Tahir

fun with math:

the number of potential drug-drug interactions = n(n-1)/2, where n = number of drugs

drug-drug interactions & med errors increase parabolically

for ICU patients on a couple dozen meds, this balloons into hundreds of potential interactions

pare back on unnecessary meds #EMIMCC

Although I didn’t catch this pow day in Vermont I’m grateful to have gone skiing for as many days as I did this season. #skiing #skitheeast

Yikes

I absolutely share that and make it part of the decision making discussion while eliciting whether that’s in line with the patients wishes.

If the patient has poor functional status and has a high chance of deteriorating 2/2 difficulties presented post trach peg (poor rehabilitation potential, bed bound status, VAPs, skin breakdown, UTIs, protracted course that would set this state as a new baseline)

Thank you! 🙏🏽🙏🏽 I’m a huge fan of your work by the way. Thank you for everything you do

Some pics from recent ski days #skisky

Recently boarded in Neurocritical Care! #quadrupleboarded #emimcc

Sad about this TikTok ban. Wondering how this will play out. #tiktok #tiktokban

Didn’t even know the Australian Open started. #AO

a man in a white shirt says " unleash the beast " while talking to another man ALT: a man in a white shirt says " unleash the beast " while talking to another man

ICU rounds: spend 10 minutes debating a transfusion target of 7 vs 7.5

massive transfusion: unleash 18 units of blood products at a clip

Measuring Medical Mistrust Among Surrogate Decision-Makers of Patients in the #ICU at High Risk of Death.

Race was associated with higher mistrust while religiousness was associated with lower mistrust. #journal_CHESTCritCare

www.chestcc.org/article/S294...

Saved my ass in a difficult airway multiple times. Invaluable.

Had a nice time skiing this past Friday!

I know I should quit eating Thanksgiving leftovers…

But I can't quit cold turkey.

Classic #thesimpsons

Totally agree. Use it all the time in my practice.

a man in a plaid shirt sits at a picnic table with the words " settle down " on the bottom ALT: a man in a plaid shirt sits at a picnic table with the words " settle down " on the bottom

Skytorial: Five pearls on olanzapine 😁

Between agitation and nausea/vomiting, olanzapine has a wide range of use.

Olanzapine is generally not a front-line agent (e.g., haloperidol or ondansetron often are). But sometimes, it really comes in clutch....

#ecmo #emimcc #pccmsky

Hypertension during pregnancy associated with CAD earlier in life and with a future risk for myocardial infarction with both obstructive and nonobstructive coronary arteries (MINOCA)
@jaccjournals.bsky.social
#cardioobstetrics #CardioSky

📎https://www.jacc.org/doi/10.1016/j.jacc.2024.06.049

Someone will end in the naughty list next year

If you’re eating something in a hospital and anything falls to the floor, there’s no 5-second rule… it’s gone, man

Curious to see how this plays out, I’m not sure you can copyright how you assemble a presentation/present yourself and what content you present… nice article by @theverge.com #copyrightlaw #lawsky

Holy shit, now that’s an ass kicking. Going to be watching the highlights of this one. #letsgoknicks #NBA #newyorkknicks

Another great reason to make ketamine access ubiquitous (easy to get from Pyxis in ICU/ED), my practice in the ICU is to have levophed infusing at a low dose at the time induction meds are being administered, which isn’t always quickly available for RSI. Ketamine would help a lot for that.

I don’t get it. It was very clear to anyone who looked that the research $SAVA used to develop simufilam was fake. Was the market really expecting a positive trial to emerge from fraud? Shouldn’t this obvious fraud have been “priced in” to $SAVA?

So much for efficient markets…

platelets implies the existence of spoonlets and forklets

This is the way.

Yes please

That would be awesome