PulmonaryCC @PulmonaryCC
We are a Pulmonary & CC fellowship. This is our virtual classroom. The views expressed in this post are my own. They have not been reviewed or approved by Lahey Burlington, MA Joined May 2016-
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This trial randomly assigned patients with coma after out-of-hospital cardiac arrest to undergo targeted hypothermia at 33°C or normothermia with treatment of fever. At 6 months, there were no significant between-group differences regarding death or functional outcomes.
The interleukin-6 receptor blockers tocilizumab and sarilumab were tested against standard care in a randomized trial involving patients newly admitted to the intensive care unit and requiring respiratory or blood-pressure support. #COVID19 #IDTwitter
Excited for @LaheyHospital Medical Ground Rounds tomorrow where @toddrice_ICU will be discussing balanced fluids vs saline
#FOAMed from @CritCareExplore Feasibility and Safety of Prone Position Transport for Severe Hypoxemic #Respiratory Failure Due to #COVID19 Seethala et al: ow.ly/1f0g50DbRsO #FOAMcc #FOAM #openaccess #TransportMedicine @SCCM @SCCMPresident #PedsICU #pulmcc
Even though supplemental oxygen is used for the treatment of patients with hypoxemic respiratory failure, the most effective oxygenation targets are not known. In this randomized trial, a lower oxygenation target did not result in lower mortality than a higher target.
LaheySim twitter is back up and running! Great simulation this week run by Dr Lamb with the pulm crit fellows on how to treat massive hemoptysis. @LHSimCenter @LaheyHospital #CriticalCare
Risk Factors for Cardiovascular Collapse during Tracheal Intubation of Critically III Adults 🔗 ow.ly/IzTd50BaGpK
Dexamethasone in Hospitalized Patients with Covid-19 — Preliminary Report | NEJM nejm.org/doi/full/10.10…
Effects of a high-dose 24-h infusion of tranexamic acid on death and thromboembolic events in patients with acute gastrointestinal bleeding (HALT-IT): an international randomised, double-blind, placebo-controlled trial thelancet.com/journals/lance…
Join moderator Septimiu D. Murgu, MD, FCCP, as he discusses strategies for performing bronchoscopy and tracheostomy during the #COVID19 pandemic with panelists on our upcoming webinar happening this Thursday, June 18, at 3 pm CT. Learn more: hubs.ly/H0rvBGg0
It’s that time of the year again !! We welcome everyone to join the IP course from April 1-4, 2020. It would be a unique opportunity to learn a broad skill set and learn from the best in diagnosis and treatment of complex airway and pleural disease!! cmetracker.net/LAHEY
Now on #LiveStream: Researchers present findings from the VITAMINS trial, which compared the effects of #VitaminC + thiamine added to hydrocortisone on mortality in septic shock. What did they find??: Watch: ja.ma/2FZoipn Read: ja.ma/30uwB5K #CCR20
Results of the PEPTIC trial do not preclude the possibility of a small increase in hospital mortality with PPIs vs H2RBs despite showing a small reduction in clinically important GI bleeding ja.ma/2tgkzB9 #CCR20 #VisualAbstract
Productive year. The group continues to grow and continues to answer important clinical questions.
Productive year. The group continues to grow and continues to answer important clinical questions.
Congrats to Dr.Carla Lamb & the Interventional Pulmonary Team @LaheyHospital for launching their Zephyr Valve program. Zephyr Endobronchial Valves is a less-invasive treatment option for COPD & emphysema. For more information on the Zephyr Valves visit MyLungsMyLife.com
PREPARE trial: Does a fluid bolus prevent hemodynamic decompensation after intubation? (short answer: bringing a bag of crystalloid to laryngoscopy is bringing a knife to a gunfight). Fresh blog: bit.ly/2Btm4w3
Is deep sedation in the emergency department associated with worse clinical outcomes? Find out in this @CritCareMed journal club webcast: bit.ly/2FztkK5 #SCCMSoMe #CritCareMed
The latest publication from the @PCCRG: the #PrePARE randomized trial of a fluid bolus vs none to prevent cardiovascular collapse during endotracheal intubation of critically ill adults is now published in @LancetRespirMed thelancet.com/journals/lanre…
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127 Followers 327 Following 🩺 Resident at @MountAuburnHosp @MAHIMRes @harvardmed Incoming PCCM fellow 🫁 @PccmUvm Alumnus of @kmc_manipal @MAHE_manipalAlec Steils @AlecSteils
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8K Followers 5K Following Consultant Cardiac Intensivist, ECMO, MCS @RBandH | Echo Councillor, EACVI Board @escardio | Senior Lecturer @kingscardio | Editor | Author | EchoFirst | POCUSMatthew Mart @MatthewMartMD
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3K Followers 1K Following Interventional Pulmonologist, interested in health innovation and business of medicine, tweets are my own, follow does not equal endorseSAVE THE DATE: Our 2021 November Critical Care Conference will be held on November 12, 2021. Details coming soon.
