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iwashyna.bsky.social
#PCCM #Medsky #WTF
iwashyna.bsky.social Jack Iwashyna @iwashyna.bsky.social · Oct 21
Again, I am offering to be a medical consultant for any series w a telemetry monitor or mechanically ventilated patient…

So this doesn’t happen
Screenshot from Netflix’s Black Spot showing a supposedly chronically ventilated patient with brain damage but with a Trach collar on his neck (good!) but an unsecured breathing tube in his mouth connected to a vent (no?)
October 21, 2023 at 9:34 PM
kaminskimed.bsky.social
Pulmonary and Critical Care Skyers - I just created the 'All Things PCCM' feed - if you follow it, you'll see anything related to Pulmonary or Critical Care. Should be a great meeting point for all of us. Check it out at bsky.app/profile/did:...
Thanks @markrubin.bsky.social for the instructions!!!
September 13, 2023 at 1:41 AM
sejordt.bsky.social
#PCCM
bnmelgert.bsky.social Barbro Melgert @bnmelgert.bsky.social · Oct 28
#HiSciSky I am a respiratory immunologist, particularly into #lunghealth #microplastics #macrophages and hoping to reconnect to the wonderful science community once present on the bird site 🧪
October 28, 2023 at 12:08 PM
sejordt.bsky.social
#TobRegSky #MedSky #PCCM #addictionsci #PedSky .

"We argue that the reasoning in these arguments does not support prioritising the interests of people who smoke over the interests of young never-smokers in this context."

tobaccocontrol.bmj.com/content/32/e...
Ethics and ENDS
As debate persists over regulating electronic nicotine delivery systems (ENDS), those favouring liberal ENDS policies have advanced rights-based arguments privileging harm reduction to people who smok...
tobaccocontrol.bmj.com
October 2, 2023 at 9:17 PM
gallodemoraesmd.bsky.social
Curious about decompensation pattern, RRT activation and transfer to higher level of care among pts w/ #ESLD waiting for LiverTx? Read our work below! #medsky #liversky #PCCM #criticalcare
pubmed.ncbi.nlm.nih.gov/39584698/
Exploring Rapid Response Team Activation Impact in Patients with Cirrhosis with Acute Decompensation - PubMed
Liver transplant candidacy in patients with cirrhosis with acute decompensation is not clearly correlated with ICU transfer. Liver transplant candidates are more likely to be younger, have higher MELD...
pubmed.ncbi.nlm.nih.gov
November 26, 2024 at 9:18 PM
annaneumeier.bsky.social
Who won the #SFBay2Breakers2025 - our @cupccmfellows.bsky.social @cu-psccm.bsky.social PCCM fellow- Jake Fox 🔥🫁❤️
May 18, 2025 at 5:09 PM
iwashyna.bsky.social
Annual Hopkins PCCM Hank Fessler physiology lectures by graduating fellows
Alveolar gas equations on one screen, pulmonary fellow on other
May 29, 2025 at 12:11 PM
sejordt.bsky.social
#TobRegSky #PedSky #MedSky #EpiSky #addictionsci #policysky #polisky #PCCM 🛟
FDA Press Conference on the nicotine standard proposal starts at 11:00am EST here:

VIRTUAL PRESS CONFERENCE: FDA’s Proposed Rule on Reducing Nicotine Levels – 1/15/2024
www.youtube.com/live/3-AY3XE...
YouTube
Share your videos with friends, family, and the world
www.youtube.com
January 15, 2025 at 3:34 PM
sejordt.bsky.social
#TobRegSky #PedSky #MedSky #EpiSky #addictionsci #policysky #polisky #PCCM 🛟

French parliament votes to ban disposable e-cigarettes
www.lemonde.fr/en/france/ar...
French parliament votes to ban disposable e-cigarettes
The measure banning single-use electronic cigarettes, popular among young people in France, is part of a wider government anti-smoking campaign.
www.lemonde.fr
February 15, 2025 at 8:03 PM
sejordt.bsky.social
#TobRegSky #PedSky #MedSky #EpiSky #addictionsci #policysky #polisky #PCCM #academicsky 🧪🛟

Thanks, @by-cjewett.bsky.social and @teddyrosenbluth.bsky.social for the timely reporting !

