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Patrick Bafuma PA-C

@pbafuma.bsky.social
502 followers 206 following 242 posts

EM-turned critical care PA. POCUS, dogmalytics, & infectious disease. Formerly a mastiff, now a dobie.

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Patrick Bafuma PA-C @pbafuma.bsky.social · 10/08/2026
link.springer.com/article/10.1... I feel like the more we do for trauma, the more we might cause harm. Like none of the euboxia works 😞 @emswami.bsky.social might make me think twice before giving it 😔😭😔
link.springer.com
Early calcium replacement after minimal blood transfusion is associated with adverse outcomes - European Journal of Trauma and Emergency Surgery
Purpose Calcium disturbances are common in patients with traumatic injuries, exacerbated by shock and blood product resuscitation. Recently, empiric calcium supplementation has been recommended with t...
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Patrick Bafuma PA-C @pbafuma.bsky.social · 25/07/2026
Idk. Never been a huge fan of this. Probese showed higher peep didn't reduce pulm complications but did increase cardiovascular complications. My RV failure patients don't like this approach much either 😔
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Patrick Bafuma PA-C @pbafuma.bsky.social · 08/07/2026
www.idsociety.org/globalassets...
idsociety.org
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Patrick Bafuma PA-C @pbafuma.bsky.social · 08/07/2026
www.idsociety.org/globalassets...
idsociety.org
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Patrick Bafuma PA-C @pbafuma.bsky.social · 21/06/2026
I mean.... This sounds vaguely familiar but with school sho***** .... 🤢
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Patrick Bafuma PA-C @pbafuma.bsky.social · 13/06/2026
Finally a positive bio fire study 🤣🤣🤣
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Patrick Bafuma PA-C @pbafuma.bsky.social · 13/06/2026
The overwhelming majority of data- even in ESRD, pHTN, and CHF patients shows increased mortality when stingy with IVF early. This shouldnt be a debate anymore 🙁
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Patrick Bafuma PA-C @pbafuma.bsky.social · 28/05/2026
But ... But.... "aZitHroMyCiN hAs AntI iNfLamMaTorY ProPeRtIES"
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Patrick Bafuma PA-C @pbafuma.bsky.social · 30/03/2026
I think I'm going to counter the "don't be political crowd" with "politics should stop getting scientific!"
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Patrick Bafuma PA-C @pbafuma.bsky.social · 28/03/2026
@load-dependent.eurosky.social @schistosomnia.bsky.social important to note we have been down this road repeatedly in the past.... Filtration of some sort always come back into vogue, promising "this time it's different" then eventually shows worse outcomes. I doubt this time is any different.
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Patrick Bafuma PA-C @pbafuma.bsky.social · 28/03/2026
And yep, totally agree on this one. 3-5d of ceftriaxone is probably sufficient for more cases.
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Patrick Bafuma PA-C @pbafuma.bsky.social · 28/03/2026
Smoldering infections tend to give way to higher cancer risk. Not sure if it's been demonstrated with GU Chlamydia, but just about everywhere else we've looked that seems to be the case. Interesting debate points though.
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Patrick Bafuma PA-C @pbafuma.bsky.social · 28/03/2026
Wonder if there is a role in target vaccination for people at risk of deep space infections like ESRD or IVDA 🤔
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Patrick Bafuma PA-C @pbafuma.bsky.social · 20/03/2026
I cut back on avocado toast and gas was still $5.85 in CA 😞
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Patrick Bafuma PA-C @pbafuma.bsky.social · 14/03/2026
@ventwhisperer.bsky.social nice work on the papers! Rec a few: Ventibrain and prolabi suggest 8cc/kg better for neuro pts Patch trial on platelets in ich Prophyvap for intubated neuro pts
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Patrick Bafuma PA-C @pbafuma.bsky.social · 10/03/2026
The sick patient that needs surgery.... Gets sicker, and still needs surgery.
