Matt Siuba
@zentensivist.bsky.social
#Zentensivist passionate about PH/RV Hemodynamics (esp in Liver Disease & ARDS) | Anti-structural violence | co-EIC http://shockwaves.icu views = mine
Pinned
Two papers on high cardiac output states in the special hemodynamics issue of the Journal of Cardiac Failure thanks to hard work by stellar fellows and residents
Two papers on high cardiac output states in the special hemodynamics issue of the Journal of Cardiac Failure thanks to hard work by stellar fellows and residents
November 11, 2025 at 10:41 AM
Two papers on high cardiac output states in the special hemodynamics issue of the Journal of Cardiac Failure thanks to hard work by stellar fellows and residents
Reposted by Matt Siuba
When they tell me I have a bad bedside manner
it’s better to sail with a moody good captain than a laughing bad one
November 9, 2025 at 9:57 PM
When they tell me I have a bad bedside manner
Reposted by Matt Siuba
your daily reminder:
☕️ coffee is great
☕️ caffeine-free diets for hospitalized patients are silly & cause misery due to caffeine withdrawal #EMIMCC
☕️ coffee is great
☕️ caffeine-free diets for hospitalized patients are silly & cause misery due to caffeine withdrawal #EMIMCC
From @jama.com: Patients with #AFib who continued their usual caffeinated coffee intake after cardioversion experienced less recurrence of AF or atrial flutter compared to those who abstained from coffee and caffeine.
#AHA25 @ahascience.bsky.social
ja.ma/3XolIkd
#AHA25 @ahascience.bsky.social
ja.ma/3XolIkd
November 9, 2025 at 3:15 PM
your daily reminder:
☕️ coffee is great
☕️ caffeine-free diets for hospitalized patients are silly & cause misery due to caffeine withdrawal #EMIMCC
☕️ coffee is great
☕️ caffeine-free diets for hospitalized patients are silly & cause misery due to caffeine withdrawal #EMIMCC
Reposted by Matt Siuba
To recap, among young voters…
Prop 50: +58
Sherril: +37
Spanberger: +40
Mamdani: +61
I better see the media start retracting some of those stories saying Gen Z is the most conservative generation.
Prop 50: +58
Sherril: +37
Spanberger: +40
Mamdani: +61
I better see the media start retracting some of those stories saying Gen Z is the most conservative generation.
November 5, 2025 at 5:37 AM
To recap, among young voters…
Prop 50: +58
Sherril: +37
Spanberger: +40
Mamdani: +61
I better see the media start retracting some of those stories saying Gen Z is the most conservative generation.
Prop 50: +58
Sherril: +37
Spanberger: +40
Mamdani: +61
I better see the media start retracting some of those stories saying Gen Z is the most conservative generation.
Reposted by Matt Siuba
Mamdani: "We can respond to oligarchy and authoritarianism with the strength it fears, not the appeasement it craves. After all, if anyone can show a nation betrayed by Donald Trump how to defeat him, it is the city that gave rise to him."
November 5, 2025 at 4:38 AM
Mamdani: "We can respond to oligarchy and authoritarianism with the strength it fears, not the appeasement it craves. After all, if anyone can show a nation betrayed by Donald Trump how to defeat him, it is the city that gave rise to him."
Reposted by Matt Siuba
Nearly all of the #Gaza Strip’s residents have been displaced.
Following the start of the ceasefire, many families tried to return to their homes, most to find only rubble.
According to the United Nations Satellite Centre, around 81% of all structures in Gaza are damaged.
Following the start of the ceasefire, many families tried to return to their homes, most to find only rubble.
According to the United Nations Satellite Centre, around 81% of all structures in Gaza are damaged.
November 5, 2025 at 12:25 PM
Nearly all of the #Gaza Strip’s residents have been displaced.
Following the start of the ceasefire, many families tried to return to their homes, most to find only rubble.
According to the United Nations Satellite Centre, around 81% of all structures in Gaza are damaged.
Following the start of the ceasefire, many families tried to return to their homes, most to find only rubble.
According to the United Nations Satellite Centre, around 81% of all structures in Gaza are damaged.
Reposted by Matt Siuba
After 13 years, Mississippi Democrats have broken the Republican Party’s supermajority in the Mississippi Senate.
Democrats flipped two GOP-held Senate seats and one House seat in the special elections.
buff.ly/nTvLlFI
Democrats flipped two GOP-held Senate seats and one House seat in the special elections.
buff.ly/nTvLlFI
Mississippi Democrats Break Republican Senate Supermajority, Flipping 3 Legislative Seats
After 13 years, Mississippi Democrats broke the Republican Party's supermajority in the Mississippi Senate, flipping 3 legislative seats.
www.mississippifreepress.org
November 5, 2025 at 7:33 AM
After 13 years, Mississippi Democrats have broken the Republican Party’s supermajority in the Mississippi Senate.
