Stephanie Parks Taylor

Today's Paper of the Day is:

Muscle Dysfunction and Physical Recovery After Critical Illness

https://criticalcarereviews.com/latest-evidence/paper-of-the-day

Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2025

Large language models accurately identify immunosuppression in intensive care unit patients AbstractObjective. Rule-based structured data algorithms and natural language processing (NLP) approaches applied to unstructured clinical notes have limit

1/ What started as a “hey, wouldn’t it be cool…” 💡 side project turned into a full study on how to identify immunocompromised patients.
Gold standard = research coordinators manually labeling statuses ✅
Everything else tested against that.
🔗 academic.oup.com/jamia/advanc...

Does it ever feel like some attendings prone everyone and some attendings prone no one? You're not imaging things! From #CLIFconsortium rockstar Anna Barker and #UMichMed:

#journal_CHESTCritCare
@hbgmd.bsky.social
@chriscarrollmd.com
@accpchest.bsky.social
www.chestcc.org/article/S294...

sharpie on white paper: Paragraph 1: we have a big problem P2: considering new thing X reveals pivotal, newly tractable gaps in our knowledge of the big problems P3: So our unifying scientific goal is... Aim N: Active Verb. Method to test interesting (not null) hypothesis in data . . . Impact: This will make the world better and open up new research frontiers via...

Handed out, yet again, the basic #ScrawledGrantAdvice Aims page structure

Brilliant editorial and I can’t believe someone beat me to incorporating a DFW quote into a paper…

Humanism-first structure for family meetings (fresh blog)

🗣️ 1st part of the meeting explores who the patient is, quality of life, & goals

🗣️ Spend more time talking about the person & less time focused on the disease

🗣️ Physicians talk less & *listen* more

blog emcrit.org/pulmcrit/hum... #EMIMCC

Having major withdrawal from #CCR25… Extraordinary event, extraordinary people, in an extraordinary place! @criticalcarereviews.com

And if you missed it, not to worry!

Donut day can be any (and every) day you choose.

Flyer for the ENCOMPASS trial results session at CCR25, investigating a nurse-led, care for high-risk sepsis survivors

🚨 ENCOMPASS TRIAL Results at #CCR25🚨

📍 8 hospitals
👥 4032 patients
📊 Stepped-wedge cluster RCT

🎯 Tests STAR: nurse-led, telehealth care for high-risk sepsis survivors

🩺 Outcomes: 90-day readmission or death

📺 Free livestream — but it’s better in person!

Diagnostic delay: lessons learnt from marginalised voices Diagnostic delay, a type of diagnostic error, is the failure to establish an accurate and timely diagnosis; diagnostic delay remains a significant source of error in healthcare.1 As in other areas of ...

Dr. Farah Kaiksow shares insight on a systematic review of diagnostic delay in @bmj.com #Quality & #Safety

🔑 points
🔵 Organisational health literacy & cultural competence + explicit bias contribute to diagnostic delay

🟡 What was protective? A primary care provider who expresses empathy

Flyer for the FLUID trial results at CCR25

🚨 FLUID Trial Results🚨

Balanced crystalloids vs saline in hospitalised patients

📍 16 Canadian hospitals
👥 >144,000 pts 😮
🏁 Cluster-crossover RCT
📊 90-day death or readmission

➡️ Big trial !
➡️ Big numbers !

🚩 The answer drops at #CCR25🚩

. @atscritcare.bsky.social has been my intellectual home for two decades, and it was such an honor today to spend a few moments reflecting on the relevance of the great James Baldwin for teaching and working in this moment -- and what needed skills an intensivist can bring

#ATS2025

Standing ovation for @iwashyna.bsky.social extraordinary achievement award!!

We are excited for #ATS2025! Here's the Critical Care Assembly-at-a-Glance and Critical Care Roadmap!
@ats-assemblies.bsky.social
@atsearlycareer.bsky.social
@atscommunity.bsky.social

craftprd1.blob.core.windows.net/documents/me...