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Patrick Bafuma PA-C @pbafuma.bsky.social · 01/03/2026
academic.oup.com/cid/advance-... Or (Slightly older) www.nejm.org/doi/abs/10.1...
academic.oup.com
Legionella Pneumonia in the Modern Era: Clinical Features and Predictors of Mortality
This multicenter cohort study characterizes contemporary Legionella pneumonia, demonstrating substantial critical illness and mortality. Age, cirrhosis, ly
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Patrick Bafuma PA-C @pbafuma.bsky.social · 25/02/2026
Idk ... Seems like PEEP for obesity is still open for debate. Plus Most higher peep for obese pts in COVID we're a mixed bag- no mortality benefit, but traded renal dysfunction for a few less MV days. jamanetwork.com/journals/jam...
jamanetwork.com
Effect of High PEEP vs Low PEEP on Postoperative Pulmonary Complications in Obese Patients
This randomized trial compares the effects of higher levels of positive end-expiratory pressure (PEEP) with alveolar recruitment maneuvers vs a lower level of PEEP on postoperative respiratory failure...
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Patrick Bafuma PA-C @pbafuma.bsky.social · 22/02/2026
Secondary outcomes not terrible, and might be some inkling of benefit if you strain hard enough. I'm an albumin hater too, but this study doesn't immediately make me shut down others trying to use it (unfortunately)
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Patrick Bafuma PA-C @pbafuma.bsky.social · 17/12/2025
Small correction - it's pyxis not pixis 😇
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Patrick Bafuma PA-C @pbafuma.bsky.social · 14/12/2025
Tend to agree with raj. I've said since early twitter that push dose pressors are a sign of an ill prepared department - just run norepi since you're likely going to need it anyway if you're pushing phenyl or epi. Anecdotally agree with RSI paper- see more hypoTN w/ K + doesnt seem dose dependent
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Reposted by Patrick Bafuma PA-C
Timothy Caulfield @caulfieldtim.bsky.social · 13/12/2025
Narcissism + desire to be unique = conspiracy beliefs. Yep, that fits. Study: "...national narcissism is related to group-attributed need for uniqueness that goes hand in hand with conspiracy beliefs..."
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Patrick Bafuma PA-C @pbafuma.bsky.social · 10/12/2025
MORE organ failure with VitC. Yuck.
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Patrick Bafuma PA-C @pbafuma.bsky.social · 10/12/2025
Sadly, early rehab continues to be labor intensive with questionable returns.
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Reposted by Patrick Bafuma PA-C
JAMA @jama.com · 03/12/2025
💬Viewpoint: Eliminating universal hepatitis B birth dose vaccination risks an estimated 8% increase in annual perinatal #HepatitisB infections in the US, increasing preventable chronic disease burden. ja.ma/3Me0zHh
A "JAMA" article, published online December 3, 2025, titled "Universal Hepatitis B Vaccination at Birth—Risks of Revising the Recommendation" by Michael S. Abers et al., discusses ACIP's review and a possible vote to eliminate the birth dose recommendation.
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Patrick Bafuma PA-C @pbafuma.bsky.social · 10/12/2025
Anyone happen to have a clip for teaching purposes of an aortic dissection... That's caught while trying to find the gall bladder? #POCUSsky
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Patrick Bafuma PA-C @pbafuma.bsky.social · 16/11/2025
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Patrick Bafuma PA-C @pbafuma.bsky.social · 16/11/2025
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Patrick Bafuma PA-C @pbafuma.bsky.social · 03/11/2025
And throw in a dose of ceftriaxone.... pubmed.ncbi.nlm.nih.gov/38262428/
pubmed.ncbi.nlm.nih.gov
Ceftriaxone to prevent early ventilator-associated pneumonia in patients with acute brain injury: a multicentre, randomised, double-blind, placebo-controlled, assessor-masked superiority trial - PubMed
French Ministry of Social Affairs and Health.
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Patrick Bafuma PA-C @pbafuma.bsky.social · 30/10/2025
Not sure what to take away from said trial, except *maaaaaybeeee* there's an signal of "dont miss sepsis induced cardiomyopathy" as evidenced by giving more inotropy/dobutamine in CRT arm. I'm slightly concerned bicar2 is going to push a lot more bicarb drips to save a few HD days....
