Joshua Davis (he/him) (@JoshDavisMD) header
Joshua Davis (he/him) (@JoshDavisMD) profile picture

Pulmonary/Critical Care doc at @WeillCornell via @nyphospital & @BIDMC_IM & @BID_CMRs. Physiology 😍 Languages, travel. #MedEd. Views mine. 🏳️‍🌈🫁🫀🏥

New York, NY
Joined January 2019
Photo by Joshua Davis (he/him) (@JoshDavisMD)Photo by Joshua Davis (he/him) (@JoshDavisMD)Photo by Joshua Davis (he/him) (@JoshDavisMD)Photo by Joshua Davis (he/him) (@JoshDavisMD)Photo by Joshua Davis (he/him) (@JoshDavisMD)Photo by Joshua Davis (he/him) (@JoshDavisMD)Photo by Joshua Davis (he/him) (@JoshDavisMD)Photo by Joshua Davis (he/him) (@JoshDavisMD)Photo by Joshua Davis (he/him) (@JoshDavisMD)Photo by Joshua Davis (he/him) (@JoshDavisMD)
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
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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
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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
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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 🧵
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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? 1/
48%Hypoxic respiratory drive
21%Hypoxic vasoconstriction
22%Haldane effect
9%Something else / answers
23,074 votes • Final results
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Joshua Davis (he/him) retweeted
ICU snapshots: What do you think?
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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** 7/10
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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. 🧵.. 1/
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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”
The orthopedic versions of “this meeting could’ve been an email”: “This scope could’ve been an injection” “This plate could’ve been a cast”
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Lung segments on CT #MedEd #Medtwitter
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Joshua Davis (he/him) retweeted
When you lose weight, where does the weight actually go? 🤔 Turns out, YOU EXHALE IT FROM YOUR LUNGS AS CO2 🤯 #MedTwitter #MedEd #NutritionMatters 🙏 Love this wisdom from @AvrahamCooperMD – at Durham, NC
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Joshua Davis (he/him) retweeted
Medicine: gene therapy . . Also medicine: sorry can’t send records fax machine not working
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Joshua Davis (he/him) retweeted
Ascites is like carrying around a hot tub: Huge energy bill! 1⃣Kilocalorie= energy to 🔥1L by 1°C 2⃣Ascites=Heating ~5-10L to 36°C 24hrs/day 3⃣Energy comes from body breakdown (sarcopenia) If you⬇️ascites➡️the energy bill falls Help patients. ⬇️the ascites!!! #livertwitter
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Joshua Davis (he/him) retweeted
Autumn #lungs
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Joshua Davis (he/him) retweeted
when you finally become an attending
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Joshua Davis (he/him) retweeted
Here’s a quick video breaking down an emergency intubation recorded in a blunt trauma victim. The key to laryngoscopy is identifying the epiglottis! #FOAMed
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How to differentiate jugular venous from carotid artery pulsations ⬇️ Via @fazalabul @grepmeded #MedTwitter
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Joshua Davis (he/him) retweeted
More monkeypox vaccine will be available tomorrow at 1 p.m. Including the appointments opening tomorrow, nearly 7,000 doses of monkeypox vaccines will have become available to New Yorkers since June 23. To get updates, text MONKEYPOX to 692692: on.nyc.gov/3NYBtqY
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Joshua Davis (he/him) retweeted
Absent lung sliding is sensitive but nonspecific sign of pneumothorax. US lung point or X-ray are usually needed prior to chest tube placement. Normal BP in this patient made tension pneumothorax unlikely. Table lists causes of absent lung sliding. ncbi.nlm.nih.gov/pmc/article…
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