Marco Vergano
@marcver.bsky.social
Anesthesiologist and Intensivist | SIAARTI and ESICM Ethics Sections | personal views only
Reposted by Marco Vergano
“It's hypocrisy to call yourself a Christian and chase away a refugee or someone seeking help, someone who is hungry or thirsty, toss out someone who is in need of my help.
If I say I am Christian, but do these things, I'm a hypocrite."
-Pope Francis
If I say I am Christian, but do these things, I'm a hypocrite."
-Pope Francis
April 21, 2025 at 2:14 PM
“It's hypocrisy to call yourself a Christian and chase away a refugee or someone seeking help, someone who is hungry or thirsty, toss out someone who is in need of my help.
If I say I am Christian, but do these things, I'm a hypocrite."
-Pope Francis
If I say I am Christian, but do these things, I'm a hypocrite."
-Pope Francis
Reposted by Marco Vergano
Death by p‑value: 5 interventions with meaningful effects which missed conventional statistical significance
💉 etomidate vs ketamine for RSI
🧫 beta-blockade in septic shock
⏱️ early/late tracheotomy
🧠 hydrocortisone in severe TBI
🚑 continuous vs interrupted chest compressions
#FOAMcc
🔓 rdcu.be/eabEu
💉 etomidate vs ketamine for RSI
🧫 beta-blockade in septic shock
⏱️ early/late tracheotomy
🧠 hydrocortisone in severe TBI
🚑 continuous vs interrupted chest compressions
#FOAMcc
🔓 rdcu.be/eabEu
February 17, 2025 at 12:53 PM
Death by p‑value: 5 interventions with meaningful effects which missed conventional statistical significance
💉 etomidate vs ketamine for RSI
🧫 beta-blockade in septic shock
⏱️ early/late tracheotomy
🧠 hydrocortisone in severe TBI
🚑 continuous vs interrupted chest compressions
#FOAMcc
🔓 rdcu.be/eabEu
💉 etomidate vs ketamine for RSI
🧫 beta-blockade in septic shock
⏱️ early/late tracheotomy
🧠 hydrocortisone in severe TBI
🚑 continuous vs interrupted chest compressions
#FOAMcc
🔓 rdcu.be/eabEu
Reposted by Marco Vergano
The Rasputin Effect: Anti-science mysticism is enabling autocracy around the globe, @anneapplebaum.bsky.social writes. theatln.tc/0lEVKi4H
January 10, 2025 at 10:09 PM
The Rasputin Effect: Anti-science mysticism is enabling autocracy around the globe, @anneapplebaum.bsky.social writes. theatln.tc/0lEVKi4H
Reposted by Marco Vergano
The moral dimension to America’s flawed health care system
The moral dimension to America’s flawed health care system
At a moment of soul-searching about health care in the US, an expert on global health puts the American system in perspective.
buff.ly
December 31, 2024 at 11:03 PM
The moral dimension to America’s flawed health care system
I love @bmj.com Christmas articles 😊
Surgeons showed significantly greater manual dexterity compared with physicians, nurses, and non-clinical staff when assessed using a buzz wire game.
But had the highest rates of swearing
www.bmj.com/content/387/...
But had the highest rates of swearing
www.bmj.com/content/387/...
December 31, 2024 at 12:56 PM
I love @bmj.com Christmas articles 😊
The Stoic Anesthesiologist : ASA Monitor journals.lww.com/monitor/full...
The Stoic Anesthesiologist : ASA Monitor
An abstract is unavailable.
journals.lww.com
December 27, 2024 at 8:04 PM
The Stoic Anesthesiologist : ASA Monitor journals.lww.com/monitor/full...
Reposted by Marco Vergano
1/ Here are some of the books I read and listened to this past year, mostly in order. Some real gems, as always. “A life without books is a life not lived” Jay Kristoff.
December 27, 2024 at 7:24 PM
1/ Here are some of the books I read and listened to this past year, mostly in order. Some real gems, as always. “A life without books is a life not lived” Jay Kristoff.