Democrats flipped two GOP-held Senate seats and one House seat in the special elections.
buff.ly/nTvLlFI
Democrats flipped two GOP-held Senate seats and one House seat in the special elections.
buff.ly/nTvLlFI
Reposted by Matt Siuba
“The youngest New York mayor in more than a century. The city’s first Muslim mayor, first South Asian mayor, first mayor born in Africa.”
In First Draft from Zeteo, Peter Rothpletz on a historic night for Mamdani, for Dems, for NYC, for America:
In First Draft from Zeteo, Peter Rothpletz on a historic night for Mamdani, for Dems, for NYC, for America:
🌊 It’s a Blue Wave, Baby!
Peter Rothpletz on Zohran Mamdani’s historic win, the Democrats’ electoral sweep, and Graham Platner’s viral response to the passing of Dick Cheney.
zeteo.com
November 5, 2025 at 1:36 PM
“The youngest New York mayor in more than a century. The city’s first Muslim mayor, first South Asian mayor, first mayor born in Africa.”
In First Draft from Zeteo, Peter Rothpletz on a historic night for Mamdani, for Dems, for NYC, for America:
In First Draft from Zeteo, Peter Rothpletz on a historic night for Mamdani, for Dems, for NYC, for America:
Reposted by Matt Siuba
“Dick Cheney Has Died. The War Criminal in His Own Words”
10 quotes worth remembering, and that’ll be glossed over in MSM obits, from a former vice president who pushed for a murderous invasion of Iraq, lied about the WMD threat, and defended torture.
10 quotes worth remembering, and that’ll be glossed over in MSM obits, from a former vice president who pushed for a murderous invasion of Iraq, lied about the WMD threat, and defended torture.
Dick Cheney Has Died. The War Criminal in His Own Words
10 quotes from a former vice president who pushed for a murderous invasion of Iraq, lied about the WMD threat, and defended torture.
zeteo.com
November 4, 2025 at 3:08 PM
“Dick Cheney Has Died. The War Criminal in His Own Words”
10 quotes worth remembering, and that’ll be glossed over in MSM obits, from a former vice president who pushed for a murderous invasion of Iraq, lied about the WMD threat, and defended torture.
10 quotes worth remembering, and that’ll be glossed over in MSM obits, from a former vice president who pushed for a murderous invasion of Iraq, lied about the WMD threat, and defended torture.
Reposted by Matt Siuba
He should have died in The Hague.
Former Vice President Dick Cheney has died, his family said in a statement. He was 84 abcnews.go.com/Politics/for...
November 4, 2025 at 12:13 PM
He should have died in The Hague.
Reposted by Matt Siuba
Please use my tax dollars to help feed literally everyone.
Age? I don’t care.
Citizenship status? Don’t care.
Race/gender/religion? Don’t care.
Do they have a job? Statistically yeah but don’t care.
Do they have nice nails? DON’T CARE.
Age? I don’t care.
Citizenship status? Don’t care.
Race/gender/religion? Don’t care.
Do they have a job? Statistically yeah but don’t care.
Do they have nice nails? DON’T CARE.
November 2, 2025 at 7:38 PM
Please use my tax dollars to help feed literally everyone.
Age? I don’t care.
Citizenship status? Don’t care.
Race/gender/religion? Don’t care.
Do they have a job? Statistically yeah but don’t care.
Do they have nice nails? DON’T CARE.
Age? I don’t care.
Citizenship status? Don’t care.
Race/gender/religion? Don’t care.
Do they have a job? Statistically yeah but don’t care.
Do they have nice nails? DON’T CARE.
Reposted by Matt Siuba
“Trump’s administration arrested Sami Hamdi following a social media campaign from far-right, Islamophobic figures.”
New reporting from Zeteo on the latest example of this administration cracking down on speech on behalf of Israel. Against a British Muslim journalist on a valid visa:
New reporting from Zeteo on the latest example of this administration cracking down on speech on behalf of Israel. Against a British Muslim journalist on a valid visa:
Trump Is Detaining a British Muslim Journalist for Criticizing Israel
Trump’s administration arrested Sami Hamdi following a social media campaign from far-right, Islamophobic figures.
zeteo.com
October 29, 2025 at 9:52 PM
“Trump’s administration arrested Sami Hamdi following a social media campaign from far-right, Islamophobic figures.”
