Hayley Gershengorn
hbgmd.bsky.social
Hayley Gershengorn
@hbgmd.bsky.social
ICU doctor & health services researcher living in Miami, FL. Inaugural Editor-in-Chief of CHEST Critical Care. All views my own.
😵‍💫 Heterogeneity of treatment effect is sometimes unexpected…

✅ out A Khan et al’s work looking at how the following interact for sepsis patients:
✴️ balanced IVFs vs 0.9% saline &
✴️ liberal vs restrictive fluid rx

www.chestcc.org/article/S294...

#journal_CHESTCritCare

@accpchest.bsky.social
November 18, 2025 at 10:24 PM
🤷‍♀️ how can we study something we can’t even define⁉️

In #journal_CHESTCritCare, Jolink et al describe the many names we have for prolonged ARDS…

www.chestcc.org/article/S294...

…prolonged…
…non-resolving…
…late…



@accpchest.bsky.social
November 18, 2025 at 12:59 AM
🙄 Do intensivists ever agree on anything?

Peter Nauka & colleagues 👀 at variability in how we approach respiratory support for ICU patients:

www.chestcc.org/article/S294...

🫣 SPOILER ALERT: nope, we don’t agree

Happy 👻🎃 from #journal_CHESTCritCare!

@seymoc.bsky.social
@accpchest.bsky.social
October 31, 2025 at 8:54 PM
🤞 Ever wish we had a tool to accurately predict HFNC failure? 🛠️

J Taylor & colleagues look at ROX…

www.chestcc.org/article/S294...

✳️ SPOILER ALERT ✳️
… it seems to “work” 😊

#journal_CHESTCritCare
#OpenAccess

@accpchest.bsky.social
October 10, 2025 at 10:41 AM
☔️ It’s raining #journal_CHESTCritCare research!

Out today, 🥉 studies to:

*️⃣ eval processes to support surrogate decision makers

*️⃣ assess use of lactate clearance in post-op ♥️ surgery

*️⃣ compare exposure & outcomes across opioid drugs in ARF

All at:
chestcc.org

@accpchest.bsky.social
October 7, 2025 at 10:24 PM
It’s back! …#journal_CHESTCritCare’s A.T.L.A.S. 🗺️

@annajanas.bsky.social & colleagues from ⭐️Around The Land and Across Specialties⭐️ discuss how the “Oxy-PICU” trial impacts their care:

www.chestcc.org/article/S294...

To learn about the ATLAS series:
www.chestcc.org/article/S294...

#OpenAccess
October 2, 2025 at 12:08 PM
Editorials bring studies into great focus 🔬 :

✔️ out a new one by A Khan & S Giovanni for Arita et Al’s recent pub:

Ed: www.chestcc.org/article/S294...

Art: www.chestcc.org/article/S294...

#journal_CHESTCritCare
#OpenAccess

@accpchest.bsky.social
October 1, 2025 at 11:48 PM
🏃‍♀️ I try so hard to keep up…

…but sometimes it’s just too much!

#journal_CHESTCritCare had 3 new pubs today & there’s something for everyone:

1️⃣ editorial (re iNO)
1️⃣ review (re AI)
1️⃣ study (re EOL care)

✅ them out… all #OpenAccess:

www.chestcc.org

@accpchest.bsky.social
September 30, 2025 at 12:04 PM
🧩+🧩? …ever thought to add immunomodulators together?

A Shorr & colleagues 👀 at vilobelimab added to others in COVID, just out in #journal_CHESTCritCare:

www.chestcc.org/article/S294...

Could this stacked approach have value in other viral pneumonia?

@accpchest.bsky.social
September 30, 2025 at 11:51 AM
I ❤️ numbers in the ICU… but what if they aren’t accurate?

@mdspraider.bsky.social et al evaluated whether the airway pressures we see on ventilators 🟰 the tracheal P during iMV…

✴️ SPOILER ALERT ✴️ …nope!

www.chestcc.org/article/S294...

✔️ it out in #journal_CHESTCritCare

@accpchest.bsky.social
September 25, 2025 at 12:17 AM
💰…🤕 Curious about the interplay of financial hardship & ICU patient outcomes❓

Just out in #journal_CHESTCritCare, Uyeda & colleagues look at:
1️⃣ risk factors of $ hardship &
2️⃣ association of hardship w outcomes:

www.chestcc.org/article/S294...

@accpchest.bsky.social
September 25, 2025 at 12:03 AM
Reposted by Hayley Gershengorn
Association of Intensive Care Unit Patient-to-Clinician Ratios with Mortality across Two U.S. Health Systems
@hbgmd.bsky.social @hwunsch.bsky.social
@atscommunity.bsky.social #medsky

🔗 tinyurl.com/3b9u5ppv
September 23, 2025 at 4:40 PM
🔴🔵🟢🟡 Editorials help give research studies more color…

See what you think with Hadler & Kohn’s ⭐️editorial⭐️:

Ed: www.chestcc.org/article/S294...

