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PulmCCM

@www.pulmccm.org
564 followers 698 following 27 posts

Life, death and the ICU Substack : PulmCCM.org

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PulmCCM @www.pulmccm.org · 22/04/2026
www.pulmccm.org/p/biomarker-...
pulmccm.org
Biomarker-driven AKI prevention improves labs, but what about kidneys?
Bigpak-2 tests the NephroCheck™ story in a larger population
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PulmCCM @www.pulmccm.org · 09/03/2026
Just released: decoder chart incorporating the secret messages in the new PE guidelines:
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PulmCCM @www.pulmccm.org · 12/01/2026
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/...
open.substack.com
New Guideline for End-of-Life Care in the ICU
Time for hospitals to do more. Will they?
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PulmCCM @www.pulmccm.org · 10/12/2025
The 116 page 2025 post cardiac arrest guidelines from AHA and ESICM, broken down with some light commentary.
pulmccm.org
Post-Cardiac Arrest: 2025 Guideline Update
The American Heart Association and the European Society for Intensive Care Medicine each updated their post-cardiac arrest guidelines in 2025.
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PulmCCM @www.pulmccm.org · 15/09/2025
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...
pulmccm.org
Can Lungpacer® wean your patient off the vent?
What you need to know about the new FDA-approved diaphragm-buzzer
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PulmCCM @www.pulmccm.org · 20/06/2025
Please answer this “boards” question on VF: what would you do? www.pulmccm.org/p/the-real-w...
pulmccm.org
THE REAL-WORLD BOARDS: Question #1
An 82-year-old woman in refractory V-fib arrest arrives in the E.D. Your move.
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PulmCCM @www.pulmccm.org · 16/04/2025
Do you know the gross story of how “sepsis bundles” came to be the law of the land, even though they don’t help?
pulmccm.org
"Sepsis bundles": No good evidence of benefit
A randomized trial testing SEP-1 against usual care is long overdue
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PulmCCM @www.pulmccm.org · 08/04/2025
New society guideline says physicians are responsible for providing “family centered care” www.pulmccm.org/p/are-you-tr...
pulmccm.org
Are you treating the patient, or their family?
Both, according to the newest society guideline update
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PulmCCM @www.pulmccm.org · 20/03/2025
Melatonin for sleep and delirium prevention in the ICU : does it actually help? www.pulmccm.org/p/sedation-a...
pulmccm.org
Sedation, Analgesia, and Sleep Guideline Update: Melatonin
Reviewing the evidence for the newest PADIS recommendation
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Reposted by PulmCCM
josh farkas 💊 @pulmcrit.bsky.social · 06/03/2025
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
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PulmCCM @www.pulmccm.org · 07/03/2025
www.pulmccm.org/p/maybe-resc...
pulmccm.org
Maybe reschedule that Friday surgery for Monday
Large cohort study adds evidence for the "weekend effect"
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PulmCCM @www.pulmccm.org · 05/03/2025
BOLO: CDC receiving multiple reports of serious adverse events with injectable ceftriaxone, state health authorities say www.pa.gov/content/dam/...
pa.gov
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PulmCCM @www.pulmccm.org · 18/02/2025
www.pulmccm.org/p/how-long-s...
pulmccm.org
How long should CPR be performed after cardiac arrest in the hospital?
A series to help inform the final life-and-death decision
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PulmCCM @www.pulmccm.org · 05/02/2025
Neurologists’ job just got harder www.pulmccm.org/p/should-thr...
pulmccm.org
Should thrombolytics be given >4.5 hours after stroke onset?
Improved outcomes despite intracranial hemorrhages in a new meta-analysis
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PulmCCM @www.pulmccm.org · 31/01/2025
Reviewing the new “sepsis tests” in this series of posts. open.substack.com/pub/pulmccm/...
open.substack.com
The new "sepsis tests": do they work?
Part 2 of a series
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PulmCCM @www.pulmccm.org · 27/01/2025
open.substack.com/pub/pulmccm/...
open.substack.com
Why don't oncologists refer to palliative care?
And will their own society's strong recommendation ever change their minds?
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PulmCCM @www.pulmccm.org · 25/01/2025
open.substack.com/pub/pulmccm/...
open.substack.com
New "sepsis tests" are here: how well do they work?
Part 1 of a series
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Reposted by PulmCCM
josh farkas 💊 @pulmcrit.bsky.social · 24/01/2025
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
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PulmCCM @www.pulmccm.org · 25/01/2025
@sethina.bsky.social could you please add @pulmccm.bsky.social to a starter pack?
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