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Pulmonary teaching case: you are called to the bedside of a 60yo man who was admitted for pneumonia a week ago. You were called because “he coughed and now his chest is PULSATING!” This is what you see at the site of a previously removed chest drain: What’s the diagnosis? 1/

How to set the ventilator during surgery? Key principles to guide intraoperative mechanical ventilation CCR Journal Watch  criticalcarereviews.com/latest-evidenc…

We often take breathing for granted, but what if one day, those 23,000 breaths dwindled down to a desperate struggle for just one? Don’t wait. Get vaccinated. Because every breath is worth fighting for. Breathe Strong, Philippines! #WorldPneumoniaDayPH #WorldPneumoniaDay

@earlouismd @philchestorg @RespirologyAPSR @pccp_lunginfexn @gdyagra @Docrsp @CDelaCruzMed @CatiaCilloniz @ericmoral It’s appropriate to step down once the patient is clinically improving (afebrile, hemodynamically stable, less/resolved SOB, & oxygen needs are decreasing) and/or they’ve completed a short, guideline-based (usually 5-7 days) course of antibiotics #PneumoniaChat

@earlouismd what if it's not pneumonia in the first place? Pneumonia vs Congestion is a frequent battle. we should also advocate for Abx stewardship across diff subspecialties #PneumoniaChat

A3: Use antibiotics wisely by 1) starting broad *only* when bacterial pneumonia is likely, 2) narrowing once cultures, antigen tests, and/or clinical data clarify the cause, & 3) stopping when the patient stabilizes, fevers resolve, & a 5-7 day course finishes #PneumoniaChat

@earlouismd Clinical parameters such as resolution of fever, improvement of symptoms: less cough, less dyspnea; decreasing O2 requirement are signs that the patient is improving. Recent studies show no add'l benefit with longer Abx tx duration: 5days should be enough #PneumoniaChat

@earlouismd we need to stand firm and be courageous to not give in to the request of antibiotics prescription when not needed #PneumoniaChat

@Docrsp Elephant in the room would be Macrolide overuse. I think we still have a long way in terms of over accessibility. Physicians giving in to requests for azithromycin with no indication #pneumoniachat

Q3: Fighting Resistance ​We have to stop using antibiotics incorrectly to save them for the future. When you start antibiotics for pneumonia, how do you make sure you are using them wisely, and when do you decide to stop or switch them? #PneumoniaChat #WiseAntibiotics

@earlouismd Some literature mention Pressure Swing Adsorption plants in hospitals which is more cost effective than traditional cylinders. Available in the Philippines already! Could be useful in rural areas, govt hospitals #PneumoniaChat

@gdyagra @earlouismd the pandemic has emphasized to us the 4th vital sign in pneumonia management #PneumoniaChat journals.lww.com/njcp/fulltext/…

@earlouismd So glad the pulse oximeter is more readily available at a low cost -- provides objective measure and guides patients re urgency and the need for higher level of care #PneumoniaChat

Q2: Oxygen Access ​Oxygen saves lives, but it's hard to get in many places. What simple, practical ideas or equipment changes have helped you get and manage oxygen for your patients, especially in smaller clinics or rural areas? #PneumoniaChat #OxygenSupply

@earlouismd in pneumonia management, Non‐invasive ventilation can reduce the risk of death in the ICU, endotracheal intubation, shorten ICU stay and length of intubation. cochranelibrary.com/cdsr/doi/10.10… #PnuemoniaChat

@earlouismd efficient use of various imaging techniques can lead to early and correct diagnosis of pneumonia pubmed.ncbi.nlm.nih.gov/40061910/#:~:t… #PneumoniaChat

Q1: Better Diagnosis ​We need faster ways to diagnose pneumonia! Aside from the usual X-ray, what quick tests or tools are you finding useful right now to figure out if pneumonia is bacterial (needs antibiotics) or viral (doesn't need them)? #PneumoniaChat

@earlouismd knowledge in the use of biomarkers like procal and crp may help facilitate starting antibiotics in pneumonia annalsofintensivecare.springeropen.com/articles/10.11… #PneumoniaChat

@earlouismd rapid molecular diagnostics helps and facilitates early identification of organisms that has caused pneumonia thelancet.com/journals/lanmi… #PneumoniaChat

@earlouismd Hi @earlouismd , joint this #Pneumoniachat

Hello, everyone! Welcome to our World Pneumonia Day #PneumoniaChat Introduce yourself and use the #PneumoniaChat

@earlouismd @philchestorg @RespirologyAPSR @pccp_lunginfexn @gdyagra @CDelaCruzMed @CatiaCilloniz @ericmoral checking in

@philchestorg @RespirologyAPSR @pccp_lunginfexn Tweetchat for #WorldPneumoniaDay2025 #PneumoniaChat starts in half an hour. @gdyagra @Docrsp @CDelaCruzMed @CatiaCilloniz @ericmoral

In observance of World Pneumonia Day, I'm hosting a 1-hour live #Tweetchat tonight. ​📅Nov 13 | 9:00 PM PST THEME: Enhancing Diagnosis, Oxygen Needs, & Tackling Resistance. ​Join the conversation with the #APSR2025 community! ​Use #PneumoniaChat to participate.

🌍 Today is World Pneumonia Day 🫁 — a reminder that pneumonia remains one of the leading causes of death among children and vulnerable adults worldwide. #WorldPneumoniaDay #GlobalHealth #Healthcare #PublicHealth #Awareness #Pneumlight

Grateful for the impact we’ve achieved with the Worldwide Pneumonia Awareness Campaign – Pneumolight. 💙 Together we’ve shown how powerful unity can be in fighting pneumonia. #Pneumolight #GlobalHealth #TogetherWeCan #WorldPneumoniaDay #Pneumonia @infeccHRUmalaga @Medtorek