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almoskow.bsky.social

@almoskow.bsky.social
295 followers 99 following 39 posts

Critical Care and Resuscitation. Montefiore CCM Division. Father of 3. Sleep deprived since 2015.

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Reposted by @almoskow.bsky.social
josh farkas 💊 @pulmcrit.bsky.social · 30/11/2024
important thread 👇 {norepi + vaso} can often induce a state of *normotensive* vasoconstrictive shock this is why I dislike blind algorithms that start with NE, then pile on vaso on without considering global hemodynamics for experts, there is no such thing as a “1st/2nd/3rd line” pressor #EMIMCC
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Reposted by @almoskow.bsky.social
Steven Mathern @stevenmathern.bsky.social · 28/11/2024
Pressure support ventilation ( #PSV), aim of partially unloading the patient’s inspiratory muscles, over-assistance, under-assistance, patient self-inflicted lung injury ( #P-SILI), #pulmsky #emimcc #critcaresky ccforum.biomedcentral.com/articles/10....
ccforum.biomedcentral.com
Pressure support, patient effort and tidal volume: a conceptual model for a non linear interaction - Critical Care
Pressure support ventilation (PSV) is a form of assisted ventilation which has become frequently used, with the aim of partially unloading the patient’s inspiratory muscles. Both under- and over-assis...
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almoskow.bsky.social @almoskow.bsky.social · 27/11/2024
Do you cannulate ‘awake’ (non intubated) for VV ECMO? What’s your experience? Our findings using the ELSO registry match what we’ve seen @montefiorecritcare.bsky.social. About half of patients intubated at 24-hours. No mortality difference. Check it out! pmc.ncbi.nlm.nih.gov/articles/PMC... #emimccm
pmc.ncbi.nlm.nih.gov
“Awake” Cannulation of Patients for Venovenous Extracorporeal Membrane Oxygen: An Analysis of the Extracorporeal Life Support Organization Registry
“Awake” cannulation for venovenous extracorporeal membrane oxygenation (ECMO), where patients remain spontaneously breathing without invasive mechanical ventilation during the cannulation procedure, m...
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almoskow.bsky.social @almoskow.bsky.social · 22/11/2024
Bluesky crowdsource! Patient admitted with CO poisoning (carboxyhemoglobin 32%). Intubated for coma. Whats the benefit of hyperbaric in an intubated patient? How does it work? @nickmark.bsky.social @nickjohnsonmd.bsky.social @pulmcrit.bsky.social @pulmtoilet.bsky.social @avrahamcoopermd.bsky.social
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almoskow.bsky.social @almoskow.bsky.social · 17/11/2024
3 brand new trials comparing IV to IO in OHCA. No survival differences. #ReSS24 #emimcc
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Luke Andrea @lukeandreammc.bsky.social · 17/11/2024
Poster by Montefiore resident Jack Galfund on CT findings after in-hospital cardiac arrest! Many scans would find something that was not previously known, resulting in a change in management. #ReSS2024 #emimcc @almoskow.bsky.social
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Cody Cunningham @cunninghamresus.bsky.social · 17/11/2024
Quick synthesis of the recent trials on ppx antibiotics to prevent VAP
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Reposted by @almoskow.bsky.social
josh farkas 💊 @pulmcrit.bsky.social · 16/11/2024
more evidence to support short-course antibiotic therapy after severe brain injury to prevent pneumonia 😃 small study, but consistent with PROPHY-VAP trial prior evidence along this vein is reviewed here: emcrit.org/pulmcrit/pro... #EMIMCC
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almoskow.bsky.social @almoskow.bsky.social · 16/11/2024
Next up! Looking at long term outcomes after the TTM 24 vs 48hr trial. #emimcc #ReSS24 @pulmcrit.bsky.social @tscquizzato.bsky.social @nickjohnsonmd.bsky.social @joshkimbre.bsky.social
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Tommaso Scquizzato, MD @tscquizzato.com · 16/11/2024
Ceftriaxone 2 gm IV q12h for 3 days vs. matching placebo reduced early-onset pneumonia occurring ≤4 days after intubation in OHCA survivors treated with TTM and may reduce antibiotic resistance gene acquisition through a decrease in antibiotic exposure #ReSS24 @ahascience.bsky.social
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almoskow.bsky.social @almoskow.bsky.social · 16/11/2024
Late-breaking science session #ReSs24! First up the PROTECT trial examining ceftriaxone PPx after cardiac arrest @nickjohnsonmd.bsky.social @pulmtoilet.bsky.social @imcrit.bsky.social @pulmcrit.bsky.social
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almoskow.bsky.social @almoskow.bsky.social · 16/11/2024
Excited to be at #ReSS24! Will try to live Blue-Sky all of the exciting science #emimcc
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almoskow.bsky.social @almoskow.bsky.social · 14/11/2024
New ILCOR cardiac arrest evidence synthesis and recommendations just dropped! New recs on BP goals and seizure PPx post arrest among others. Take a look here and can comment. #emimcc @nickjohnsonmd.bsky.social @pulmcrit.bsky.social @nickmark.bsky.social @ercresus.bsky.social
media.tenor.com
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almoskow.bsky.social @almoskow.bsky.social · 09/11/2024
Hey all! This thing on? Did you know avocado is an amazing source of thiamine?
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