Allan Joseph

Very different population but this is something the neo and peds groups have tried to assess, and I'm sure someone will do after Oxy-PICU too. Two examples:

www.nejm.org/doi/full/10....

jamanetwork.com/journals/jam...

Our institution uses it as a very late pressor: journals.lww.com/ccejournal/f...

We try to stratify by direct renin levels if possible too

Thanks!

You have a citation re ketamine direct effects handy so I can share with my fellows?

Is there a real advantage to ketamine over parenteral beta agonists? Does ketamine have direct bronchodilation effects beyond catecholamine release?

Yes! Next time our protocol comes up for review I will push to add it but for now if I am on when such a patient is admitted I typically will order it

RFK Jr talking about the need for doctors to know how to treat measles for those who are unvaccinated.

“Only very sick kids should die from measles.”

No. They shouldn’t. That was the point of the vaccine. We eradicated the virus so children didn’t die.

Sick & disabled kids are not expendable!

Dye is a USC grad and member of the Pride of Troy, at that

Surviving Sepsis USA now recommends fluid boluses of 2.2 fl oz per lb

I know of (nameless) units that require the nurse to place the primary dressing instead of the proceduralist, in the name of CLABSI prevention. I don't know the data in preventing CLABSI but I bet the rate of "immediately re-dressed lines" plummeted.

<em>Health Services Research</em> | AcademyHealth & HRET Journal | Wiley Online Library Objective To assess the prevalence of patient administrative tasks and whether they are associated with delayed and/or foregone care. Data Source March 2019 Health Reform Monitoring Survey. Stud...

I study patient administrative burden. Here is a thread of studies/articles I share often and/or have been suggesting for the newly interested.

My first foray, with Austin Frakt. TL;DR ~1/4 people reported delayed/foregone care due to admin in past 12 mos. onlinelibrary.wiley.com/doi/full/10....

Giving a talk next month on the effective use of images/visualizations to communicate data. Target audience is clinical fellows.

Looking for examples of your favorite scientific figures/graphs/images! Please share and amplify! #PICUSky

How would you rank Williams, Estime, Adams, and Love? Even harder - where do those guys rank in all time ND RB rankings?

Honestly thought you tweeted this after the pick

Hal B. Klein covering Pittsburgh is fantastic. I think he's only on Instagram at the moment

@ankurfactorial.bsky.social might have some thoughts

Just popping back up to highlight our new work developing pediatric-specific hospital referral regions. It was a heavy lift but I'm proud of the work we've done bringing researchers a new tool to understand pediatric acute care:

www.jpeds.com/article/S002...

Bob Hinton Defensive Coordinator Al Golden put on a master class in pass rush defense against the reigning Heisman Trophy winner in Caleb Williams. Safety Xa... Best game by a defender EVER? | Irish Access: Game 8 vs Southern Cal | Notre Dame Football

@rakesofmallow.bsky.social We probably need to start saying "this is mission control...we got 'im" after every sack. Thanks Sam! (~2:45)

www.youtube.com/watch?v=V3TM...

Dear Kyle,

I agree!

Sincerely,
Joseph