Life, death and the ICU

Joined March 2011
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20 May 2025
NEW: Earn CME for reading PulmCCM. We now partner with Learner , a reflective learning platform which lets you earn CME anywhere and anytime learning happens. open.substack.com/pub/pulmcc…

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May 14
Register for HR 2026 today and use PulmCCM promo code for a discount substack.com/@pulmccm/note/c…

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May 13
open.substack.com/pub/pulmcc… New Guideline on care for older adults in the ICU. Isn't that just "care in the ICU"?
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Just-released: Decoder chart incorporating the secret messages in the new PE guidelines
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Jan 12
New Guideline for End-of-Life Care in the ICU : hospitals need to do more. Will they? open.substack.com/pub/pulmcc…
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15 Sep 2025
FDA approves a high-risk device with a <10% chance of success, and CMS agrees Medicare will pay $23,650 per patient for the device, all 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? pulmccm.org/p/can-lungpacer-…
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16 Apr 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/p/sepsis-bundles…
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8 Apr 2025
New society guideline says physicians are responsible for providing “family centered care” pulmccm.org/p/are-you-treati…
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5 Mar 2025
BOLO: CDC receiving multiple reports of serious adverse events with injectable ceftriaxone, state health authorities say pa.gov/content/dam/copapwp-p…

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PulmCCM retweeted
Here's today's jeremiad/screed/philippic inspired by @PulmCCM piece on sepsis tests today: Ignore Any Report of a Diagnostic Test that Highlights /- Predictive Value rather than Sensitivity & Specificity medicalevidenceblog.com/2025… #intellisep #septicyte #septicyterapid

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PulmCCM retweeted
Do you think triage tools like ARDS and sepsis criteria (add delirium) will ever unveil a mechanistic approach to treatment? (Please share I don't have many followers) @PatientStormDoc @PulmCCM @PulmCrit @TheSGEM @emcrit @IM_Crit_
35% Yes
65% No
89 votes • Final results
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