Today's Paper of the Day is: Muscle Dysfunction and Physical Recovery After Critical Illness 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

1/ What started as a “hey, wouldn’t it be cool…” 💡 side project turned into a full study on how to identify immunocompromised patients. Gold standard = research coordinators manually labeling statuses ✅
Everything else tested against that.
🔗 academic.oup.com/jamia/advanc...

Does it ever feel like some attendings prone everyone and some attendings prone no one? You're not imaging things! From #CLIFconsortium rockstar Anna Barker and #UMichMed: #journal_CHESTCritCare @hbgmd.bsky.social @chriscarrollmd.com @accpchest.bsky.social www.chestcc.org/article/S294...

Handed out, yet again, the basic #ScrawledGrantAdvice Aims page structure

Brilliant editorial and I can’t believe someone beat me to incorporating a DFW quote into a paper…

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 🗣️ Physicians talk less & *listen* more blog emcrit.org/pulmcrit/hum... #EMIMCC

Having major withdrawal from #CCR25… Extraordinary event, extraordinary people, in an extraordinary place! @criticalcarereviews.com

And if you missed it, not to worry! Donut day can be any (and every) day you choose.

🚨 ENCOMPASS TRIAL Results at #CCR25🚨 📍 8 hospitals 👥 4032 patients 📊 Stepped-wedge cluster RCT 🎯 Tests STAR: nurse-led, telehealth care for high-risk sepsis survivors 🩺 Outcomes: 90-day readmission or death 📺 Free livestream — but it’s better in person!

Dr. Farah Kaiksow shares insight on a systematic review of diagnostic delay in @bmj.com #Quality & #Safety 🔑 points 🔵 Organisational health literacy & cultural competence + explicit bias contribute to diagnostic delay 🟡 What was protective? A primary care provider who expresses empathy

🚨 FLUID Trial Results🚨 Balanced crystalloids vs saline in hospitalised patients 📍 16 Canadian hospitals 👥 >144,000 pts 😮 🏁 Cluster-crossover RCT 📊 90-day death or readmission ➡️ Big trial ! ➡️ Big numbers ! 🚩 The answer drops at #CCR25🚩

. @atscritcare.bsky.social has been my intellectual home for two decades, and it was such an honor today to spend a few moments reflecting on the relevance of the great James Baldwin for teaching and working in this moment -- and what needed skills an intensivist can bring #ATS2025

Standing ovation for @iwashyna.bsky.social extraordinary achievement award!!

We are excited for #ATS2025! Here's the Critical Care Assembly-at-a-Glance and Critical Care Roadmap! @ats-assemblies.bsky.social @atsearlycareer.bsky.social @atscommunity.bsky.social craftprd1.blob.core.windows.net/documents/me...

JAMA Internal Medicine is now on BlueSky! @jamainternalmed.bsky.social #MedSky

Diuretics in critically ill patients: a narrative review of their mechanisms and applications CCR Journal Watch - tracking the critical care literature daily https://criticalcarereviews.com/latest-evidence/journal-watch

Don’t forget to put out your bag of non-perishable food in non-glass containers for your mail carrier tomorrow! (Or make a donation for your local food charity.) Loss of federal grants is hitting food banks hard. @hcwvshunger.bsky.social @shematologist.medsky.social @tmprowell.bsky.social

Me: if you blow all the wisps off in one breath, you get your wish! 9: But mom, you get as many tries as you want to get the things you really wish for. 💛

Highlights need for: Early screening Med optimization 💊 Targeted exercises 🏋️‍♀️ Read more here: journals.lww.com/ccmjournal/p... #icurehab #ICUcare #FallPrevention @zudin.bsky.social @kelamb.bsky.social @catherinegranger.bsky.social er.bsky.social @selinaparry.bsky.social .social Part 2/2

I do my own research by talking to my children’s doctor.

Our environment shapes our health—from air and food to stress and neighborhoods. A new paper from a Banbury Center (@cshlbanbury.bsky.social) meeting at CSHL advocates for exposomics, a new way to measure it all. www.science.org/doi/10.1126/...

Takeaways from @nejm.org acute abdomen review: ➡️ Don’t withhold analgesia ➡️ CT angio abd/pelv w/ IV contrast is usually ideal image; ultrasound for others but high performance variability ➡️ Consult surgery ASAP ➡️ Beware of cognitive bias www.nejm.org/doi/full/10.... #medsky

Made it through church with the 11 year old snickering every time they said Christ is Rizzin’

“And I suggest we only eat out of cans”

​Check out "A Person-Centered Approach to Supplemental Oxygen Therapy in the Outpatient Setting" by my mentee, Angela Suen. This article explores strategies to enhance care for patients using supplemental oxygen, emphasizing personalized education and equipment selection to improve patient outcomes.

