ICU Hemodynamic Secrets: Whenever I manage a critically ill patient, I am interested in knowing the blood pressure & at least an estimate of the cardiac output (CO). Since placing a pulmonary artery catheter takes some time & effort, I am usually employing workarounds based on #POCUS:

This week took us to ATLANTIS (trial, not the lost city)! This observational study looked at impulse oscillometry in asthma, and found high small airway resistance (5Hz—20Hz) had a 2.26 HR for exacerbations. Small airway dysfunction was found in 36% of well-controlled patients.

New episode out today on the methacholine challenge test. You can listen wherever you get your podcasts or watch the full episode with helpful graphics on our YouTube channel. Like and subscribe! #pulmonology #medicaleducation #asthma

Another highlight from our most recent episode on spontaneous breathing trials! You can listen to the full episode wherever you get your podcasts, or on our website. You can also watch the full episode on our YouTube channel!

⭐️👇 checkout some highlights from our most recent episode on Spontaneous Breathing Trials. Listen to the full episode wherever you get your podcasts or watch the full video on our YouTube channel #criticalcare #mechanicalventilation #FOAMed #medicaleducation #PCCM

#Chestrad - lymphocytic interstitial pneumonia (LIP) 🫁 #radiology #thoracicthursday For more information: radiopaedia.org/articles/lym... @gbama11.medsky.social @grimmrad.bsky.social @laurengroner.bsky.social @pulmpeeps.bsky.social

New Pearls episode out today about Spontaneous Breathing Trials! Listen wherever you get your podcasts, and check out the full video on YouTube: m.youtube.com/watch?v=GpeR... Make sure to like and subscribe. #criticalcare #pulmonology #medicaleducation #mechanicalventilation

This week is all about post-COVID syndrome. A new ERJ article found both face-to-face and remote exercise programs significantly improved exercise capacity in patients with post-COVID syndrome. Check out the article for more on their observed immunomodulatory effects too!

Short of breath with CTEPH? Our latest read found continuing riociguat for 16 weeks after ballon pulmonary angioplasty (BPA) showed no loss of mean exercise cardiac index, compared to a slight loss seen in placebo after BPA. Also, no increase in adverse events with riociguat!

Newest episode out today!! We’re continuing our Pulmonary Hypertension Guidelines Series and diving into risk stratification and treatment goals. Full episode here: www.pulmpeeps.com/2026/01/27/1... Highlights 👇 #pulmonology #MedicalEducation #pulmonaryhypertension #pccm

Are you prescribing Nerandomilast for your pulmonary fibrosis patients yet? Should you be?! Listen to today's episode on the FIBRONEER-IPF trial to learn more: www.pulmpeeps.com/2026/01/13/1... Infographic 👇 #pulmonology #pulmonarymedicine #medicaleducation #FOAMed #pulmonaryfibrosis

Episode highlights from our most recent Pulm PEEPs Pearls episode on airway clearance in non-CF bronchiectasis! Listen to the full episode wherever you get your podcasts or on our website pulmpeeps.com #pulmonology #pulmonarymedicine #medicaleducation #bronchiectasis

Pulm PEEPs is moving more into the video age! Many of our episodes will now have full videos available with helpful graphics spliced in for better reference and education. Like and subscribe to our YouTube channel m.youtube.com/@pulmpeeps

#Chestrad - diffuse alveolar hemorrhage (DAH) 🫁 For more information: radiopaedia.org/articles/dif... #radiology #Thoracicthursday @laurengroner.bsky.social @gbama11.medsky.social @pulmpeeps.bsky.social

Junior #radres - what is the finding? Diagnosis? 🧐 #radiology #chestrad @jordanchamberlinmd.bsky.social @zahrashokrivarniab.bsky.social @pulmpeeps.bsky.social

New Pulm PEEPs pearls ⭐️ episode out today about non-pharmacologic airway clearance for patients with non-CF bronchiectasis! From breathing techniques to percussion, listen in for some key points and takeaways. www.pulmpeeps.com/2026/01/06/1... Image source: link.springer.com/article/10.1...

