Kevin Frank, MD
@criticalgestalt.bsky.social
EM/IM/CC, advanced critical care echo and critical care TEE diplomate and enthusiast. Bluegrass mandolin enthusiast.
Reposted by Kevin Frank, MD
New blog: Fresh dueling guidelines about post-arrest care from the AHA and ESICM
💔 BP targets
💔 Who needs an emergent cath?
💔 O2 targets
💔 pan-CT scans
💔 temp targets
💔 neuroprognostication
Which guideline do I love? 😍 You'll have to read the post to find out.
emcrit.org/pulmcrit/202... #EMIMCC
💔 BP targets
💔 Who needs an emergent cath?
💔 O2 targets
💔 pan-CT scans
💔 temp targets
💔 neuroprognostication
Which guideline do I love? 😍 You'll have to read the post to find out.
emcrit.org/pulmcrit/202... #EMIMCC
October 26, 2025 at 2:51 PM
New blog: Fresh dueling guidelines about post-arrest care from the AHA and ESICM
💔 BP targets
💔 Who needs an emergent cath?
💔 O2 targets
💔 pan-CT scans
💔 temp targets
💔 neuroprognostication
Which guideline do I love? 😍 You'll have to read the post to find out.
emcrit.org/pulmcrit/202... #EMIMCC
💔 BP targets
💔 Who needs an emergent cath?
💔 O2 targets
💔 pan-CT scans
💔 temp targets
💔 neuroprognostication
Which guideline do I love? 😍 You'll have to read the post to find out.
emcrit.org/pulmcrit/202... #EMIMCC
Reposted by Kevin Frank, MD
Some people truly do change the world. Dr. Bartlett was one of them ❤️🩹
October 22, 2025 at 2:01 AM
Some people truly do change the world. Dr. Bartlett was one of them ❤️🩹
Reposted by Kevin Frank, MD
This made my month. I feel nothing will top this in September
September 19, 2025 at 10:10 PM
This made my month. I feel nothing will top this in September
Reposted by Kevin Frank, MD
Iron deficiency affects TWO BILLION people in the world but because they’re mostly women and children, almost nobody cares.
Had a great time getting on my usual soapbox at a fantastic #SABM25 meeting.
And if you don’t know about patient blood management, it’s very cool so check it out.
Had a great time getting on my usual soapbox at a fantastic #SABM25 meeting.
And if you don’t know about patient blood management, it’s very cool so check it out.
Dr. Weyand @shematologist.medsky.social dropping some serious iron deficiency knowledge at #SABM25.
September 18, 2025 at 5:38 PM
Iron deficiency affects TWO BILLION people in the world but because they’re mostly women and children, almost nobody cares.
Had a great time getting on my usual soapbox at a fantastic #SABM25 meeting.
And if you don’t know about patient blood management, it’s very cool so check it out.
Had a great time getting on my usual soapbox at a fantastic #SABM25 meeting.
And if you don’t know about patient blood management, it’s very cool so check it out.
Reposted by Kevin Frank, MD
Kudos to Stephen Colbert on his Emmy win last night. It was a pleasure chatting with him a few weeks ago on The Late Show about how rampant inequality has brought us to this moment in American history — and what we can do to fix our politics.
September 15, 2025 at 4:26 PM
Kudos to Stephen Colbert on his Emmy win last night. It was a pleasure chatting with him a few weeks ago on The Late Show about how rampant inequality has brought us to this moment in American history — and what we can do to fix our politics.
Reposted by Kevin Frank, MD
Reposted by Kevin Frank, MD
After the Supreme Court decision restricting the use of race in admissions, the share of medical school matriculants from groups underrepresented in medicine significantly dropped, a cross-sectional study showed.
August 26, 2025 at 7:57 PM
After the Supreme Court decision restricting the use of race in admissions, the share of medical school matriculants from groups underrepresented in medicine significantly dropped, a cross-sectional study showed.
Reposted by Kevin Frank, MD
It has taken medical science 200 years to advance humans to the point where people are so healthy and living so long that they can deny that science and medicine is what got us here.
July 30, 2025 at 11:57 AM
It has taken medical science 200 years to advance humans to the point where people are so healthy and living so long that they can deny that science and medicine is what got us here.
