PulmCCM
@pulmccm.skystack.xyz
Life, death and the ICU
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This is an automated Substack Account of https://pulmccm.substack.com
Discover more/Create at: @skystack.xyz
Deferring dialysis for AKI improved renal recovery (LIBERATE-D trial) • More evidence for slow-walking dialysis for renal failure in the hospital
Deferring dialysis for AKI improved renal recovery (LIBERATE-D trial)
More evidence for slow-walking dialysis for renal failure in the hospital
www.pulmccm.org
December 1, 2025 at 2:29 PM
Deferring dialysis for AKI improved renal recovery (LIBERATE-D trial) • More evidence for slow-walking dialysis for renal failure in the hospital
The Latest in Critical Care: November 26, 2025 • "Permissive hypotension" in the OR; TOP trial for RBC transfusion; TXA for hemoptysis
The Latest in Critical Care: November 26, 2025
"Permissive hypotension" in the OR; TOP trial for RBC transfusion; TXA for hemoptysis
www.pulmccm.org
November 26, 2025 at 2:33 PM
The Latest in Critical Care: November 26, 2025 • "Permissive hypotension" in the OR; TOP trial for RBC transfusion; TXA for hemoptysis
The Latest in Critical Care: November 24, 2025 • New mRNA vaccine for flu; steroids for CAP; IVC ultrasound for heart failure; transfusion in brain injury
The Latest in Critical Care: November 24, 2025
New mRNA vaccine for flu; steroids for CAP; IVC ultrasound for heart failure; transfusion in brain injury
www.pulmccm.org
November 24, 2025 at 1:14 PM
The Latest in Critical Care: November 24, 2025 • New mRNA vaccine for flu; steroids for CAP; IVC ultrasound for heart failure; transfusion in brain injury
(UNLOCKED) The Real-World Boards: Question #20 • A 62-year-old female goes into wide-complex tachycardia on the med/surg floor
(UNLOCKED) The Real-World Boards: Question #20
A 62-year-old female goes into wide-complex tachycardia on the med/surg floor
www.pulmccm.org
November 24, 2025 at 1:14 PM
(UNLOCKED) The Real-World Boards: Question #20 • A 62-year-old female goes into wide-complex tachycardia on the med/surg floor
Does video laryngoscopy beat DL for intubations in the OR? • And how to preserve direct laryngoscopy skills in the video era
Does video laryngoscopy beat DL for intubations in the OR?
And how to preserve direct laryngoscopy skills in the video era
www.pulmccm.org
November 24, 2025 at 1:14 PM
Does video laryngoscopy beat DL for intubations in the OR? • And how to preserve direct laryngoscopy skills in the video era
The Real-World Boards: Question #19 • A 68-year-old man with multiorgan failure and declining urine output
The Real-World Boards: Question #19
A 68-year-old man with multiorgan failure and declining urine output
www.pulmccm.org
November 24, 2025 at 1:15 PM
The Real-World Boards: Question #19 • A 68-year-old man with multiorgan failure and declining urine output
ICU Physiology in 1000 Words: The Geometry of Venous Congestion
ICU Physiology in 1000 Words: The Geometry of Venous Congestion
www.pulmccm.org
November 24, 2025 at 1:15 PM
ICU Physiology in 1000 Words: The Geometry of Venous Congestion
Bicarb for AKI + acidosis prevents dialysis needs in the ICU (BICARICU-2 trial) • High-concentration NaHCO3 seemed to help in underpowered trial
Bicarb for AKI + acidosis prevents dialysis needs in the ICU (BICARICU-2 trial)
High-concentration NaHCO3 seemed to help in underpowered trial
www.pulmccm.org
November 24, 2025 at 1:15 PM
Bicarb for AKI + acidosis prevents dialysis needs in the ICU (BICARICU-2 trial) • High-concentration NaHCO3 seemed to help in underpowered trial
A "perfect" test to predict (bad) outcomes after cardiac arrest? • Finally, specific guidance that could help in the toughest of clinical situations
A "perfect" test to predict (bad) outcomes after cardiac arrest?
