's Avatar

@md-dm-pccm.bsky.social

Pulm/Crit MD, MICU attending, passionate about educating medical trainees on intensive care, love D&D, horror media, dice, cats, etc. Escaped Twitter’s descent into insanity and now I’m here.

185 Followers  |  353 Following  |  67 Posts  |  Joined: 19.10.2024  |  2.314

Latest posts by md-dm-pccm.bsky.social on Bluesky

jack donaghy: "That information is classified. At least until Dick Cheney dies which is gonna be a long time from now. That man is mostly metal."

jack donaghy: "That information is classified. At least until Dick Cheney dies which is gonna be a long time from now. That man is mostly metal."

04.11.2025 15:27 — 👍 3731    🔁 598    💬 36    📌 11
Video thumbnail
04.11.2025 11:33 — 👍 4515    🔁 1565    💬 22    📌 81
Mike Johnson: ‘My Christian Faith Is More About Not Jacking Off Than Feeding The Poor’

Mike Johnson: ‘My Christian Faith Is More About Not Jacking Off Than Feeding The Poor’

Mike Johnson: ‘My Christian Faith Is More About Not Jacking Off Than Feeding The Poor’

03.11.2025 22:30 — 👍 28937    🔁 7633    💬 843    📌 496

Say what you want about Alien: Covenant but at least James Franco burns to death in the first 10 minutes

03.11.2025 17:44 — 👍 0    🔁 0    💬 0    📌 0
Post image

If you have to remember one thing today, this is it:

#foamed #foamcc #meded #Medsky #emimcc

02.11.2025 03:11 — 👍 37    🔁 13    💬 2    📌 0
https://pmc.ncbi.nlm.nih.gov/articles/PMC11040545/

https://pmc.ncbi.nlm.nih.gov/articles/PMC11040545/

updated the IBCC section on alcoholic hepatitis.

AGA 2024 guidelines seem sensible & useful (picture below)

Key points:

🍺Steroid recommended for MELD>20

🍺Aggressive multiorgan support PRN (may have hepatorenal syndrome, sepsis, etc)

🍺Consider acetylcysteine

emcrit.org/ibcc/aclf/#a... #EMIMCC

30.10.2025 19:56 — 👍 15    🔁 1    💬 1    📌 0
Post image

The BICAR-ICU-2 trial just dropped!

RCT involving IV bicarb in metabolic acidosis among patients with mod-severe AKI

Bicarb didn't affect mortality but it reduced the need for dialysis & risk of bacteremia

VERY similar conclusions to BICAR-ICU-1

🧵 #1/

jamanetwork.com/journals/jam... #EMIMCC

29.10.2025 14:59 — 👍 44    🔁 24    💬 2    📌 2
mystery inc dressed up as characters from survival horror games for halloween

shaggy and scooby as james sunderland and mira
daphne as claire redfield
velma as mio amakura
fred as isaac clarke

mystery inc dressed up as characters from survival horror games for halloween shaggy and scooby as james sunderland and mira daphne as claire redfield velma as mio amakura fred as isaac clarke

Mystery Inc's Survival Horrorween 🔪
#ScoobyDoo

29.10.2025 00:44 — 👍 6558    🔁 2721    💬 21    📌 19

Bought a copy of this print at DragonCon! Love your work!

28.10.2025 21:45 — 👍 0    🔁 0    💬 0    📌 0
Post image

Damnit just wanted to watch some Simpsons Halloween without thinking about how far we’ve fallen as a nation

27.10.2025 02:20 — 👍 1    🔁 0    💬 0    📌 0
Post image

NFTs are amazing because you apparently “own” them but the AWS outtage yesterday took out everyones apes lol

21.10.2025 12:51 — 👍 16997    🔁 3102    💬 356    📌 384
Video thumbnail

Gonna do some funny videos I guess?

1.