Today, Dave Furfaro, Luke Hedrick, and Robert Wharton discuss the PREDMETH trial published in NEJM 2025. This was a non-inferiority trial comparing prednisone to methotrexate for upfront therapy in treatment-naive sarcoidosis patients. Listen in for a break down of the trial!

No “cookie cutters” here! This editorial looked at an algorithm for severe asthma therapy based on 1. sputum eosinophilia (T2-High) or neutrophilia (T2-Low) and 2. biologic response. Could similar algorithms in less severe asthma prevent irreversible loss of lung function?

“Plug” in! This prospective cohort study counted COPD patients’ mucus plugs on CTs and tracked exacerbations (AECOPD) over 2 years. Each mucus plug had an 8.3% increased risk of exacerbation, and a HR of 5.02 for >4 mucus plugs vs 0 mucus plugs. doi:10.1016/j.chest.2025.03.026

Difference between PA and AP chest radiograph 🫁 Cr. #shubham_arora #radiology #chestrad @pulmpeeps.bsky.social @nkagetsu.bsky.social

Lung cancer on CT 🫁 Cr. #Shubham_arora #chestrad #radiology @laurengroner.bsky.social @pulmpeeps.bsky.social @gbama11.medsky.social

I have been amazed by the work of the Center for Humanizing the ICU. The center focuses on supporting patients and families with a sense of normalcy and compassion in the most abnormal and difficult times. This Giving Tuesday consider donating! tinyurl.com/jztcy97d

Frontal CXR lines and stripes 🫁 Cr. #Shubham_arora #radiology #chestrad @pulmpeeps.bsky.social @zahrashokrivarniab.bsky.social @jordanchamberlinmd.bsky.social

📢 Calling all #MedEd interested Clinical Problems @atsearlycareer.bsky.social members! Apply for the #ATS2026 Teaching Competition 🧑‍🏫 Submit an 8 minute presentation 📽️ teaching a CP topic of your choice! 🫁 Details and application: site.thoracic.org/membership/a... Applications due February 2026

#Chestrad - lymphangitic carcinomatosis 🫁 For more information: radiopaedia.org/articles/lym... #radiology #thoracicthursday @laurengroner.bsky.social @gbama11.medsky.social @pulmpeeps.bsky.social

New Pulm PEEPS Pearls episode out today about the use of methylene blue in septic shock! Listen here: www.pulmpeeps.com/2025/11/25/1...

Episode from CHEST 2025 around an interesting case of bronchiectasis is out now! Listen in for many pearls including discussion of differential of bronchiectasis by location 👇 www.pulmpeeps.com/2025/11/11/1...

Types of emphysema 🫁 Cr. #devrad #radiology #chestrad @gbama11.medsky.social @drmonikaradike.bsky.social @pulmpeeps.bsky.social

🗣️ new episode out today! A patient is following with you for progressive dyspnea and cough and recurrent pneumonias. Here is there CT progression 👇 Listen to our episode today that was a live presentation at CHEST 2025 to work through the case! #pulm #pccm www.pulmpeeps.com/2025/11/11/1...

New episode out today wrapping up our asthma guidelines series! www.pulmpeeps.com/2025/10/28/1... Infographics below 👇 Stay tuned for our next guidelines series about Pulmonary Hypertension! #pulm #pulmcrit #meded

#Thoracicthursday: Amiodarone toxicity 🫁 For more information: radiopaedia.org/articles/ami... #radiology #chestrad @pulmpeeps.bsky.social @gbama11.medsky.social @ctisus.bsky.social @laurengroner.bsky.social

New episode out today!! We're back with BMJ Thorax to review high yield articles about bronchiectasis. We'll discuss new and emerging treatment options, and cohort studies on etiologies and quality of life. Listen wherever you get your podcasts or at www.pulmpeeps.com

Patterns of nodularity on CT from our most recent Fellows' Case Files from KUMC www.pulmpeeps.com/2025/10/01/1... Apple: podcasts.apple.com/us/podcast/f... Spotify: open.spotify.com/episode/75Dx... Amazon: music.amazon.com/podcasts/913...

