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PulmCCM

@www.pulmccm.org
562 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 · 11/12/2025
Haha, 12 years in I am starting to learn the medium here. Not natural for long formers like us.
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PulmCCM @www.pulmccm.org · 10/12/2025
People think they understand things, and then they find Jon
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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 · 23/03/2025
www.pulmccm.org/p/why-dont-o...
pulmccm.org
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 · 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 · 29/01/2025
Appreciate you saying this. It felt uncomfortable to post it, good to hear it resonated. Thank you
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PulmCCM @www.pulmccm.org · 28/01/2025
Thank you for sharing this!
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PulmCCM @www.pulmccm.org · 28/01/2025
Not trash talking them! Calling them out on this one (important) issue and asking, why?? (Hmm maybe I am one of the ones making this less fun 😆)
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PulmCCM @www.pulmccm.org · 28/01/2025
That is a very interesting read. even trying to be as charitable as possible, it doesn’t reflect well on the specialty’s culture (regarding this specific issue) and the practice patterns it tends to produce. Thank you.
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PulmCCM @www.pulmccm.org · 28/01/2025
Thanks for the repost Josh! and for waving the flag for bluesky- found my way here from your post on pulmcrit. My father in law is actually a retired oncologist - but he’s not on here 😆 Matt
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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
Thank you so much for connecting us all!
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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
Glad to be here! This looks promising…
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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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