Serena Hua (@serenasound) header
Serena Hua (@serenasound) profile picture

Critical Care fellow @stanfordccm. Former EM/IM @ohiostateEMres & @OhiostateIMres. Lover of bikes🚴🏻‍♀️ and surf🏄🏻 and food🍻tweets are my own

California, USA
Joined March 2009
Photo by Serena Hua (@serenasound)Photo by Serena Hua (@serenasound)Photo by Serena Hua (@serenasound)Photo by Serena Hua (@serenasound)Photo by Serena Hua (@serenasound)Photo by Serena Hua (@serenasound)Photo by Serena Hua (@serenasound)Photo by Serena Hua (@serenasound)Photo by Serena Hua (@serenasound)Photo by Serena Hua (@serenasound)
Serena Hua retweeted
Our reaction to any new study is either “I don’t believe it” or “I knew it”... A NEJM trial in ICU pts w acute resp failure found that mucolytics (carbocisteine & hypertonic saline) don’t help. My ICU rounds line “mucolytics are useless” may need an update: “and possibly harmful”
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Serena Hua retweeted
Life in the #ICU is not always fun... #MedTwitter
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The challenge of getting past Whatiffery applies to the whole clinical journey from referral to ED through to discharge ?
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(1/x) Andromeda-Shock 2 was just published in JAMA and is the most important septic shock trial in the past DECADE. They found that phenotyped resuscitation improves the composite outcome of mortality, vital support, and hospital LOS. Here's how you can apply this protocol to your practice 👇
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Grief is not a purely negative emotion. Over time, it becomes bittersweet—sadness is joined by love and gratitude. Nostalgia is a healthy response to loss. Longing for the past motivates us to appreciate the present and improve the future. The goal of coping is not to erase pain. It's to gain purpose.
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🙋‍♂️ New Ketamine Sedation Guidelines for Mechanically Ventilated Patients - Published Today! 🔗 doi.org/10.1111/aas.14470 #ICU #FOAMcc #Ketamine #SCCM #SCCMSoMe #ICURehab @ActaAnaesthScan @Marwa_Ramer @YaseenarabiYa @NazishHashmi1 @JamiePrivratsky @Duke_Anesthesia @DukeAnesFellows
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If Taylor Swift IS the surprise DNC guest, well, we probably shouldn’t be all that surprised. She’s a real one.
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Was a good try
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I'm starting to get obsessed with how this lady scammed the Australian government to pay for her French holiday and all she had to do is pretend to breakdance
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Childless Cat and Dog Ladies for Harris
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Oh my god. You have to watch Chelsea Handler absolutely destroy JD Vance. This is BRUTAL!
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Speaking of AWESOMENESS Check out this new #NutsandBolts piece in Academic Peds featuring @OSUMedPedsRes grads @ARossettiMD (now PD), @A_DelermeMD (IM APD), @RenaKasickMD (@NCHPedsRes APD) & the inimitable @gradydoctor (not enough space here to describe how incredible she is)
My (@DoctorVig 's) favorite part about having transient control over this Twitter account until it goes back to the new resident team is the fact that I get to shout out all the awesomeness here.
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[1] #Hemodynamics Tweetorial #2 Heart failure pt in ICU is -3.5L after 2d of aggressive diuresis. On day 3, urine output is ⬇️and BUN/Cr is ⬆️ You personally wedge #PAC at bedside and obtain a mean wedge 17 mmHg (a normal mean wedge is 6-10 mmHg). Admission wedge was 24
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Navigating my infant daughter’s diagnosis and treatment for brain cancer has been excruciatingly painful and eye-opening. Prior authorization denials and dealing with insurance made it so much worse. Writing about it has helped. jamanetwork.com/journals/jam…
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Serena Hua retweeted
Taylor about “Florida!!!” “Florida is a song I wrote with Florence + The Machine and I think I was coming up with this idea of what happens when your life doesn’t fit or your choices you’ve made catch up to you and you’re surrounded by these harsh consequences and judgement and circumstances did not lead you to where you thought you would be and you just wanna escape from everything you’ve ever known. Is there a place you could go? I’m always watching date line people you know, have these crimes that they commit where they immediately skip town and go to Florida. They try to reinvent themselves, have new identity, blend in and I think when you go through a heartbreak there’s a part of you that thinks ‘I want a new name, I want a new life, I don’t want anyone to know where I’ve been or know me at all’ and that was kind of what that was. The jumping off point behind where you go to reinvent yourself and blend in. Florida!”
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Serena Hua retweeted
We cannot be at both bedsides - home and hospital - at the same time:
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1/CSF leaks are controversial! Some say they're overdiagnosed, others underdiagnosed How can YOU make sure you aren’t under or overdiagnosing? Are you BERN-ing to know when to suspect CSF leak? Here’s a 🧵about the CSF leak Bern score so you don’t get BERN-ed by CSF leaks
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Serena Hua retweeted
Critical Care (and others): "It gets easier, but it never gets easy"...
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Serena Hua retweeted
What matters most: Finding balance after falling - Lee - Journal of the American Geriatrics Society - Wiley Online Library agsjournals.onlinelibrary.wi…
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Serena Hua retweeted
Night shift workers usually sleep 1 to 4 hours less per day than daytime workers. A new infographic from the CHEST Sleep Medicine Network outlines strategies for before, during, and after your shift to maximize quality sleep. hubs.la/Q02lmvHX0 #CHESTSleep #SleepMedicine
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