@md-dm-pccm.bsky.social
Pulm/Crit MD, MICU attending, passionate about educating medical trainees on intensive care, love D&D, horror media, dice, cats, etc. Escaped Twitter’s descent into insanity and now I’m here.
Reposted
Introducing our new video series ATS Critical Care "Lit Bits" -- where we break down the literature, bit by bit.
Sepsis treatment starts with a critical choice: fluids or pressors. Shiv Patel, MD, from the Critical Care Assembly discusses this choice in the CLOVERS trial
Sepsis treatment starts with a critical choice: fluids or pressors. Shiv Patel, MD, from the Critical Care Assembly discusses this choice in the CLOVERS trial
December 12, 2025 at 9:01 PM
Introducing our new video series ATS Critical Care "Lit Bits" -- where we break down the literature, bit by bit.
Sepsis treatment starts with a critical choice: fluids or pressors. Shiv Patel, MD, from the Critical Care Assembly discusses this choice in the CLOVERS trial
Sepsis treatment starts with a critical choice: fluids or pressors. Shiv Patel, MD, from the Critical Care Assembly discusses this choice in the CLOVERS trial
Reposted
can't stop watching this clip of a tesla Optimus teleoperator taking his headset off before properly logging out the robot
December 8, 2025 at 9:29 AM
can't stop watching this clip of a tesla Optimus teleoperator taking his headset off before properly logging out the robot
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Oprah Pursues Dr. Phil On Ship Through Arctic https://theonion.com/oprah-pursues-dr-phil-on-ship-through-arctic/
December 8, 2025 at 4:00 PM
Oprah Pursues Dr. Phil On Ship Through Arctic https://theonion.com/oprah-pursues-dr-phil-on-ship-through-arctic/
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Frog knocked at Toad’s door. “Toad, wake up,” he cried. “Come out and see how wonderful the winter is!”
“I will not,” said Toad. “I am in my warm bed.”
“I will not,” said Toad. “I am in my warm bed.”
December 2, 2025 at 8:37 AM
Frog knocked at Toad’s door. “Toad, wake up,” he cried. “Come out and see how wonderful the winter is!”
“I will not,” said Toad. “I am in my warm bed.”
“I will not,” said Toad. “I am in my warm bed.”
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Me buying a copy of The Onion when I was 18: "let's see what those rascals are up to now."
Me subscribing to The Onion now: "It is my duty as a patriot to see what those rascals are up to now."
Me subscribing to The Onion now: "It is my duty as a patriot to see what those rascals are up to now."
Hi everybody,
It's Black Friday, a big day for us at The Onion, since we rely almost entirely on your memberships.
Our goal for 2026? More print subscribers than the Washington Post.
This is, somehow, feasible.
So sign up! A year of print is $75 for the year today. Help us do a very funny thing.
It's Black Friday, a big day for us at The Onion, since we rely almost entirely on your memberships.
Our goal for 2026? More print subscribers than the Washington Post.
This is, somehow, feasible.
So sign up! A year of print is $75 for the year today. Help us do a very funny thing.
Join The Onion
Don’t just read the news. Feel it. Be among the first to feel the news.
membership.theonion.com
November 28, 2025 at 5:50 PM
Me buying a copy of The Onion when I was 18: "let's see what those rascals are up to now."
Me subscribing to The Onion now: "It is my duty as a patriot to see what those rascals are up to now."
Me subscribing to The Onion now: "It is my duty as a patriot to see what those rascals are up to now."
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twitter this last week
November 25, 2025 at 4:37 PM
twitter this last week
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Ethical review of brain death in the context of familial objections or pregnancy.
This is largely intuitive and common sense, but it's useful to have a guideline if needed for reference. #EMIMCC
www.neurology.org/doi/pdf/10.1...
This is largely intuitive and common sense, but it's useful to have a guideline if needed for reference. #EMIMCC
www.neurology.org/doi/pdf/10.1...
Brain Death/Death by Neurologic Criteria Guidance on Communication, Objections, Pregnancy, and Public Trust | Neurology
This position statement provides updated member guidance from the American Academy
of Neurology (AAN) regarding (1) communication with surrogate decision makers about
brain death/death by neurologic c...
www.neurology.org
November 21, 2025 at 11:25 PM
Ethical review of brain death in the context of familial objections or pregnancy.
This is largely intuitive and common sense, but it's useful to have a guideline if needed for reference. #EMIMCC
www.neurology.org/doi/pdf/10.1...
This is largely intuitive and common sense, but it's useful to have a guideline if needed for reference. #EMIMCC
www.neurology.org/doi/pdf/10.1...