07.11.2024 06:24 — 👍 804    🔁 175    💬 6    📌 11
Preview
Sotatercept in Patients with Pulmonary Arterial Hypertension at High Risk for Death | NEJM Sotatercept improves exercise capacity and delays the time to clinical worsening in patients with World Health Organization (WHO) functional class II or III pulmonary arterial hypertension. The eff...

www.nejm.org/doi/full/10....
Decompensated pulm Htn is one of my least favorite things to see in the Unit. Once these patients need pressors, mortality goes through the roof so love to see options for salvaging a bad situation

18.10.2025 19:16 — 👍 0    🔁 0    💬 0    📌 0
A frog expressing that you’re not alone in your struggles.

A frog expressing that you’re not alone in your struggles.

Blocking government agencies on worlds lamest social media platform just to feel something

18.10.2025 19:11 — 👍 0    🔁 0    💬 0    📌 0

Weirdly fun to block the White House

17.10.2025 23:03 — 👍 5791    🔁 565    💬 77    📌 25

“still punk,” I say while blocking the White House on the social media site for 38-year-olds

17.10.2025 21:49 — 👍 35    🔁 3    💬 1    📌 2
Post image

Phenomenal

17.10.2025 01:25 — 👍 0    🔁 0    💬 0    📌 0

Couldn’t stop myself from crying. His bravado and style are something I wish I had the courage to emulate, not to mention his amazing works. His friendly rivalry with Tekken’s Harada always struck me as beautiful. Life is a fleeting and gorgeous.

17.10.2025 00:17 — 👍 0    🔁 0    💬 1    📌 0

Completely agree! The bedside providers aren’t educated on what the model measures. Not sure if anyone is using this in clinical practice but it makes me uneasy

14.10.2025 15:00 — 👍 1    🔁 0    💬 0    📌 0

Was in a meeting today about using a machine learning model to gauge readiness for extubation. Can’t help but ask what it’s doing that multidisciplinary rounds is not already doing? Would you trust an AI model to extubate your patient without being involved in the choice?

14.10.2025 01:01 — 👍 2    🔁 0    💬 1    📌 0
Video thumbnail

WATCH: ‘Portland Frog’ pepper balled by ICE agents

06.10.2025 05:39 — 👍 9503    🔁 2411    💬 328    📌 1000
Post image

Jess Waters recycling the same guy over and over to represent “former” different enemies

06.10.2025 18:51 — 👍 8835    🔁 2928    💬 537    📌 480

I have never thought about a performers virginity while watching a movie. This cannot possibly be a normal thought to have.

03.10.2025 19:26 — 👍 0    🔁 0    💬 0    📌 0
Page from a children’s book. There is an illustration of a black cat peeling around a piece of wood. Text reads “Mister black, the cat, peered around the corner. On the porch a stranger was eating the food put there for mister black by his family.” but the spellings are sometimes phonetic and use strange characters other than those of the standard Latin alphabet.

Page from a children’s book. There is an illustration of a black cat peeling around a piece of wood. Text reads “Mister black, the cat, peered around the corner. On the porch a stranger was eating the food put there for mister black by his family.” but the spellings are sometimes phonetic and use strange characters other than those of the standard Latin alphabet.

An unusual item in my collection, Mister Black’s Secret by Catherine Barr. At first it seems like an early example of cheezburger speech but it was actually written in a shortlived teaching alphabet called ITA.

29.09.2025 21:04 — 👍 1729    🔁 226    💬 30    📌 11

I’m not looking up what medbed is. I’m too tired

28.09.2025 19:01 — 👍 271    🔁 9    💬 21    📌 0
E-mail from Crunchyroll asks "Ever see a life fall apart??"

E-mail from Crunchyroll asks "Ever see a life fall apart??"

Every goddamn day, Crunchyroll.

22.09.2025 01:53 — 👍 21    🔁 7    💬 0    📌 0
17.09.2025 20:52 — 👍 1443    🔁 116    💬 93    📌 6
Video thumbnail

"the art of the let go"

😭

16.09.2025 18:36 — 👍 118    🔁 11    💬 7    📌 2

HitlerSuckfest1488: "This has radicalized me."

11.09.2025 03:08 — 👍 10736    🔁 1336    💬 51    📌 13
Post image

This was just last month and we have already memoryholed it. A cop killed by an antivaxxer.

11.09.2025 04:15 — 👍 23189    🔁 6167    💬 338    📌 109

@md-dm-pccm is following 20 prominent accounts