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Richard Choi, DO, FNCS

@rkchoi.bsky.social
179 followers 178 following 752 posts

#neurocritcare @medstarhealth.bsky.social, Assoc SoMe Editor @NeuroCritCareJ.bsky.social, Past Chair Ethics & Chair elect marketing @neurocritical.bsky.social. Try to post 1 article review or teaching case q2 Wed’s

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Richard Choi, DO, FNCS @rkchoi.bsky.social · 30/09/2026
1/ Hello #medtwitter #medsky #neurotwitter #neurosky #neurocritcare #FOAMEd #MEdEd, today we will be breaking down another article from @neurocritcarej about #CSF drainage in SAH!
link.springer.com
Safety and Additive Efficacy of Dual CSF Drainage (Ventricular + Lumbar) in Severe Aneurysmal Subarachnoid Hemorrhage: A Secondary Analysis of the EARLYDRAIN Trial
Neurocritical Care - The EARLYDRAIN trial demonstrated the efficacy of lumbar drainage (LD) in aneurysmal subarachnoid hemorrhage (aSAH) but did not differentiate between patients requiring dual...
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Richard Choi, DO, FNCS @rkchoi.bsky.social · 28/09/2026
Good read: currents.neurocritic... Neurocritical Care Society
currents.neurocriticalcare.org
Medical Error Disclosure: The Friction Between Patient Safety and Human Frailties
Case Scenario A woman is brought into the emergency department after being found unresponsive at home by her husband returning from work. The...
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Richard Choi, DO, FNCS @rkchoi.bsky.social · 25/09/2026
Do any of you use #ketamine as a sedative in the #ICU?
ovid.com
Ketamine for Analgosedation in Mechanically... : Critical Care Medicine
Objectives:The role of ketamine for analgosedation in the ICU remains unclear. This study aimed to assess the efficacy of low-dose ketamine infusion...
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Richard Choi, DO, FNCS @rkchoi.bsky.social · 21/09/2026
Interesting study, can it affect our ability to prognosticate in #BasilarOcclusion? www.ahajournals.org/...
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Richard Choi, DO, FNCS @rkchoi.bsky.social · 16/09/2026
1/ Hello #medtwitter #medsky #neurotwitter #neurosky #neurocritcare #FOAMEd #MEdEd, today we will be breaking down another article from @neurocritcarej about 🧠 O2 after cardiac arrest!
link.springer.com
Intracranial Pressure and Brain Tissue Oxygen Trajectories after Cardiac Arrest
Neurocritical Care - Brain tissue hypoxia [brain tissue oxygen tension (PbtO2) < 20 mm Hg] and elevated intracranial pressure (ICP) ≥ 22 mm Hg exacerbate...
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Richard Choi, DO, FNCS @rkchoi.bsky.social · 14/09/2026
Important article on #CardiacArrest prognostication: link.springer.com/ar... If you're involved in determining prognosis, this is an important read of how to clinically apply the guidelines!
link.springer.com
When EEG and Brain MRI Disagree After Cardiac Arrest
Neurocritical Care -
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Richard Choi, DO, FNCS @rkchoi.bsky.social · 02/09/2026
1/ Hello #medtwitter #medsky #neurotwitter #neurosky #neurocritcare #FOAMEd #MEdEd, today we will be breaking down a case which this ⏰ comes from a @neurocriticalcarej article:
link.springer.com
Lessons Learned: Earliest Possible Therapeutic Anticoagulation after Cranial Surgery
Neurocritical Care -
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Richard Choi, DO, FNCS @rkchoi.bsky.social · 19/08/2026
1/ Hello #medtwitter #medsky #neurotwitter #neurosky #neurocritcare #FOAMEd #MEdEd, today we will be breaking down another article from @neurocritcarej about the use of #ROTEM in #ICH!
link.springer.com
Association of Rotational Thromboelastometry Parameters with Hematoma Expansion After Spontaneous Intracerebral Hemorrhage
Neurocritical Care - In patients with spontaneous intracerebral hemorrhage (ICH), hematoma expansion (HE) is a strong and potentially modifiable cause of poor outcome and, therefore, an important...
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Richard Choi, DO, FNCS @rkchoi.bsky.social · 05/08/2026
1/ Hello #medtwitter #medsky #neurotwitter #neurosky #neurocritcare #FOAMEd #MEdEd, wanted to go through a shortcase and see what you think. Maybe you’ll even learn something new!
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Richard Choi, DO, FNCS @rkchoi.bsky.social · 01/08/2026
😮🪥 #CVST #NeuroX #neurotwitter www.neurology.org/do...
