Reposted by Matt SiubaSegun Olusanya (He/Him) @drfreeze.bsky.social · 14/08/2026#zentensivist reunion with @zentensivist.bsky.social 031
Reposted by Matt SiubaATS Blue Journal @atsblueeditor.bsky.social · 11/08/2026Rocuronium dose and first-attempt intubation success in the critically ill: secondary analysis of two multicenter trials Among adults undergoing intubation with rocuronium, those receiving doses >1.2 mg/kg had higher first-pass success doi.org/10.1093/ajrc... @atscommunity.bsky.social 033
Matt Siuba @zentensivist.bsky.social · 24/04/2026Doing most of my education on ig now but will come here to check in/share papers etc 031
Reposted by Matt SiubaSteven Ilko 🏥 🚁💨 @zentensivistilko.bsky.social · 24/03/2026Absolutely. For as long as it takes I love Day 1 of service. It is the day to scrape the MAR, scrape the note and make things tidy. 011
Matt Siuba @zentensivist.bsky.social · 23/03/2026The success rate of “idk try an inotrope” has to be sub 5%* *even for intermediate physiologic outcomes 261
Reposted by Matt SiubaSabrina @hbgmd.bsky.social · 18/03/2026🛠️ ICU clinicians ❤️ monitoring tools… but ever worry you’re interpreting them wrong? Just out in #journal_CHESTCritCare, M Siuba et al present a HIDI on interpreting invasive hemodynamics in clinical context: www.chestcc.org/article/S294... ➕ learn about esoph manometry! @accpchest.bsky.social 023
Matt Siuba @zentensivist.bsky.social · 18/03/2026Our review on esophageal manometry for invasive hemodynamic monitoring is live at @accpchest.bsky.social Critical Care 041
Reposted by Matt SiubaSeth Trueger @mdaware.org · 16/03/2026new systematic review & meta-analysis on peripheral pressors: "the incidence of adverse events after short-term vasopressor administration through PIV catheters was low… with appropriate monitoring, PIV administration might reduce the need for CVC placement." in @jamanetworkopen.comjamanetwork.comIncidence of Adverse Events in Peripheral Intravenous Vasopressor UseThis systematic review and meta-analysis examines incidence of adverse events and central venous catheter avoidance after peripheral intravenous administration of vasopressors in adults with hypotensi... 253
Reposted by Matt SiubaSeth Trueger @mdaware.org · 16/03/2026commentary by @zentensivist.bsky.social in @jamanetworkopen.com on the safety of peripheral pressors: "PIV administration of vasopressors likely can be accomplished safely, with perhaps less discomfort and harm, compared with conventional CVC-based approaches in some critically ill patients."jamanetwork.comPeripheral Vasopressors for ShockInterest in the use of peripheral intravenous (PIV) catheters to administer vasoactive medications to patients in shock has grown in recent years. Potential benefits include faster shock reversal as w... 232
Reposted by Matt SiubaRobert Reich @rbreich.bsky.social · 03/03/2026Cartoon by Tommy Siegel 8566671686
Reposted by Matt SiubaMatt Thau @thaumatturgist.bsky.social · 26/02/2026Hey @zentensivist.bsky.social , that was a great discussion of the RV you had on Critical Care Time. Thanks! 111
Reposted by Matt SiubaMatt Siuba @zentensivist.bsky.social · 23/02/2026Thrilled to join @nickmark.bsky.social and @askinforair.bsky.social to talk about managing the RV in the ICU YT link here youtu.be/Supq1q7J28w?... Also on your fav podcast platforms 1107
Matt Siuba @zentensivist.bsky.social · 23/02/2026Thrilled to join @nickmark.bsky.social and @askinforair.bsky.social to talk about managing the RV in the ICU YT link here youtu.be/Supq1q7J28w?... Also on your fav podcast platforms 1107
