Chail Shah,MD
@neurocrit.bsky.social
Neuro Critical Care Fellow @UT Southwestern | IM @Northeast Georgia | Interest in Fluid Hemodynamics, POCUS, SAH, Neuroimaging, and Academia
Reposted by Chail Shah,MD
ICU Stories:
Patient with COPD-obstr sleep apnea (5 l/m O2 nasal cannula at baseline) / A. fib / diastolic heart failure / DM2 / vascular dz / HTN / CKD / morbid obesity (BMI 50) etc presents to the ED with dyspnea/cough/weakness x 2 days. Felt warm; did not check temperature. CXR in ED:
Patient with COPD-obstr sleep apnea (5 l/m O2 nasal cannula at baseline) / A. fib / diastolic heart failure / DM2 / vascular dz / HTN / CKD / morbid obesity (BMI 50) etc presents to the ED with dyspnea/cough/weakness x 2 days. Felt warm; did not check temperature. CXR in ED:
November 30, 2024 at 8:34 PM
ICU Stories:
Patient with COPD-obstr sleep apnea (5 l/m O2 nasal cannula at baseline) / A. fib / diastolic heart failure / DM2 / vascular dz / HTN / CKD / morbid obesity (BMI 50) etc presents to the ED with dyspnea/cough/weakness x 2 days. Felt warm; did not check temperature. CXR in ED:
Patient with COPD-obstr sleep apnea (5 l/m O2 nasal cannula at baseline) / A. fib / diastolic heart failure / DM2 / vascular dz / HTN / CKD / morbid obesity (BMI 50) etc presents to the ED with dyspnea/cough/weakness x 2 days. Felt warm; did not check temperature. CXR in ED:
Reposted by Chail Shah,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 Chail Shah,MD
Middle Meningeal Artery Embolization for Nonacute Subdural Hematoma: 3 RCT with consistent results published in NEJM.
Becoming the standard of care overnight!
www.nejm.org/doi/full/10....
www.nejm.org/doi/full/10....
www.nejm.org/doi/full/10....
Becoming the standard of care overnight!
www.nejm.org/doi/full/10....
www.nejm.org/doi/full/10....
www.nejm.org/doi/full/10....
Adjunctive Middle Meningeal Artery Embolization for Subdural Hematoma | NEJM
Subacute and chronic subdural hematomas are common and frequently recur after surgical evacuation. The effect of adjunctive middle meningeal artery embolization on the risk of reoperation remains u...
www.nejm.org
November 21, 2024 at 3:35 PM
Middle Meningeal Artery Embolization for Nonacute Subdural Hematoma: 3 RCT with consistent results published in NEJM.
Becoming the standard of care overnight!
www.nejm.org/doi/full/10....
www.nejm.org/doi/full/10....
www.nejm.org/doi/full/10....
Becoming the standard of care overnight!
www.nejm.org/doi/full/10....
www.nejm.org/doi/full/10....
www.nejm.org/doi/full/10....
Reposted by Chail Shah,MD
new user-curated feed on neurocritical care! 🧠
the feed searches & organizes posts with NeuroCrit-related hashtags
replying to any post with #neurocrit will add the origional (parent) post to the feed
follow by clicking the link 👇
bsky.app/profile/did:...
the feed searches & organizes posts with NeuroCrit-related hashtags
replying to any post with #neurocrit will add the origional (parent) post to the feed
follow by clicking the link 👇
bsky.app/profile/did:...
November 22, 2024 at 4:21 PM
new user-curated feed on neurocritical care! 🧠
the feed searches & organizes posts with NeuroCrit-related hashtags
replying to any post with #neurocrit will add the origional (parent) post to the feed
follow by clicking the link 👇
bsky.app/profile/did:...
the feed searches & organizes posts with NeuroCrit-related hashtags
replying to any post with #neurocrit will add the origional (parent) post to the feed
follow by clicking the link 👇
bsky.app/profile/did:...
Reposted by Chail Shah,MD
more evidence to support short-course antibiotic therapy after severe brain injury to prevent pneumonia 😃
small study, but consistent with PROPHY-VAP trial
prior evidence along this vein is reviewed here: emcrit.org/pulmcrit/pro... #EMIMCC
small study, but consistent with PROPHY-VAP trial
prior evidence along this vein is reviewed here: emcrit.org/pulmcrit/pro... #EMIMCC
Late-breaking science session #ReSs24! First up the PROTECT trial examining ceftriaxone PPx after cardiac arrest @nickjohnsonmd.bsky.social @pulmtoilet.bsky.social @imcrit.bsky.social @pulmcrit.bsky.social
November 16, 2024 at 6:40 PM
more evidence to support short-course antibiotic therapy after severe brain injury to prevent pneumonia 😃
small study, but consistent with PROPHY-VAP trial
prior evidence along this vein is reviewed here: emcrit.org/pulmcrit/pro... #EMIMCC
small study, but consistent with PROPHY-VAP trial
prior evidence along this vein is reviewed here: emcrit.org/pulmcrit/pro... #EMIMCC
Reposted by Chail Shah,MD
Looking to connect with other Neurocritical Care folks here! And welcome to BlueSky: @neurocritical.bsky.social and @neurocritcarej.bsky.social! #ncc #neurocritical
November 16, 2024 at 3:27 PM
Looking to connect with other Neurocritical Care folks here! And welcome to BlueSky: @neurocritical.bsky.social and @neurocritcarej.bsky.social! #ncc #neurocritical
Reposted by Chail Shah,MD
I created a new feed for Acute Care Medicine 😀
The goal is to curate posts of general interest regarding acute care hospital medicine (e.g., EM, IM, CC).
If you see a great post on these topics, please *reply* with a post that says "emimcc" and the original post will appear in the feed! (1/2)
The goal is to curate posts of general interest regarding acute care hospital medicine (e.g., EM, IM, CC).
If you see a great post on these topics, please *reply* with a post that says "emimcc" and the original post will appear in the feed! (1/2)
November 11, 2024 at 1:02 PM
I created a new feed for Acute Care Medicine 😀
The goal is to curate posts of general interest regarding acute care hospital medicine (e.g., EM, IM, CC).
If you see a great post on these topics, please *reply* with a post that says "emimcc" and the original post will appear in the feed! (1/2)
The goal is to curate posts of general interest regarding acute care hospital medicine (e.g., EM, IM, CC).
If you see a great post on these topics, please *reply* with a post that says "emimcc" and the original post will appear in the feed! (1/2)