Emerg Doc / Intensivist. FOAMite. Podcast host for @iBookCC. Passionate about medical education & innovation

Joined January 2014
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And with that, @iBookCC just posted our 100th episode. Thanks for everyone's continued support! @PulmCrit
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Adam Thomas retweeted
2 RCTs testing IV vs IO vascular access in OHCA patients just published in the @NEJM and concomitantly presented at #RESUS24 @ERC_resus ➡️ No difference in 30d survival in both trials ➡️ Higher rate of ROSC with IV access in the #PARAMEDIC3 trial 🇬🇧 nejm.org/doi/full/10.1056/NE… 🇩🇰 nejm.org/doi/full/10.1056/NE… Congratulations to the authors for randomizing 6082 1506 patients to answer this important question!
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🚨 🏥 Please Retweet! Early enteral #nutrition (EN) w/in 3 d of ICU admit/intubation improves outcomes! ⬇️ Hospital MORTALITY ⬆️ D/C to Home ⬇️ ICU & Hosp LOS ⬇️ Vent Days ⬇️ Costs 🙋‍♂️Data from >27800 pts in real world practice 🔗 sciencedirect.com/science/ar… #ICUNutrition #FOAMcc @drshahrul80 @ICUnutrition
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Adam Thomas retweeted
Hot Take on PROPHY-VAP trial: 🔥Prophylactic 2g ceftriaxone among patients intubated for airway protection reduced pneumonia & ICU/hospital length of stay 🔥Prophylaxis *reduced* total antibiotic exposure 🔥Consistent w/ SuDDICU & ANTHARTIC trials Blog emcrit.org/pulmcrit/prophy-v…
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Adam Thomas retweeted
Single-dose cefreiaxone to prevent VAP in ventilated acute brain injury patients Multicenter RCT with 345 pts🇫🇷 Compared to placebo, CTRX reduced VAP (14% vs 32%; HR 0·60 [0·38–0·95], p=0·03) thelancet.com/journals/lanre… @SCCM @KhannaAshishCCM @SCCMPresident #SCCM2024

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Adam Thomas retweeted
The liver is awesome. Yet its vocabulary is ... limited. We can all tell when it is upset - high ALT, AST. But that could mean anything! So what's your specific patient's specific reason for high ALT?
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Adam Thomas retweeted
True story There have been 15 trials of tooth brushing in the ICU and those trials have demonstrated fewer pneumonias and icu deaths In @JAMAInternalMed jamanetwork.com/journals/jam…
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Adam Thomas retweeted
Great #AHA23 so far: @AHA_Research 🥸8 Trials: 8 take aways below Read the read👇👇 1/ATRESIA: Patients with subclinical atrial fibrillation can benefit from apixaban to reduce the risk of stroke and systemic thromboembolism.
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Adam Thomas retweeted
New IDSA/SCCM guidelines on evaluation of new fever in ICU! 🤒 bladder/esophageal > rectal > oral > axillary/ear 🤒CRP and/or procal rec for patients with low/intermediate risk of infection😳 🤒consider test for COVID, resp viruses Fresh blogitorial: emcrit.org/pulmcrit/idsa-fev…
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Adam Thomas retweeted
STRATUS Trial published @JAMA_current 🩸Cluster trial 25 ICUs >27,000 patients 🩸Switch to “small-volume” tubes that⬇️blood drawn for lab tests may⬇️RBC transfusion↔️effect on testing 🩸Available, cost-neutral, compatible with analyzers – will you switch? jamanetwork.com/journals/jam…
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Adam Thomas retweeted
fresh blog: why the new brain death guidelines are unacceptable 🧠guidelines rec urine tox screen & time-based clearance of intoxicants, *ignoring* toxicology guidelines & toxicologists 🧠arbitrary ranges are required for labs (iCal must be 1 -1.3 mM😳) emcrit.org/pulmcrit/bdguidel…
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Adam Thomas retweeted
OK here's a run down of why @CRYOSTAT_2 trial results will mark a turning point in the treatment of trauma-induced coagulopathy (TIC) Paper in @JAMA_current: jamanetwork.com/journals/jam… and some additional resources on our @CommsC4TS web pages: c4ts.qmul.ac.uk/research-pro… Firstly...
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Adam Thomas retweeted
Thanks to @accpchest for the opportunity to present high risk #PE data from #FLAME 🔥 at #CHEST2023! (Finally have a good reason to use that emoji!) FT pts w significant decreased primary outcome and in-hospital mortality (1/3) @RosovskyRachel @roblookstein
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19 Sep 2023
Very excited to have the voice and brains behind IBCC podcast and Crackcast, @adamdavidthomas co-instruct this year's Podcast CAMP Nov 30th, Dec 7th, Dec 14th. Plus keynote speaker @srrezaie of REBELCast Details @ podcastcamp.org/
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Adam Thomas retweeted
in case you use an RSS feed: the new IBCC chapters will be going up on a *separate* IBCC RSS feed. to subscribe, click the link shown below & copy the text that shows up into your RSS reader. and if you've achieved this peak level of nerdiness, I honestly salute you 🫡
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28 Jun 2023
#Opioid pain relievers do not reduce acute lower back and neck pain, new study suggests: hubs.li/Q01W2WC90
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14 Jun 2023
Late breaking at #CCR23: In the PATCH-Trauma trial involving adults with major trauma, treatment with tranexamic acid did not result in a greater number of patients surviving with a favorable functional outcome at 6 months than placebo. nej.md/43zNuMj
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14 Jun 2023
The @PATCHTrial, led by @RussellGruen, a study of pre-hospital TXA for severe trauma in adults at high risk of acute traumatic coagulopathy treated in advanced trauma systems, has been published today in @NEJM. #CCR23 Here’s a summary of what we did... nejm.org/doi/full/10.1056/NE…
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90 pts enrolled (terminated after 2nd interim analysis) Median Injury Severity Score: 41 90-day mortality: 54% vs 42% 86.9% of mortality increase when REBOA was added to standard of care #CCR23 #UKREBOAtrial
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Peak excitement... @CritCareReviews
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