IMCrit

14.4K posts

IMCrit

@IM_Crit_

Intensivist I Internal Medicine | ☕️, 🍩, 🥐, 🍫 addict

Katılım Nisan 2020

756 Takip Edilen58.4K Takipçiler

IMCrit@IM_Crit_·1d

Anticoagulation stories: Friendly reminder that transitioning from apixaban (Eliquis) 5 mg twice daily to warfarin 5 mg twice daily is not the way to do it... True story... #foamed

English

140

28K

IMCrit@IM_Crit_·15h

Target group: night-shift workers. I will order it with a dozen of doughnuts (plus: Lipitor 80 mg / Lantus 20 u)

Dexerto@Dexerto

Dunkin' is now launching its viral 48-ounce drink bucket nationwide The bucket can be filled with iced coffee, iced lattes, and Refreshers

English

IMCrit@IM_Crit_·1d

@Itelman_Edi That's why we need as many layers of protection as possible...

English

1.5K

Edi Itelman@Itelman_Edi·1d

@IM_Crit_ Also methotrexate is a weekly drug, not a daily one. Some doctors make really stupid mistakes with drug dosing

English

1.8K

IMCrit@IM_Crit_·1d

When you love both #ECMO and #Impella but also want to keep things tidy and close #foamed #foamcc

English

11.3K

IMCrit@IM_Crit_·3d

Nice summary on hantavirus infection

The Critical Care Commute Podcast@CriticalCommute

Hantavirus cardiopulmonary syndrome kills within 24h of hospital admission — and there's no antiviral. New Lancet ID review: what every ICU clinician needs to know. Thread.

English

145

23.5K

IMCrit@IM_Crit_·2d

Fun fact 👇

Eric Feigl-Ding@DrEricDing

LET THIS SINK IN—the U.S. now has no confirmed CDC director, no FDA commissioner, no Surgeon General, an NIH director with no medical license, and the last Acting CDC Director was a George Bush speechwriter. In fact—the only doctor/scientist we have in the White House is… Dr Oz.

English

44.4K

IMCrit@IM_Crit_·3d

On another note, my annual eye exam was canceled today, May 11, because last year’s was on May 12 and my elite, “Cadillac”, private health insurance, courtesy of a prestigious hospital and its mega integrated health network, apparently cannot survive a one-day overlap. If...

English

24.8K

IMCrit@IM_Crit_·3d

they can block a stupid eye exam over 24 hours, of course they can deny needed medical procedures and medications. Welcome to the marvel that is the U.S. health care “system”! #medtwitter

English

2.7K

IMCrit@IM_Crit_·5d

@nickmmark

GIF

QME

544

Nick Mark MD@nickmmark·5d

@IM_Crit_ I’ll push back here a little. I agree that speed & calm execution are key but I think It does matter a lot how smart you are, if you’ve taken the time to think through what-ifs in advance.

English

973

IMCrit@IM_Crit_·6d

In Critical Care, it doesn't matter how smart you are (it helps, though!) but what you can do in the moment #foamed #meded #foamcc #medtwitter

English

5.1K

IMCrit@IM_Crit_·6d

@NicholasChrimes @doctimcook Thank you both for the comments here and for your contributions in the field

English

Nicholas Chrimes@NicholasChrimes·6d

@doctimcook @IM_Crit_ I disagree. I certainly don’t think glottic impersonation is the explanation for all (or even most) oesophageal intubations but I suspect it’s a more common cause than we realise. I’ve seen it several times in adults & fallen for it once.

English

IMCrit retweetledi

IMCrit@IM_Crit_·14 Nis

ICU/ED/OR Airway "Secrets": #foamed #foamcc #meded #medtwitter #airways While you attempt direct laryngoscopy in a hypoxemic patient, you get this view:

English

188

51K

IMCrit@IM_Crit_·6d

An audit of 2.5 million academic biomedical-science papers identified ~3,000 w fake references;, ones that could not be traced to known publications. There were 12 times more publications w fabricated citations in 2025 compared w 2023. 🤦‍♂️ Topaz et al, Lancet, 407: 1779-81. (2026)

English

2.7K

IMCrit@IM_Crit_·5 May

@ThinkingCC I guess the situation is similar in both public and private hospitals. Managers don't listen to people in the trenches...

English

274

Philippe Rola@ThinkingCC·5 May

Same thing in Canada sadly, this is just government hiring buddies and getting kickbacks on public funds. It seems to be an MO. When these consultants come around and ask questions it’s just ridiculous such a waste of time and money because the answers are all with the people working in the trenches. But if admin asks us. Then they become somewhat liable. Because they know. Using consultants gives them one layer of protection.

English

314

IMCrit@IM_Crit_·4 May

@PulmCrit BTW, one of Critical Care appeals to me was that I will not have to wear white coat and tie every day (or ever!)...

GIF

English

1.2K

𝙟𝙤𝙨𝙝 𝙛𝙖𝙧𝙠𝙖𝙨 💊@PulmCrit·4 May

in ICU, the white coat is just a big walking fomite ideally, every piece of external clothing should be industrially laundered daily by the hospital (e.g. scrubs, green hospital-issued warm-up jackets) part of primum non nocere is not walking around covered in Cdiff spores

Medscape@Medscape

While the white coat remains a powerful symbol in medical education, its daily utility is shifting as clinicians prioritize comfort and approachability. Recent studies suggest that patient trust is built through demeanor and communication rather than attire, leading many physicians to favor fleece jackets or scrubs. Do you still view the white coat as an essential component of professional identity? mdsc.pe/3QARQBb

English

116

44.4K

IMCrit@IM_Crit_·4 May

Tell me what u want to prove & I will find u a study! A small study presented @ the 🇺🇸 Association for Cancer Research Annual Meeting suggested that “younger nonsmokers who eat a higher quantity of healthy foods than the general population are more likely to develop lung cancer"

English

4.5K

IMCrit retweetledi

IMCrit@IM_Crit_·30 Nis

Angioedema? Try tranexamic acid STAT Hopefully now they will not look at me like I am an alien.., #foamed #foamcc

Tim Coats@TJCoats

New angioedema guidance @RCEMevents 2026 conference: TXA recommended as primary treatment for isolated angioedema. Immediate escalation to ENT & anaesthetics if any swelling behind the teeth.

English

23K

Keşfet

@Itelman_Edi @nickmmark @NicholasChrimes @doctimcook @ThinkingCC @PulmCrit @elonmusk @BarackObama