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Patrick Bafuma PA-C @pbafuma.bsky.social · 19/10/2025
@albertvilella.bsky.social how does Google's offering affect 10x Genomics, it at all? Possibly help by increased awareness/curiosity? Is there a chance it pulls business away eventually? research.google/blog/teachin...
research.google
Teaching machines the language of biology: Scaling large language models for next-generation single-cell analysis
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Patrick Bafuma PA-C @pbafuma.bsky.social · 18/10/2025
Plus there's this .... pubmed.ncbi.nlm.nih.gov/40134633/
pubmed.ncbi.nlm.nih.gov
Effectiveness of Ampicillin-Sulbactam Versus Ceftriaxone for the Initial Treatment of Community-Acquired Pneumonia in Older Adults: A Target Trial Emulation Study - PubMed
In older patients with CAP, initial treatment with ampicillin-sulbactam was associated with higher mortality compared to treatment with ceftriaxone.
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Patrick Bafuma PA-C @pbafuma.bsky.social · 28/09/2025
Staph aureus bacteremia
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Patrick Bafuma PA-C @pbafuma.bsky.social · 23/09/2025
Thoughts on nuc med studies for SAB? Thought there was supposed to be a multi center trial out of Europe due last year but not published yet.... Seems like it might be a "you pick up more, but doesn't seem to matter much/doesn't frequently change management" scenario?
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Patrick Bafuma PA-C @pbafuma.bsky.social · 01/09/2025
Yep. Still, ICU patients that find it beneficial for pain control are the exception. Overwhelming majority of patients we've had on it more often find it deleterious than helpful. This study kind of confirms that bias.
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Patrick Bafuma PA-C @pbafuma.bsky.social · 31/08/2025
Putting pts in a partial K hole is probably a suboptimal idea in the ICU. Tubes and lines in weird places + delirium+ drawing labs = whoa buddy.
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Patrick Bafuma PA-C @pbafuma.bsky.social · 31/08/2025
Over last few years, have started to feel ketamine for pain probably a rescue tactic at best. Lots of better options. If I can't block, precedex >>>> ketamine for pain control. journals.lww.com/anesthesia-a... #EMIMCC
journals.lww.com
Effect of Low-Dose Ketamine Infusion in the Intensive Care... : Anesthesia & Analgesia
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Patrick Bafuma PA-C @pbafuma.bsky.social · 27/08/2025
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Reposted by Patrick Bafuma PA-C
Jon Cooper @joncooper-us.bsky.social · 23/08/2025
Way to go, San Francisco!! 👏👏
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Patrick Bafuma PA-C @pbafuma.bsky.social · 21/08/2025
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Patrick Bafuma PA-C @pbafuma.bsky.social · 11/08/2025
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Patrick Bafuma PA-C @pbafuma.bsky.social · 10/08/2025
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Patrick Bafuma PA-C @pbafuma.bsky.social · 09/08/2025
my taste for ketamine has swayed over the last 5ish years. Precedex as part of multimodal in difficult to control situations anecdotally works more often plus less trippy. Especially if combined with regional anesthesia.
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Patrick Bafuma PA-C @pbafuma.bsky.social · 09/08/2025
Survival to DC. 1/21 vs 1/11. 🫣🤷‍♂️🫣
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Patrick Bafuma PA-C @pbafuma.bsky.social · 08/08/2025
Odds that it will travel stateside next summer?
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Patrick Bafuma PA-C @pbafuma.bsky.social · 08/08/2025
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Patrick Bafuma PA-C @pbafuma.bsky.social · 03/08/2025
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Patrick Bafuma PA-C @pbafuma.bsky.social · 03/08/2025
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Patrick Bafuma PA-C @pbafuma.bsky.social · 30/07/2025
This is so wild and I wonder what the back story is.
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Reposted by Patrick Bafuma PA-C
Ed @notdred.bsky.social · 30/07/2025
Prasad is out at FDA
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