Reposted by Marco Vergano
December 19, 2024 at 4:04 PM
Reposted by Marco Vergano
Atrial fibrillation (AF) is associated with increased rates of stroke, heart failure, and mortality. This narrative review examines the epidemiology, pathophysiology, diagnosis, and treatment of AF.
https://ja.ma/3BuOp7Q
https://ja.ma/3BuOp7Q
December 16, 2024 at 4:39 PM
Atrial fibrillation (AF) is associated with increased rates of stroke, heart failure, and mortality. This narrative review examines the epidemiology, pathophysiology, diagnosis, and treatment of AF.
https://ja.ma/3BuOp7Q
https://ja.ma/3BuOp7Q
Reposted by Marco Vergano
🫀🫁 The effects of positive pressure ventilation on cardiac preload make it possible to easily detect responsiveness using different tests/indices. They enable to personalize therapeutic strategy according to patient's physiology, improving outcome.
#FOAMcc @icmjournal.bsky.social
🔓 bit.ly/3DfOQ6t
#FOAMcc @icmjournal.bsky.social
🔓 bit.ly/3DfOQ6t
December 16, 2024 at 4:48 PM
🫀🫁 The effects of positive pressure ventilation on cardiac preload make it possible to easily detect responsiveness using different tests/indices. They enable to personalize therapeutic strategy according to patient's physiology, improving outcome.
#FOAMcc @icmjournal.bsky.social
🔓 bit.ly/3DfOQ6t
#FOAMcc @icmjournal.bsky.social
🔓 bit.ly/3DfOQ6t
Dilemma = a situation in medical practice where ethical principles or values come into conflict, and competing interests must be balanced, making it challenging to determine the morally correct course of action.
It justifiable to withdraw #ECMO against the wishes of a patient with decision-making capacity when cure is not possible?
⚖️ YES! permissible if competing ethical considerations
🔗 bit.ly/49I9WXh
⚖️ NO! we should provide support to continue engaging in enjoyable/meaningful activities
🔗 bit.ly/4ghcdLM
⚖️ YES! permissible if competing ethical considerations
🔗 bit.ly/49I9WXh
⚖️ NO! we should provide support to continue engaging in enjoyable/meaningful activities
🔗 bit.ly/4ghcdLM
December 16, 2024 at 8:47 PM
Dilemma = a situation in medical practice where ethical principles or values come into conflict, and competing interests must be balanced, making it challenging to determine the morally correct course of action.
Reposted by Marco Vergano
1/
I love love LOVE scanning the heart 😍, but when it comes to bang for your buck for ultrasound novices, lung ultrasound is such a winner 🏆
It's time for another #POCUS basics #skeetorial 🧵
Let's talk about common pitfalls in #LungUltrasound and how to correct these ✔️
#emimcc
I love love LOVE scanning the heart 😍, but when it comes to bang for your buck for ultrasound novices, lung ultrasound is such a winner 🏆
It's time for another #POCUS basics #skeetorial 🧵
Let's talk about common pitfalls in #LungUltrasound and how to correct these ✔️
#emimcc
December 3, 2024 at 6:15 PM
1/
I love love LOVE scanning the heart 😍, but when it comes to bang for your buck for ultrasound novices, lung ultrasound is such a winner 🏆
It's time for another #POCUS basics #skeetorial 🧵
Let's talk about common pitfalls in #LungUltrasound and how to correct these ✔️
#emimcc
I love love LOVE scanning the heart 😍, but when it comes to bang for your buck for ultrasound novices, lung ultrasound is such a winner 🏆
It's time for another #POCUS basics #skeetorial 🧵
Let's talk about common pitfalls in #LungUltrasound and how to correct these ✔️
#emimcc
Reposted by Marco Vergano
BLUESKY MEGA-THREAD
Altmetric is thrilled and also LITERALLY RELIEVED to officially announce:
We are now tracking research attention as it happens on Bluesky!
We have been picking up posts on the site since late Oct.
Our team is on Bluesky all day answering questions.
Let's get into it!
Altmetric is thrilled and also LITERALLY RELIEVED to officially announce:
We are now tracking research attention as it happens on Bluesky!
We have been picking up posts on the site since late Oct.
Our team is on Bluesky all day answering questions.
Let's get into it!
December 3, 2024 at 2:00 PM
BLUESKY MEGA-THREAD
Altmetric is thrilled and also LITERALLY RELIEVED to officially announce:
We are now tracking research attention as it happens on Bluesky!
We have been picking up posts on the site since late Oct.
Our team is on Bluesky all day answering questions.
Let's get into it!
Altmetric is thrilled and also LITERALLY RELIEVED to officially announce:
We are now tracking research attention as it happens on Bluesky!
We have been picking up posts on the site since late Oct.
Our team is on Bluesky all day answering questions.
