cgmack31.bsky.social
@cgmack31.bsky.social
Reposted
oh no, what of my South Sea Company shares
January 20, 2026 at 2:51 PM
Reposted
Rhythm during CPR: any impact on #ECPR outcome?
⚡️ survival highest if persistent VF or conversion from non-shockable rhythm to VF, lowest if conversion to or persistent in non-shockable rhythm
⚖️ initial PEA & asystole? lower survival
🫀 asystole at cannulation? worse outcomes
🔓 bit.ly/49h9vDz
January 4, 2026 at 9:08 PM
Reposted
#Extracorporeal cardiopulmonary resuscitation & organ donation?
🥅 goal of #ECPR survival with meaningful neuro recovery: cannulation solely for OD should be avoided
🥅 secondary contribution of #ECMO in cardiac arrest to OD increasingly recognized
@asaiojournal.bsky.social
🔗 bit.ly/3LtxLun
January 2, 2026 at 5:35 PM
Reposted
Remembering the most likely mediator of reduced mortality in the original EGDT therapy was the presence of the CI in the intervention arm, the regular attendance of an interested and informed clinician (and skilled ICU nurse) likely has a bigger impact than any single drug or intervention.
"One intangible advantage of capillary refill time is that performing it brings the clinician back to the bedside to reassess the patient. This act may be itself the holy grail of early sepsis management."

great piece on #sepsis
jama.com JAMA @jama.com · Oct 29
💬 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
October 29, 2025 at 4:08 PM
Reposted
Key point from my invasive CO talk the other day #CHEST2025
October 21, 2025 at 1:25 PM
Reposted
Evaluating outcome in #ECLS trials?
DOSE, new longitudinal ordinal outcome for clinical trials in this population collected up to day 28 after #ECMO initiation, performed well compared to a patient-centered outcome, death or new disability at 6/12 months, for all types of ECMO.
🔗 bit.ly/3Y8Aa0v
Daily Organ Support for patients on #ECMO = DOSE, new longitudinal ordinal outcome for clinical trials in this population
🗺️ multicentre study in 🇦🇺 🇳🇿
🔍DOSE created considering: death; on ECMO; ventilated not on ECMO; ICU but not ventilated; hospital ward; discharged from hospital
🔗 bit.ly/3Y8Aa0v
April 2, 2025 at 3:41 PM
Reposted
The measles outbreak in Texas is reminding me of the public letter Roald Dahl wrote about losing his daughter to measles in 1962, just before the vaccine was publicly available.
February 15, 2025 at 5:49 PM