PulmCCM
@www.pulmccm.org
Life, death and the ICU
Substack : PulmCCM.org
Substack : PulmCCM.org
FDA approves a high-risk device with a <10% chance of success, and CMS agrees Medicare will pay $23,650 per case, without requiring the marketer to show it’s superior to a plausible risk-free competitor that costs $75.
Can Lungpacer® wean your patient off the vent?
www.pulmccm.org/p/can-lungpa...
Can Lungpacer® wean your patient off the vent?
www.pulmccm.org/p/can-lungpa...
Can Lungpacer® wean your patient off the vent?
What you need to know about the new FDA-approved diaphragm-buzzer
www.pulmccm.org
September 15, 2025 at 3:33 PM
FDA approves a high-risk device with a <10% chance of success, and CMS agrees Medicare will pay $23,650 per case, without requiring the marketer to show it’s superior to a plausible risk-free competitor that costs $75.
Can Lungpacer® wean your patient off the vent?
www.pulmccm.org/p/can-lungpa...
Can Lungpacer® wean your patient off the vent?
www.pulmccm.org/p/can-lungpa...
Please answer this “boards” question on VF: what would you do?
www.pulmccm.org/p/the-real-w...
www.pulmccm.org/p/the-real-w...
THE REAL-WORLD BOARDS: Question #1
An 82-year-old woman in refractory V-fib arrest arrives in the E.D. Your move.
www.pulmccm.org
June 20, 2025 at 2:54 AM
Please answer this “boards” question on VF: what would you do?
www.pulmccm.org/p/the-real-w...
www.pulmccm.org/p/the-real-w...
Do you know the gross story of how “sepsis bundles” came to be the law of the land, even though they don’t help?
"Sepsis bundles": No good evidence of benefit
A randomized trial testing SEP-1 against usual care is long overdue
www.pulmccm.org
April 16, 2025 at 12:43 PM
Do you know the gross story of how “sepsis bundles” came to be the law of the land, even though they don’t help?
New society guideline says physicians are responsible for providing “family centered care”
www.pulmccm.org/p/are-you-tr...
www.pulmccm.org/p/are-you-tr...
Are you treating the patient, or their family?
Both, according to the newest society guideline update
www.pulmccm.org
April 8, 2025 at 10:01 PM
New society guideline says physicians are responsible for providing “family centered care”
www.pulmccm.org/p/are-you-tr...
www.pulmccm.org/p/are-you-tr...
Melatonin for sleep and delirium prevention in the ICU : does it actually help?
www.pulmccm.org/p/sedation-a...
www.pulmccm.org/p/sedation-a...
Sedation, Analgesia, and Sleep Guideline Update: Melatonin
Reviewing the evidence for the newest PADIS recommendation
www.pulmccm.org
March 20, 2025 at 12:22 PM
Melatonin for sleep and delirium prevention in the ICU : does it actually help?
www.pulmccm.org/p/sedation-a...
www.pulmccm.org/p/sedation-a...
Reposted by PulmCCM
Fresh IBCC chapter: Measles in the adult hospitalized patient
🤒 tx = mostly supportive, but there are important nuances
🤒 viral pneumonia has parallels to COVID
🤒 encephalitis appears to be ADEM (not neuroinvasion), treatable with steroid
chapter: emcrit.org/ibcc/measles/ #EMIMCC
🤒 tx = mostly supportive, but there are important nuances
🤒 viral pneumonia has parallels to COVID
🤒 encephalitis appears to be ADEM (not neuroinvasion), treatable with steroid
chapter: emcrit.org/ibcc/measles/ #EMIMCC
March 6, 2025 at 5:49 PM
Fresh IBCC chapter: Measles in the adult hospitalized patient
🤒 tx = mostly supportive, but there are important nuances
🤒 viral pneumonia has parallels to COVID
🤒 encephalitis appears to be ADEM (not neuroinvasion), treatable with steroid
chapter: emcrit.org/ibcc/measles/ #EMIMCC
🤒 tx = mostly supportive, but there are important nuances
🤒 viral pneumonia has parallels to COVID
🤒 encephalitis appears to be ADEM (not neuroinvasion), treatable with steroid
chapter: emcrit.org/ibcc/measles/ #EMIMCC
BOLO: CDC receiving multiple reports of serious adverse events with injectable ceftriaxone, state health authorities say
www.pa.gov/content/dam/...
www.pa.gov/content/dam/...
www.pa.gov
March 5, 2025 at 5:48 PM
BOLO: CDC receiving multiple reports of serious adverse events with injectable ceftriaxone, state health authorities say
www.pa.gov/content/dam/...
www.pa.gov/content/dam/...
Neurologists’ job just got harder
www.pulmccm.org/p/should-thr...
www.pulmccm.org/p/should-thr...
Should thrombolytics be given >4.5 hours after stroke onset?
Improved outcomes despite intracranial hemorrhages in a new meta-analysis
www.pulmccm.org
February 5, 2025 at 4:02 PM
Neurologists’ job just got harder
www.pulmccm.org/p/should-thr...
www.pulmccm.org/p/should-thr...
The new "sepsis tests": do they work?
Part 2 of a series
open.substack.com
January 31, 2025 at 3:30 PM
Reposted by PulmCCM
vasopressin challenge: this group evaluated 1U bolus of vasopressin to evaluate patient responsiveness
I love this for a few reasons:
[1] allows vaso to have rapid onset (rather than taking 30-60 min to build up)
[2] we can get a sense of whether the vaso is helping
🧵 1/5 #EMIMCC
I love this for a few reasons:
[1] allows vaso to have rapid onset (rather than taking 30-60 min to build up)
[2] we can get a sense of whether the vaso is helping
🧵 1/5 #EMIMCC
January 24, 2025 at 3:02 PM
vasopressin challenge: this group evaluated 1U bolus of vasopressin to evaluate patient responsiveness
I love this for a few reasons:
[1] allows vaso to have rapid onset (rather than taking 30-60 min to build up)
[2] we can get a sense of whether the vaso is helping
🧵 1/5 #EMIMCC
I love this for a few reasons:
[1] allows vaso to have rapid onset (rather than taking 30-60 min to build up)
[2] we can get a sense of whether the vaso is helping
🧵 1/5 #EMIMCC
@sethina.bsky.social could you please add @pulmccm.bsky.social to a starter pack?
January 25, 2025 at 5:42 PM
@sethina.bsky.social could you please add @pulmccm.bsky.social to a starter pack?