David Lewandowski, MD, MS
@lewandowskimd.bsky.social
EM Critical Care Physician. POCUS and MedEd enthusiast. Queens raised, BX trained, Boston attained. Love music, travel and cheering on the Arsenal.
Pinned
Reposted by David Lewandowski, MD, MS
The BICAR-ICU-2 trial just dropped!
RCT involving IV bicarb in metabolic acidosis among patients with mod-severe AKI
Bicarb didn't affect mortality but it reduced the need for dialysis & risk of bacteremia
VERY similar conclusions to BICAR-ICU-1
🧵 #1/
jamanetwork.com/journals/jam... #EMIMCC
RCT involving IV bicarb in metabolic acidosis among patients with mod-severe AKI
Bicarb didn't affect mortality but it reduced the need for dialysis & risk of bacteremia
VERY similar conclusions to BICAR-ICU-1
🧵 #1/
jamanetwork.com/journals/jam... #EMIMCC
October 29, 2025 at 2:59 PM
The BICAR-ICU-2 trial just dropped!
RCT involving IV bicarb in metabolic acidosis among patients with mod-severe AKI
Bicarb didn't affect mortality but it reduced the need for dialysis & risk of bacteremia
VERY similar conclusions to BICAR-ICU-1
🧵 #1/
jamanetwork.com/journals/jam... #EMIMCC
RCT involving IV bicarb in metabolic acidosis among patients with mod-severe AKI
Bicarb didn't affect mortality but it reduced the need for dialysis & risk of bacteremia
VERY similar conclusions to BICAR-ICU-1
🧵 #1/
jamanetwork.com/journals/jam... #EMIMCC
Reposted by David Lewandowski, MD, MS
The American Thoracic Society (ATS) updated its recommendations on some aspects of the diagnosis and management of community-acquired pneumonia (CAP)
July 21, 2025 at 2:35 AM
The American Thoracic Society (ATS) updated its recommendations on some aspects of the diagnosis and management of community-acquired pneumonia (CAP)
Please help a friend of mine and fellow @arsenalfc.bsky.social supporter on his journey to climb Mount Kilimanjaro for Ubuntu Life Foundation!! www.gofundme.com/f/summit-for... #hiking #fundraiser #donation #epilepsy #ubuntu #africa @ohanlonsbarnyc.bsky.social @arsenalnyc.bsky.social
Donate to Summit for Ubuntu: A Climb To Change Lives - November 2025, organized by Wazha Dube
Dear friends, family, and supporters,
This year, I’ll be ful… Wazha Dube needs your support for Summit for Ubuntu: A Climb To Change Lives - November 2025
www.gofundme.com
June 7, 2025 at 11:30 PM
Please help a friend of mine and fellow @arsenalfc.bsky.social supporter on his journey to climb Mount Kilimanjaro for Ubuntu Life Foundation!! www.gofundme.com/f/summit-for... #hiking #fundraiser #donation #epilepsy #ubuntu #africa @ohanlonsbarnyc.bsky.social @arsenalnyc.bsky.social
Reposted by David Lewandowski, MD, MS
Timeline cleanse
March 27, 2025 at 3:54 PM
Timeline cleanse
Reposted by David Lewandowski, MD, MS
Mental Practice to Maintain Procedural Competency of Faculty with Decreased Opportunities
@atscommunity.bsky.social #medsky
🔗 tinyurl.com/23bkc6kn
@atscommunity.bsky.social #medsky
🔗 tinyurl.com/23bkc6kn
February 28, 2025 at 9:49 PM
Mental Practice to Maintain Procedural Competency of Faculty with Decreased Opportunities
@atscommunity.bsky.social #medsky
🔗 tinyurl.com/23bkc6kn
@atscommunity.bsky.social #medsky
🔗 tinyurl.com/23bkc6kn
Reposted by David Lewandowski, MD, MS
So now the GOP thinks it's come up with a clever way to renege on student loan forgiveness for nurses and doctors--take away tax exempt status of hospitals, so workers no longer qualify for PSLF. Shameful. www.forbes.com/sites/adammi...
GOP May Cut Off Student Loan Forgiveness For 4.8 Million Healthcare Workers
Republican lawmakers in Congress are considering a move that could cut off student loan forgiveness for millions of healthcare workers.
www.forbes.com
February 13, 2025 at 5:40 PM
So now the GOP thinks it's come up with a clever way to renege on student loan forgiveness for nurses and doctors--take away tax exempt status of hospitals, so workers no longer qualify for PSLF. Shameful. www.forbes.com/sites/adammi...
We should absolutely be using POCUS in patients with dyspnea, chest pain, or sepsis. All of these I believe have assessments that can directly affect treatment and outcomes. #pocus
Society of Critical Care Medicine Guidelines on Adult Critical Care Ultrasonography: Focused Update 2024
CCR Journal Watch
https://criticalcarereviews.com/latest-evidence/journal-watch
CCR Journal Watch
https://criticalcarereviews.com/latest-evidence/journal-watch
February 22, 2025 at 7:15 PM
We should absolutely be using POCUS in patients with dyspnea, chest pain, or sepsis. All of these I believe have assessments that can directly affect treatment and outcomes. #pocus
Reposted by David Lewandowski, MD, MS
Reposted by David Lewandowski, MD, MS
It is perfectly legal to know your rights and to educate others about them, too.
