Hey @JoeZickafoose, I started Neiman’s “Learning From the Germans”, and it is already a fascinating read on several levels by page 9

https://twitter.com/newyorker/status/1281551569406894082

The above link is an interview with Neiman (fascinatingly contentious at places, not to the interviewers credit)

Here is her essay version of her book:

theatlantic.com/ideas/archive/…

In the midst of all the grief + chaos of 2020, it's hard to remember there were good things

For me, an incredible group of young scholars doing highly relevant science was the #Bestof2020. Here are my favorite 2020 paper by each of several young scholars with whom I get to work To see where some of these folks were last year see this thread

let's start this #BestOfResp2020 with @UM_IHPI K-awardees

https://twitter.com/iwashyna/status/1210250295088955398?s=20

#TeamNightShift @umichmedicine tonight

Stay safe, everybody

#COVIDsucks Midnight teaching rounds led by @EmilyAHarlan (in chair, her back to me) of @MichiganPulmCC have interns + residents rapt

The time of night sucks. The need to learn + responsibility to teach are still there. I am proud of how our fellows consistently rise to meet the challenge

@MattWhite_95 @WesElyMD @DrDaleNeedham @SapnaKmd @tmprowell @HUMANIZALAUCI @A_MacLullich @Krockdoc @geri_doc @drdangayach @NidaQadirMD This is another one of those things harder to discuss over twitter than in-person @MattWhite_95 @WesElyMD @DrDaleNeedham @SapnaKmd @tmprowell @HUMANIZALAUCI @A_MacLullich @Krockdoc @geri_doc @drdangayach @NidaQadirMD When we ask "is race associated with mortality?", we want to be clear what we are asking. Dr @RheaBoydMD has written about this better than I will, so I just refer you to her article

healthaffairs.org/do/10.1377/hbl…

#ICUreadings -- we're back!

Senior residents, so 2 articles per day at 2 pm

Effect of Pressure Support vs Unassisted Breathing Through a Tracheostomy Collar on Weaning Duration in Patients Requiring Prolonged Mechanical Ventilation via @JAMA_current

jamanetwork.com/journals/jama/… #ICUreadings -- we're back! (2/2)

Effective Care Practices in Patients Receiving Prolonged Mechanical Ventilation. An Ethnographic Study via @ATSBlueEditor

ncbi.nlm.nih.gov/pubmed/32023081

This proposed “do + report back” is literally the definition of research — changing care of a patient to create generalizable knowledge rather than focused on that specific patient—and is frankly unethical and probably illegal

#HardPass unless there is informed consent involved Because this involves me being in a twitter fight with someone I deeply respect, let me be a little clearer

The initial logic behind using a single #ventilator to support #multiple #patients is compelling, and speaks to our most basic urge to rescue.

A long thread, to outline challenges that must be solved for it to work in #COVID19 There are certain situations in which it would work well – in patients with fundamentally normal lungs, whose compliance can be easily matched and kept matched, who can be deeply neuromuscularly paralyzed, and ...

#COVID19

We are now developing some experience w highly aerosolizing procedures on patients in full COVID19 PPE and negative pressure rooms

Quick thread for every nurse in full PPE locked in with you inside during high risk #COVID19 procedures, have 1-2 outside to be runners and recorders.

Figure out how to safely transfer supplies in without having doors open or hand-to-hand transfers

Today 9:45 a.m. room 33 @SCCM #ccc48

"Bringing Meaning & Life Back to Survivors of Critical Illness"

I'm looking forward to a great session with @ICU_Recovery + @JulieRoganCNS

Here are my slides to give you a sense of what the conversation may be about. Join us! Mark Mikkelsen and I have been deeply influenced by Creditor's classic article
ncbi.nlm.nih.gov/pubmed/8417639

These graphics hopefully forthcoming from Oxford Textbook of Medicine edited by @icuresearch

@SCCM #ccc48

#ICUreadings

Starting in the unit for 14 days tomorrow. The fellows + I are going to try to do 1 new paper a day to catch up, just a conversation with more senior trainees + attendings, with space for lots of assumed knowledge

Here's our prelim list if you want to read along... #ICUreadings

Extracorporeal Membrane Oxygenation for Severe Acute Respiratory Distress Syndrome and Posterior Probability of Mortality Benefit in a Post Hoc Bayesian Analysis of a Randomized Clinical Trial
jamanetwork.com/journals/jama/…

#BigData #ICU #sepsis research I wish some1 would do

Optimal Duration of Time-Limited Trials in Critically Ill Patients

"If they are going to respond to this, we should see a response by ..."

What are median + 95th percentile for responses to common life-saving therapies? I feel like we "know" this for lots of small things
- Lasix should make 'em pee within 20 minutes
- PEEP improves oxygenation in 20 minutes
- uroseptic shock should break within 24 hour