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Richard Choi, DO, FNCS @rkchoi.bsky.social · 29/07/2026
#VNS for stroke? ✅! #neuroX #neurotwitter #stroke
neurology.org
Two-Year Retention of Benefits After Paired Vagus Nerve Stimulation in Stroke | Neurology
ObjectivesVagus nerve stimulation (VNS) paired with rehabilitation improves short-term upper extremity (UE) function in people with chronic ischemic stroke. Because sustained improvements are needed for people with stroke, we examined the long-term ...
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Richard Choi, DO, FNCS @rkchoi.bsky.social · 27/07/2026
To intubate or not to intubate, that is the question...
neurology.org
General Anesthesia Versus Non-GA in Endovascular Therapy for Acute Ischemic Stroke | Neurology
Background and ObjectivesEndovascular thrombectomy (EVT) improves outcome in acute ischemic stroke (AIS) due to large vessel occlusion, yet the optimal anesthetic strategy remains controversial. Previous meta-analyses using frequentist methods reported no ...
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Richard Choi, DO, FNCS @rkchoi.bsky.social · 24/07/2026
I have always been intrigued by the idea of ischemic conditioning, but always wondered how it would help if done AFTER the event. This initial trial shows some promise, but more data needed before it becomes adopted www.ahajournals.org/...
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Richard Choi, DO, FNCS @rkchoi.bsky.social · 23/07/2026
Interesting data to be aware of when starting #antiseizuremeds #neuroX #neurotwitter
neurology.org
Risk of Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis After Initiation of Antiseizure Medication | Neurology
Background and ObjectivesStevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are serious cutaneous adverse reactions associated with several antiseizure medications, particularly lamotrigine and carbamazepine. We assessed the 90-day ...
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Richard Choi, DO, FNCS @rkchoi.bsky.social · 22/07/2026
1/ Hello #medtwitter #medsky #neurotwitter #neurosky #neurocritcare #FOAMEd #MEdEd, today we will be breaking down another article from @neurocritcarej about the effects of milrinone on 🧠 perfusion! link.springer.com/ar...
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Richard Choi, DO, FNCS @rkchoi.bsky.social · 16/07/2026
Interesting... early intervention in #ICAS www.neurology.org/do...
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Richard Choi, DO, FNCS @rkchoi.bsky.social · 16/07/2026
Another cool study on #stroke. 115cc is a lot! www.ahajournals.org/...
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Richard Choi, DO, FNCS @rkchoi.bsky.social · 14/07/2026
Is this the future of #stroke? www.ahajournals.org/...
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Richard Choi, DO, FNCS @rkchoi.bsky.social · 10/07/2026
Does your 🏥 have a 🧠☠️ policy? This Currents @neurocritical article tackles some important facets on this policy! #Ethics #neurocritcare
currents.neurocriticalcare.org
“Reasonable Accommodation” After Brain Death/Death by Neurologic Criteria
End-of-life discussions between patients or their surrogate loved ones can be fraught with a range of emotions and emotional reactions in the ICU....
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Richard Choi, DO, FNCS @rkchoi.bsky.social · 08/07/2026
1/ Hello #medsky #neurosky #neurocritcare #FOAMEd #MEdEd, wanted to talk about a case and see if you can figure out what’s going on with me and maybe learn a thing or two along the way!
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Richard Choi, DO, FNCS @rkchoi.bsky.social · 06/07/2026
Happy birthday to the best boy who turns 1️⃣ today!
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Richard Choi, DO, FNCS @rkchoi.bsky.social · 05/07/2026
ahajournals.org
Management of Patients at Risk of Ischemic Stroke With Left Ventricular Systolic Dysfunction in the Absence of Intracardiac Thrombus: A Scientific Statement From the American Heart Association | Stroke
Left ventricular (LV) systolic dysfunction, defined here as reduced LV ejection fraction ≤40% or left wall motion abnormality, is commonly found in patients with ischemic stroke. Although there is ...
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Richard Choi, DO, FNCS @rkchoi.bsky.social · 24/06/2026
1/ Hello #medtwitter #medsky #neurotwitter #neurosky #neurocritcare #FOAMEd #MEdEd, today we will be breaking down another article from @neurocritcarej about using #ValproicAcid to manage agitation in #neurocritcare link.springer.com/ar...
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Richard Choi, DO, FNCS @rkchoi.bsky.social · 23/06/2026
Check out this line-up!!! ❤️ Don't forget to register for this webinar! www.neurocriticalcar... Neurocritical Care Society
neurocriticalcare.org
Leadership Webinar: The Art of Difficult Conversations: Providing Formative Feedback
Neurocritical care teams operate in fast‑paced, high‑risk environments where clear communication, trust, and continuous learning are essential for...
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Richard Choi, DO, FNCS @rkchoi.bsky.social · 22/06/2026
Happy Father’s Day to all! Remember fatherhood is not just to those with children but all who act as a coach, teacher, mentor, clinical director… the list goes on. I was fortunate enough that my wife made me a wonderful cake! See recipe enclosed! www.cbc.ca/life/food...
