Kevin Frank, MD

Some people truly do change the world. Dr. Bartlett was one of them ❤️‍🩹

Seems more like a neostigmine plus miralax drip sort of day, but colace is a choice…

This made my month. I feel nothing will top this in September

Iron deficiency affects TWO BILLION people in the world but because they’re mostly women and children, almost nobody cares.

Had a great time getting on my usual soapbox at a fantastic #SABM25 meeting.

And if you don’t know about patient blood management, it’s very cool so check it out.

Several studies using LUS to guide diuresis have been positive, and it’s just as simple to look at, and has also been shown to be a good surrogate for LAP (though VeXUS plus LUS plus LV function and VTI is my own practice to guide decision making). This was poorly thought out imo.

Kudos to Stephen Colbert on his Emmy win last night. It was a pleasure chatting with him a few weeks ago on The Late Show about how rampant inequality has brought us to this moment in American history — and what we can do to fix our politics.

In 1900, 31% of all deaths were children under the age of 5. Today it’s 0.7%. Vaccines, medications, and modern science are the reason why. Trust the science, it’s been proven to work safely and efficiently time and time again.

Infographic presenting a statistic on the decline of medical matriculants from underrepresented groups, showing a decrease from 24.4% to 20.8%, representing a decline of 503 students. The background features blurred professionals in discussion.

After the Supreme Court decision restricting the use of race in admissions, the share of medical school matriculants from groups underrepresented in medicine significantly dropped, a cross-sectional study showed.

It has taken medical science 200 years to advance humans to the point where people are so healthy and living so long that they can deny that science and medicine is what got us here.

DOI: 10.1016/j.chest.2024.06.1618, pmids 38465145 and 37265888. Hope it helps!

Some case reports of methylene blue plus hydroxycobalamin are promising. But yes.

I feel like 2025 is more IVC plus VeXUS plus lung u/s plus echo (vti and E/e’ as a surrogate for wedge, specifically). But I’m a fancy boi, so.

Wow! France gifted her to us, and now they’ve captured what so many Americans are feeling on Independence Day. The values the Statue of Liberty stood for are no more.

📌 A stunning mural of the Statue of Liberty covering her face was unveiled in Roubaix, France, on July 3, 2025.

With hazard ratios like this, it’s pretty obvious the study was underpowered. Curious why the authors didn’t try to amend it for additional patients after an interim analysis.

ZODIAC trial: For ischemic stroke patients who are awaiting thrombectomy, flat positioning reduced the risk of neuroworsening or death

Premature termination but seems reasonable

Statistically robust results

Best available evidence; should change practice

pubmed.ncbi.nlm.nih.gov/40465238/ #EMIMCC

old drugs in HT

Plenary at @hypertensioncanada.bsky.social with @drjmluther.bsky.social on new drugs

He starts of with the really old drugs!

#CHC25

When they accidentally tell the truth... (Pt. 2)

(also try to avoid swimming in sewage)

Antimicrobial Chemotherapy for Legionnaires' Disease: A Review Abstract. Controlled trials of antimicrobialchemotherapy for legionnaires' diseasehave not been performed, although erythromycin and tetracycline appear to

Seems like a lot of the references come back to Edelstein’s 1995 article from Clinical Infectious Diseases.

Sanford guide agrees (and Hopkins abx).

Harvard has set an example for other higher-ed institutions - rejecting an unlawful and ham-handed attempt to stifle academic freedom, while taking steps to make sure students can benefit from an environment of intellectual inquiry, rigorous debate and mutual respect. Let’s hope others follow suit.

I may be tired and a little hoarse, but as I said again and again on the Senate floor, this is a moment where we cannot afford to be silent, when we must speak up.

what’s not to love about HIGH-INTENSITY bipap? 😂 💪 #EMIMCC

2025 ILCOR CoSTR
1/14 🧵 Just released! The 2025 @ILCOR_org Consensus on Science With Treatment Recommendations (CoSTR) brings major updates to #resuscitation guidelines. Let's break down the key changes across all task forces! #CPR #ECC #FOAMed #Emedsky #medsky #emimcc #emergencymedicine

Especially for LV function in critical illness, MAPSE rocks.

Obituary: Luciano Gattinoni - ESICM In Memory of Professor Luciano Gattinoni

A sad day for critical care - and what a phenomenal legacy he has left us.

RIP Prof Gattinoni, a Giant ⚕️📟

www.esicm.org/obituary-luc...

When interpreting this trial, it is also important to consider the pre-specified adjusted analysis [OR 0.89 (95%CI 0.79 to 0.99)] as adjustment improves statistical efficiency. This article explains the benefits of adjustment quite well. #emimcc jamanetwork.com/journals/jam...

If the LV of the patient with sepsis is «hyperdynamic» when on noradrenaline, then EF dropps and the LV looks poorly when vasopressin is added, but recovers to normal with dobutamine, you likely haven’t «uncovered hidden LV dysfunction» or septic cardiomyopathy. #emimcc #pocus #echofirst 1/

Bubble chart showing the ethnic makeup of Queens, NYC in 2021z

Diversity is strength, and it is joy. #IDIC IYKYK

Facts matter. Science saves lives. Anti-science destroys them.

Long COVID: a clinical update Post-COVID-19 condition (also known as long COVID) is generally defined as symptoms persisting for 3 months or more after acute COVID-19. Long COVID can affect multiple organ systems and lead to sever...

Reproducing my thread from the Other Place on our Lancet paper 'Long COVID - a clinical update'. Coauthors Manoj Sivan, Alice Perlowski, Janko Nikolich. 1/

www.thelancet.com/journals/lan...?