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Finished updating the IBCC chapter on septic shock
This algorithm is where I ended up 👇
Therapies should be based on several factors (not solely whether CRT is <3; CRT isn't precise so this dichotomy is problematic)
Beware of vasopressin; it may depress digital perfusion & block the goal #EMIMCC
This algorithm is where I ended up 👇
Therapies should be based on several factors (not solely whether CRT is <3; CRT isn't precise so this dichotomy is problematic)
Beware of vasopressin; it may depress digital perfusion & block the goal #EMIMCC
November 19, 2025 at 2:01 PM
Finished updating the IBCC chapter on septic shock
This algorithm is where I ended up 👇
Therapies should be based on several factors (not solely whether CRT is <3; CRT isn't precise so this dichotomy is problematic)
Beware of vasopressin; it may depress digital perfusion & block the goal #EMIMCC
This algorithm is where I ended up 👇
Therapies should be based on several factors (not solely whether CRT is <3; CRT isn't precise so this dichotomy is problematic)
Beware of vasopressin; it may depress digital perfusion & block the goal #EMIMCC
Getting the call that your patient did not in fact have psoriasis and instead had the worst case of Norwegian Scabies anyone has ever seen. Three showers with Permethrin deep
November 19, 2025 at 7:36 PM
Getting the call that your patient did not in fact have psoriasis and instead had the worst case of Norwegian Scabies anyone has ever seen. Three showers with Permethrin deep
Reposted
Leading medical publication the British Medical Journal recognises SUVs as a danger to public health in a new editorial co-authored by T&E’s James Nix: bit.ly/4hVDlBC
Large SUVs are a danger to pedestrians, cyclists & other drivers.
It's time to take action to reduce their presence in urban areas.
Large SUVs are a danger to pedestrians, cyclists & other drivers.
It's time to take action to reduce their presence in urban areas.
November 12, 2025 at 9:23 AM
Leading medical publication the British Medical Journal recognises SUVs as a danger to public health in a new editorial co-authored by T&E’s James Nix: bit.ly/4hVDlBC
Large SUVs are a danger to pedestrians, cyclists & other drivers.
It's time to take action to reduce their presence in urban areas.
Large SUVs are a danger to pedestrians, cyclists & other drivers.
It's time to take action to reduce their presence in urban areas.
Oh Hell Yeah James Watson too? What a good few days!
November 8, 2025 at 12:07 AM
Oh Hell Yeah James Watson too? What a good few days!
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how is this guy simultaneously completely fucking insane and a more honorable opponent than any republican in national office
I do not think he should be mayor, but this is so much healthier of an approach to take toward a democratic election than anything we are hearing from Andrew Cuomo. Cuomo is going to leave NYC the moment he loses. Sliwa seems to truly want to stay in this great city.
November 4, 2025 at 5:34 AM
how is this guy simultaneously completely fucking insane and a more honorable opponent than any republican in national office
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Reposted
Reposted
Mike Johnson: ‘My Christian Faith Is More About Not Jacking Off Than Feeding The Poor’
November 3, 2025 at 10:30 PM
Mike Johnson: ‘My Christian Faith Is More About Not Jacking Off Than Feeding The Poor’
Say what you want about Alien: Covenant but at least James Franco burns to death in the first 10 minutes
November 3, 2025 at 5:44 PM
Say what you want about Alien: Covenant but at least James Franco burns to death in the first 10 minutes
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updated the IBCC section on alcoholic hepatitis.
AGA 2024 guidelines seem sensible & useful (picture below)
Key points:
🍺Steroid recommended for MELD>20
🍺Aggressive multiorgan support PRN (may have hepatorenal syndrome, sepsis, etc)
🍺Consider acetylcysteine
emcrit.org/ibcc/aclf/#a... #EMIMCC
AGA 2024 guidelines seem sensible & useful (picture below)
Key points:
🍺Steroid recommended for MELD>20
🍺Aggressive multiorgan support PRN (may have hepatorenal syndrome, sepsis, etc)
🍺Consider acetylcysteine
emcrit.org/ibcc/aclf/#a... #EMIMCC
October 30, 2025 at 7:56 PM
updated the IBCC section on alcoholic hepatitis.
AGA 2024 guidelines seem sensible & useful (picture below)
Key points:
🍺Steroid recommended for MELD>20
🍺Aggressive multiorgan support PRN (may have hepatorenal syndrome, sepsis, etc)
🍺Consider acetylcysteine
emcrit.org/ibcc/aclf/#a... #EMIMCC
AGA 2024 guidelines seem sensible & useful (picture below)
Key points:
🍺Steroid recommended for MELD>20
🍺Aggressive multiorgan support PRN (may have hepatorenal syndrome, sepsis, etc)
🍺Consider acetylcysteine
emcrit.org/ibcc/aclf/#a... #EMIMCC
Reposted
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
Mystery Inc's Survival Horrorween 🔪
#ScoobyDoo
#ScoobyDoo
October 29, 2025 at 12:44 AM
Mystery Inc's Survival Horrorween 🔪
#ScoobyDoo
#ScoobyDoo
Damnit just wanted to watch some Simpsons Halloween without thinking about how far we’ve fallen as a nation
October 27, 2025 at 2:20 AM
Damnit just wanted to watch some Simpsons Halloween without thinking about how far we’ve fallen as a nation
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NFTs are amazing because you apparently “own” them but the AWS outtage yesterday took out everyones apes lol
October 21, 2025 at 12:52 PM
NFTs are amazing because you apparently “own” them but the AWS outtage yesterday took out everyones apes lol
Reposted
Gonna do some funny videos I guess?
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November 7, 2024 at 6:24 AM
Gonna do some funny videos I guess?
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