Article: www.chestcc.org/article/S294...

#journal_CHESTCritCare is all #OpenAccess!

@accpchest.bsky.social
September 20, 2025 at 12:52 PM
🩻 ARDS occurs in trauma… but what about spinal cord injury specifically?

Just out in #journal_CHESTCritCare, Lozano & colleagues learn:
➡️ how often?
➡️ in whom?

www.chestcc.org/article/S294...

@accpchest.bsky.social
September 14, 2025 at 1:22 PM
Is there a “just right” reintubation rate? 🐻

Arita et al explore the association of reintub rate w outcomes, just released in #journal_CHESTCritCare:

www.chestcc.org/article/S294...

I was surprised by their findings 😳

@accpchest.bsky.social
September 14, 2025 at 1:10 PM
🎁 It’s here… & it’s bigger than ever…

#journal_CHESTCritCare, vol 3, iss 3 is out!

www.chestcc.org/current

✳️ 15 res articles
✳️ 1 review
✳️ 1 special feature
✳️ 1 US corner case series
✳️ 7 editorials
✳️ 3 letters

It’s #OpenAccess, so what’s your excuse to not look? 👀

@accpchest.bsky.social
September 12, 2025 at 11:43 AM
🤔 Ever wonder if our ICU families experience trauma? Esp those w a trauma history?

D Ashana & colleagues 👀 at just that thru interviews w 26 family members, just out in #journal_CHESTCritCare:

www.chestcc.org/article/S294...

#OpenAccess

@joannahart.bsky.social
@accpchest.bsky.social
September 10, 2025 at 6:29 PM
SpO2 👆 is better vs SaO2 🩸, bc it’s noninvasive…

…but it must be accurate for all 🧒🏽👩🏼👨🏿… & it hasn’t been ☹️

Just out in #journal_CHESTCritCare, Travers et al report the pilot results of a prosp study w skin tone:

www.chestcc.org/article/S294...

@accpchest.bsky.social
@andrewgoodwin.bsky.social
September 10, 2025 at 6:11 PM
✔️ out Kelly Toth & Leanne Boehm’s editorial, just out today…

Ed: www.chestcc.org/article/S294...

Article: www.chestcc.org/article/S294...

#journal_CHESTCritCare
#OpenAccess

@accpchest.bsky.social
September 3, 2025 at 12:50 AM
💭 What’s the right steroid & dose for ARDS? 🩻

…dexamethasone, hydrocortisone, or methylprednisolone… 💉

Imai & colleagues perform a 🌟network meta-analysis🌟 in COVID & non-COVID patients, just out in #journal_CHESTCritCare:

www.chestcc.org/article/S294...

@accpchest.bsky.social
September 3, 2025 at 12:24 AM
Reposted by Hayley Gershengorn
2/ 🔑 Risks: coagulopathy, longer ventilation, closed suction
⚠️ Ppeak ↑ but not clinically useful as many blocked tubes did not have this elevation!
Full paper: www.chestcc.org/article/S294... @hbgmd.bsky.social
@chriscarrollmd.com
@accpchest.bsky.social
Mapping the Epidemiologic Features of Endotracheal Tube Obstruction
Moderate ETB was more prevalent in patients in the ICU, with significant factors including coagulopathy, closed suction practice, and mechanical ventilation duration. Ppeak alarms lacked clinical impa...
www.chestcc.org
August 25, 2025 at 5:00 PM
❓ Are you a lumper or a splitter… or a transporter?

Flick & colleagues query whether sepsis survivor subtypes are 🚀transportable🚀 to ARDS survivors, just out in #journal_CHESTCritCare:

www.chestcc.org/article/S294...

@tvalley.bsky.social
@iwashyna.bsky.social
@accpchest.bsky.social
August 26, 2025 at 10:56 AM
It’s a real gift 🎁, to be able to give a dying person a comfortable death…

…but: What if we fail? What if they’re in pain/distress? 😩🫨

Just out in #journal_CHESTCritCare, Fehnel et al look at how often this happens:

www.chestcc.org/article/S294...

👀, it’s #OpenAccess!

@accpchest.bsky.social
August 24, 2025 at 3:43 PM
🧐 Ever wonder what happens to the patients who don’t get a requested VV-ECMO cannulation? 🫁

Just out in #journal_CHESTCritCare, Dinh & colleagues show us…

www.chestcc.org/article/S294...

#OpenAccess

@accpchest.bsky.social
August 24, 2025 at 3:22 PM
Reposted by Hayley Gershengorn
Just how reliable are bedside sputum assessments anyway? 📄 Schuiteman et al in #journal_CHESTCritCare @accpchest.bsky.social www.chestcc.org/article/S294...

📍 10 ventilated pts, videos/photos shown to 383 ICU staff
📍 Gold standard = gram stain PMNs

@hbgmd.bsky.social @chriscarrollmd.com #MedSky
August 11, 2025 at 9:29 PM