EVERYONE in the United States, citizen or not, has rights. I will not allow this administration to intimidate us from helping you know about them.
Here’s our shareable guide ⬇️: (pt. 1/2)
EVERYONE in the United States, citizen or not, has rights. I will not allow this administration to intimidate us from helping you know about them.
Here’s our shareable guide ⬇️: (pt. 1/2)
February 14, 2025 at 11:47 PM
It is perfectly legal to know your rights and to educate others about them, too.
EVERYONE in the United States, citizen or not, has rights. I will not allow this administration to intimidate us from helping you know about them.
Here’s our shareable guide ⬇️: (pt. 1/2)
EVERYONE in the United States, citizen or not, has rights. I will not allow this administration to intimidate us from helping you know about them.
Here’s our shareable guide ⬇️: (pt. 1/2)
Reposted by David Lewandowski, MD, MS
JUST IN:
Federal judges orders HHS, CDC, and FDA to restore “by no later than 11:59 pm” today their websites and datasets to pre-January 30th status.
storage.courtlistener.com/recap/gov.us...
Federal judges orders HHS, CDC, and FDA to restore “by no later than 11:59 pm” today their websites and datasets to pre-January 30th status.
storage.courtlistener.com/recap/gov.us...
storage.courtlistener.com
February 11, 2025 at 5:24 PM
JUST IN:
Federal judges orders HHS, CDC, and FDA to restore “by no later than 11:59 pm” today their websites and datasets to pre-January 30th status.
storage.courtlistener.com/recap/gov.us...
Federal judges orders HHS, CDC, and FDA to restore “by no later than 11:59 pm” today their websites and datasets to pre-January 30th status.
storage.courtlistener.com/recap/gov.us...
Reposted by David Lewandowski, MD, MS
More feathers in the "balanced crystalloid" cap – as if anyone would ever expect normal saline to be the best answer to virtually any question regarding IVF. #medsky
open.substack.com/pub/medicine...
open.substack.com/pub/medicine...
What's the Best Fluid for Pancreatitis?
Could it possibly be (anything but normal saline)?
open.substack.com
February 4, 2025 at 7:34 PM
More feathers in the "balanced crystalloid" cap – as if anyone would ever expect normal saline to be the best answer to virtually any question regarding IVF. #medsky
open.substack.com/pub/medicine...
open.substack.com/pub/medicine...
Reposted by David Lewandowski, MD, MS
In a 54-year-old male athlete, echocardiograms obtained 3 weeks after diagnosis of AL amyloidosis showed classic features of amyloid cardiomyopathy and evidence of progressive disease. Read the full case details: nej.md/3WpUsC8
#MedSky #CardioSky
#MedSky #CardioSky
January 29, 2025 at 2:23 PM
In a 54-year-old male athlete, echocardiograms obtained 3 weeks after diagnosis of AL amyloidosis showed classic features of amyloid cardiomyopathy and evidence of progressive disease. Read the full case details: nej.md/3WpUsC8
#MedSky #CardioSky
#MedSky #CardioSky
Beautiful day yesterday at Stowe! Perfect conditions.
January 28, 2025 at 2:50 PM
Beautiful day yesterday at Stowe! Perfect conditions.
Reposted by David Lewandowski, MD, MS
Today's Paper of the Day is status epilepticus in the ICU
criticalcarereviews.com/latest-evide...
Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2025
criticalcarereviews.com/latest-evide...
Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2025
January 25, 2025 at 8:48 AM
Today's Paper of the Day is status epilepticus in the ICU
criticalcarereviews.com/latest-evide...
Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2025
criticalcarereviews.com/latest-evide...
Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2025
2020 throwback:
37% of #COVID19 patients admitted to ICU had VTE, with 30% occurring despite therapeutic anticoagulation. Not associated with ⬆️mortality. With my mentors and co-fellows demonstrated #POCUS feasible for screening patients for DVT.
www.ncbi.nlm.nih.gov/pmc/articles...
37% of #COVID19 patients admitted to ICU had VTE, with 30% occurring despite therapeutic anticoagulation. Not associated with ⬆️mortality. With my mentors and co-fellows demonstrated #POCUS feasible for screening patients for DVT.
www.ncbi.nlm.nih.gov/pmc/articles...
www.ncbi.nlm.nih.gov
January 25, 2025 at 7:13 AM
2020 throwback:
37% of #COVID19 patients admitted to ICU had VTE, with 30% occurring despite therapeutic anticoagulation. Not associated with ⬆️mortality. With my mentors and co-fellows demonstrated #POCUS feasible for screening patients for DVT.
www.ncbi.nlm.nih.gov/pmc/articles...
37% of #COVID19 patients admitted to ICU had VTE, with 30% occurring despite therapeutic anticoagulation. Not associated with ⬆️mortality. With my mentors and co-fellows demonstrated #POCUS feasible for screening patients for DVT.
www.ncbi.nlm.nih.gov/pmc/articles...