596 Photos and videos
May 26
New study: eCPR programs don't harm cardiac arrest patients who don't receive eCPR — and with hands-on training MCDs on ALS units, survival AND neuro outcomes actually improve. A rising tide lifts all boats. 🫀
Full text: doi.org/10.1080/10903127.202…
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Nick Johnson retweeted
Out-of-hospital cardiac arrest can look devastating early.
The neurologic exam may be poor. The CT may show edema. Families understandably want answers immediately.
But one of the most important principles in post-arrest care is avoiding premature neuroprognostication.
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Between-hospital variability in outcomes after cardiac arrest in a large clinical trial network. See unadjusted (A) and adjusted (B) survival to discharge from #ICECAP sites. Variability likely worse out of clinical trial sites. @ResusJournal resuscitationjournal.com/art…
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Apr 9
Imho this is the single most important behavior for achieving clinical excellence.
King County Medic One's longest-serving paramedic celebrates 45 years on the job
komonews.com/news/local/amaz…
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Nick Johnson retweeted
Apr 1
In adults with moderate to severe #ARDS, inhaled sevoflurane sedation produced fewer ventilator-free days and lower 90-day survival than intravenous propofol, raising safety concerns including acute kidney injury.
🎥 Watch the video and read the full article: ja.ma/3NSEkYH
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Mar 27
RT @uwmnewsroom: Among distinctions that make Seattle one of WA's best places to live: "Harborview Medical Center, which features the only…
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Mar 25
Cardiac arrest versus no cardiac in cardiogenic shock. Combined analysis from all our RCTs. Mortality similar! @AGIKinterv @DGK_AG3 @SVRaoMD @NavinKapur4 @ACVCPresident
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1/ There is a lot about my job in pulmonary and critical care medicine that I find deeply meaningful. But one thing really weighs on me these days, and it is this. 🧵
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Mar 17
📊 Research Summary: Restrictive vs liberal wrist-strap restraint strategies in ICU patients receiving mechanical ventilation produced similar outcomes for delirium, coma, self-extubation, and mortality.
🔗 ja.ma/4lITsEr
#ISICEM26 #ICUCommunity
ALT JAMA Research Summary: Restrictive vs Liberal Physical Restraint Strategies. Low-use strategy: 196 patients. High-use strategy: 200 patients. Low-use strategy: 6.67 days. High-use strategy: 6.30 days. NCT04273360
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Presented at #ISICEM:
Among patients with traumatic hemorrhage, prehospital whole-blood transfusion was not superior to standard transfusion with red-cell and plasma components in reducing the risk of death or massive transfusion. Full phase 3 SWiFT trial results: nejm.org/doi/full/10.1056/NE…
@ISICEM
ALT Table 2. Primary Outcome.
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Five big ideas to improve the care of the critically ill patient (by Derek Angus)
#foamed #foamcc #meded #medtwitter @PittCCM
jamanetwork.com/journals/jam…
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Nick Johnson retweeted
Mar 17
I’m looking forward to reading this one in more detail
No difference in mortality
6% reduction in intubation in HFNC group is exciting though!
Presented at #ISICEM:
In a multicenter trial involving patients with acute hypoxemic respiratory failure, 28-day mortality with high-flow oxygen was not significantly different from that with standard oxygen. Full SOHO trial results: nejm.org/doi/full/10.1056/NE…
Editorial: Rethinking High-Flow Oxygen in Acute Hypoxemic Respiratory Failure nejm.org/doi/full/10.1056/NE…
@ISICEM
ALT 45th International Symposium on Intensive Care and Emergency Medicine Original Article | Mar 17, 2026 | NEJM.org High-Flow or Standard Oxygen in Acute Hypoxemic Respiratory Failure (SOHO) Figure 2A. Overall Survival.
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Mar 17
Interesting that there was also no difference in adverse events like unplanned extubation, though trial
obviously not powered to detect differences in relatively rare safety outcomes.
Mar 17
A restrictive (lower use) wrist-strap restraint approach did not improve #delirium-free or #coma-free days compared to liberal use in mechanically #ventilated #ICU patients. 🧵
🔗 ja.ma/4bsVTX8
#ISICEM26 #ICUCommunity @ISICEM
ALT JAMA study: Low-use physical restraints in ICU patients on mechanical ventilation didn't improve coma/delirium-free days. Population: 245 males, 151 females, median age 65. Intervention: 405 patients randomized, 196 low-use, 200 high-use strategy. Findings: Low-use 6.67 days, High-use 6.30 days.
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Nick Johnson retweeted
Peripheral vasopressor administration in critically ill adults was associated with a low incidence of adverse events—major events were rare using short peripheral intravenous catheters, and use avoided central venous catheter placement in 60% of cases.
ja.ma/4btNGSr
ALT JAMA Network Open article titled, \"Incidence of Adverse Events in Peripheral Intravenous Vasopressor Use: A Systematic Review and Meta-Analysis\" by Shang-Jun Zhang Jian, MD, and others. Published March 16, 2026.
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Feb 20
.@AlaskaAir since when do you move young children to sit completely by themselves in a different part of the plane?? second time this has happened in a week, for an Atmos Gold member nonetheless (not that it should happen to any family).
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Nick Johnson retweeted
2 Sep 2025
Nguyen et al: Ability of a Composite Brain Magnetic Resonance Imaging Score to Predict Neurologic Outcomes in Survivors of Out-Of-Hospital Cardiac Arrest
Link: link.springer.com/article/10…
@neurocritical #neurocritcare
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Nick Johnson retweeted
1 Nov 2022
Here’s another pulmonary physiology question that *everyone* who gives O2 to patients ought to know:
What is the primary mechanism by which supplemental oxygen can increase PaCO2 in someone with severe COPD?
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48%
Hypoxic respiratory drive
21%
Hypoxic vasoconstriction
22%
Haldane effect
9%
Something else / answers
23,074 votes • Final results
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Jan 28
Jan 28
Refractory ventricular fibrillation can be predicted amidst chest compressions during cardiac arrest resuscitation using artificial intelligence @pmjboyle @NickJohnsonMD #Epeeps
doi.org/10.1161/CIRCEP.125.0…
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Nick Johnson retweeted
Jan 12
I wrote something. These are my stories. I imagine many of you have your own. My hope is this valid representation of the weight we carry.
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Nick Johnson retweeted
we collected 145 OHCA videos!
2/3 of patients had post-collapse seizure-like movements and/or agonal breathing (often mistaken by bystanders for signs of life!), leading to delayed recognition of cardiac arrest and initiation of CPR
Resuscitation resuscitationjournal.com/art…
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