presentation Day. ๐