Finally, specific guidance that could help in the toughest of clinical situations
www.pulmccm.org
November 24, 2025 at 1:15 PM
A "perfect" test to predict (bad) outcomes after cardiac arrest? • Finally, specific guidance that could help in the toughest of clinical situations
CORRECTION to "Arterial lines for shock: harms exceed benefits (EVERDAC trial)" • Tartrate, schmartrate
CORRECTION to "Arterial lines for shock: harms exceed benefits (EVERDAC trial)"
Tartrate, schmartrate
www.pulmccm.org
November 24, 2025 at 1:15 PM
CORRECTION to "Arterial lines for shock: harms exceed benefits (EVERDAC trial)" • Tartrate, schmartrate
The Real-World Boards: Question #18 • A 77-year-old man with shock, sepsis, tachycardia, and an abnormal heart rhythm
The Real-World Boards: Question #18
A 77-year-old man with shock, sepsis, tachycardia, and an abnormal heart rhythm
www.pulmccm.org
November 24, 2025 at 1:15 PM
The Real-World Boards: Question #18 • A 77-year-old man with shock, sepsis, tachycardia, and an abnormal heart rhythm
What prevents antibiotic resistance? Antibiotics • SuDDICU trial paves the way for antibiotic decontamination in ICUs
What prevents antibiotic resistance? Antibiotics
SuDDICU trial paves the way for antibiotic decontamination in ICUs
www.pulmccm.org
November 24, 2025 at 1:15 PM
What prevents antibiotic resistance? Antibiotics • SuDDICU trial paves the way for antibiotic decontamination in ICUs
Arterial lines for shock: harms exceed benefits (EVERDAC trial) • Does this remove yet another brick in the wall of critical care dogma?
Arterial lines for shock: harms exceed benefits (EVERDAC trial)
Does this remove yet another brick in the wall of critical care dogma?
www.pulmccm.org
November 24, 2025 at 1:15 PM
Arterial lines for shock: harms exceed benefits (EVERDAC trial) • Does this remove yet another brick in the wall of critical care dogma?
The Real-World Boards: Question #17 • Intubating a 54-year-old woman with respiratory failure and a borderline pre-induction BP
The Real-World Boards: Question #17
Intubating a 54-year-old woman with respiratory failure and a borderline pre-induction BP
www.pulmccm.org
November 24, 2025 at 1:15 PM
The Real-World Boards: Question #17 • Intubating a 54-year-old woman with respiratory failure and a borderline pre-induction BP
The Latest in Critical Care: October 29, 2025 • PROTECT trial for VAP prophylaxis; Vitamin D to prevent AKI; Determinants of ECPR outcomes; MIND trial for surgery on ICH.
The Latest in Critical Care: October 29, 2025
PROTECT trial for VAP prophylaxis; Vitamin D to prevent AKI; Determinants of ECPR outcomes; MIND trial for surgery on ICH.
www.pulmccm.org
November 24, 2025 at 1:15 PM
The Latest in Critical Care: October 29, 2025 • PROTECT trial for VAP prophylaxis; Vitamin D to prevent AKI; Determinants of ECPR outcomes; MIND trial for surgery on ICH.
The Latest in Critical Care: October 27, 2025 • Do interventional pulmonologist fellows steal cases? STAMINA trial. Music in the ICU.
The Latest in Critical Care: October 27, 2025
Do interventional pulmonologist fellows steal cases? STAMINA trial. Music in the ICU.
www.pulmccm.org
November 24, 2025 at 1:15 PM
The Latest in Critical Care: October 27, 2025 • Do interventional pulmonologist fellows steal cases? STAMINA trial. Music in the ICU.
The Real-World Boards: Question #16 • An elderly man has abrupt respiratory distress after a stroke
The Real-World Boards: Question #16
An elderly man has abrupt respiratory distress after a stroke
www.pulmccm.org
November 24, 2025 at 1:15 PM
The Real-World Boards: Question #16 • An elderly man has abrupt respiratory distress after a stroke
The Latest in Critical Care: October 22, 2025
The Latest in Critical Care: October 22, 2025
www.pulmccm.org
November 24, 2025 at 1:15 PM
The Latest in Critical Care: October 22, 2025
FDA set to approve "blood purification" for sepsis? • What is hemoperfusion, and can it save lives in endotoxin-related septic shock?
