Clay Josephy
@cjosephy.bsky.social
Emergency Medicine | Critical Care Medicine | U of Washington SOM | U of Arizona Emergency Med | UCSF ACCM
Reposted by Clay Josephy
ICU Stories:
Elderly patient with multiple medical problems (HFpEF / A fib / HTN / PE / obesity etc) was admitted w CHF exacerbation. Improved w diuresis but developed left upper extremity edema; diagnosed with extensive DVT for which Interventional Radiology (IR) was consulted
Elderly patient with multiple medical problems (HFpEF / A fib / HTN / PE / obesity etc) was admitted w CHF exacerbation. Improved w diuresis but developed left upper extremity edema; diagnosed with extensive DVT for which Interventional Radiology (IR) was consulted
March 22, 2025 at 6:59 PM
ICU Stories:
Elderly patient with multiple medical problems (HFpEF / A fib / HTN / PE / obesity etc) was admitted w CHF exacerbation. Improved w diuresis but developed left upper extremity edema; diagnosed with extensive DVT for which Interventional Radiology (IR) was consulted
Elderly patient with multiple medical problems (HFpEF / A fib / HTN / PE / obesity etc) was admitted w CHF exacerbation. Improved w diuresis but developed left upper extremity edema; diagnosed with extensive DVT for which Interventional Radiology (IR) was consulted
Reposted by Clay Josephy
ICU #POCUS:
This is a recently published, information-dense document. It may be a bit technical for the average POCUS user but if you manage patients who harbor a right heart (😊), consider reading it:
This is a recently published, information-dense document. It may be a bit technical for the average POCUS user but if you manage patients who harbor a right heart (😊), consider reading it:
March 16, 2025 at 3:00 AM
ICU #POCUS:
This is a recently published, information-dense document. It may be a bit technical for the average POCUS user but if you manage patients who harbor a right heart (😊), consider reading it:
This is a recently published, information-dense document. It may be a bit technical for the average POCUS user but if you manage patients who harbor a right heart (😊), consider reading it:
Reposted by Clay Josephy
Great video from Dr Peter Johns detailing the syndromic vs diagnosis based approaches to vertigo in the ED #emimcc
youtu.be/e9Qcuzi3m6Q?...
youtu.be/e9Qcuzi3m6Q?...
Syndromic vs diagnosis based approach to dizziness/vertigo: Which is better?
YouTube video by Peter Johns
youtu.be
February 28, 2025 at 7:48 AM
Great video from Dr Peter Johns detailing the syndromic vs diagnosis based approaches to vertigo in the ED #emimcc
youtu.be/e9Qcuzi3m6Q?...
youtu.be/e9Qcuzi3m6Q?...
Ok team. Rubber meets the road
Its a bad flu year so we have to talk about it.
We have CAPE COD trial, and updated guidelines for steroids in CAP, and a shift toward erring on the side of using steroids for CAP and ARDS
Traditionally based on observational data alone steroids not rec’d in FLU+ CAP
Its a bad flu year so we have to talk about it.
We have CAPE COD trial, and updated guidelines for steroids in CAP, and a shift toward erring on the side of using steroids for CAP and ARDS
Traditionally based on observational data alone steroids not rec’d in FLU+ CAP
February 23, 2025 at 10:01 PM
Ok team. Rubber meets the road
Its a bad flu year so we have to talk about it.
We have CAPE COD trial, and updated guidelines for steroids in CAP, and a shift toward erring on the side of using steroids for CAP and ARDS
Traditionally based on observational data alone steroids not rec’d in FLU+ CAP
Its a bad flu year so we have to talk about it.
We have CAPE COD trial, and updated guidelines for steroids in CAP, and a shift toward erring on the side of using steroids for CAP and ARDS
Traditionally based on observational data alone steroids not rec’d in FLU+ CAP
Mythbusting!
My favorite.
My favorite.
January 30, 2025 at 1:28 AM
Mythbusting!
My favorite.
My favorite.
Lots of great insight in the original post (thank you @emilyfri.bsky.social !) and in the comments. This is worth the time reading and considering all the perspectives and insight here. Great thread.
I have observed a trend towards blindly offering trach and PEG to any family whose loved one has been intubated for about 2 weeks.
How do you handle conversations about what to do next when caring for patients you don’t anticipate to ever return to a meaningful quality of life?
#emimcc
How do you handle conversations about what to do next when caring for patients you don’t anticipate to ever return to a meaningful quality of life?
#emimcc
January 28, 2025 at 1:40 AM
Lots of great insight in the original post (thank you @emilyfri.bsky.social !) and in the comments. This is worth the time reading and considering all the perspectives and insight here. Great thread.
Ive got to admit this show on hbo max The Pitt, is pretty triggering. Not commenting on whether its good or not, or realistic or not, the psychological trauma portrayed is not only real but literally PTSD inducing for those of us that live it. Lots of love to my #emergencymedicine family. Rough. 😔
January 17, 2025 at 5:29 AM
Ive got to admit this show on hbo max The Pitt, is pretty triggering. Not commenting on whether its good or not, or realistic or not, the psychological trauma portrayed is not only real but literally PTSD inducing for those of us that live it. Lots of love to my #emergencymedicine family. Rough. 😔