Jordan Holloway, MD
@jhollowaymd.bsky.social
PGY5 CT Anes fellow🫀at tOSU➡️
future CritCare fellow🫁 at UMich
via tOSU Anes Res & Wayne State SOM💉
MedEd🤓|| Tweets≠medical advice||🏳️🌈
#MedSky #AnSky
#TILT: Today I learned that…
future CritCare fellow🫁 at UMich
via tOSU Anes Res & Wayne State SOM💉
MedEd🤓|| Tweets≠medical advice||🏳️🌈
#MedSky #AnSky
#TILT: Today I learned that…
Pinned
a close up of a woman 's face with the words freaking out written on it .
ALT: a close up of a woman 's face with the words freaking out written on it .
media.tenor.com
For #AnSky residents — study tips/resources for those pesky ABA ITEs, BASIC, and ADVANCED exams. A thread 🧵 of my faves and least faves to help you ace your exams AND residency rotations
#MedSky #Anesthesia #Anesthesiology #MedEd
#MedSky #Anesthesia #Anesthesiology #MedEd
Reposted by Jordan Holloway, MD
Managing bleeding after cardiac surgery should not be over complicated. Here’s a transfusion algorithm that can help guide us and allow us to be better stewards of our precious resources. 🎩 tip to the authors.
eddyjoemd.com/foamed/
eddyjoemd.com/foamed/
December 8, 2024 at 11:18 AM
Managing bleeding after cardiac surgery should not be over complicated. Here’s a transfusion algorithm that can help guide us and allow us to be better stewards of our precious resources. 🎩 tip to the authors.
eddyjoemd.com/foamed/
eddyjoemd.com/foamed/
Reposted by Jordan Holloway, MD
great story about patient advocacy, research, and bradykinin-mediated angioedema
as a trainee I remember feeling helpless to treat this or even really understand it (we would often bang away with epi/steroids/antihistamines for no good reason)
(background: #topdema/#top" class="hover:underline text-blue-600 dark:text-sky-400 no-card-link" target="_blank" rel="noopener" data-link="bsky">https://emcrit.org/ibcc/angioedema/#top)
as a trainee I remember feeling helpless to treat this or even really understand it (we would often bang away with epi/steroids/antihistamines for no good reason)
(background: #topdema/#top" class="hover:underline text-blue-600 dark:text-sky-400 no-card-link" target="_blank" rel="noopener" data-link="bsky">https://emcrit.org/ibcc/angioedema/#top)
A story about how health care should be:
When I was a third year resident (2000) @ Tripler Army Medical Center in Hawaii, I admitted the same child twice over the course of a month for angioedema of the face & throat.
1/n
When I was a third year resident (2000) @ Tripler Army Medical Center in Hawaii, I admitted the same child twice over the course of a month for angioedema of the face & throat.
1/n
December 5, 2024 at 11:08 AM
great story about patient advocacy, research, and bradykinin-mediated angioedema
as a trainee I remember feeling helpless to treat this or even really understand it (we would often bang away with epi/steroids/antihistamines for no good reason)
(background: #topdema/#top" class="hover:underline text-blue-600 dark:text-sky-400 no-card-link" target="_blank" rel="noopener" data-link="bsky">https://emcrit.org/ibcc/angioedema/#top)
as a trainee I remember feeling helpless to treat this or even really understand it (we would often bang away with epi/steroids/antihistamines for no good reason)
(background: #topdema/#top" class="hover:underline text-blue-600 dark:text-sky-400 no-card-link" target="_blank" rel="noopener" data-link="bsky">https://emcrit.org/ibcc/angioedema/#top)
Fortunate to be one of the many many trainees able to call Dr. Essandoh a mentor. Learn something from him every time we talk. Great discussion on mentorship, observation, opportunities, being a better leader, & aspiring to be a master clinician. #AnSky #MedSky
accrac.com/episode-296-...
accrac.com/episode-296-...
Episode 296: Master Clinician Part 3: Mike Essandoh
In this 296th episode I welcome Dr. Mike Essandoh to do another master clinician episode. We discuss Dr. Essandoh’s tips for being successful clinically, in research, in leadership, in innova…
accrac.com
December 1, 2024 at 7:05 PM
Fortunate to be one of the many many trainees able to call Dr. Essandoh a mentor. Learn something from him every time we talk. Great discussion on mentorship, observation, opportunities, being a better leader, & aspiring to be a master clinician. #AnSky #MedSky
accrac.com/episode-296-...
accrac.com/episode-296-...
