Just released: decoder chart incorporating the secret messages in the new PE guidelines:

Hospitals need to do more to help clinicians with end of life care, says a major society guideline. Will they? open.substack.com/pub/pulmccm/...

The 116 page 2025 post cardiac arrest guidelines from AHA and ESICM, broken down with some light commentary.

FDA approves a high-risk device with a <10% chance of success, and CMS agrees Medicare will pay $23,650 per case, without requiring the marketer to show it’s superior to a plausible risk-free competitor that costs $75. Can Lungpacer® wean your patient off the vent? www.pulmccm.org/p/can-lungpa...

Please answer this “boards” question on VF: what would you do? www.pulmccm.org/p/the-real-w...

Do you know the gross story of how “sepsis bundles” came to be the law of the land, even though they don’t help?

New society guideline says physicians are responsible for providing “family centered care” www.pulmccm.org/p/are-you-tr...

Melatonin for sleep and delirium prevention in the ICU : does it actually help? www.pulmccm.org/p/sedation-a...

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/ #EMIMCC

BOLO: CDC receiving multiple reports of serious adverse events with injectable ceftriaxone, state health authorities say www.pa.gov/content/dam/...

Neurologists’ job just got harder www.pulmccm.org/p/should-thr...

Reviewing the new “sepsis tests” in this series of posts. open.substack.com/pub/pulmccm/...

vasopressin challenge: this group evaluated 1U bolus of vasopressin to evaluate patient responsiveness I love this for a few reasons: [1] allows vaso to have rapid onset (rather than taking 30-60 min to build up) [2] we can get a sense of whether the vaso is helping 🧵 1/5 #EMIMCC

@sethina.bsky.social could you please add @pulmccm.bsky.social to a starter pack?