iiinova — where your digital self keeps evolving

Reposted by Matt Siuba

ATS Blue Journal @atsblueeditor.bsky.social · 11/08/2026

Rocuronium 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

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Matt Siuba @zentensivist.bsky.social · 24/04/2026

Doing most of my education on ig now but will come here to check in/share papers etc

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Matt Siuba @zentensivist.bsky.social · 24/03/2026

Maybe unpopular but I think that’s my fav episode

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Steven Ilko 🏥 🚁💨 @zentensivistilko.bsky.social · 24/03/2026

Absolutely. 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.

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Matt Siuba @zentensivist.bsky.social · 24/03/2026

Hence the need for our mutual practice of zentensivism

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Matt Siuba @zentensivist.bsky.social · 24/03/2026

Too true Even starting vaso, only about half of patients have a BP response, and I never see it stopped when there is no response

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Matt Siuba @zentensivist.bsky.social · 24/03/2026

Haha as long as you’re willing to stop what you started, it can work

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Matt Siuba @zentensivist.bsky.social · 24/03/2026

I think that’s the key, inadequate characterization at the outset is what starts the problem And the second problem is the lack of a follow up assessment after you start something!

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Matt Siuba @zentensivist.bsky.social · 24/03/2026

Don’t even get me started on the cases where SV or clinical perfusion parameters aren’t even being assessed Aka “set it and forget it”

media.tenor.com

a man in a blue shirt and green tie is standing in front of a counter .

ALT: a man in a blue shirt and green tie is standing in front of a counter .

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Matt Siuba @zentensivist.bsky.social · 23/03/2026

The success rate of “idk try an inotrope” has to be sub 5%* *even for intermediate physiologic outcomes

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Sabrina @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

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Matt Siuba @zentensivist.bsky.social · 18/03/2026

Our review on esophageal manometry for invasive hemodynamic monitoring is live at @accpchest.bsky.social Critical Care

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Matt Siuba @zentensivist.bsky.social · 16/03/2026

Omg old school twitter nostalgia

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Seth Trueger @mdaware.org · 16/03/2026

new 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.com

jamanetwork.com

Incidence of Adverse Events in Peripheral Intravenous Vasopressor Use

This 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...

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Matt Siuba @zentensivist.bsky.social · 16/03/2026

Thanks for the opportunity Seth!

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Seth Trueger @mdaware.org · 16/03/2026

commentary 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.com

Peripheral Vasopressors for Shock

Interest 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...

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Reposted by Matt Siuba

Robert Reich @rbreich.bsky.social · 03/03/2026

Cartoon by Tommy Siegel

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Matt Siuba @zentensivist.bsky.social · 26/02/2026

Thanks Matt!! Appreciate the feedback and great to hear from you

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Reposted by Matt Siuba

Matt Thau @thaumatturgist.bsky.social · 26/02/2026

Hey @zentensivist.bsky.social , that was a great discussion of the RV you had on Critical Care Time. Thanks!

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Reposted by Matt Siuba

Matt Siuba @zentensivist.bsky.social · 23/02/2026

Thrilled 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

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Matt Siuba @zentensivist.bsky.social · 23/02/2026

Thrilled 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

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Reposted by Matt Siuba

Mehdi 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.com

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.

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Matt Siuba @zentensivist.bsky.social · 16/02/2026

We 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

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Matt Siuba @zentensivist.bsky.social · 06/02/2026

We don’t have it in cleveland due to $$$

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Reposted by Matt Siuba

Physicians for a National Health Program (PNHP) @pnhp.bsky.social · 27/01/2026

We need health care for all, not militarized immigration enforcement that destabilizes communities across the country.

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Reposted by Matt Siuba

Aaron Reichlin-Melnick @reichlinmelnick.bsky.social · 25/01/2026

You 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.

1. I am a resident of the Whittier neighborhood of Minneapolis, Minnesota. I am over 18 years of age. I am a children's entertainer who specializes in face painting.
2. On Saturday, January 24, 2026, at about 8:50 am, I was getting ready to go to work when I heard whistles outside. I knew the whistles meant that ICE agents were in the area, so I decided to check it out on my way to work. I've been involved in observing in my community because it is so important to document what ICE is doing to my neighbors. Connecting to your local community and knowing who your neighbors are is something I profoundly value.
3. I drove to Nicollet Ave. and 26th where I could hear the whistles coming from. I turned south onto Nicollet. There were already several ICE agents there and they'd set up a sort of vehicle convoy on Nicollet and 28th. There were also about 15 observers there, recording and observing ICE.
4. I saw ICE agents surrounding cars and punching car windows. I also saw them stopping vehicles further down Nicollet, so I backed up because I didn't feel safe continuing on.
5. I noticed a man sort of acting to help traffic move more smoothly. He helped me find a place to park. I got out with my whistle and my camera. I went over to him and said something like, "I'm going to film and use my whistle."
6. It seemed like most ICE activity was happening a little farther down the street from us, near 27th. Someone was being thrown to the ground.