pubmed.ncbi.nlm.nih.gov/32948554/ 1,065 critically ill patients undergoing tracheal intubation with planned use of procedural positive-pressure ventilation, enrolled and randomized to receive a 500 mL crystalloid fluid bolus or no fluid bolus
pubmed.ncbi.nlm.nih.gov/34035106/ 1,106 critically ill patients undergoing tracheal intubation, enrolled and randomized to intubation using a bougie or a stylet
The next 2 trials from the @PCCRG have completed enrollment (during a pandemic!), with answers soon to come on these topics:
Our next #COVID19 webinar is starting in just 15 minutes! ⏰ Tune in now: hubs.ly/H0H3XZr0 #CHESTCritCare
@RKleinpell great review of the current state of the practice education and science of critical care advanced practice providers #NursingICU #CCC50 @SCCM
Karen, who was admitted with COVID-19 in March, returned to thank the nurses who cared for her and supported her after she woke up from a medically induced coma to find she had lost her husband, father in law, a friend, and her job. Full story via @WCVB: bit.ly/370CEnz
This week we recognize the hard work and dedication of our respiratory care teams across all of Beth Israel Lahey Health. Each one of you is an integral part to a patient's experience and you work tirelessly to help them breathe easier. Happy #NationalRespiratoryCareWeek
LHMC was named a top 100 hospital for Critical Care, GI care and Spine Surgery by Healthgrades in its 2021 Specialty Excellence Award. In addition, LHMC was also named a top hospital for General Surgery and Pulmonary Care! #proudtoworkhere #Top100
Protocol and statistical analysis plan for the PREventing cardiovascular collaPse with Administration of fluid REsuscitation during Induction and Intubation (PREPARE II) randomised clinical trial - PubMed pubmed.ncbi.nlm.nih.gov/32948554/
Moderator Dr. Alex S. Niven and panelists Drs. Joseph Falise, Kathy L. Fedor, Julie Jackson, Carl Kaplan, Geneva Tatem and Joanne Wozniak discuss strategies to support individual members during the ongoing pandemic. Register now: hubs.ly/H0w6fLD0 #CHESTWellness
Grand rounds with Dr. Fauci Worth watching @LaheyHospital #tssmn @bethisraellahey #COVID #Fauci
#ICYMI: Dr. Anthony Fauci discussed public health & scientific challenges of #COVID19 at @harvardmed grand rounds. Watch the recording: bit.ly/33e2q4U Special thanks to @BIDMC_Medicine's Dr. Sharon Wright for being a panelist & Dr. @EileenEReynolds for co-hosting. #HMGR
Sincere thanks to the Pulmonary and Critical Care Medicine Advanced Practice team for their dedication to the delivery of consistent high-quality medical critical care during the pandemic response! We appreciate all you do @LaheyHospital
Helping his son, Adam, open what looked like a giant birthday present, our own chair of the Division of Infectious Diseases Kenneth M. Wener, MD, had no idea it was a decoy. 🎂 🎉 bit.ly/39im8z5
Sending a congrats to Erin Palmerino for receiving the Jean Cunningham Nursing Excellence Award! Erin exhibits resilience, openness to change through evidence based research, empathy, passion, loyalty and kindness. All the qualities that make her worthy of this award!
Please give a warm welcome to '20-'21 ASPEN President @toddrice_ICU! Dr. Rice is based out of Nashville, TN at Vanderbilt University Medical Center. Get to know Dr. Rice: ow.ly/LSfu50zVtUp #clinicalnutrition #ASPENBoard
This is a great review of management of severe #COVID__19. It does not contain speculative nonsense. In the main it says do what you usually do & take reasonable precautions to keep yourself safe. nejm.org/doi/full/10.10…
Risk Factors for Cardiovascular Collapse During Tracheal Intubation of Critically Ill Adults | Annals of the American Thoracic Society | Articles in Press atsjournals.org/doi/abs/10.151…
I am overjoyed... a #COVID patient I had intubated got better, was extubated and moved out of the ICU. We are making a difference, it seems!
No days off. Thanks to some serious teamwork, Massachusetts is set to receive over 1 million N95 masks for our front-line workers. Huge thanks to the Krafts and several dedicated partners for making this happen.