Reposted by Jordan Holloway, MD
BRASH syndrome ECG:
- subtle peaked T-waves from hyperkalemia
- bradycardia is *disproportionately* severe, as compared to the extent of hyperkalemia-induced morphology changes
(more on BRASH: emcrit.org/ibcc/brash/)
(ECG credit: ecg.bidmc.harvard.edu/maven/dispca...) #ECGsky
- subtle peaked T-waves from hyperkalemia
- bradycardia is *disproportionately* severe, as compared to the extent of hyperkalemia-induced morphology changes
(more on BRASH: emcrit.org/ibcc/brash/)
(ECG credit: ecg.bidmc.harvard.edu/maven/dispca...) #ECGsky
November 28, 2024 at 11:32 PM
BRASH syndrome ECG:
- subtle peaked T-waves from hyperkalemia
- bradycardia is *disproportionately* severe, as compared to the extent of hyperkalemia-induced morphology changes
(more on BRASH: emcrit.org/ibcc/brash/)
(ECG credit: ecg.bidmc.harvard.edu/maven/dispca...) #ECGsky
- subtle peaked T-waves from hyperkalemia
- bradycardia is *disproportionately* severe, as compared to the extent of hyperkalemia-induced morphology changes
(more on BRASH: emcrit.org/ibcc/brash/)
(ECG credit: ecg.bidmc.harvard.edu/maven/dispca...) #ECGsky
Reposted by Jordan Holloway, MD
When the mask mandate was lifted from Mass General Brigham in May '23, hospital transmission of resp virus went up. When the mandate was re-instituted in Jan '24, infection rates went down. www.news-medical.net/news/2024052...
Study confirms face masks' effectiveness in reducing disease transmission, calls for improved public understanding
Researchers reviewed the benefits, practicalities, and harms of masks and masking, finding that masks are effective in reducing respiratory disease transmission despite some adverse effects, and empha...
www.news-medical.net
November 28, 2024 at 7:39 PM
When the mask mandate was lifted from Mass General Brigham in May '23, hospital transmission of resp virus went up. When the mandate was re-instituted in Jan '24, infection rates went down. www.news-medical.net/news/2024052...
Reposted by Jordan Holloway, MD
Skytorial: Piptazo vs Cefepime 😁
Recently this JAMA-IM paper correlating piptazo with mortality has gained a weird amount of attention
(It's been out for months so it's not really new)
This one of the most methodologically horrific papers I've ever seen
Lets talk real quick about the paper...
Recently this JAMA-IM paper correlating piptazo with mortality has gained a weird amount of attention
(It's been out for months so it's not really new)
This one of the most methodologically horrific papers I've ever seen
Lets talk real quick about the paper...
November 26, 2024 at 1:30 PM
Skytorial: Piptazo vs Cefepime 😁
Recently this JAMA-IM paper correlating piptazo with mortality has gained a weird amount of attention
(It's been out for months so it's not really new)
This one of the most methodologically horrific papers I've ever seen
Lets talk real quick about the paper...
Recently this JAMA-IM paper correlating piptazo with mortality has gained a weird amount of attention
(It's been out for months so it's not really new)
This one of the most methodologically horrific papers I've ever seen
Lets talk real quick about the paper...
Reposted by Jordan Holloway, MD
Skytorial: can you crack the case?
A middle-aged healthy patient undergoes colonoscopy under propofol sedation.
Colonoscopy is unremarkable.
Post-procedure, the patient doesn't wake up and has rhythmic movements involving the legs as shown here.
Labs are normal.
What might be going on?
A middle-aged healthy patient undergoes colonoscopy under propofol sedation.
Colonoscopy is unremarkable.
Post-procedure, the patient doesn't wake up and has rhythmic movements involving the legs as shown here.
Labs are normal.
What might be going on?
November 25, 2024 at 10:31 PM
Skytorial: can you crack the case?
A middle-aged healthy patient undergoes colonoscopy under propofol sedation.
Colonoscopy is unremarkable.
Post-procedure, the patient doesn't wake up and has rhythmic movements involving the legs as shown here.
Labs are normal.
What might be going on?
A middle-aged healthy patient undergoes colonoscopy under propofol sedation.
Colonoscopy is unremarkable.
Post-procedure, the patient doesn't wake up and has rhythmic movements involving the legs as shown here.
Labs are normal.
What might be going on?
Reposted by Jordan Holloway, MD
For anyone interested in learning more about angiography, check out my introductory guide!