N.I.H. Research Grants Lag $1 Billion Behind Last Year’s
www.nytimes.com/2025/02/14/h...
NIH Research Grants Lag Behind Last Year’s by $1 Billion
After weeks of disruption to scientific federal grants, the National Institutes of Health has fallen behind in funding research into treatments for deadly diseases.
www.nytimes.com
February 14, 2025 at 6:04 PM
gbosslet.bsky.social
I’m going to tag @davidschulman , @jennifer_jwm , @KristinBurkart3 , @DrMCMiles, @GenevaTatemMD, who are PD colleagues in #pccm, and @sanjayvdesai , @TKapetanos , @MitchGoldmanMD, @abbyCCim, @jenchoi_iu and any others who are PDs. I’d love to hear from them on this topic.
3/
December 2, 2024 at 7:38 PM
albertaphdoc.bsky.social
Interested in use of AI to detect #pulmonaryhypertension using just an ECG?

Check out this fascinating paper: publications.ersnet.org/content/erj/...

We will be discussing it Thursday during the #PVRI Community call at 10am EST

Register here 👇
pvrinstitute.org/learning-hub...

#PCCM #CardioSky
PVRI Community Call, November 2024
A monthly Community Call to discuss the latest developments in pulmonary hypertension.
pvrinstitute.org
November 19, 2024 at 6:52 PM
ucsdpccm.bsky.social
The San Diego Pulmonary Society (SDPS), supported by the @lungusa.bsky.social of San Diego, invites San Diego lung health professionals to our first quarterly dinner meeting!
🗓️ Oct. 27 6-8pm Free dinner & education.
Register now: shorturl.at/kmpQk
#PCCM #MedEd #SDPS
San Diego Pulmonary Society
Get ready for a gathering of pulmonary experts - a chance to network, learn, and share knowledge!
shorturl.at
October 15, 2025 at 5:11 PM
sejordt.bsky.social
#TobRegSky #MedSky #addictionsci #PCCM

E-cigarette use and use of other tobacco products by high schoolers has declined, however, tobacco product use by middle schoolers has increased. "Ice" flavors are most popular, illegal Elf Bar and Esco Bar the preferred brands.

www.cdc.gov/mmwr/volumes...
Tobacco Product Use Among U.S. Middle and High School
This report describes findings from the 2023 National Youth
www.cdc.gov
November 2, 2023 at 6:33 PM
zerkawadood.bsky.social
Hi I’m a PCCM doc in Washington!
November 9, 2024 at 6:02 PM
ktfitt87.bsky.social
Learning to teach, ICU rounds #MedSky #MedEdSky #PCCM

www.atsjournals.org/doi/full/10....
December 22, 2024 at 2:28 PM
suehopkins.bsky.social
Do we need a separate one? We have had All Things PCCM for a year or more.
November 17, 2024 at 4:28 PM
sejordt.bsky.social
#TobRegSky #MedSky #PedSky #PCCM

@remalone.bsky.social 's final editorial as Chief Editor of BMJ Tobacco Control. Thanks for the leadership and editorial guidance ! The journal is in good hands.

tobaccocontrol.bmj.com/content/32/6...
New editor at the most exciting time in tobacco control
When I was appointed the third Editor-in-Chief of Tobacco Control in 2009, I did not foresee that the new role I was about to undertake would become a high point of my career. I did not yet completely...
tobaccocontrol.bmj.com
October 20, 2023 at 2:59 AM
jmichaelglovsky.com
Bom dia!

We are opening up our Webinar* today for anyone who wishes to join in an overview of the current #Miami #realestate market, and learn about two stellar new development projects (and completely different product offerings).

Register here: meet.zoho.com/pccm-rlh-rcb
*in English & Portuguese
May 22, 2025 at 3:22 PM
yalepccsm.bsky.social
It's a great day of firsts! It's our first PCCM Fellowship interview day and the first #EducationWednesday of the year!! 🥳 Join us today 👇🏻
September 3, 2025 at 1:39 PM
atsscholar.bsky.social
Video-recorded Endotracheal Intubations: An Educational Tool in Airway Management Training for Pulmonary and Critical Care Fellows

Jiang and colleagues describe their innovative approach to using laryngoscopy videos to improve PCCM airway training
#medsky

tinyurl.com/mr2ud5zh
December 17, 2024 at 4:09 AM
iwashyna.bsky.social
Oh, heck, I shoulda tagged #PCCM #MedSky #EpiSky #Sociology on this, because these studies of Racial Bias in PulseOx Technology sit at the intersection of all
iwashyna.bsky.social Jack Iwashyna @iwashyna.bsky.social · Oct 3
New systematic review from VA HSR&D of 34 studies showing evidence of #RacialBias in #PulseOx

www.hsrd.research.va.gov/publications...

