Thread by @PulmCrit

top five most viewed PulmCrit & @iBookCC posts from 2019 (your choices, not mine!)... happy new years!! 🥂 ...1/6

#5 = @iBookCC chapter on bradycardia. I continue to see patients in bradycardic periarrest treated with atropine - please stop this madness. don't delay until the patient dies before giving epi. #EpiForLife #BradycardicPeriarrest
emcrit.org/ibcc/bradycard… (2/6)

#4 = PulmCrit post on large volume thoracentesis. since posting this, the GRAVITAS trial came out - which further supports the concept of draining effusions to dryness if clinically tolerated (ncbi.nlm.nih.gov/pubmed/31711990).
emcrit.org/pulmcrit/large… (3/6)

#3 = @iBookCC chapter on antibiotics. glad this made the cut - if there's one thing we should get right, it's choosing the right bug juice. and could we please stop treating urosepsis & abdominal sepsis with vanco? perhaps by 2030? #SaveTheKidneys
emcrit.org/ibcc/antibioti… (4/6)

#2 = PulmCrit post on why fluid boluses usually don't work well. this post is evidence-based, but incredibly hard to incorporate into practice. we must unlearn what we have learned.
emcrit.org/pulmcrit/bolus/ (5/6)

#1 = Vaping associated pulmonary injury. in 2019 this was discovered, became super hot, and now it seems like yesterday's news. things change quickly in critical care!
emcrit.org/ibcc/vaping-as… (6/6)