New reporting from Zeteo on the latest example of this administration cracking down on speech on behalf of Israel. Against a British Muslim journalist on a valid visa:
New reporting from Zeteo on the latest example of this administration cracking down on speech on behalf of Israel. Against a British Muslim journalist on a valid visa:
Reposted by Matt Siuba
No one knows what is or isn't possible politically. Anyone who says they do is lying.
October 30, 2025 at 12:16 AM
No one knows what is or isn't possible politically. Anyone who says they do is lying.
Reposted by Matt Siuba
Shame on NEJM for keeping this under a paywall.
In a pragmatic trial conducted in general medical wards with limited diagnostic and therapeutic resources in Kenya, glucocorticoids reduced mortality in patients with community-acquired pneumonia. Full trial results: nej.md/47glh02
#LIVES2025 | @esicm.bsky.social
#LIVES2025 | @esicm.bsky.social
October 29, 2025 at 8:19 PM
Shame on NEJM for keeping this under a paywall.
Reposted by Matt Siuba
💯
The study doesn’t mean that all A-lines are worthless.
It does mean that you can excercise your judgement and if you drag your feet a little to see how patients respond to initial resuscitation thats OK.
The study doesn’t mean that all A-lines are worthless.
It does mean that you can excercise your judgement and if you drag your feet a little to see how patients respond to initial resuscitation thats OK.
October 29, 2025 at 3:52 PM
💯
The study doesn’t mean that all A-lines are worthless.
It does mean that you can excercise your judgement and if you drag your feet a little to see how patients respond to initial resuscitation thats OK.
The study doesn’t mean that all A-lines are worthless.
It does mean that you can excercise your judgement and if you drag your feet a little to see how patients respond to initial resuscitation thats OK.
Reposted by Matt Siuba
New RCT: Avoiding A-line in shock didn't affect mortality (trend towards *reduction*) & decreased line complications
They avoided A-lines despite patients requiring pretty substantial doses of vasopressors
Very #zentensivist
Don't need to rush to an A-line
www.nejm.org/doi/full/10.... #EMIMCC
They avoided A-lines despite patients requiring pretty substantial doses of vasopressors
Very #zentensivist
Don't need to rush to an A-line
www.nejm.org/doi/full/10.... #EMIMCC
October 29, 2025 at 3:19 PM
New RCT: Avoiding A-line in shock didn't affect mortality (trend towards *reduction*) & decreased line complications
They avoided A-lines despite patients requiring pretty substantial doses of vasopressors
Very #zentensivist
Don't need to rush to an A-line
www.nejm.org/doi/full/10.... #EMIMCC
They avoided A-lines despite patients requiring pretty substantial doses of vasopressors
Very #zentensivist
Don't need to rush to an A-line
www.nejm.org/doi/full/10.... #EMIMCC
Reposted by Matt Siuba
MASSIVE RCT from Kenya showing that steroids reduce mortality in CAP
Mortality benefit easier to demonstrate w/ less resources available to salvage pts
Should allay the hype that the negative REMAP-CAP steroid RCT received (despite being woefully underpowered)
www.nejm.org/doi/pdf/10.1... #EMIMCC
Mortality benefit easier to demonstrate w/ less resources available to salvage pts
Should allay the hype that the negative REMAP-CAP steroid RCT received (despite being woefully underpowered)
www.nejm.org/doi/pdf/10.1... #EMIMCC
October 29, 2025 at 3:37 PM
MASSIVE RCT from Kenya showing that steroids reduce mortality in CAP
Mortality benefit easier to demonstrate w/ less resources available to salvage pts
Should allay the hype that the negative REMAP-CAP steroid RCT received (despite being woefully underpowered)
www.nejm.org/doi/pdf/10.1... #EMIMCC
Mortality benefit easier to demonstrate w/ less resources available to salvage pts
Should allay the hype that the negative REMAP-CAP steroid RCT received (despite being woefully underpowered)
www.nejm.org/doi/pdf/10.1... #EMIMCC
Reposted by Matt Siuba
Kat is being federally charged by the FBI for protesting at Broadview.
This is a flagrant political prosecution by the Trump administration, which is trying to prevent free speech and free association.
I am proud of Kat. Her movement is being targeted by the government. She needs your support.
This is a flagrant political prosecution by the Trump administration, which is trying to prevent free speech and free association.
I am proud of Kat. Her movement is being targeted by the government. She needs your support.
I have been charged in a federal indictment sought by the Department of Justice.