You’ll find a lot of nice annotated diagrams like this one.
intuitivecardiology.notion.site/angiography
You’ll find a lot of nice annotated diagrams like this one.
intuitivecardiology.notion.site/angiography
November 25, 2024 at 12:12 AM
For anyone interested in learning more about angiography, check out my introductory guide!
You’ll find a lot of nice annotated diagrams like this one.
intuitivecardiology.notion.site/angiography
You’ll find a lot of nice annotated diagrams like this one.
intuitivecardiology.notion.site/angiography
Reposted by Jordan Holloway, MD
This great lab study from 2020 surprised me at the time - challenging our assumptions about fresh gas flow rates and economic/environmental costs. #AnSky
[ Higher FGF (~6L/min) during TIVA reduces costs without sig environmental impact. ]
Summary → www.metajournal.com/articles/103...
[ Higher FGF (~6L/min) during TIVA reduces costs without sig environmental impact. ]
Summary → www.metajournal.com/articles/103...
November 24, 2024 at 12:57 AM
This great lab study from 2020 surprised me at the time - challenging our assumptions about fresh gas flow rates and economic/environmental costs. #AnSky
[ Higher FGF (~6L/min) during TIVA reduces costs without sig environmental impact. ]
Summary → www.metajournal.com/articles/103...
[ Higher FGF (~6L/min) during TIVA reduces costs without sig environmental impact. ]
Summary → www.metajournal.com/articles/103...
🙋🏻♀️ Nearly all of our robotic thoracic cases are getting ITM rather than epidurals. Exceptions for open thoracic cases or bilateral VATS, eg lung volume reduction procedures.
#Ansky: who here is doing intrathecal morphine instead of thoracic epidurals for post op pain management? The Spring ASRA meeting had a compelling lecture on how many institutions are abandoning thoracic epidural analgesia in favor of ITM. @ropivacaine.bsky.social @dr-rajgupta.bsky.social
November 20, 2024 at 10:35 PM
🙋🏻♀️ Nearly all of our robotic thoracic cases are getting ITM rather than epidurals. Exceptions for open thoracic cases or bilateral VATS, eg lung volume reduction procedures.
Reposted by Jordan Holloway, MD
Honey, stop what you're doing, new hyponatremia research just dropped!
What's it say?
It looks like slow correction is associated with worse outcomes, like death and length of stay!
Was it just a small study?
No, it was a meta-analysis of almost 12,000 patients!
jamanetwork.com/journals/jam...
What's it say?
It looks like slow correction is associated with worse outcomes, like death and length of stay!
Was it just a small study?
No, it was a meta-analysis of almost 12,000 patients!
jamanetwork.com/journals/jam...
Correction Rates and Clinical Outcomes in Hospitalized Adults With Severe Hyponatremia
This systematic review and meta-analysis evaluates the association of sodium correction rates with mortality among hospitalized adults with severe hyponatremia.
jamanetwork.com
November 19, 2024 at 4:51 AM
Honey, stop what you're doing, new hyponatremia research just dropped!
What's it say?
It looks like slow correction is associated with worse outcomes, like death and length of stay!
Was it just a small study?
No, it was a meta-analysis of almost 12,000 patients!
jamanetwork.com/journals/jam...
What's it say?
It looks like slow correction is associated with worse outcomes, like death and length of stay!
Was it just a small study?
No, it was a meta-analysis of almost 12,000 patients!
jamanetwork.com/journals/jam...
Reposted by Jordan Holloway, MD
Unsolicited DIC pic:
November 18, 2024 at 6:15 PM
Unsolicited DIC pic:
Reposted by Jordan Holloway, MD
Love it when an article justifies what I teach in OR. journals.lww.com/anesthesia-a... #PedsAnes Thanks!
Point-of-Care Lung Ultrasound to Evaluate Lung Isolation... : Anesthesia & Analgesia
OCUS). The aim of this study was to prospectively compare lung ultrasound with clinical auscultation to confirm OLV before thoracic surgery in pediatric patients.
METHODS:
This prospectively blinde...
journals.lww.com
November 18, 2024 at 11:57 PM
Love it when an article justifies what I teach in OR. journals.lww.com/anesthesia-a... #PedsAnes Thanks!
Reposted by Jordan Holloway, MD
As an editor I have the 'pleasure' of reading multiple clinical manuscripts each week.
Content is key, there is no getting around this.
But content needs to structured in an easily accessible way for the reader to engage...
Is this called a "skeetorial"? Anyway, here we go.
🧪 #medsky #ansky
Content is key, there is no getting around this.
But content needs to structured in an easily accessible way for the reader to engage...
