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Critical Care-related tweets, from the CHEST perspective. See you at #CHEST2023! #CHESTCritCare
Burton Shen Profile picture 1 subscribed
Aug 16, 2021 16 tweets 8 min read
What does a TEG do? A 🧵 Several blood tests are used to assess clinical diagnosis of coagulopathies: PT, INR, APTT, platelet count, activated clotting time, bleeding time. Specific clotting factors can also be measured: Factor V, protein C and S, anti-thrombin III, anticardiolipin antibodies.
Oct 21, 2020 26 tweets 22 min read
Get your popcorn ready because this is going to be quite the learning contest. #CHEST2020

The webinar is LIVE in T - 5mins, speakers are checking their 🎤🎤

We are only a tiny bit biased towards our co-chair @GallodeMoraesMD! Dr. Mathews: Starts with sharing what drives ventilation-induced lung injury. This is "leak" is likely more pronounced in #COVID19

Oct 21, 2020 30 tweets 20 min read
Join us now to learn about Sepsis Antibiotics and Fluids!

Moderated by our co-chair @virenkaul

#CHESTCritCare Up first is Dr. Angel Coz

Decrease in expected mortality with introduction of sepsis protocol.

Oct 21, 2020 11 tweets 8 min read
Coagulopathy on COVID-19 is about to start! @accpchest #CHEST2020 #CHESTCritCare Comparison of VTE in other diseases in the ICU #CHEST2020 #CHESTCritCare
Oct 20, 2020 11 tweets 7 min read
@GallodeMoraesMD will be live tweeting the #PICS talk @accp #CHESTCritCare
@crit_caring_MD @GioraNetzer @itsradu @ICU_Recovery are talking about #PICS now! At 12 months only 44% of ICU survivors are PICS-free, being cognitive a significative part of the post-ICU impairment. With more ICU survivors, we will likely be seeing more PICS. #CHEST2020 #CHESTCritCare
Oct 19, 2020 21 tweets 13 min read
Starting soon, Sepsis: Most Recent Advances

#CHESTCritCare is going to be Tweeting hightlights live by @crit_caring_MD

#CHEST2020 Up first, Dr. Matthew Churpek discussing machine learning and big data.

Trade off between high sensitivity and high specificity depending on if you use SIRS vs. qSOFA.

Oct 19, 2020 9 tweets 11 min read
First up: Props to #CHEST2020 learning partners for that amazing wait music. Ne'er been a fan of wait music. But this is ... well .. peppy. Am in the mood to learn about #AirwayManagement!

Speakers: @Chaeface @J_Mendelson_MD @KDoerschug

Coverage: @virenkaul

#CHESTCritCare .@J_Mendelson_MD: HFNC and proning in severe hypoxic resp failure:

- Can reduce dead space ventilation, assist with WOB, improved resp mechanics
- Pre-COVID data: Can be successful in potentially preventing invasive ventilation vs NIV and low flow O2

#CHEST2020 #CHESTCritCare Image
Oct 18, 2020 22 tweets 12 min read
Vitamins in Critical Illness starting now!

Discussing: Vitamin C, Vitamin B12, Vitamin D

#CHEST2020 Image Vitamin B12 up first by Dr. Jayshil Patel.
#CHEST2020 Image
Oct 18, 2020 36 tweets 28 min read
Covering pardon the interruption with @davidschulman moderating!!!!!

Power-packed speaker list covering a gamut of critical care topics at #CHEST2020

@SMHollenberg @ammo_uw @KristinBurkart3 and Dr. Bowton

And punches are already being thrown. D'oh! Image Here are the competitors:
Dr. Bowton: The Real Deal Tarheel
@KristinBurkart3: The Beat of the Northeast
@SMHollenberg: The Heartless Cardiologist
@ammo_uw: Dr. "Who Can Ask for Anything" Morris

Here are the ground rules!

New rules this year!!

#CHEST2020 Image
Oct 18, 2020 4 tweets 5 min read
Amazing discussion going on at the #CHEST2020 opening session by @sqsimp @CHESTPrez @RMavesMd @mnarasimhan Image @mnarasimhan highlights that as we know more about the natural course of COVID-19 we have seen that #PPE works! Also, that we should try non-invasive ventilation in COVID-19 patients as long as we have appropriate PPE #CHEST2020 #CHESTCritCare
Aug 25, 2020 7 tweets 3 min read
We' ll continue our vasoactive medication review with our old frined dobutamine! #chestcritcare It is primarily a Beta-1 agonist, but it acts on Beta2 and alpha as well, making it a great inotrope, and also an ok vasodilator (in high doses alha agonism kicks in, and some vasoconstriction may occur…
Aug 23, 2020 7 tweets 3 min read
Continuing the vasoactive meds week, we will talk about dopamine. It is a precursor of norepinephrine, inducing its release. There are dopamine receptors in the renal, splanchnic, coronary and cerebral vascular beds; stimulation of these receptors cause vasodilation. #critcare Again, since our historical "nerdiness" was so well received, this is one of the first papers that talked about dopamin in shock:…
Aug 20, 2020 9 tweets 4 min read
Today is phenylephrine day everyone! Thank u for following our shock/vasoactive drugs week so far. Phenylephrine is a pure alpha-adrenergic agonist, resulting in vasoconstriction with minimal ino/chronotropy. Midodrine is its oral equivalent. Main side effect: reflex bradycardia Phenyl is useful in septic shock and for anesthesia-induced hypotension………
Aug 17, 2020 14 tweets 4 min read
Thank you everyone for following our vasoactive meds week so far. Today it is Epinephrine's day. Since we had great feedback on our historical nerdy side, we will start with some extra history on epinephrine: “asthma is immediately cured in situations of either sudden alarm or violent fleeting excitements”, this is believed to be the first description of the therapeutic effect of endogenous epinephrine.…
Aug 17, 2020 8 tweets 3 min read
Let's continue our week dedicated to vasoactive agents with the background and evidence for NE in #septicshock Through its alpha-adrenergic mediated effects, NE is able to increase pre load and SVR in pts who are pre-load responsive, which is common in early sepsis. NE can also improve microcirculation when administered early. Increasing MAP in septic shock pts with severe hypotension improved microvascular blood flow in pressure-dependednt vascular beds, improving tissue oxygenation
Jun 18, 2020 12 tweets 9 min read
1/12 Hey #medtwitter, let’s look at what we know thus far about use of steroids in #COVID19 ARDS.

@accpchest 2/12 Let’s start with current use of steroids in pre-COVID-19 ARDS, what is the data to support our practices?