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Richard Choi, DO, FNCS @rkchoi.bsky.social · 10/06/2026
1/ Hello #medtwitter #medsky #neurotwitter #neurosky #neurocritcare #FOAMEd #MEdEd have another brief case that I wanted to discuss with you and see if maybe you can learn something new or reinforce old knowledge! 👋
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Richard Choi, DO, FNCS @rkchoi.bsky.social · 30/05/2026
Check out this wonderful piece on #healthequity #neurocritcare!
currents.neurocriticalcare.org
Inclusion in Neurocritical Care | Now More Than Ever: Why the Fight for Equitable Neurocritical Care Cannot Wait
Growing up in rural Louisiana, my first medical education was from Bobbee, the woman next door who diagnosed and treated most things with astonishing accuracy given her lack of formal education....
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Richard Choi, DO, FNCS @rkchoi.bsky.social · 27/05/2026
1/ Hello #medtwitter #medsky #neurotwitter #neurosky #neurocritcare #FOAMEd #MEdEd, wanted to start with a brief case and then talk about a very exciting new paper out of @neurocritcarej link.springer.com/ar...
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Richard Choi, DO, FNCS @rkchoi.bsky.social · 13/05/2026
1/ Hello #medtwitter #medsky #neurotwitter #neurosky #neurocritcare #FOAMEd #MEdEd have another brief case that I wanted to discuss with you and see if maybe you can learn something new or reinforce old knowledge! 👋
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Richard Choi, DO, FNCS @rkchoi.bsky.social · 02/05/2026
I am so grateful and in awe that it has already been a year since I joined MedStar Health and I work with such an amazing team! Thank you for the cupcakes!!
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Richard Choi, DO, FNCS @rkchoi.bsky.social · 02/05/2026
It's that ⌚ of year to submit your interest if you want to get involved with @neurocritical!
neurocriticalcare.org
Get Involved in NCS
NCS wants YOU to get involved! This is your chance to volunteer with an NCS Committee or Section.
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Reposted by Richard Choi, DO, FNCS
JAMA @jama.com · 30/04/2026
📊 Research Summary: Adjunctive embolization of the middle meningeal artery after surgery lowered symptomatic and radiographic recurrence rates of #ChronicSubduralHematoma compared with surgery alone at 90 days. ja.ma/4ddT5z4
JAMA Research Summary: Management of Chronic Subdural Hematoma With Adjunctive Embolization of Middle Meningeal Artery. Symptomatic recurrence of chronic subdural hematoma: Adjunctive EMMA after surgical drainage 4.3% vs Surgery alone 28%.
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Richard Choi, DO, FNCS @rkchoi.bsky.social · 01/05/2026
Last chance to win a free master class #neurosky #foamed
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Richard Choi, DO, FNCS @rkchoi.bsky.social · 29/04/2026
1/ 👋 there #neurotwitter #neurosky #neurocritcare, as part of my @neurocritcarej #SoMeAmbassador role, today we will be breaking down the following article: link.springer.com/ar... about #OrganDonation and perceptions amongst #neurocritcare
link.springer.com
Neurocritical Care Experience and Attitudes Related to Organ Donation in the USA
Neurocritical Care - There has been a surge in attention to ethical controversies associated with organ donation in the USA. The Neurocritical Care Society (NCS) Ethics Committee sought to...
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Richard Choi, DO, FNCS @rkchoi.bsky.social · 29/04/2026
Hey trainees #neurosky #neurocritcare #foamed #medsky here is a fantastic opportunity to get a free @neurocritical master class!
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Richard Choi, DO, FNCS @rkchoi.bsky.social · 29/04/2026
1/ 👋 there #neurotwitter #neurosky #neurocritcare, as part of my @neurocritcarej #SoMeAmbassador role, today we will be breaking down the following article: link.springer.com/ar... about #OrganDonation and perceptions amongst #neurocritcare
link.springer.com
Neurocritical Care Experience and Attitudes Related to Organ Donation in the USA
Neurocritical Care - There has been a surge in attention to ethical controversies associated with organ donation in the USA. The Neurocritical Care Society (NCS) Ethics Committee sought to...
