The PEITHO trial looks at submissive PEs and Heparin alone or with TPA. No difference in mortality, but a higher risk of bleeding with TPA, #CHEST2021 4/
The meta-analysis does not support the use of TPA in general. #CHEST2021 5/
A higher sPESI at 48 hours is associated with higher mortality. #CHEST2021 6/
Thrombolysis should be considered for patients with PTE who deteriorate. #CHEST2021 7/
This meta-analysis showed a benefit of thrombolysis in intermediate risk PE, but a NNT of 59. #CHEST2021 8/
The Fasullo trial was the only one in the meta-analysis that has significant findings, and their study had a higher mortality rate. #CHEST2021 9/
Patients with proximal DVTs have higher mortality rates. #CHEST2021 10/
These are the 5 Ds to consider in patient selection for thrombolysis. #CHEST2021 12/
Dr. Parth Rali (@ParthRali) will speak on "Patients with intermediate or high-risk PE should go for catheter-directed therapies: True/False". #CHEST2021 13/
There are several available catheter-directed therapies including suction thrombectomies, ultrasound-accelerated thrombolysis (EKOS), and catheter-directed pharmaco-mechanical thrombolysis. #CHEST2021 20/
Logistical and practical questions for catheter-directed therapies #CHEST2021 21/
What are your goals and expectations for catheter-directed therapies? #CHEST2021 22/
Dr. Victor Test (@redraiderpulmcc) will talk on "Patients with high-risk PE should undergo IVC filter: True/False". (Slide issue for beginning of this presentation but I caught what I could type.) #CHEST2021 24/
There is a mortality benefit to filters in patients who are unstable. #CHEST2021 25/
Lower OR of death from PE with IVF filter placement. #CHEST2021 26/
This study showed a lower risk of PE-related death with IVC filter. #CHEST2021 27/
Filter placement in the first 48 hours with an unstable PE had a decreased mortality. #CHEST2021 28/
The best treatment is prevention. Let's focus on preventing rather than responding to the life-threatening embolism. 29/
Dr. Vijay Balasubramanian will talk on "Patients presented with syncope should undergo CTPA protocol: True/False". #CHEST2021 30/
VTE-PE Epidemiology. Rates are increasing, but mortality is decreasing. #CHEST2021 31/
CTA is the gold standard for PE diagnosis. #CHEST2021 32/
Fatal pulmonary embolisms are often a missed diagnosis. #CHEST2021 33/
This study illustrated the overuse of CTPE. #CHEST2021 34/
Many of you have reached out, asking me what company I used to plan my trips. I actually plan the vast majority entirely myself. So since so many of you seem curious, here’s how I do it: 1/
Disclaimer 1: For certain polar locations I have booked cruises through Quark Expeditions. These include my trip to Antarctica, as well as upcoming trips to Greenland and Svalbard. I particularly like this company due to their focus on environmental protection and education. 2/
Disclaimer 2: I did use a travel agency for my most recent trip to Africa, because it is very difficult to book, safari and transfers there without someone with expert knowledge of the area. 3/
My final #SCCM2023 tweetucation session for today is “Late-Breaking Studies Affecting Patient Outcomes”!
First we have “Continued Enteral Nutrition Until Extubation Compared to Fasting Prior to Extubation in the Intensive Care Unit: A Clustered Randomized Trial” with Stephan Ehrmann (@stephanehrmann)! #SCCM2023
Nearly all ICUs impose some form of fasting before extubation, but this time seems to be decreasing. #SCCM2023
Next up for tweetucation at #SCCM2023 is “The Intersection of Climate Change and Critical Care” with Dr. Srinivas Murthy (@srinmurthy99) and Dr. Gloria Rodriquez-Vega!
We will talk about whether our ICUs are ready and what they can do to help. #SCCM2023
Case presentation - this is a code red for humanity! #SCCM2023
My next session for tweetucation is something I’m VERY passionate about!: “Moral Injury: Don’t Just Stand There, Do Something”! #SCCM2023
First up is “Recognizing the Signs, Symptoms, and Impacts of Moral Injury” with Kimberly Ichrist (@IchristKimberly)! #SCCM2023
The concept of moral injury is from military literature and is “a wound from doing something that violated one’s own ethics, beliefs, or attachments.” #SCCM2023