Reposted by Matt SiubaMehdi Hasan @mehdirhasan.bsky.social · 18/02/2026"Jesse Jackson Made It Possible for Democrats to Speak About Palestine" Activist James Zogby pays tribute to his late friend, who was the first politician to welcome Arab Americans into the Democratic Party - and even met with Yasser Arafat when others wouldn't.zeteo.comJesse Jackson Made It Possible for Democrats to Speak About PalestineActivist James Zogby pays tribute to his late friend, who was the first politician to welcome Arab Americans into the Democratic Party - and even met with Yasser Arafat when others wouldn't. 13953177
Matt Siuba @zentensivist.bsky.social · 16/02/2026We looked at thermo vs Direct Fick during exercise and the results might surprise you! Still discordant for absolute values but possibly good enough to classify patients with eg exercise PH or exercise HFpEF based on slope calculations 111
Reposted by Matt SiubaSegun Olusanya (He/Him) @drfreeze.bsky.social · 13/02/2026Thanks to @zentensivist.bsky.social for the HT This is utterly, utterly, brilliant www.leezhaomd.org/post/the-wic...leezhaomd.orgThe Wicked Problem of Surgical FailureOr: Why the Best Surgeons Cannot Escape Variance, and What That Teaches Us About Learning in Complex Systems1. The Ether Dome and the StatisticianOn October 16, 1846, William Morton administered et... 165
Reposted by Matt SiubaPhysicians for a National Health Program (PNHP) @pnhp.bsky.social · 27/01/2026We need health care for all, not militarized immigration enforcement that destabilizes communities across the country. 053
Reposted by Matt SiubaAaron Reichlin-Melnick @reichlinmelnick.bsky.social · 25/01/2026You have to read this. Firsthand affidavit from one of the women who was there and recording the video. She talks about how Alex Pretti was directing traffic when she arrived. She watched him be killed in front of her. She's afraid to go home, worried she'll be arrested. 4362314511151
Reposted by Matt SiubaAndrew Lawrence @ndrew.bsky.social · 14/01/2026ive seen more articles this week about how the phrase “abolish ice” could hurt dems in the midterms than ive seen articles about how paramilitary death squads terrorizing cities will hurt republicans in the midterms 11893702617
Matt Siuba @zentensivist.bsky.social · 14/01/2026Nice work by a stellar team of trainees journals.lww.com/ccmjournal/f... 030
Reposted by Matt SiubaIlhan Omar @ilhanmn.bsky.social · 10/01/2026I was just denied access to the ICE processing center at the Whipple Building. Members of Congress have a legal right and constitutional responsibility to conduct oversight where people are being detained. The public deserves to know what is taking place in ICE facilities. 594156375091
Reposted by Matt SiubaMehdi Hasan @mehdirhasan.bsky.social · 10/01/2026The goal here is martial law. It’s martial law. Let’s be clear about that. 1034225436087
Reposted by Matt SiubaSeth Trueger @mdaware.org · 31/12/2025friendly reminder that urine drug screens are bad tests, they miss a lot of things and a lot of common/benign medications can trigger false positives it's basically an EM boards question to NOT make clinical decisions based on UDSmdaware.blogspot.comUrine Drug Screen False PositivesUpdate 12/31/2025: I found and added a bunch more, including a column for false positives for fentanyl assays and more for LSD and a bunch o... 58714
Matt Siuba @zentensivist.bsky.social · 01/01/2026Asking for a visual abstract on first submission of a manuscript is an act of violence 380
Reposted by Matt SiubaJon-Emile S. Kenny @heart-lung.org · 29/12/2025Great summary of driving pressure and overview of DESIGNATION. Maybe check out some of my old physiology musings too 🤪 www.pulmccm.org/p/can-drivin... @zentensivist.bsky.social @drfreeze.bsky.social @www.pulmccm.org @pulmcrit.bsky.social @maxhockstein.bsky.social 052