#StructuralRacism #ItsBakedIn
Differential Pulse Oximeter Accuracy, Occult Hypoxemia Prevalence, and Clinical Outcomes by Patient Race/Ethnicity: A Systematic Review Takeaway: Pulse oximeters likely overestimate Black or African American patients' blood oxygen saturation level, increasing the risk for unrecognized or "occult" hypoxemia. Clinicians should be aware of the risk for occult hypoxemia in patients with darker skin pigmentation. Pulse oximeters are used in many clinical settings and provide a rapid and noninvasive means of measuring oxygen saturation. Despite this utility, pulse oximeters may over- or underestimate a patient’s arterial oxygen saturation (SaO2). Overestimating oxygen saturation is especially concerning when pulse oximeter readings of peripheral oxygen saturation (SpO2) indicate a normal blood oxygen level while a patient is actually in a hypoxemic state—a situation known as occult hypoxemia. In response to a request from VA’s National Hospital Medicine Program and Office of Specialty Care Services, HSR&D’s Evidence Synthesis Program (ESP) Coordinating Center located in Portland, Oregon, conducted a systematic review and meta-analysis of evidence on racial and ethnic disparities in the accuracy of pulse oximeters, the prevalence of occult hypoxemia, and clinical outcomes associated with occult hypoxemia. Their final review included 34 primary studies and 1 existing systematic review and meta-ana Summary of Findings Based on this evidence, investigators concluded that: Pulse oximeters likely overestimate Black or African American patients’ blood oxygen saturation levels (moderate strength of evidence), though recent studies in contemporary hospital and health system settings suggest that modern pulse oximeters possess some degree of bias and considerable imprecision regardless of patient race/ethnicity. Occult hypoxemia is likely more common among Black or African American patients compared with White patients (moderate strength of evidence). Compared with White patients, the prevalence of occult hypoxemia was 71% greater among Black or African American patients. Asian, Latino or Hispanic, Native American or Indigenous, or other or mixed race/ethnicity patients may also experience occult hypoxemia more frequently than White patients (low strength of evidence). Evidence is insufficient to draw conclusions about clinical outcomes attributable to race/ethnicity biases in occult Clinicians should be aware of the risk for occult hypoxemia in patients with darker skin pigmentation. Although proposed changes to clinical practice to accommodate bias and imprecision in pulse oximeters may help to mitigate harms in the near-term, advancements in non-invasive oximeter technology are needed. As the largest integrated health system in the United States, VA is uniquely positioned to cultivate innovations in oximeter technology.
October 4, 2023 at 12:34 AM
ukypccmfellowships.bsky.social
Faculty Spotlight! Our PCCM APD, Dr. Sen.

"Though it may sound like a cliché, we're a family. I LOVE the people I work with, the faculty, fellows/residents, nurses and other staff. These are people I love hanging out with outside work and over the years they have helped me grow."

We ♥️⚽💊you too!
February 18, 2025 at 8:48 PM
gbosslet.bsky.social
Hey anyone have a PCCM starter pack going yet?

If so share

If not I started one

If you wanna be on it reply here and share

go.bsky.app/88wg6oG
November 16, 2024 at 4:29 PM
sejordt.bsky.social
#TobRegSky #PedSky #MedSky #PCCM

British American Tobacco starts selling flavored heat sticks with nicotine-infused non-tobacco plant materials, to circumvent EU's upcoming ban of heated flavored tobacco products.

www.reuters.com/business/ret...
Big Tobacco turns to rooibos tea to counter upcoming ban | Reuters
Big Tobacco firms including British American Tobacco are selling heat sticks made from nicotine-infused substances such as rooibos tea, countering an incoming European Union ban on flavoured heated to...
www.reuters.com
October 18, 2023 at 8:49 PM