Razvan Azamfirei
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razvan.azamfirei.com
Razvan Azamfirei
@razvan.azamfirei.com
critical care | tweets mine (the good ones) | old man yelling at a cloud | @pennanesthesia | @HopkinsMedicine | @Yale | https://azamfirei.com
Completely unrelated to any institution I've been affiliated with and/or any current political events:

bsky.app/profile/jona...
March 20, 2025 at 1:43 AM
That is totally reasonable, and I don't mean to undermine that point. DL is a safe and effective technique.

I am just always surprised by the intensity of people's convictions on the topic. I am waiting to be convinced that the difference in clinical outcomes justifies such intensity.
December 28, 2024 at 2:10 PM
The primary outcome is ¯\_(ツ)_/¯.

I mostly see procal being used by people who already want to deescalate and are looking for an excuse to do so. If you're going to order the procal, just stop the antibiotics a day early.

If anything, the potentially increased mortality is more interesting.
December 9, 2024 at 11:17 PM
Reposted by Razvan Azamfirei
“Professional ethics must guide us precisely when we are told that the situation is exceptional. Then there is no such thing as ‘just following orders.’”

~ Timothy Snyder
December 7, 2024 at 9:20 PM
Moving from weight based to non weight based was so painful. I'm still doing conversions in my head to get a good grasp on pressor requirements.
November 22, 2024 at 3:21 AM
This is great! Thank you for sharing this!
November 19, 2024 at 1:33 PM
(Next day, the sodium actually went down)
November 19, 2024 at 1:31 PM