Reposted by Matt SiubaTaniel @taniel.bsky.social · 23/12/2025NEW: Ohio has just restricted mail voting, banning the so-called 'grace period' that allows mail ballots to come in the day after Election Day as long as they've been postmarked in time. This is likely to lead to thousands of Dem-leaning ballots to be rejected. Ohio is following Trump's demands.boltsmag.orgOhio Bans Grace Periods for Mail Ballots, Fulfilling Trump’s Wishes - BoltsOhio is the fourth GOP-run state this year to ban ballots that are postmarked by Election Day but arrive after. A Supreme Court case could force that policy nationwide next year. 95650431
Reposted by Matt SiubaJason Hickel @jasonhickel.bsky.social · 23/12/2025NEW: In this short piece (open access!) I describe how ecomodernist visions and "green growth" scenarios rely on fundamentally imperialist assumptions, and have no answer to this problem. brill.com/view/journal...brill.com 47831
Reposted by Matt SiubaJason Hickel @jasonhickel.bsky.social · 23/12/2025The US aggression against Venezuela is naked imperialism. All pretext has been exposed as farce. An invasion would cause tens of thousands of deaths. Every sane person must oppose this madness. 224277
Reposted by Matt SiubaCristian Farias @cristianfarias.com · 21/12/2025In case people need a refresher: The Trump administration is fighting contempt proceedings y in federal court over what happened “inside CECOT” to human beings unlawfully renditioned there. Bari Weiss’s CBS News is now part of the coverup. 131024287
Reposted by Matt SiubaFaine Greenwood @faineg.com · 21/12/2025suspect a big reason why many academics and others who work in areas where getting facts RIGHT is key are disinterested in using LLMs for research: they’ve tried it, they keep noticing major errors in output, and they conclude that having to verify all that doesn’t actually save them time. 1073187614
Reposted by Matt SiubaEmily Moin @emilymoin.com · 10/12/2025Yeah I have a question can I have 20% of my screen back so I can RTFA 5807
Matt Siuba @zentensivist.bsky.social · 10/12/2025Traditionally a ketamine first guy, but I let my trainees choose their med most of the time and don’t see apparent hemodynamic differences I do push the MAP to ~75 with pressors regardless of agent And I do give fent with etomidate Overall agree with @pulmcrit.bsky.social’s take 051
Reposted by Matt SiubaEd @notdred.bsky.social · 03/12/2025Man, this is just the most fucked up blatantly racist shit, for the last forty years any national politician would have been afraid to say anything even remotely like this 611425
Matt Siuba @zentensivist.bsky.social · 19/11/2025Typeset version of our scoping review on RV reserve is now live in the latest issue of @jcfint.bsky.social www.onlinejcfi.org/article/S305...onlinejcfi.orgRight Ventricular Reserve: A Scoping ReviewRight ventricular reserve (RVR) describes the ability of the RV to augment cardiac output via contractile or diastolic reserve under stress, providing valuable insight into latent RV dysfunction acros... 030
Reposted by Matt SiubaLars Mølgaard Saxhaug @load-dependent.eurosky.social · 13/11/2025One of my strong pet peeves: never start vasopressin based on a fixed cutoff for noradrenaline and never without an echo. I strongly oppose the algorithm proposed here #emimcc #cccsky 5173
Matt Siuba @zentensivist.bsky.social · 11/11/2025Two papers on high cardiac output states in the special hemodynamics issue of the Journal of Cardiac Failure thanks to hard work by stellar fellows and residents 170
Reposted by Matt SiubaEd @notdred.bsky.social · 09/11/2025When they tell me I have a bad bedside manner 0141
Reposted by Matt Siubajosh farkas 💊 @pulmcrit.bsky.social · 09/11/2025your daily reminder: ☕️ coffee is great ☕️ caffeine-free diets for hospitalized patients are silly & cause misery due to caffeine withdrawal #EMIMCC 53910
Reposted by Matt SiubaSantiago Mayer @santiagomayer.com · 05/11/2025To recap, among young voters… Prop 50: +58 Sherril: +37 Spanberger: +40 Mamdani: +61 I better see the media start retracting some of those stories saying Gen Z is the most conservative generation. 312485497
