Two papers on high cardiac output states in the special hemodynamics issue of the Journal of Cardiac Failure thanks to hard work by stellar fellows and residents

When they tell me I have a bad bedside manner

your daily reminder: ☕️ coffee is great ☕️ caffeine-free diets for hospitalized patients are silly & cause misery due to caffeine withdrawal #EMIMCC

To recap, among young voters… Prop 50: +58 Sherril: +37 Spanberger: +40 Mamdani: +61 I better see the media start retracting some of those stories saying Gen Z is the most conservative generation.

Mamdani: "We can respond to oligarchy and authoritarianism with the strength it fears, not the appeasement it craves. After all, if anyone can show a nation betrayed by Donald Trump how to defeat him, it is the city that gave rise to him."

Nearly all of the #Gaza Strip’s residents have been displaced. Following the start of the ceasefire, many families tried to return to their homes, most to find only rubble. According to the United Nations Satellite Centre, around 81% of all structures in Gaza are damaged.

After 13 years, Mississippi Democrats have broken the Republican Party’s supermajority in the Mississippi Senate. Democrats flipped two GOP-held Senate seats and one House seat in the special elections. buff.ly/nTvLlFI

“The youngest New York mayor in more than a century. The city’s first Muslim mayor, first South Asian mayor, first mayor born in Africa.” In First Draft from Zeteo, ⁦‪Peter Rothpletz ‬⁩on a historic night for Mamdani, for Dems, for NYC, for America:

“Dick Cheney Has Died. The War Criminal in His Own Words” 10 quotes worth remembering, and that’ll be glossed over in MSM obits, from a former vice president who pushed for a murderous invasion of Iraq, lied about the WMD threat, and defended torture.

He should have died in The Hague.

If you have to remember one thing today, this is it: #foamed #foamcc #meded #Medsky #emimcc

Please use my tax dollars to help feed literally everyone. Age? I don’t care. Citizenship status? Don’t care. Race/gender/religion? Don’t care. Do they have a job? Statistically yeah but don’t care. Do they have nice nails? DON’T CARE.

“Trump’s administration arrested Sami Hamdi following a social media campaign from far-right, Islamophobic figures.” New reporting from Zeteo on the latest example of this administration cracking down on speech on behalf of Israel. Against a British Muslim journalist on a valid visa:

No one knows what is or isn't possible politically. Anyone who says they do is lying.

Shame on NEJM for keeping this under a paywall.

💯 The study doesn’t mean that all A-lines are worthless. It does mean that you can excercise your judgement and if you drag your feet a little to see how patients respond to initial resuscitation thats OK.

New RCT: Avoiding A-line in shock didn't affect mortality (trend towards *reduction*) & decreased line complications They avoided A-lines despite patients requiring pretty substantial doses of vasopressors Very #zentensivist Don't need to rush to an A-line www.nejm.org/doi/full/10.... #EMIMCC

MASSIVE RCT from Kenya showing that steroids reduce mortality in CAP Mortality benefit easier to demonstrate w/ less resources available to salvage pts Should allay the hype that the negative REMAP-CAP steroid RCT received (despite being woefully underpowered) www.nejm.org/doi/pdf/10.1... #EMIMCC

Kat is being federally charged by the FBI for protesting at Broadview. This is a flagrant political prosecution by the Trump administration, which is trying to prevent free speech and free association. I am proud of Kat. Her movement is being targeted by the government. She needs your support.

📊 Research Summary: Personalized resuscitation targeting capillary refill time modestly improved organ support–free days and composite outcomes in early septic shock, but showed no difference in mortality vs usual care. #LIVES2025 @esicm.bsky.social ja.ma/4huvHOa

💬 Editorial: While capillary refill time shows promise for early #SepticShock management, integrating it into broader, multimodal resuscitation strategies remains key to improving outcomes. #LIVES2025 @esicm.bsky.social ja.ma/4hAs5u7

We live in a country where the media is focused more on who a Democratic mayoral candidate defines as his ‘aunt’ than on the DHS Twitter account putting out white nationalist propaganda and replying to Nazis online.

As Americans, we collectively decided almost a century ago that we didn't want to live in a society where some people literally starved while others prospered. We created a system whereby people who are able to pay for food aid, and people with means pay more, and people without means receive aid.

"You Don’t Argue With Extremists. You Organize Against Them" A fascinating piece from a researcher on why debates don't always work as a method of effecting change. As a debater, I don't agree with all of it, but Zeteo is all about encouraging... debate:

jesus christ man, we can’t ever get used to this and normalize it.

"Aristotle has not defined pity and terror. I have." annalsofintensivecare.springeropen.com/counter/pdf/... @drfreeze.bsky.social @khaycock.bsky.social @maxhockstein.bsky.social @zentensivist.bsky.social @thinkingcc.bsky.social

If Congress could do or say literally anything about this at all, that would be cool!

a glorious rebuttal of the asinine MAHA report from a few weeks ago. TLDR: we have ways of making the US healthy but they’re not discussed in the report, and anyhow the current administration is doing everything it can to make people less healthy through its actions. jamanetwork.com/journals/jam...

Layup "orange man bad" story here for major media, feel free not to credit just please write something - anything - about this

Less than an hour from now!

Senator Jeff Merkley says NSPM-7 appears "a strategy to take folks you disagree with and label them a terrorist threat"

Last hurrah today at #CHEST2025

the moment NSPM-7 comes up, CNN anchor laughs nervously and ends the segment. ???

Matt is a distinguished boy I am not My version: a fool with a tool is still a fool...

This is the asymmetry in our politics and media. If this was the other way around, Biden had pardoned someone then charged with trying to kill Trump, it would be the biggest story in America and every Republican commentator, congressman, news outlet, would be screaming about it in unison.

Key point from my invasive CO talk the other day #CHEST2025

Anyone wanting to bring the US healthcare system to your shores is basically at war with you. It's a hostile invasion. Really.

It simply must be a right of all humans. #medicareforall #m4a

In one hour at #CHEST2025 Pulmonary vascular challenges in cirrhosis

Excited to learn from @zentensivist.bsky.social and colleagues about Cardiac Output Monitoring! #CHEST2025

Starting in just over two hours at #CHEST2025 Cardiac output monitoring in 2025: the good, the bad, and the echo

I talked NSPM-7 with @taylorlorenz.bsky.social www.youtube.com/watch?v=vhPp...

Coming soon to #CHEST2025

There are lots of more glaring and physically brutal basic violations of rights going on but it’s weird how ICE just seems to be freely stealing and wrecking people’s possessions too

This is a great opportunity for someone who wants to help shape conversations related to health care advocacy in pulmonary, critical care and sleep medicine!

We need a bigger national spotlight on this building raid, fam. Agents dropped from helicopters onto the roof. Citizens and non-citizens alike were dragged from their homes in the night. People who weren't kidnapped during the raid had their belongings seized after the fact. This is madness.

An intervention with a NNT of 20 for mortality costs negative dollars, involves taking fewer pills, and has 0 side effects. The intervention is stopping aspirin in patients with chronic CAD (including stents >6 mo old) who take an oral anticoagulant.

One of my most common practices on day 1 of service is changing all the diets to regular

be kind and give your patients a REGULAR DIET caffeine-free diets ➡️ caffeine withdrawal sodium-restricted diets aren't evidence-based (use diuretics to balance volume) treat hyperglycemia with insulin (not by artificially restricting carbs) (renal diet for hyperkalemic renal failure = exception)

I know medical people don’t like to be political, but this is happening in a city where an international medical conference will occur in just over two weeks.