𝙟𝙤𝙨𝙝 𝙛𝙖𝙧𝙠𝙖𝙨 💊 @PulmCrit
zentensivist 🧘♂️ FOAMite 🌊 diuresis jedi 💦 leader of the rebel alliance ⚔️ resuscitationist 💉 writer with aweful speling 😬 no COI 💰 emcrit.org/ibcc/toc/ University of Vermont 🐄 Joined October 2012-
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Triple-threat strategy for using LLMs to answer a medical question: 3️⃣ Have your own opinion & use conventional sources 3️⃣ OpenEvidence: looks at highest quality sources, but has blinders 3️⃣ Broad-spectrum LLM gives 3rd opinion fresh tiny blog: emcrit.org/pulmcrit/tripl…
🚨Medetomidine withdrawal: Serious new toxidrome (fresh IBCC chapter)🚨 💣Illicit fentanyl is increasingly adulterated with (dex)medetomidine 💣Combined withdrawal from fentanyl & medetomidine is disastrous 💣Requires specific tx strategy emcrit.org/ibcc/oa2a/
Humanism-first structure for family meetings (fresh blog) 🗣️ 1st part of the meeting explores who the patient is, quality of life, & goals 🗣️ Spend more time talking about the person & less time focused on the disease blog: emcrit.org/pulmcrit/human…
fresh blog: Loading Infusion Auto-Titration (LIAT) for infused meds with intermediate half-lives ⚖️start gtt at max rate ⚖️when therapeutic effect is reached, drop to maintenance gtt ⚖️maintenance rate calculated based on *time* to optimal effect link: emcrit.org/pulmcrit/loadi…
EMCrit 397 - Philosophy of Arterial Lines in the ED - A Debate in Absentia A discussion of some arterial line philosophy, accuracy, and ease of placement. emcrit.org/397
PulmCrit blog: Michelin Chest Syndrome A shallow pigtail chest tube straightens out & lacerates the lung… Side-holes in the chest wall function as a conduit, pushing air into the subcutaneous tissue… Massive subcutaneous emphysema occurs. blog: emcrit.org/pulmcrit/miche…
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/
~1 month after moving to bloo ski, I want to report back that it’s freaking great. 😃 algorithm picks up nice stuff 😃 feeds concentrate high-yield posts 😃 no ads or trash (twitter is becoming NSFW 😬) 😃 getting better every week how-to guide here: emcrit.org/pulmcrit/blues…
In case you’re starting use that new app everyone is talking about… Give us a follow: bsky.app/profile/nejm.o… 🦋
how to quickly set up a useful MedSky account! 🦋 It’s blown up over the past week and it’s increasingly fun & useful. 🦋 This isn’t about politics; it’s a legitly better platform. blog: emcrit.org/pulmcrit/blues…
throttling tweets that contain links is one more small way that twitter is hostile to journals & FOAMed. any platform that discourages links is self-serving (lookin at you instagram).
throttling tweets that contain links is one more small way that twitter is hostile to journals & FOAMed. any platform that discourages links is self-serving (lookin at you instagram).
Elon Musk effectively admits that posts with links are throttled. If you've been wondering why your posts with links to journalistic articles haven't been getting nearly the engagement you would expect, this is why. I have less and less reason to be here.