If the use of EHR best practice alerts is, at its core, a behavior change technique, how often do they they follow an evidence-based development process? How can we improve BPA design and implementation to increase effectiveness?

Hallie Prescott is a leading voice in #sepsis care and policy. Her work has improved clinical guidelines and outcomes for patients with this life-threatening complication at state, national, and international levels. More about her: ihpi.umich.edu/our-experts/... @hms-mi.bsky.social

Drs. Ashwin Gupta and @davidpaje.bsky.social delivered fantastic presentations during the 2025 Michigan Medicine - Hospital Medicine Research Presentation Day. 👏

“I can no longer, in good conscience, be a part of or lend any kind of support to what I see as increasingly strenuous efforts to comply with each and every immoral and often illegal directive being sent to the National Institutes of Health from the Executive Office of the President.”

"With Sadness and Resolve: Why I Resigned as Chief Medical Officer of an #NIH Institute and What Comes Next" www.atsjournals.org/doi/10.1513/... [open access @annalsats.bsky.social ] Powerful essay, including resignation letter by Dr Josh Fessel in the tradition of www.linkedin.com/posts/nathan...

Sobering but 👏 read in @annalsats.bsky.social THIS PART REAL LOUD, for leadership: "Universities will need to be more flexible than they are used to being... Universities will need to enact values to support excellence even if they cannot, for a time, get a federal contract to support those values."

In 4,759 Latinos, acculturative stress, neighborhood problems+ discrimination were linked to asthma or asthma symptoms, while social cohesion was associated with lower odds of asthma. Depression+ anxiety explained 22%-26% of the cumulative stressors+ asthma symptoms link. @atscommunity.bsky.social

Authors Emily Moin and Scott Halpern of the @upenn.edu join JAMA Associate Editor Christopher Seymour to discuss how ICU care and outcomes have changed in the US over the past decade. 🎧 Listen now: edhub.ama-assn.org/jn-learning/...

cc @um-ihpi.bsky.social @umich.edu

fantastic investigator thread about delving deeper into the BALANCE trial (7 vs 14 day antibiotics for bacteremia) to look for heterogeneity of treatment effect 😁 I was allready a BALANCE trial fanboy… this analysis makes it even more appealing. #EMIMCC

Now completely sold out in-person - but you can still register to attend all but the workshops online! www.eventbrite.com/e/catalyzing... Our stand-out lineup features Tom Maddox, Genevieve Melton-Meaux, Raina Merchant & Mitesh Patel, then panels, posters & workshops. #MedSky #HealthPolicy

aw shucks

Does anyone have any good resources on visualisation of multivariate longitudinal data? So far, I’ve got faceted bivariate plots, alluvial plots, stacked bar graphs. Any others? #rstats #stats

We feel very welcome, here at Bluesky. For all new followers, we aim to post skeets on articles appearing in the @jclinepi.bsky.social Mostly methods-focused articles but also articles explaining concepts relevant to understand important concepts in epidemiology: www.jclinepi.com/content/key_...

#ResearchSavesLives Shot this when I was on service a couple weeks ago youtu.be/SkstSgeUotU

Celebrating a bakers dozen today 💕

I had a great time writing this one! In "Write More, Worry Less: A Guide to Enhancing Your Academic Productivity," I share actionable strategies for building a writing routine ➕ practical examples from my approach. @jhospmedicine.bsky.social shmpublications.onlinelibrary.wiley.com/doi/10.1002/...

Ever wondered how interim analyses work in #RCTs? 📊 Check out our Stats, STAT! video at NEJM Evidence: @nejm.org @ai.nejm.org @sarahgorey.bsky.social evidence.nejm.org/doi/full/10.... #MedStats #ClinicalTrials

Pura Vida

Congrats to my favorites Mari Armstrong-Hough and Tom Valley  www.statnews.com/2025/03/21/s...

Evaluating the evaluation: A qualitative analysis to understand faculty evaluation programs in hospital medicine Anupama Goyal MD, MHP, MBA, Shrestha Sachita MPH, David Bozaan MD, Trevor Denton DPT, Stephanie Taylor MD, MSc First published: 18 March 2025 doi.org/10.1002/jhm....

Despite the significant challenges facing AHRQ and evidence-based research, patients, providers, universities, and more all agree that funding AHRQ is critical for advancing high-value care and improving health care for vulnerable populations. Read more: academyhealth.org/blog/2025-03...

Women will bear the brunt of these budget cuts. Like with Covid, they'll disproportionately be the ones holding it together for their families and their communities as what's left of our social safety net is torn away.

#CLIFconsortium has been so much fun! Excited for more to come!! @wfparker.bsky.social @nick-ingraham.bsky.social @chadhoc.bsky.social and so many more 💖🐶