Reposted by Matt SiubaAaron Rupar @atrupar.com · 05/11/2025Mamdani: "We can respond to oligarchy and authoritarianism with the strength it fears, not the appeasement it craves. After all, if anyone can show a nation betrayed by Donald Trump how to defeat him, it is the city that gave rise to him." 159183894342
Reposted by Matt SiubaUNRWA @unrwa.org · 05/11/2025Nearly all of the #Gaza Strip’s residents have been displaced. Following the start of the ceasefire, many families tried to return to their homes, most to find only rubble. According to the United Nations Satellite Centre, around 81% of all structures in Gaza are damaged. 24445
Reposted by Matt SiubaMississippi Free Press @mississippifreepress.org · 05/11/2025After 13 years, Mississippi Democrats have broken the Republican Party’s supermajority in the Mississippi Senate. Democrats flipped two GOP-held Senate seats and one House seat in the special elections. buff.ly/nTvLlFImississippifreepress.orgMississippi Democrats Break Republican Senate Supermajority, Flipping 3 Legislative SeatsAfter 13 years, Mississippi Democrats broke the Republican Party's supermajority in the Mississippi Senate, flipping 3 legislative seats. 7660531525
Reposted by Matt SiubaMehdi Hasan @mehdirhasan.bsky.social · 05/11/2025“The youngest New York mayor in more than a century. The city’s first Muslim mayor, first South Asian mayor, first mayor born in Africa.” In First Draft from Zeteo, Peter Rothpletz on a historic night for Mamdani, for Dems, for NYC, for America:zeteo.com🌊 It’s a Blue Wave, Baby!Peter Rothpletz on Zohran Mamdani’s historic win, the Democrats’ electoral sweep, and Graham Platner’s viral response to the passing of Dick Cheney. 321478178
Reposted by Matt SiubaMehdi Hasan @mehdirhasan.bsky.social · 04/11/2025“Dick Cheney Has Died. The War Criminal in His Own Words” 10 quotes worth remembering, and that’ll be glossed over in MSM obits, from a former vice president who pushed for a murderous invasion of Iraq, lied about the WMD threat, and defended torture.zeteo.comDick Cheney Has Died. The War Criminal in His Own Words10 quotes from a former vice president who pushed for a murderous invasion of Iraq, lied about the WMD threat, and defended torture. 1481911571
Reposted by Matt SiubaMehdi Hasan @mehdirhasan.bsky.social · 04/11/2025He should have died in The Hague. 1513802561
Reposted by Matt Siuba@IM_Crit_ @imcrit.bsky.social · 02/11/2025If you have to remember one thing today, this is it: #foamed #foamcc #meded #Medsky #emimcc 23813
Reposted by Matt SiubaAiyana White @aiyanaewhite.bsky.social · 02/11/2025Please use my tax dollars to help feed literally everyone. Age? I don’t care. Citizenship status? Don’t care. Race/gender/religion? Don’t care. Do they have a job? Statistically yeah but don’t care. Do they have nice nails? DON’T CARE. 212528
Reposted by Matt SiubaMehdi Hasan @mehdirhasan.bsky.social · 29/10/2025“Trump’s administration arrested Sami Hamdi following a social media campaign from far-right, Islamophobic figures.” New reporting from Zeteo on the latest example of this administration cracking down on speech on behalf of Israel. Against a British Muslim journalist on a valid visa:zeteo.comTrump Is Detaining a British Muslim Journalist for Criticizing IsraelTrump’s administration arrested Sami Hamdi following a social media campaign from far-right, Islamophobic figures. 17792265
Reposted by Matt SiubaKen Klippenstein @kenklippenstein.bsky.social · 30/10/2025No one knows what is or isn't possible politically. Anyone who says they do is lying. 239940
Reposted by Matt SiubaLars Mølgaard Saxhaug @load-dependent.eurosky.social · 29/10/2025Shame on NEJM for keeping this under a paywall. 162