Now In-Press, a review on Expert use of the Bougie for Airway Management, a paper @Ryan_Barnicle, @BraceyA, and I just published in the Annals. Check it out, I think it came out pretty good: annemergmed.com/article/S0196-…
how it how its started going

Nick Mark MD @nickmmark
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Cliff Reid @cliffreid
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Emily Fridenmaker @emily_fri
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Joel M. Topf, MD FACP @kidney_boy
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Stephen W. Smith @smithECGBlog
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Tony Breu @tony_breu
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Anand Swaminathan MD ... @EMSwami
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Ken Milne MD @TheSGEM
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Eduardo R Argaiz @ArgaizR
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Sourav Mallik @sou22362
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Nick Mark MD @nickmmark
64K Followers 2K Following Intensivist | Husband, Dad² | created the #1 critical care podcast @CritCareTime & infographic site @OnePagerICU | passionate about MedEd & MedTech innovation
Cliff Reid @cliffreid
45K Followers 3K Following EM/ICM/PHEM doc. LOVE learning + teaching. I work in the sky above Sydney, have the attention span of a bullet, + often have days that are like cartoons #FOAMed
Emily Fridenmaker @emily_fri
36K Followers 3K Following Wife | Mom | Appalachian | MD | Pulmonary & Critical Care
Joel M. Topf, MD FACP @kidney_boy
63K Followers 4K Following Saying the product of the kidneys is urine is like saying the product of a factory is pollution. Urine is a by-product. The product is homeostasis COI: link👇🏼
Stephen W. Smith @smithECGBlog
55K Followers 515 Following EM Prof at Hennepin. Co-originator of #OcclusionMI (OMI) paradigm, ECG diagnosis of OMI, trained @pmcardio QoH. https://t.co/jutZW7fHFa… #ECG
Anand Swaminathan MD ... @EMSwami
36K Followers 384 Following EM doc | Views my own | Medical commentary on CNN, Yahoo, MSNBC, NBC. he/him/his
Ken Milne MD @TheSGEM
28K Followers 987 Following Remember to be skeptical of anything you learn, even if you heard it on the Skeptics’ Guide to EM. (he/him)
Eduardo R Argaiz @ArgaizR
20K Followers 3K Following Attending Nephrologist @incmnszmx | Recurrent Faculty @ American Society of Nephrology (ASN) and National Kidney Foundation (NKF) #POCUS #Hemodynamics
Segun Olusanya (He/Hi... @iceman_ex
20K Followers 3K Following Husband to @monanniecakes| Intensivist @nhsbartshealth| Ultrascoundrel |#FOAMed|@thosewecarry|@ics_updates|@wicsbottomline|@esicm|@tea_empathynhs| 🇳🇬
Critical Concepts @critconcepts
15K Followers 921 Following Critical care PA, FCCM, former EMT. Teaches at https://t.co/dhDfHwVfKo, podcasts at https://t.co/1KA4lxqiiO, blogs at https://t.co/Qf4aPrrBRw. #FOAMcc #FOAMed
Critical Care Reviews @CritCareReviews
61K Followers 884 Following The leading critical care evidence dissemination platform. CCR25, Belfast, June 11-13. Now on the nice Blue platform too....
Philippe Rola @ThinkingCC
11K Followers 1K Following #zentensivist, EMCrit Teammate, Proud daddy and husband. ICU Santa Cabrini Hospital. @thinkingcc.bsky.social HR25 registration here: https://t.co/e5LGE7jP3T
Amal Mattu @amalmattu
50K Followers 9 Following Univ of Maryland; creator of https://t.co/GghMJOjaiB videos, #WhiteBoardTeaching; love Princess Bride! tweets are opinions, not standard of care statements
Matt Siuba @msiuba
17K Followers 1K Following #Zentensivist & Critical Care APD @CCF_PCCM | #ThePeoplesVentricle🫀Advocate | PH/RV Hemodynamics (esp in ARDS and Liver Disease) | co-EIC https://t.co/uW5ThxyUNk
Pulm PEEPs @PulmPEEPs
21K Followers 937 Following Our mission is to provide multiple formats for learners to learn pulmonary and critical care medicine 🫁 Co-founders @KMonty_MD and @david_furfaro
M Velia Antonini @FOAMecmo
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Fluid Academy @Fluid_Academy
19K Followers 174 Following International Fluid Academy promotes #FOAM education + innovation. Mark #IFAD2024 May 10 @ECCC_DUBAI and August 20 @crit_sa CCSSA Jo-burg, #SMACC affiliated
Adrian Wong @avkwong
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Nida Qadir, MD @NidaQadirMD
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The Phlegmfighter @phlegmfighter
7K Followers 3K Following #proclimate #pronuclear #professor #pulmonary #intensivist #diagnosis #decisionmaking #clinicalreasoning #probability #firstgen #truthteller #BSdetector
TAL BROSH NISSIMOV @BroshTal
290 Followers 61 Following Head of Infectious Diseases Unit, Assuta Ashdod University Hospital, Ashdod, Israel; Coordinator of the Israeli epidemic management team, Ministry of Health
Robert Herman, MD, Ph... @RobertHermanMD
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Powerful Medical @PowerfulMedical
1K Followers 128 Following A deep-tech company, tackling the most challenging problems of modern medicine using AI & machine learning @pmcardioapp #PMcardio #ECG #CardioTwitter #MedEd
Nirmal Pandey MD DM N... @nirmalregency
8K Followers 1K Following 🅓🅘🅡🅔🅒🅣🅞🅡 Regency Health SGPGIMS | PMCH | BSMC Alum 𝕾𝖍𝖊𝖗𝖑𝖔𝖈𝖐𝖎𝖆𝖓 𝖎𝖓 𝖙𝖍𝖔𝖚𝖌𝖍𝖙𝖘 | 𝕎𝕒𝕥𝕤𝕠𝕟𝕚𝕒𝕟 𝕒𝕥 𝕓𝕖𝕕𝕤𝕚𝕕𝕖
medmalreviewer @medmalreviewer
12K Followers 130 Following A medical malpractice newsletter publishing real-life lawsuits to help doctors improve their medical care.
