Pulmonary/Critical Care doc at @WeillCornell via @nyphospital & @BIDMC_IM & @BID_CMRs. Physiology 😍 Languages, travel. #MedEd. Views mine. 🏳️🌈🫁🫀🏥
New York, NY
Joined January 2019
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Had a blast talking with @fadamsmd about updated guidelines on steroid use in ARDS, sepsis and CAP on @NYUDocs — though at 6a, my face is only for radio! 😂 Thanks for having me!
Corticosteroids for infections, TB and pulmonary embolisms are the topics @fadamsmd is talking about with @JoshDavisMD @WeillCornell, @ericashenoy @MassGenBrigham & Dr. Ezra Dweck @NYULangonePCCSM LIVE at 6amET on Pulmonology. Join the conversation at 877-698-3627!
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Excited to be talking about steroids in sepsis, ARDS and CAP this Tuesday morning on @NYUDocs!
This JAMA Clinical Guidelines Synopsis summarizes the 2024 Society of Critical Care Medicine guidelines on use of corticosteroids in sepsis, acute respiratory distress syndrome, and community-acquired pneumonia.
ja.ma/42bw8Y2
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Joshua Davis (he/him) retweeted
As the tragic #CaliforniaWildfires continue, those with respiratory disease will be most impacted as exposure continues. Learn more about treatment protocols from the Chest Infection and Disaster Response Network: hubs.la/Q031VgTn0
#WildfireSmoke
Joshua Davis (he/him) retweeted
Excited to share our @JAMA_current CGS on SCCM’s 2024 guidelines on use of corticosteroids in sepsis, ARDS, and CAP!
📣learn about the nuanced evidence behind the rec for corticosteroid use.
As always it’s great to work with @AndyDavis @JoshDavisMD!
@WCMGIM @WCM_MedChiefs
This JAMA Clinical Guidelines Synopsis summarizes the 2024 Society of Critical Care Medicine guidelines on use of corticosteroids in sepsis, acute respiratory distress syndrome, and community-acquired pneumonia.
ja.ma/42bw8Y2
Joshua Davis (he/him) retweeted
1. Optimise patient position
Ear-to-sternal notch horizontal alignment with neck flexion never lets you down. Also called 'flextension' this is identical to the optimal direct laryngoscopy position
Joshua Davis (he/him) retweeted
The iGel is a great supraglottic airway device
But like other supraglottic airway devices (SAD) it's not foolproof
Here's how to maximise your success with the iGel - a thread 🧵
Best way to wrap up the pulmonary unit for @WeillCornell MS1s with @Doclief interviewing Dr Chris Belardi — one of our ED physicians, medical educators and COVID ARDS survivor. An inspiration and a privilege!
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Joshua Davis (he/him) retweeted
Here’s another pulmonary physiology question that *everyone* who gives O2 to patients ought to know:
What is the primary mechanism by which supplemental oxygen can increase PaCO2 in someone with severe COPD?
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48%Hypoxic respiratory drive
21%Hypoxic vasoconstriction
22%Haldane effect
9%Something else / answers
23,074 votes • Final resultsI’m still going to say free healthcare, but… like a good neighbor, State Farm is there. Anyway, thanks for the chuckle, @AlexaKlorman 😂
If not free healthcare, maybe ad-supported healthcare. Like my doctor can stop in the middle of examining me and sing the Liberty Mutual jingle
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It’s my favorite time of the year — time to teach pulmonary physiology (and patho-) to the MS1s @WeillCornell with my partner in learning @meredithturetz. Had the opportunity to teach a new lecture today on gas transport — and had so much fun! 🥸🫁💨
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Joshua Davis (he/him) retweeted
And what was the consequence of all that hyponatremia? All that rapid correction? 12 of osmotic demyelinating syndrome.
12 out of 22,858. 0.05%
If you divide by starting Na they found an incidence of:
0.3% with a Na < 120
0.015% with a Na > 120
**2.5% with a Na < 110**
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Joshua Davis (he/him) retweeted
🚀Na over-correction (Na📈) as THE (only) cause of ODS/CPM: An absurd over-simplification.
Since 1980s, Na📈 has been portrayed as the main cause of CPM (so far as now the terms ODS and CPM are used synonymously).
However, finding the truth (if it exists) is more complicated.
🧵..
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Joshua Davis (he/him) retweeted
“this bronchoscopy could have been an induced sputum”
“this A-line could have been a cuff pressure”
“this intubation for ‘airway protection’ could have been a sternal rub”
“this swan could have been a POCUS”
“this consult could have been a google search”
We love a mini @BIDMC_IM @BIDMC_Medicine @BIDMChealth reunion in the CCU at @WeillCornell @nyphospital! We’ve come a long way in the last decade — from intern night float to attending in the ICU!
Off to DC for @atscommunity for my first conference since 🦠 — and first time as a grown up (aka attending). Who else is going? Catch me on Tuesday afternoon talking about abdominal infections in the ICU as part of @ATSCritCare education series! 🤓👨🏫🫃🏻@atsearlycareer
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