This political prosecution is an attack on all of our First Amendment rights. I’m not backing down, and we’re going to win.
This political prosecution is an attack on all of our First Amendment rights. I’m not backing down, and we’re going to win.
October 29, 2025 at 4:58 PM
Kat is being federally charged by the FBI for protesting at Broadview.
This is a flagrant political prosecution by the Trump administration, which is trying to prevent free speech and free association.
I am proud of Kat. Her movement is being targeted by the government. She needs your support.
This is a flagrant political prosecution by the Trump administration, which is trying to prevent free speech and free association.
I am proud of Kat. Her movement is being targeted by the government. She needs your support.
Reposted by Matt Siuba
📊 Research Summary: Personalized resuscitation targeting capillary refill time modestly improved organ support–free days and composite outcomes in early septic shock, but showed no difference in mortality vs usual care.
#LIVES2025 @esicm.bsky.social
ja.ma/4huvHOa
#LIVES2025 @esicm.bsky.social
ja.ma/4huvHOa
October 29, 2025 at 1:50 PM
📊 Research Summary: Personalized resuscitation targeting capillary refill time modestly improved organ support–free days and composite outcomes in early septic shock, but showed no difference in mortality vs usual care.
#LIVES2025 @esicm.bsky.social
ja.ma/4huvHOa
#LIVES2025 @esicm.bsky.social
ja.ma/4huvHOa
Reposted by Matt Siuba
💬 Editorial: While capillary refill time shows promise for early #SepticShock management, integrating it into broader, multimodal resuscitation strategies remains key to improving outcomes.
#LIVES2025 @esicm.bsky.social
ja.ma/4hAs5u7
#LIVES2025 @esicm.bsky.social
ja.ma/4hAs5u7
October 29, 2025 at 1:40 PM
💬 Editorial: While capillary refill time shows promise for early #SepticShock management, integrating it into broader, multimodal resuscitation strategies remains key to improving outcomes.
#LIVES2025 @esicm.bsky.social
ja.ma/4hAs5u7
#LIVES2025 @esicm.bsky.social
ja.ma/4hAs5u7
Reposted by Matt Siuba
We live in a country where the media is focused more on who a Democratic mayoral candidate defines as his ‘aunt’ than on the DHS Twitter account putting out white nationalist propaganda and replying to Nazis online.
October 28, 2025 at 10:08 PM
We live in a country where the media is focused more on who a Democratic mayoral candidate defines as his ‘aunt’ than on the DHS Twitter account putting out white nationalist propaganda and replying to Nazis online.
Reposted by Matt Siuba
As Americans, we collectively decided almost a century ago that we didn't want to live in a society where some people literally starved while others prospered. We created a system whereby people who are able to pay for food aid, and people with means pay more, and people without means receive aid.
October 26, 2025 at 8:48 PM
As Americans, we collectively decided almost a century ago that we didn't want to live in a society where some people literally starved while others prospered. We created a system whereby people who are able to pay for food aid, and people with means pay more, and people without means receive aid.
Reposted by Matt Siuba
"You Don’t Argue With Extremists. You Organize Against Them"
A fascinating piece from a researcher on why debates don't always work as a method of effecting change. As a debater, I don't agree with all of it, but Zeteo is all about encouraging... debate:
A fascinating piece from a researcher on why debates don't always work as a method of effecting change. As a debater, I don't agree with all of it, but Zeteo is all about encouraging... debate:
You Don’t Argue With Extremists. You Organize Against Them
Studies shows debate is not the tool for political change that many believe, author and researcher Sarah Stein Lubrano argues.
zeteo.com
October 26, 2025 at 9:53 PM
"You Don’t Argue With Extremists. You Organize Against Them"
A fascinating piece from a researcher on why debates don't always work as a method of effecting change. As a debater, I don't agree with all of it, but Zeteo is all about encouraging... debate:
A fascinating piece from a researcher on why debates don't always work as a method of effecting change. As a debater, I don't agree with all of it, but Zeteo is all about encouraging... debate:
Reposted by Matt Siuba
jesus christ man, we can’t ever get used to this and normalize it.
A Naperville man was hauled away by federal immigration agents Thursday morning as his two sons watched, the older boy begging them not to hurt his father and tearfully asking for a chance to speak to him before they left.
As his two sons watch and cry, ‘Pa, te amo,’ federal agents arrest man outside of Naperville apartments
A Naperville man was hauled away by federal immigration agents Thursday as his two sons cried and begged for him not to be hurt.
trib.al
October 25, 2025 at 10:33 PM
jesus christ man, we can’t ever get used to this and normalize it.