Is this called a "skeetorial"? Anyway, here we go.
🧪 #medsky #ansky
November 11, 2024 at 7:58 PM
#TILT #CardsAnes considerations for persistent left superior vena cava:
- PAC may be impossible to advance via L internal jugular v.
- Cannot effectively give retrograde cardioplegia
- May req extra venous drainage cannula for CPB
- Can complicate 🫀 transplant
#MedSky #AnSky #MedEd #Anesthesiology
- PAC may be impossible to advance via L internal jugular v.
- Cannot effectively give retrograde cardioplegia
- May req extra venous drainage cannula for CPB
- Can complicate 🫀 transplant
#MedSky #AnSky #MedEd #Anesthesiology
November 16, 2024 at 9:32 PM
#TILT #CardsAnes considerations for persistent left superior vena cava:
- PAC may be impossible to advance via L internal jugular v.
- Cannot effectively give retrograde cardioplegia
- May req extra venous drainage cannula for CPB
- Can complicate 🫀 transplant
#MedSky #AnSky #MedEd #Anesthesiology
- PAC may be impossible to advance via L internal jugular v.
- Cannot effectively give retrograde cardioplegia
- May req extra venous drainage cannula for CPB
- Can complicate 🫀 transplant
#MedSky #AnSky #MedEd #Anesthesiology
#TILT: Visceral situs or isomerism typically match atrial situs or isomerism, ie:
- Atrial situs inversus➡️visceral situs inversus
- Right atrial isomerism➡️abdominal heterotaxy w/ asplenia
- Left atrial isomerism➡️abdominal heterotaxy w/ polysplenia
#MedSky #AnSky #CardioSky #MedEd
- Atrial situs inversus➡️visceral situs inversus
- Right atrial isomerism➡️abdominal heterotaxy w/ asplenia
- Left atrial isomerism➡️abdominal heterotaxy w/ polysplenia
#MedSky #AnSky #CardioSky #MedEd
November 16, 2024 at 9:24 PM
#TILT: Visceral situs or isomerism typically match atrial situs or isomerism, ie:
- Atrial situs inversus➡️visceral situs inversus
- Right atrial isomerism➡️abdominal heterotaxy w/ asplenia
- Left atrial isomerism➡️abdominal heterotaxy w/ polysplenia
#MedSky #AnSky #CardioSky #MedEd
- Atrial situs inversus➡️visceral situs inversus
- Right atrial isomerism➡️abdominal heterotaxy w/ asplenia
- Left atrial isomerism➡️abdominal heterotaxy w/ polysplenia
#MedSky #AnSky #CardioSky #MedEd
Reposted by Jordan Holloway, MD
Reposted by Jordan Holloway, MD
Radial arterial lines are the default in most 🇬🇧 ICUs but can be wildly inaccurate in cases of profound shock.
These pics are taken seconds apart, after inserting a Femoral PiCCO line, systolic BP 121mmHg higher!!!
I’ve seen big discrepancies before but nothing of this magnitude! 😲
1/
These pics are taken seconds apart, after inserting a Femoral PiCCO line, systolic BP 121mmHg higher!!!
I’ve seen big discrepancies before but nothing of this magnitude! 😲
1/
November 16, 2024 at 9:57 AM
Radial arterial lines are the default in most 🇬🇧 ICUs but can be wildly inaccurate in cases of profound shock.
These pics are taken seconds apart, after inserting a Femoral PiCCO line, systolic BP 121mmHg higher!!!
I’ve seen big discrepancies before but nothing of this magnitude! 😲
1/
These pics are taken seconds apart, after inserting a Femoral PiCCO line, systolic BP 121mmHg higher!!!
I’ve seen big discrepancies before but nothing of this magnitude! 😲
1/
For #AnSky residents — study tips/resources for those pesky ABA ITEs, BASIC, and ADVANCED exams. A thread 🧵 of my faves and least faves to help you ace your exams AND residency rotations
#MedSky #Anesthesia #Anesthesiology #MedEd
#MedSky #Anesthesia #Anesthesiology #MedEd
a close up of a woman 's face with the words freaking out written on it .
ALT: a close up of a woman 's face with the words freaking out written on it .
media.tenor.com
November 16, 2024 at 4:10 PM
For #AnSky residents — study tips/resources for those pesky ABA ITEs, BASIC, and ADVANCED exams. A thread 🧵 of my faves and least faves to help you ace your exams AND residency rotations
#MedSky #Anesthesia #Anesthesiology #MedEd
#MedSky #Anesthesia #Anesthesiology #MedEd