A 21-year-old woman who had presented to the pulmonary clinic with a 7-day history of sore throat and cough was noted to have a vertebral abnormality on chest radiograph. 1/2 #MedSky #PulmSky

🆕 Collaboration with RheumNow 🔵 *3-Part Series on Interstitial Lung Disease* Part 3️⃣: Treatment of #ILD 💊 Medication Options for Rx of ILD 🫁 How to Treat Different ILD Subtypes 🚶🏻‍♀️Holistic Approach to Management ❌🚬 #RheumSky #PulmSky #IPF #Rheum #InterstitialLungDisease

Friendly reminder: During an intra-arrest #POCUS, the finding of RV dilation alone is generally insufficient to conclude the presence of a pulmonary embolism & justify the administration of thrombolytics. After a few min of CPR, RV tends to dilate due to

#ARDS in pts with malignancies? Experience high mortality, irrespective of #ECMO. Nuanced ICU goals-of-care discussions needed, as caution when considering #ECLS: general recommendations may not apply to this population #FOAMcc @intenscaremed.bsky.social @schellongowski.bsky.social 🔓 rdcu.be/eI44I

Today's Paper of the Day is: Management of Refractory Anaphylaxis: An Overview of Current Guidelines. https://criticalcarereviews.com/latest-evidence/paper-of-the-day Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2025

A man in his 60s seeks the ED for chest pain starting a couple of hours before. ECG with lateral ST depression (almost painfree at this point). After #POCUS images the interventionalist agreed to take him. 100% LCX occlusion. Patient wins. #EMIMCC

This systematic review included 65 studies & 17,008 patients with #sepsis. The occurence rate of each one of the three #echocardiographic phenotypes, namely left ventricular systolic dysfunction (LVSD), LV diastolic dysfunction (LVDD), & RV dysfunction (RVD) peaked at 48h:

Thanks for everyone who filled out our polls yesterday! The majority of you thought this was tuberculosis, and agree that the miliary pattern, young age, origin from a TB endemic area, and presence of CNS lesions all fits. BUT..... For a reminder here was the original CT 👇

🚨🔊 New episode out today! Case files at KUMC! A 26 year old non-smoking man who immigrated from India and now lives in the mid-west US presents with a generalized tonic-clonic seizure in the setting of 6 months of cough and dyspnea. Here is the initial CT #Pulmonary #CriticalCare #MedicalEducation

New study supporting phenobarb monotherapy for EtOH withdrawal😍 We’ve been seeing more pts with *combined* withdrawal lately (eg opioid + EtOH) IMHO phenobarb is esp useful in complex withdrawal to tx EtOH w/d, avoid delirium, and avoid excessive GABA #EMIMCC #1/2 jamanetwork.com/journals/jam...

Diagnosing Pericarditis: -Pericardium is electrocardiographically silent -Pericarditis w/ ECG changes = pericarditis w/ epicarditis or pericarditis w/ myocarditis. -If troponin markedly elevated, trending up or patient looks toxic, admit to workup myocarditis youtube.com/shorts/jI6Zp... #EMIMCC

Tracheomalacia 🫁 #Chestrad #radiology @laurengroner.bsky.social @drfurkanufuk.bsky.social @pulmpeeps.bsky.social

Dr Meghan Price taking us through her differential diagnosis for non-resolving her pneumonia — from a case she did an amazing job with @pulmpeeps.bsky.social @hopkinspccm.bsky.social

PulmPEEPs #RadiologyRounds are back 🙌 Get ready to test your 🫁 knowledge 💡

#EMIMCC #MEDSky #FOAMed

We're so excited to be launching a new series on our platform! Today's episode is the first Pulm PEEPs Pearl. In this series, Furf and Monty provide high yield reviews of core PCCM topics in 15 minutes or less. Today's episode is about ICI Pneumonitis. What other topics do you want covered?

Patterns of #tuberculosis 🫁 Cr. #devrad #radiology #chestrad @pulmpeeps.bsky.social @laurengroner.bsky.social @mmestas.bsky.social