Kevin Frank

@NickJohnsonMD Maybe it’s a single slide with a stop sign on it? 🛑

Very curious about the rationale here. In 10 years of both EM and CCM practice, I’ve not done a paralytic only intubation, including in very sick cardiac/trauma/ECMO/PH patients. IMO, there’s always a better option than this.

Conference should be interactive they said. Encourage audience participation they said. Fiberoptically bronch your PD they said. #EMConf

🔥Cycling may improve physical function at ICU discharge 12 trials, 1,291 patients, low certainty 🔥Cycling may have no effect on physical function at hospital discharge 7 trials, 645 patients, low certainty 🔥Cycling may improve physical function post-hospital 8 trials, 865 patients, low certainty 🔥Cycling may decrease ICU length of stay by >1 day 29 trials, 2,575 patients, low certainty 🔥Cycling probably decreases hospital length of stay by >1.5 days 22 trials, 2,060 patients, moderate certainty #lives2024

How to create oral resuscitation fluid at the bedside using soy sauce packets: 🍣 replicate normal saline or a balanced crystalloid (alkali not included though) 🍣 easy, fast, cheap 🍣 conserve IV fluid in situations where it’s safe to do so #formulation_of_enteral_resuscitation_fluid_using_soy_sauce" target="_blank" rel="nofollow noopener">emcrit.org/ibcc/fluid/#fo…

Organ perfusion assessment in the shocked patient. #POCUS #MedEd #Nephpearls #FOAMcc 🔗 link.springer.com/article/10.100…

If you think empiric resuscitation with 1:1 RBCs & plasma is sufficient to correct coagulopathy then we @CommsC4TS, @Bokarelli & INTRN have just the paper for you: "Correction of Trauma-induced Coagulopathy by Goal-directed Therapy" @_Anesthesiology pubs.asahq.org/anesthesiology…

#Foamed #airway #meded Airway Management Academy Multimedia Library Video’s, apps, innovations, webinars, new techniques, interviews 🎥 vimeopro.com/airwaymanageme…

TEG Made Easy...Just Ask 3 Questions... -How Fast: Coagulation Factors -How Strong: Fibrin/Platelets -How Long: Fibrinolysis #FOAMed #FOAMcc #Resuscitation #CriticalCare

@EM_RESUS Also a bit awkward for the tech performing the EKG…

#VExUS Score at Discharge as a Predictor of Readmission in Patients with Acute Decompensated #HeartFailure: A Cohort Study 🔗 scielo.br/j/abc/a/MQdGqP…

@emily_fri Logistically, I’m not convinced that third point makes sense. Lot quicker to push tpa than it is to get a patient to a fluoro suite, insert a catheter, and remove the thrombus, in >99% of cases I’d estimate.

The only pro-catheter assisted recommendation I could find in the latest VTE guideline review. PE/vascular/IR friends--do we think this will change in the near future?

@PulmCrit And then try to take into account how EF doesn’t tell the whole story with ventriculo-arteriolar coupling and now you’ve really got a classification system!

PulmCrit Wee: We need a heart failure classification system that doesn't ignore half of the heart. 💔Diagnose, document, and communicate about RV failure. 💔Support #ThePeoplesVentricle by classifying heart failure more comprehensively. blog: emcrit.org/pulmcrit/hfxef…

Pulmonary infections according to types of immunosuppression

ePLAR: parameter to differentiate between pre & post-capillary pulmonary HTN. Essentially its a ratio of the #echofirst surrogates of pulmonary artery pressure & left atrial pressure. #POCUS #FOAMed #Nephpearls

Fresh blog: PPIs are safe and effective for GI prophylaxis… the end. 😁Review of SUP-ICU, PEPTIC & REVISE 😁PPIs are effective & safe (no increase in PNA or CDiff) 😁Mortality trends are statistical noise (REVISE shows *less* mortality w/ PPIs) blog: emcrit.org/pulmcrit/revis…

Glorious day! Just reached 75% of sample size in ANDROMEDA-SHOCK-2!1125/1500 pts, only 375 left! Thanks to all dear friends, co-investigators of >80 centers around the world. Just an investigator-generated, non-funded trial. A triumph of spirit, passion over money! Some hope😍!

HAVL vs MAC VL for expected difficult airway 2540 adults assessed; 182 patients identified as difficult Percentage of glottic opening visualised: ⭐️89% HAVL v 54% MAC VL⭐️ First attempt success rate: ⭐️97% HAVL v 67% MAC VL⭐️ @UKEHamburg 🔗…-publications.onlinelibrary.wiley.com/doi/10.1111/an…

Can venous Doppler be used to monitor decongestion EVEN in patients with persistently severe TR? 🚨Portal Vein Doppler tracks volume status in patients with severe tricuspid regurgitation: A Proof-of-Concept Study🚨 doi.org/10.1093/ehjacc… I am really proud of this one!! Fantastic work by lead by cardiology fellow⭐️ @SergioAlday11 👏👏👏 We cover this study at length at our recent HCP-Rounds with @ross_prager (min 26:00): youtube.com/watch?v=YCdSks…

ICU Renal Secrets: Color pulse wave-Doppler US is the primary imaging tool for characterization of acute kidney injury (AKI). Probing (literally) the renal artero-to-venous coupling can help us phenotype AKI cases and place them in different profiles. For example,