JAMA Internal Medicine is now on BlueSky! @jamainternalmed.bsky.social #MedSky

Diuretics in critically ill patients: a narrative review of their mechanisms and applications

CCR Journal Watch - tracking the critical care literature daily
https://criticalcarereviews.com/latest-evidence/journal-watch

a cartoon drawing of a mailbox with a red cape on it Alt: a cartoon drawing of a mailbox with a red cape on it

Don’t forget to put out your bag of non-perishable food in non-glass containers for your mail carrier tomorrow! (Or make a donation for your local food charity.)

Loss of federal grants is hitting food banks hard. @hcwvshunger.bsky.social @shematologist.medsky.social @tmprowell.bsky.social

Me: if you blow all the wisps off in one breath, you get your wish!

9: But mom, you get as many tries as you want to get the things you really wish for.

💛

Incidence and Associated Risk Factors for Falls in Adults... : Critical Care Medicine ho required invasive ventilation for 48 hours and in an ICU for at least 4 days. Interventions: Not applicable. Measurements and Main Results: Falls were monitored prospectively for 1 year with ...

Highlights need for:
Early screening
Med optimization 💊
Targeted exercises 🏋️‍♀️

Read more here: journals.lww.com/ccmjournal/p...

#icurehab #ICUcare #FallPrevention

@zudin.bsky.social @kelamb.bsky.social @catherinegranger.bsky.social er.bsky.social @selinaparry.bsky.social .social

Part 2/2

I do my own research by talking to my children’s doctor.

Integrating exposomics into biomedicine Assessing a full range of environmental exposures will improve human health

Our environment shapes our health—from air and food to stress and neighborhoods. A new paper from a Banbury Center (@cshlbanbury.bsky.social) meeting at CSHL advocates for exposomics, a new way to measure it all.

www.science.org/doi/10.1126/...

Takeaways from @nejm.org acute abdomen review:
➡️ Don’t withhold analgesia
➡️ CT angio abd/pelv w/ IV contrast is usually ideal image; ultrasound for others but high performance variability
➡️ Consult surgery ASAP
➡️ Beware of cognitive bias
www.nejm.org/doi/full/10....
#medsky

Made it through church with the 11 year old snickering every time they said Christ is Rizzin’

“And I suggest we only eat out of cans”

A Person-Centered Approach to Supplemental Oxygen Therapy in the Outpatient Setting This Review proposes a person-centered framework to improve independence and quality of life for people using supplemental oxygen and summarizes supplemental oxygen evidence and landscape in the outpatient setting.

​Check out "A Person-Centered Approach to Supplemental Oxygen Therapy in the Outpatient Setting" by my mentee, Angela Suen. This article explores strategies to enhance care for patients using supplemental oxygen, emphasizing personalized education and equipment selection to improve patient outcomes.

If the use of EHR best practice alerts is, at its core, a behavior change technique, how often do they they follow an evidence-based development process? How can we improve BPA design and implementation to increase effectiveness?

Hallie Prescott speaking at podium

Hallie Prescott with IHPI Policy Engagement advisor Paula Lantz

Hallie Prescott is a leading voice in #sepsis care and policy. Her work has improved clinical guidelines and outcomes for patients with this life-threatening complication at state, national, and international levels. More about her: ihpi.umich.edu/our-experts/... @hms-mi.bsky.social

Drs. Ashwin Gupta and @davidpaje.bsky.social delivered fantastic presentations during the 2025 Michigan Medicine - Hospital Medicine Research Presentation Day. 👏

“I can no longer, in good conscience, be a part of or lend any kind of support to what I see as increasingly strenuous efforts to comply with each and every immoral and often illegal directive
being sent to the National Institutes of Health from the Executive Office of the President.”

"With Sadness and Resolve: Why I Resigned as Chief Medical Officer of an #NIH Institute and What Comes Next"

www.atsjournals.org/doi/10.1513/... [open access @annalsats.bsky.social ]

Powerful essay, including resignation letter by Dr Josh Fessel in the tradition of
www.linkedin.com/posts/nathan...