Reposted by Kevin Frank, MD
Wow! France gifted her to us, and now they’ve captured what so many Americans are feeling on Independence Day. The values the Statue of Liberty stood for are no more.
📌 A stunning mural of the Statue of Liberty covering her face was unveiled in Roubaix, France, on July 3, 2025.
📌 A stunning mural of the Statue of Liberty covering her face was unveiled in Roubaix, France, on July 3, 2025.
July 4, 2025 at 4:42 PM
Wow! France gifted her to us, and now they’ve captured what so many Americans are feeling on Independence Day. The values the Statue of Liberty stood for are no more.
📌 A stunning mural of the Statue of Liberty covering her face was unveiled in Roubaix, France, on July 3, 2025.
📌 A stunning mural of the Statue of Liberty covering her face was unveiled in Roubaix, France, on July 3, 2025.
Reposted by Kevin Frank, MD
ZODIAC trial: For ischemic stroke patients who are awaiting thrombectomy, flat positioning reduced the risk of neuroworsening or death
Premature termination but seems reasonable
Statistically robust results
Best available evidence; should change practice
pubmed.ncbi.nlm.nih.gov/40465238/ #EMIMCC
Premature termination but seems reasonable
Statistically robust results
Best available evidence; should change practice
pubmed.ncbi.nlm.nih.gov/40465238/ #EMIMCC
June 9, 2025 at 4:33 PM
ZODIAC trial: For ischemic stroke patients who are awaiting thrombectomy, flat positioning reduced the risk of neuroworsening or death
Premature termination but seems reasonable
Statistically robust results
Best available evidence; should change practice
pubmed.ncbi.nlm.nih.gov/40465238/ #EMIMCC
Premature termination but seems reasonable
Statistically robust results
Best available evidence; should change practice
pubmed.ncbi.nlm.nih.gov/40465238/ #EMIMCC
Reposted by Kevin Frank, MD
Plenary at @hypertensioncanada.bsky.social with @drjmluther.bsky.social on new drugs
He starts of with the really old drugs!
#CHC25
He starts of with the really old drugs!
#CHC25
May 29, 2025 at 2:11 PM
Plenary at @hypertensioncanada.bsky.social with @drjmluther.bsky.social on new drugs
He starts of with the really old drugs!
#CHC25
He starts of with the really old drugs!
#CHC25
Reposted by Kevin Frank, MD
When they accidentally tell the truth... (Pt. 2)
(also try to avoid swimming in sewage)
(also try to avoid swimming in sewage)
May 16, 2025 at 8:55 PM
When they accidentally tell the truth... (Pt. 2)
(also try to avoid swimming in sewage)
(also try to avoid swimming in sewage)
Reposted by Kevin Frank, MD
Harvard has set an example for other higher-ed institutions - rejecting an unlawful and ham-handed attempt to stifle academic freedom, while taking steps to make sure students can benefit from an environment of intellectual inquiry, rigorous debate and mutual respect. Let’s hope others follow suit.
April 15, 2025 at 3:52 AM
Harvard has set an example for other higher-ed institutions - rejecting an unlawful and ham-handed attempt to stifle academic freedom, while taking steps to make sure students can benefit from an environment of intellectual inquiry, rigorous debate and mutual respect. Let’s hope others follow suit.
Reposted by Kevin Frank, MD
I may be tired and a little hoarse, but as I said again and again on the Senate floor, this is a moment where we cannot afford to be silent, when we must speak up.
April 2, 2025 at 1:09 AM
I may be tired and a little hoarse, but as I said again and again on the Senate floor, this is a moment where we cannot afford to be silent, when we must speak up.
Reposted by Kevin Frank, MD
what’s not to love about HIGH-INTENSITY bipap? 😂 💪 #EMIMCC
What’s the highest IPAP you’ll use with NIV in a patient with COPD and respiratory failure?
Before this trial I’d stop at ~ 20 cmH20, and think about intubating if not improving
After this trial:
Now up to 30 cmH20 may safely avoid intubation
jamanetwork.com/journals/jam...