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Richard Choi, DO, FNCS @rkchoi.bsky.social · 15/04/2026
1/ 👋 there #neurotwitter #neurosky #neurocritcare, as part of my @neurocritcarej #SoMeAmbassador role, today we will be breaking down the following article: link.springer.com/ar... about #DDAVP and Sodium in #ICH
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Richard Choi, DO, FNCS @rkchoi.bsky.social · 01/04/2026
1/ Hello #medtwitter #neurotwitter #neurocritcare #FOAMEd have another brief case that I wanted to discuss with you and see if maybe you can learn something new or reinforce old knowledge! 👋
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Richard Choi, DO, FNCS @rkchoi.bsky.social · 18/03/2026
1/ 👋 there #neurotwitter #neurosky #neurocritcare, as part of my @neurocritcarej #SoMeAmbassador role, today we will be breaking down the following article: link.springer.com/ar... about #covertconsciousness and #NIRS! #CuringComa
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Richard Choi, DO, FNCS @rkchoi.bsky.social · 04/03/2026
1/ 👋 there #neurotwitter #neurosky #neurocritcare, as part of my @neurocritcarej #SoMeAmbassador role, today we will be breaking down the following article: link.springer.com/ar... about consent in research involving #DOC
link.springer.com
Informed Consent Practices in Research Involving Persons with Disorders of Consciousness
Neurocritical Care - The Curing Coma Campaign Ethics Working Group sought to understand informed consent practices for research involving persons with disorders of consciousness (DoC) to establish...
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Richard Choi, DO, FNCS @rkchoi.bsky.social · 18/02/2026
1/ 👋 there #neurotwitter #neurosky #neurocritcare, as part of my @neurocritcarej #SoMeAmbassador role, today we will be breaking down the following article: link.springer.com/ar... about #SeizureProphylaxis in #ICH
link.springer.com
Prophylactic Antiseizure Medication in Patients with Lobar Intracerebral Hemorrhage
Neurocritical Care - Early seizures are a common complication after acute intracerebral hemorrhage (ICH). We tested the hypothesis of whether prophylactic antiseizure medication is associated with...
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Richard Choi, DO, FNCS @rkchoi.bsky.social · 04/02/2026
1/ 👋 there #neurotwitter #neurosky #neurocritcare, as part of my @neurocritcarej #SoMeAmbassador role, today we will be breaking down the following article: link.springer.com/ar... about #ICPMonitoring INFRATENTORIALLY!
link.springer.com
Infratentorial Pressure Monitoring in Cerebellar Stroke: Feasibility and Prognostic Utility
Neurocritical Care - Although supratentorial intracranial pressure (ICP) monitoring represents the current standard in neurocritical care, its validity for assessing infratentorial pathologies...
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Richard Choi, DO, FNCS @rkchoi.bsky.social · 21/01/2026
1/ 👋 there #neurotwitter #neurosky #neurocritcare, as part of my @neurocritcarej #SoMeAmbassador role, today we will be breaking down the following article: link.springer.com/ar... about #AutoimmuneEncephalitis
link.springer.com
Clinical Features and Outcomes in Adult Patients with Autoimmune Encephalitis Requiring Intensive Care: A Retrospective Cohort Study
Neurocritical Care - This study aims to explore the predictors of poor outcomes by analyzing the clinical characteristics and prognosis of adult patients with severe forms of autoimmune...
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Richard Choi, DO, FNCS @rkchoi.bsky.social · 07/01/2026
1/ Hello 👋 #medtwitter #neurotwitter #neurosky #medsky #neurocritcare #FOAMEd have another brief case that I wanted to discuss with you and see if maybe you can learn something new or reinforce old knowledge!
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Richard Choi, DO, FNCS @rkchoi.bsky.social · 29/12/2025
More data suggesting those who get stents with tandem occlusions do better but this is retrospective. What do you think? #cerestandem www.neurology.org/do...
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Richard Choi, DO, FNCS @rkchoi.bsky.social · 26/12/2025
Direct from one of the masters on this topic, check it out! @capt_ammonia So much learning!!! overcast.fm/+AA95ZAa...
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Richard Choi, DO, FNCS @rkchoi.bsky.social · 24/12/2025
Direct from one of the masters on this topic, check it out! @capt_ammonia overcast.fm/+AA95ZAa...
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Richard Choi, DO, FNCS @rkchoi.bsky.social · 23/12/2025
1/ 👋 there #neurotwitter #neurosky #neurocritcare, and Happy Holidays if you celebrate! As part of my @neurocritcarej #SoMeAmbassador role, today we will be breaking down the following article: link.springer.com/ar... about consent in research involving #DoC
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Richard Choi, DO, FNCS @rkchoi.bsky.social · 10/12/2025
1/ 👋 there #neurotwitter #neurosky #neurocritcare, as part of my @neurocritcarej #SoMeAmbassador role, today we will be breaking down the following article: link.springer.com/ar... about #BPVariability in #ICH
link.springer.com
The Association between Hourly Systolic Blood Pressure Variability and Outcomes in Patients with Intracerebral Hemorrhage is Time-Dependent: Post-hoc Analysis of the ATACH-2 Trial
Neurocritical Care - Systolic blood pressure (SBP) variability has been associated with an increase in rates of death or disability in patients with intracerebral hemorrhage (ICH). We analyzed data...
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