A tremendous loss for the community and patient population.

To any health care institution or headhunter seeking world-class physicians and surgeons, the Quebec legistlature has passed a new special law severly impacting the civil and professional liberties of medical practitioners in our province, where average remuneration was already one of the lowest in North America, in a jursidiction with one of the highest tax rates in the world. You now have the opportunity to recruit top medical talent to your institution! Quebec medical professionals are accustomed to working in a resource limited setting, in high-volume practices for discounted rates. Now's your chance to recruit and you can thank @cdube_sante, @francoislegault and the @coalitionavenir for this health care fire sale!

Surprising result: LLMs *did not* perform that well on this year's advent of code. More detail in my latest post 👇 jerpint.io/blog/advent-of-co…

Bedside assessment of left atrial pressure in critical care: a multifaceted gem. 🔗 Crit Care 26, 247 (2022). doi 10.1186/s13054-022-04115-9 #POCUS #FOAMed #FOAMcc

Presented at #CCCF2024: In the BALANCE randomized clinical trial, patients with bacteremia were assigned to 7 or 14 days of appropriate antimicrobial therapy, and 7 days of therapy was found to be noninferior to 14 days. Full trial results: nej.md/3Z5bTJD

I'm prescribing everyone a regular diet without restrictions on carbohydrates or sodium.

La création d'une association dédiée aux médecins spécialisés en soins intensifs au Québec représente un pas important vers la valorisation et la promotion de leur expertise unique. #Expertise #MedInterne @FMSQ

Great thread !

✨ We are delighted to announce Dr. Jason Shahin as the new Director of the Critical Care Program at MUHC. Over the years, Dr. Shahin has distinguished himself first through his research activities in critical care after achieving his junior 1 Chercheurs-Boursiers and through a series of leadership positions at the MUHC. Dr. Shahin’s exceptional leadership abilities, commitment to management excellence, and dedication to patient care equip him superbly to steer the Critical Care Program towards a thriving future. 👏 Please join us in congratulating Dr. Shahin on his well-deserved appointment!

Here is a summary of our approach (2/2)

(7/x) So what is the future of congestion research in my opinion? Understanding endotypes of congestion and disease specific patterns. I think the next big step in venous congestion research is understanding endotypes of congestion, or specific patterns relevant to different populations of congested patients and different causes. For example, how is tricuspid regurgitation associated congestion similar and different to RV failure associated congestion. Also, for different populations, is the threshold that congestion causes injury for septic patients the same as cardiac surgical? (when different physiological status). Lots to discover, but exciting times ahead!

Do you care for sick patients that need phenotyped resuscitation? If so, you can't miss this 👇 @ArgaizR and I are taking #hcprounds to the next level and are launching our website (hcprounds.com) and newsletter where we explore the cutting edge of hemodynamics, venous congestion and perfusion assessment. Why? Because a 1-size-fits-all approach fails our sickest patients. But... to make this a success, we need your help (only two things!) ! 🆘👇 1) If you haven't already, subscribe to our newsletter (hcprounds.com/#newsletter) 2) retweet this so we can start building a community dedicated to improving the care for our sickest patients 🙏 #meded #foamed #medtwitter #vexus #echofirst #hcprounds

4/ NOTE: Reminder that all literature about neuroprognosis after cardiac arrest is skewed by the self-fulfilling prophecy and withdrawal of life sustaining therapy based on the perception of a poor neurologic prognosis (“cerebral” here encompasses that and actual herniation)

It is hard resuscitating patients on the ward 🏥 You don't have the same resources, personnel, or familiarity with the physical space. This can lead to slow and clunky resuscitations. 🦥 Here are 10 tips for smooth resuscitations on the ward that I learned as a paramedic (and now ICU doctor) 🚑 #medtwitter #foamed #foamcc

#haemodynamics #hemodynamics myths. Myth 1. 'Sepsis causes low SVR and high stroke volume/CO'

Female subgroup notable for lack of benefit signal. Small numbers, but women have more vascular complications, have smaller ventricles to accomodate the device etc. There is a strong argument that we need more evidence in women to be confident in benefit in future trials.

If an expectant mother requires extra help in managing a medical condition during pregnancy, she may need a specialist. That’s the idea behind the JGH’s new Obstetric Medicine Clinic, where expertise is provided by a physician in general internal medicine. bit.ly/3uV4650

It’s scary. When varices bleed. That is, up until the band is freed. Then just when you think the story crested And it’s time for a nap as requested Your pager rings. The resident pings: “We have a question, When is it safe for tube digestion?” Now, says @jatin_GI #livertwitter

It is shocking and deeply upsetting that three young Palestinians were shot here in Burlington, VT. Hate has no place here, or anywhere. I look forward to a full investigation. My thoughts are with them and their families.

This is just blatant antisemitism and unacceptable. My old elementary school was targeted by gunfire last night. The rise in antisemitic events in Montreal over the last few weeks is deplorable.