Before this trial I’d stop at ~ 20 cmH20, and think about intubating if not improving
After this trial:
Now up to 30 cmH20 may safely avoid intubation
jamanetwork.com/journals/jam...
Effect of Noninvasive Positive Pressure Ventilation on the Need for Endotracheal Intubation in COPD
This randomized clinical trial compares the effect of high-intensity noninvasive positive pressure ventilation (NPPV) vs low-intensity NPPV on the need for endotracheal intubation in patients with an ...
jamanetwork.com
March 30, 2025 at 10:36 AM
what’s not to love about HIGH-INTENSITY bipap? 😂 💪 #EMIMCC
Reposted by Kevin Frank, MD
2025 ILCOR CoSTR
1/14 🧵 Just released! The 2025 @ILCOR_org Consensus on Science With Treatment Recommendations (CoSTR) brings major updates to #resuscitation guidelines. Let's break down the key changes across all task forces! #CPR #ECC #FOAMed #Emedsky #medsky #emimcc #emergencymedicine
1/14 🧵 Just released! The 2025 @ILCOR_org Consensus on Science With Treatment Recommendations (CoSTR) brings major updates to #resuscitation guidelines. Let's break down the key changes across all task forces! #CPR #ECC #FOAMed #Emedsky #medsky #emimcc #emergencymedicine
March 30, 2025 at 12:26 PM
2025 ILCOR CoSTR
1/14 🧵 Just released! The 2025 @ILCOR_org Consensus on Science With Treatment Recommendations (CoSTR) brings major updates to #resuscitation guidelines. Let's break down the key changes across all task forces! #CPR #ECC #FOAMed #Emedsky #medsky #emimcc #emergencymedicine
1/14 🧵 Just released! The 2025 @ILCOR_org Consensus on Science With Treatment Recommendations (CoSTR) brings major updates to #resuscitation guidelines. Let's break down the key changes across all task forces! #CPR #ECC #FOAMed #Emedsky #medsky #emimcc #emergencymedicine
Reposted by Kevin Frank, MD
A sad day for critical care - and what a phenomenal legacy he has left us.
RIP Prof Gattinoni, a Giant ⚕️📟
www.esicm.org/obituary-luc...
RIP Prof Gattinoni, a Giant ⚕️📟
www.esicm.org/obituary-luc...
Obituary: Luciano Gattinoni - ESICM
In Memory of Professor Luciano Gattinoni
www.esicm.org
December 2, 2024 at 5:02 PM
A sad day for critical care - and what a phenomenal legacy he has left us.
RIP Prof Gattinoni, a Giant ⚕️📟
www.esicm.org/obituary-luc...
RIP Prof Gattinoni, a Giant ⚕️📟
www.esicm.org/obituary-luc...
Reposted by Kevin Frank, MD
When interpreting this trial, it is also important to consider the pre-specified adjusted analysis [OR 0.89 (95%CI 0.79 to 0.99)] as adjustment improves statistical efficiency. This article explains the benefits of adjustment quite well. #emimcc jamanetwork.com/journals/jam...
December 1, 2024 at 4:36 AM
When interpreting this trial, it is also important to consider the pre-specified adjusted analysis [OR 0.89 (95%CI 0.79 to 0.99)] as adjustment improves statistical efficiency. This article explains the benefits of adjustment quite well. #emimcc jamanetwork.com/journals/jam...
Reposted by Kevin Frank, MD
If the LV of the patient with sepsis is «hyperdynamic» when on noradrenaline, then EF dropps and the LV looks poorly when vasopressin is added, but recovers to normal with dobutamine, you likely haven’t «uncovered hidden LV dysfunction» or septic cardiomyopathy. #emimcc #pocus #echofirst 1/
November 30, 2024 at 9:57 AM
If the LV of the patient with sepsis is «hyperdynamic» when on noradrenaline, then EF dropps and the LV looks poorly when vasopressin is added, but recovers to normal with dobutamine, you likely haven’t «uncovered hidden LV dysfunction» or septic cardiomyopathy. #emimcc #pocus #echofirst 1/
Reposted by Kevin Frank, MD
Facts matter. Science saves lives. Anti-science destroys them.
November 24, 2024 at 6:01 PM
Facts matter. Science saves lives. Anti-science destroys them.