7. I started recording. There was an agent by a car across the street. Two observers were a few feet away from the agent, blowing their whistles. One was wearing a backpack.
8. I and the man who was observing and helping direct traffic were standing in the street. There was a phone in the man's hand recording a video.
9. An agent approached and asked us to back up, so I moved slowly back onto the sidewalk.
10. The man stayed in the street, filming as the other observers I mentioned earlier were being forced backward by another ICE agent threatening them with pepper spray. The man went closer to support them as they got threatened, just with his camera out. I didn't see him reach for or hold a gun.
11. Then the ICE agent shoved one of the other observers to the ground. Then he started pepper spraying all three of them directly in the face and all over. The man with the phone put his hands above his head and the agent sprayed him again and pushed him.
12. Then the man tried to help up the woman the ICE agent had shoved to the ground. The ICE agents just kept spraying. More agents came over and grabbed the man who was still trying to help the woman get up. All three of the observers looked to have been badly affected by the pepper spray. I could feel the pepper spray in my eyes.

13. The agents pulled the man on the ground. I didn't see him touch any of them-he wasn't even turned toward them. It didn't look like he was trying to resist, just trying to help the woman up. I didn't see him with a gun. They threw him to the ground. Four or five agents had him on the ground and they just started shooting him. They shot him so many times.
14.1 don't know why they shot him. He was only helping. I was five feet from him and they just shot him.
15. The video I recorded of what happened accurately depicts the events leading up to the agents shooting him and several minutes afterwards. The video is attached as Exhibit 1.
16. I have read the statement from DHS about what happened and it is wrong. The man did not approach the agents with a gun. He approached them with a camera. He was just trying to help a woman get up and they took him to the ground.
17. I feel afraid. Only hours have passed since they shot a man right in front me and I don't feel like I can go home because I heard agents were looking for me. I don't know what the agents will do when they find me. I do know that they're not telling the truth about what happened. I've heard that other witnesses might have been arrested and taken to the Whipple Building.
18. I am disgusted and gutted at how they are treating my neighbors and my state. I keep alternating between crying and feeling determined it is important to remember the value of documenting injustice. We show up for the people who need us to bear

witness, because it can't just be one group of people bearing the brunt of their tyranny. This is a struggle to protect our freedom and democracy, those things are on the line. He lost his life for those values.
I declare under penalty of perjury that everything I have stated in this document is true and correct.

Dated and signed on Jan 24, 2026 in Hennepin County, State of Minnesota.

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Matt Siuba @zentensivist.bsky.social · 14/01/2026

I will adopt this in the future!

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Reposted by Matt Siuba

Andrew Lawrence @ndrew.bsky.social · 14/01/2026

ive 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

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Matt Siuba @zentensivist.bsky.social · 14/01/2026

Another journal asked me to change the background color of the visual abstract and then resubmit. And then desk rejected it!!

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Matt Siuba @zentensivist.bsky.social · 14/01/2026

Nice work by a stellar team of trainees journals.lww.com/ccmjournal/f...

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Matt Siuba @zentensivist.bsky.social · 10/01/2026

I wish it was just one. Three cardiology journals so far have required at first submission

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Ilhan Omar @ilhanmn.bsky.social · 10/01/2026

I 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.

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Reposted by Matt Siuba

Mehdi Hasan @mehdirhasan.bsky.social · 10/01/2026

The goal here is martial law. It’s martial law. Let’s be clear about that.

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Reposted by Matt Siuba

Seth Trueger @mdaware.org · 31/12/2025

friendly 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 UDS

mdaware.blogspot.com

Urine Drug Screen False Positives

Update 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...

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Matt Siuba @zentensivist.bsky.social · 01/01/2026

Asking for a visual abstract on first submission of a manuscript is an act of violence

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Jon-Emile S. Kenny @heart-lung.org · 29/12/2025

Great 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

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Reposted by Matt Siuba

Taniel @taniel.bsky.social · 23/12/2025

NEW: 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.org

Ohio Bans Grace Periods for Mail Ballots, Fulfilling Trump’s Wishes - Bolts

Ohio 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.

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Jason Hickel @jasonhickel.bsky.social · 23/12/2025

NEW: 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

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Jason Hickel @jasonhickel.bsky.social · 23/12/2025

The 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.

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Cristian Farias @cristianfarias.com · 21/12/2025

In 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.

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Faine Greenwood @faineg.com · 21/12/2025

suspect 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.

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Emily Moin @emilymoin.com · 10/12/2025

Yeah I have a question can I have 20% of my screen back so I can RTFA

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Matt Siuba @zentensivist.bsky.social · 10/12/2025

Traditionally 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

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Ed @notdred.bsky.social · 03/12/2025

Man, 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

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