Neurohospitalist Soci... @Neurohosp
1K Followers 274 Following The Neurohospitalist Society (NHS). Uniting and supporting neurohospitalists worldwide #neurology
Rafael Olivé Leite @RafaelOliveLeit
121 Followers 101 Following Intensivist and professor. I write on Substack about translating biological plausibility into clinical relevance. https://t.co/thujcjWCbl
MGH Heart Center ICU @MGHHCICU
181 Followers 11 Following MGH Heart Center Intensive Care Unit (Cardiac ICU + Cardiac Surgical ICU), a collaboration of Cardiology, Cardiac Surgery, Anesthesiology, EM, and Critical Care
William Aird @WilliamAird4
29K Followers 320 Following Professor of Medicine at Harvard Medical School #Hematology #MedEd Founder of @TheBloodProjec1
Journal of Brown Hosp... @BrownJHM
328K Followers 579 Following Official account of ‘The Brown Journal’. We aim to provide practical information relevant to hospital & internal medicine. PMC Indexed. Posts ≠ medical advice.
UVM Department of Med... @UVMDeptMed
288 Followers 219 Following Official feed of @UVMLarnerMed DOM. Chair Dr Anne Dixon. Great place to work & learn!
Katie Menson @katie_menson
9 Followers 44 Following
MSGERC @MSG_ERC
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Ronen Ben-Ami @RonenBenAmi
114 Followers 480 Following
Dr. Samir Nusair, MD ... @SamirNus
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André Martin Mansoor @AndreMansoor
54K Followers 391 Following Clinician. Author of #FrameworksForInternalMedicine. Cofounder https://t.co/iXxv1ZNGbj. https://t.co/1javJYYL59
ID:IOTS podcasting / ... @IDiots_pod
4K Followers 510 Following Now on BlueSky! https://t.co/FykdlCepsQ. The UK’s Prémièrẽ Infectious Disease Podcast
ADAM @AdameMedia
413K Followers 10K Following Analyst | Commentator | Geopolitics | Breaking News | Newsletter: https://t.co/i4ts3mzp49 | Follow @HiddenRep0rt | Email: [email protected]
Brett Biebelberg, MD @bbiebelberg
2K Followers 745 Following PGY-1 @PennIMResidents, researching sepsis @MassGenBrigham, fighting gun violence @SAGE_Philly, via @Harvard. Biz dev ➜ medicine. 🗣EBM, QI, 🫀🫁, public health
Elie Azoulay @ElieAzoulay5
4K Followers 1K Following Prof Elie Azoulay, MD PhD, Dpt chief, ICU St-Louis hospital, Paris. Past chair ethics section (2010), Past editor in chief Intensive Care Medicine (until2018).