Let's get into it!
A must read for intensivists/ECMOlogists out there.
Shared definitions and clear physiology are the basis of good clinical practice.
#Medsky #FOAMed #FOAMcc #ECMO #EMIMCC
Shared definitions and clear physiology are the basis of good clinical practice.
#Medsky #FOAMed #FOAMcc #ECMO #EMIMCC
Position paper on physiology & nomenclature of dual circulation in VA #ECMO in adults
🩸retrograde blood flow & dual circulation
📖 historical & recommended nomenclature
🩸dynamic nature of mixing point
💨 differential O2 & CO2
🩺 clinical management
💨 hypoxemia & hyper/hypocapnia
#FOAMcc
🔓 rdcu.be/d0KSQ
🩸retrograde blood flow & dual circulation
📖 historical & recommended nomenclature
🩸dynamic nature of mixing point
💨 differential O2 & CO2
🩺 clinical management
💨 hypoxemia & hyper/hypocapnia
#FOAMcc
🔓 rdcu.be/d0KSQ
November 19, 2024 at 7:35 PM
Reposted by Marco Vergano
This is a really interesting study on #LungUltrasound for pneumothorax.
TLDR: LUS significantly underperformed CXR for detection of traumatic PTX, with high specificity (99%) but very low sensitivity (27%).
I have a few thoughts 🧵 -
TLDR: LUS significantly underperformed CXR for detection of traumatic PTX, with high specificity (99%) but very low sensitivity (27%).
I have a few thoughts 🧵 -
Using LUS to diagnose PTX is hard
Good to see a paper that shows it’s not just me
#emimcc
www.surgjournal.com/article/S003...
Good to see a paper that shows it’s not just me
#emimcc
www.surgjournal.com/article/S003...
Lung ultrasonography underdiagnoses clinically significant pneumothorax
Ultrasonography for trauma is an integral part of the Advanced Trauma Life Support
algorithm and supported extensively in the literature. The reliability of chest ultrasonography
as a screening examin...
www.surgjournal.com
November 18, 2024 at 4:54 PM
This is a really interesting study on #LungUltrasound for pneumothorax.
TLDR: LUS significantly underperformed CXR for detection of traumatic PTX, with high specificity (99%) but very low sensitivity (27%).
I have a few thoughts 🧵 -
TLDR: LUS significantly underperformed CXR for detection of traumatic PTX, with high specificity (99%) but very low sensitivity (27%).
I have a few thoughts 🧵 -
Legalizing medically assisted death, but forcing people to ingest a cocktail of drugs, rather than providing safe venous access and a professional to perform and oversee the procedure, is profoundly hypocritical and unfair
www.spectator.co.uk/article/the-...
www.spectator.co.uk/article/the-...
The uncomfortable truth about assisted dying
Throughout all the questions, there is a baseline assumption that assisted dying will likely mean a smoother and calmer death. But does it?
www.spectator.co.uk
November 17, 2024 at 8:33 AM
Legalizing medically assisted death, but forcing people to ingest a cocktail of drugs, rather than providing safe venous access and a professional to perform and oversee the procedure, is profoundly hypocritical and unfair
www.spectator.co.uk/article/the-...
www.spectator.co.uk/article/the-...
Monday November 18th, 6 PM (CET).
Free IFAD webinar on rational use of iv fluids, fluid responsiveness and avoidance of fluid creep.
Free registration!
#FOAMed #FOAMcc
us06web.zoom.us/webinar/regi...
Free IFAD webinar on rational use of iv fluids, fluid responsiveness and avoidance of fluid creep.
Free registration!
#FOAMed #FOAMcc
us06web.zoom.us/webinar/regi...
November 16, 2024 at 4:20 PM
Monday November 18th, 6 PM (CET).
Free IFAD webinar on rational use of iv fluids, fluid responsiveness and avoidance of fluid creep.
Free registration!
#FOAMed #FOAMcc
us06web.zoom.us/webinar/regi...
Free IFAD webinar on rational use of iv fluids, fluid responsiveness and avoidance of fluid creep.
Free registration!
#FOAMed #FOAMcc
us06web.zoom.us/webinar/regi...
Reposted by Marco Vergano
Today's Paper of the Day is on Staphylococcus aureus Bacteremia
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 2024
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 2024
November 16, 2024 at 8:42 AM
Today's Paper of the Day is on Staphylococcus aureus Bacteremia
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 2024
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 2024