Critical care PA, FCCM, former EMT. Teaches at icu101.com, podcasts at icuscenarios.com, blogs at critcon.org. #FOAMcc #FOAMed

Joined February 2014
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ORESTES: Set me back upright, swivel me round—there’s no pleasing the sick! I hate being helpless ELEKTRA: Do you want to try putting your feet on the ground? It's been so long. But change is sweet O: Yes by all means. That will seem like good health. Sophocles on ICU mobility
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Loved chatting with @critconcepts and @CritCareNotes about the ED-ICU interfaces and perspectives. Thanks for having me! Lightning rounds 66: ED vs ICU with Namita Jayaprakash – Critical Care Scenarios icuscenarios.com/lightning-r…

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Oh, the sun burns down pitiless upon me And on my crushed white wings--my wings--my wings-- Why did I fly so high? I might by now Be safe, if only--only- Ah, but FLYING
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Replying to @drkeithsiau
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Kwame gives us the skinny on practicing medicine abroad. How do you do it right? Who pays? How do you get started? icuscenarios.com/lightning-r… #medtwitter #FOAMcc #FOAMed

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The great @traumaicurounds shares his take on the dilemma of acalculous cholecystitis in the ICU. Who really has it? Who's just pretending? What should we do about it? icuscenarios.com/episode-101… #medtwitter #FOAMcc #FOAMed #sicu

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Anyone in staff positions (attendings, APPs, etc) have advice for collaborating academically with house staff (residents/fellows)? Have had a hard time involving them in papers etc - they only seem interested for a brief window of time - and may end up ghosting you. #medtwitter
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Hard to balance giving them the involvement they want (and hopefully that is helpful to the project) while ensuring the work gets done, especially as their motivation may drift, eg once they match, or maybe decide to pursue another specialty... @nickmmark @emcrit
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You are replaceable at work, but you are NOT replaceable at home. A beautiful and poignant reflection that applies to all clinicians.
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Just click all the boxes and it'll come back in two weeks with everything negative and a bill for $10k #medtwitter
If you've ever been mystified while sending one of those send-out antibody panels for autoimmune encephalitis, Tammy Smith is here to shed a little light from ARUP! icuscenarios.com/episode-100… #medtwitter #FOAMcc #FOAMed #meded #neurocc @caseyalbin
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EMCrit 422 - SSC 2026 Guidelines: The good, the Bad, and the UGLY - a discussion with lead author, Hallie Prescott A fantastic interview on how the SSC guideline sausage was made and the areas I found contentious [#FOAMed for now] emcrit.org/422
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The episode is live icuscenarios.com/lightning-r… Hopefully those with concerns have some of their questions answered. @emcrit also just dropped an episode with Hallie touching on similar points from an EM perspective. #medtwitter #FOAMcc #FOAMed #sepsis

Chair of the new Surviving Sepsis guidelines Hallie Prescott will be recording with us on the @icuscenarios podcast tomorrow - what burning questions should we ask? @PulmCrit @ABsteward @joshmcgoo @EMNerd_ #medtwitter #FOAMcc #FOAMed
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Chair of the new Surviving Sepsis guidelines Hallie Prescott will be recording with us on the @icuscenarios podcast tomorrow - what burning questions should we ask? @PulmCrit @ABsteward @joshmcgoo @EMNerd_ #medtwitter #FOAMcc #FOAMed
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I think this is one of the most important questions of our time... how should we learn medicine in 2026? Does anyone still read papers? When everybody sounds convincing, how do we decide which experts are right? What do we do with AI? icuscenarios.com/lightning-r… #FOAMed #FOAMcc

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🚨 Just had an absolute BLAST recording Episode 98 of @icuscenarios on RV failure in the ICU - with sepsis renal failure making it extra brutal. We break down the real-world chaos: - Why POCUS can fool you - CVP trends - Why vasopressin is my PVR-sparing go-to pressor - Aggressive early diuresis guided by spot urine Na - Why intubating is like walking a tightrope - Avoid the killers that crank up PVR and doom the RV Huge thanks to the host for the deep dive. This stuff saves lives in the trenches every night. Listen now: icuscenarios.com/episode-98-… And grab my new open-access review for the full framework: Acute Right Ventricular Failure in the Medical ICU (Lung 2025) → doi.org/10.1007/s00408-025-0… What’s your clutch move when the RV starts failing in mixed shock? Drop it below -> let’s talk shop #RVFailure #CriticalCare #MICU #FOAMed #RightHeart #PulmonaryHypertension #Noctensivist
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I'll be teaching with CHEST at a cool new procedural course Chicago in April. If you want to master central lines, art lines, chest tubes, paracentesis, thoracentesis, LPs, IOs, and more, check it out! High instructor ratios and it should be awesome. chestnet.org/store/products/…

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We explore mechanical circulatory support, including balloon pumps, Impella, and ECMO, in the new CCU lesson at icu101.com. #medtwitter #FOAMcc #ccu #pulmc
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The basics of liver, kidney, and pancreas transplants and their post-ICU care. Now at icu101.com #medtwitter #FOAMcc #meded
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