James O'Keefe MD @jamesokeefemd
80 Followers 3 Following American author & cardiologist, co-author of The Forever Young Diet & Lifestyle, a prof at Univ of Missouri–Kansas City & partner in Cardiovascular Consultants
Elizabeth Pocock @lillabits
64 Followers 116 Following
CardioNerds @CardioNerds
40K Followers 11K Following ❤️🤓 Our mission is to democratize cardiovascular education. Co-founders: @AmitGoyalMD & @Dr_DanMD https://t.co/7djeBboTQV #CardsJC #NarrativesInCardiology
theRadiologist @radiologistpage
162K Followers 565 Following For anyone looking to learn about radiology | Run by Dr Naveen Sharma, UK based Radiology Consultant | All images consented | Sign up to my email list:
Emerson Floyd @FloydECGs
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PMcardio—AI that re... @PMcardioApp
4K Followers 20 Following 5 free ECGs EVERY month: detect 39 cardiac abnormalities (STEMI, Arrhythmias, or QTc) on any 12-lead ECG, paper, or digital. Clinically validated in 15+ studies
KASIC.MDRO @KASIC_MDRO
870 Followers 614 Following KASIC was established to innovate and expand antimicrobial stewardship across the Commonwealth of Kentucky. All resources can be found here: https://t.co/S3fLuyiAA6
Indiana University In... @IUIDfellowship
14K Followers 637 Following @IUMedSchool @IUSMDeptMed #IDMedEd PD @sairabt APD @ecoleID #IDtwitter #IDBoardReview https://t.co/7UKjOqbPnb
VentBusters @Vent_Busters
1K Followers 952 Following Critical Care | Mechanical Ventilation Respiratory Care Views expressed my own
Shunichi Nakagawa @snakagawa_md
28K Followers 495 Following Director, Inpatient Palliative Care Services at Columbia University Irving Medical Center. Associate Professor @ColumbiaMed. Posts are personal opinions
Open Forum Infectious... @OFIDJournal
15K Followers 11 Following Open Forum Infectious Diseases publishes clinical, translational, and basic research in a fully open access, online journal. An official journal of @IDSAinfo
MDCalc.com @mdcalc
4K Followers 629 Following MDCalc provides free, quick access to medical scores, algorithms, and calculations for the world's medical community.
Erin McCreary @ErinMcCreary
22K Followers 999 Following Director of Infectious Diseases Improvement & Clinical Research Innovation @UPMC @PittDeptofMed. Host, Breakpoints @SIDPharm. Passionate about patients.
Paul Sax @PaulSaxMD
58K Followers 2K Following Harvard/Brigham Infectious Diseases doctor, writer, @CIDJournal editor, educator. Prefer baseball to football, pizza to sushi, dogs to cats, Beatles to Stones.
Todd C. Lee @DrToddLee
15K Followers 370 Following Clinician-scientist at McGill Fellow of the Infectious Diseases Society of America. Co-inventor of https://t.co/IlHagSloQ3 Immortal-time Lord. Legacy verified.
Bug Pharmacist 💊�... @IDstewardship
39K Followers 1K Following I ❤️ bugs & drugs. Here to teach & learn about antibiotics. Opinions mine. SUBSCRIBE: https://t.co/TcajDzx2AD
Antibiotic Steward Ba... @ABsteward
59K Followers 83 Following Stay up-to-date in Infectious Diseases, Clinical Pharmacist, Antibiotics #IDXposts AKA #IDTwitter T🌟P influencer,@Wiki_Guidelines ,#Interstellar,#Dune,🌹❤️Misk
Letstalkmicro @Letstalkmicro1
3K Followers 1K Following Promoting Let's talk Micro, a podcast about Microbiology explained in simple terms. Hoping to share some Microbiology terms with students and professionals.
Ross Prager @ross_prager
19K Followers 1K Following Intensivist ⚕️ POCUS | Hemodynamics | Innovation Co-founder of https://t.co/A68FZcHc6b -AI research assistant Hemodynamic Calculators: https://t.co/3MMlpWXhRM
Yonatan Greenstein, M... @Yonatan_G_MD
587 Followers 328 Following Husband, dad, crit care, pulmonary, & sleep doc, POCUS focused, Associate Prof @ Rutgers NJMS, Inventor, President & Founder of Sabra Medical. Tweets my own.
Brad Spellberg @BradSpellberg
25K Followers 159 Following CMO Los Angeles General Medical Center, hospitalist, infectious diseases expert, researcher
Rebecca Berger 🇮�... @RebeccaEBerger
4K Followers 5K Following @WeillCornell Hospitalist by way of @Stanford, @ColumbiaPS, @MGHMedicine and @MGHHMU. Former @NEJM Fellow. Interested in pt safety, delivery innovation, med ed.
AABIP @AAB_IP
5K Followers 2K Following Official Twitter of the American Association of Bronchology and Interventional Pulmonology. Content expresses only the views of the curator at time of posting.
Howard Mann @howardm19
1K Followers 60 Following Also on Bluesky: https://t.co/VSlqg5jL00 Thoracic Radiologist at the University of Utah. My tweets are my own.
ERS publications @ERSpublications
32K Followers 303 Following European Respiratory Journal, European Respiratory Review, ERJ Open Research, Breathe, the ERS Monograph and ERS Handbooks, and European Lung White Book
NEJM AI @NEJM_AI
13K Followers 328 Following NEJM AI is a new journal on medical artificial intelligence and machine learning from NEJM Group, the publisher of @NEJM.