FDA set to approve "blood purification" for sepsis?
What is hemoperfusion, and can it save lives in endotoxin-related septic shock?
www.pulmccm.org
November 24, 2025 at 1:15 PM
FDA set to approve "blood purification" for sepsis? • What is hemoperfusion, and can it save lives in endotoxin-related septic shock?
The Real-World Boards: Question #15 • A 47-year-old man with acute heart failure and hypoxemic respiratory failure
The Real-World Boards: Question #15
A 47-year-old man with acute heart failure and hypoxemic respiratory failure
www.pulmccm.org
November 24, 2025 at 1:15 PM
The Real-World Boards: Question #15 • A 47-year-old man with acute heart failure and hypoxemic respiratory failure
The Latest in Critical Care: October 15, 2025 • ENCOMPASS trial (telehealth post sepsis); Ambient AI scribes to reduce burnout; BRICK trial (ischemic preconditioning before cardiac cath)
The Latest in Critical Care: October 15, 2025
ENCOMPASS trial (telehealth post sepsis); Ambient AI scribes to reduce burnout; BRICK trial (ischemic preconditioning before cardiac cath)
www.pulmccm.org
November 24, 2025 at 1:15 PM
The Latest in Critical Care: October 15, 2025 • ENCOMPASS trial (telehealth post sepsis); Ambient AI scribes to reduce burnout; BRICK trial (ischemic preconditioning before cardiac cath)
The Latest in Critical Care: October 13, 2025 • EVIDENCE trial post-cardiac arrest; Lateral positioning to prevent postop hypoxemia; European IV fluids guideline; antibiotic prophylaxis for variceal bleeds; volatile anesthesia in the PACU
The Latest in Critical Care: October 13, 2025
EVIDENCE trial post-cardiac arrest; Lateral positioning to prevent postop hypoxemia; European IV fluids guideline; antibiotic prophylaxis for variceal bleeds; volatile anesthesia in the PACU
www.pulmccm.org
November 24, 2025 at 2:15 PM
The Latest in Critical Care: October 13, 2025 • EVIDENCE trial post-cardiac arrest; Lateral positioning to prevent postop hypoxemia; European IV fluids guideline; antibiotic prophylaxis for variceal bleeds; volatile anesthesia in the PACU
The Real-World Boards: Question #14 • A 76-year-old man with heart failure who develops renal failure during diuresis
The Real-World Boards: Question #14
A 76-year-old man with heart failure who develops renal failure during diuresis
www.pulmccm.org
November 24, 2025 at 2:15 PM
The Real-World Boards: Question #14 • A 76-year-old man with heart failure who develops renal failure during diuresis
Guideline Update: Transfuse patients with acute MI to Hb ≥10 g/dL (AABB) • A third professional society agrees on risks of restricting transfusion in ACS
Guideline Update: Transfuse patients with acute MI to Hb ≥10 g/dL (AABB)
A third professional society agrees on risks of restricting transfusion in ACS
www.pulmccm.org
November 24, 2025 at 2:15 PM
Guideline Update: Transfuse patients with acute MI to Hb ≥10 g/dL (AABB) • A third professional society agrees on risks of restricting transfusion in ACS
The Latest in Critical Care: October 6, 2025 • Corticosteroids for critical illness; Tirofiban for stroke (ASSET IT); late tPA (HOPE trial); Does BIS monitoring help?; Adamgammadex for NMB reversal
The Latest in Critical Care: October 6, 2025
Corticosteroids for critical illness; Tirofiban for stroke (ASSET IT); late tPA (HOPE trial); Does BIS monitoring help?; Adamgammadex for NMB reversal
www.pulmccm.org
November 24, 2025 at 2:15 PM
The Latest in Critical Care: October 6, 2025 • Corticosteroids for critical illness; Tirofiban for stroke (ASSET IT); late tPA (HOPE trial); Does BIS monitoring help?; Adamgammadex for NMB reversal