Reposted by Kevin Frank, MD
Reproducing my thread from the Other Place on our Lancet paper 'Long COVID - a clinical update'. Coauthors Manoj Sivan, Alice Perlowski, Janko Nikolich. 1/
www.thelancet.com/journals/lan...?
www.thelancet.com/journals/lan...?
Long COVID: a clinical update
Post-COVID-19 condition (also known as long COVID) is generally defined as symptoms
persisting for 3 months or more after acute COVID-19. Long COVID can affect multiple
organ systems and lead to sever...
www.thelancet.com
November 24, 2024 at 11:06 AM
Reproducing my thread from the Other Place on our Lancet paper 'Long COVID - a clinical update'. Coauthors Manoj Sivan, Alice Perlowski, Janko Nikolich. 1/
www.thelancet.com/journals/lan...?
www.thelancet.com/journals/lan...?
Reposted by Kevin Frank, MD
Check out the CCT infographic on ICU delirium:
🥴 causes
😴 prevention
💊 treatment
Listen to our podcast with @weselymd.bsky.social:
Apple podcasts.apple.com/us/podcast/c...
Spotify open.spotify.com/episode/6fKD...
YouTube youtu.be/hp9baJl51lQ?...
Shownotes www.criticalcaretime.com/episodes/del...
🥴 causes
😴 prevention
💊 treatment
Listen to our podcast with @weselymd.bsky.social:
Apple podcasts.apple.com/us/podcast/c...
Spotify open.spotify.com/episode/6fKD...
YouTube youtu.be/hp9baJl51lQ?...
Shownotes www.criticalcaretime.com/episodes/del...
November 22, 2024 at 3:27 PM
Check out the CCT infographic on ICU delirium:
🥴 causes
😴 prevention
💊 treatment
Listen to our podcast with @weselymd.bsky.social:
Apple podcasts.apple.com/us/podcast/c...
Spotify open.spotify.com/episode/6fKD...
YouTube youtu.be/hp9baJl51lQ?...
Shownotes www.criticalcaretime.com/episodes/del...
🥴 causes
😴 prevention
💊 treatment
Listen to our podcast with @weselymd.bsky.social:
Apple podcasts.apple.com/us/podcast/c...
Spotify open.spotify.com/episode/6fKD...
YouTube youtu.be/hp9baJl51lQ?...
Shownotes www.criticalcaretime.com/episodes/del...
Reposted by Kevin Frank, MD
Reposting an old thread on the history of MAPSE! The first to recognise long axis movement as the primary movement of the heart was none other than da Vinci! #echosky #pocus #medsky # #cardiosky www.onlinejase.com/article/S089...
November 22, 2024 at 10:26 AM
Reposting an old thread on the history of MAPSE! The first to recognise long axis movement as the primary movement of the heart was none other than da Vinci! #echosky #pocus #medsky # #cardiosky www.onlinejase.com/article/S089...
Reposted by Kevin Frank, MD
Honey, stop what you're doing, new hyponatremia research just dropped!
What's it say?
It looks like slow correction is associated with worse outcomes, like death and length of stay!
Was it just a small study?
No, it was a meta-analysis of almost 12,000 patients!
jamanetwork.com/journals/jam...
What's it say?
It looks like slow correction is associated with worse outcomes, like death and length of stay!
Was it just a small study?
No, it was a meta-analysis of almost 12,000 patients!
jamanetwork.com/journals/jam...
Correction Rates and Clinical Outcomes in Hospitalized Adults With Severe Hyponatremia
This systematic review and meta-analysis evaluates the association of sodium correction rates with mortality among hospitalized adults with severe hyponatremia.
jamanetwork.com
November 19, 2024 at 4:51 AM
Honey, stop what you're doing, new hyponatremia research just dropped!
What's it say?
It looks like slow correction is associated with worse outcomes, like death and length of stay!
Was it just a small study?
No, it was a meta-analysis of almost 12,000 patients!
jamanetwork.com/journals/jam...
What's it say?
It looks like slow correction is associated with worse outcomes, like death and length of stay!
Was it just a small study?
No, it was a meta-analysis of almost 12,000 patients!
jamanetwork.com/journals/jam...