Max Hockstein

@A_Rad_Resident @medicalaxioms Not all hospitals are teaching hospitals. But they are all learning hospitals.

Why do ICU clinicians approach ventilation differently? The approach depends on how the lung is interpreted in real time. In this episode, Dr Rory Spiegel and Dr Max Hockstein explore both sides of APRV. Link in comments 👇

@TrackYourHeart Fascicular VT?

Verapamil is contraindicated in VT because: A) It causes bronchospasm B) It increases myocardial oxygen demand C) It slows AV nodal conduction without affecting ventricular focus D) It stimulates sympathetic activity

@IM_Crit_ I lurk to learn from you!

@MaxHockstein Hi buddy! I thought you had walked away from this app...

ICU Snapshots: This is what I don't want to see when a patient on heparin drip crashes:

@cardiojaydoc02 @FNULNU1 Stupid game, stupid prize.

@FNULNU1 They didn’t think it would happen to them.

Elections have consequences.

@nickmmark @CritCareTime Some sanity.

I think we need to do a @CritCareTime episode on Guidelines Gone Wild. Other than the 2026 AHA PE & SCCM surviving sepsis Guidelines what else do you want to see?

@cliffreid @resuscitology @EMNerd_ - our slide please

Getting an important point across at today’s ⁦@resuscitology⁩ course

@MaryBowdenMD There is no evidence that favors bias in healthcare.

Here’s an internal medicine residency program in Texas where all 13 residents are foreigners. Six of the thirteen are from Pakistan.

@emlitofnote Why wait until an ambulance arrives? Let us invest in CetriaxHome, cure sepsis in the comfort of your own home!

“We recommend antibiotics early, even though what little evidence exists are observational studies showing no difference, because we’re Really Worried About Sepsis.”

@MaryBowdenMD Healthcare benefits from inclusion, not exclusion.

Over 1500 medical students applied for anesthesiology residency at Harvard. 5 of the 18 coveted spots (28%) were filled by foreign medical students.

@PulmCrit @critconcepts @icuscenarios @ABsteward @joshmcgoo @EMNerd_ I enjoyed their use of "quotation marks" when they made "suggestions"

@critconcepts @icuscenarios @ABsteward @joshmcgoo @EMNerd_ is there some way we can negotiate to create less aweful guidelines? these guidelines are among the most despised in clinical medicine but the SSC just keeps doubling down.

Chair of the new Surviving Sepsis guidelines Hallie Prescott will be recording with us on the @icuscenarios podcast tomorrow - what burning questions should we ask? @PulmCrit @ABsteward @joshmcgoo @EMNerd_ #medtwitter #FOAMcc #FOAMed

Thrilled to announce that MIMIC-IV-Ext-CLIF is now available on physionet! Download today and accelerate your ICU data science- the Common Longitudinal ICU data Format (CLIF) consortium (1 M critical illness hospitalizations) will run any well coded project written using this resource!

@EMNerd_ @icmteaching Make Hetastarch Great Again?

@icmteaching Indeed

Large volume fluids then vasopressors then beta agonists for shock. In 2026. This is so low IQ.

#HospitalCosts Associated With #MechanicalLeftVentricularUnloading #Devices During #VAECMO for Adult #CardiogenicShock 👉tinyurl.com/4ewdem7m @MedStarGUH @UofUHealth 🇺🇸|#ArtificialOrgans #ECMO #HeartFailure #CriticalCare

In my experience: Scrub pants + T-shirt —> intensivist (especially noctensivst) Cargo pants + scrub top —> hospitalist Khaki pants + scrub top —> IM subspecialist (especially GI)

🥼Sartorial scrubs question: What’s the deal with “half wearing” scrubs? Which of these looks is the least bad?

This week @TheLancet cover and link to their accompanying editorial thelancet.com/journals/lance…

New study: Higher annual ECMO center volumes link to fewer pulmonary complications in VV, reduced hemorrhagic issues in VA and VV, but more mechanical complications in VA, dependent on center volume at ECMO start. 📊 #ECMO buff.ly/xc34gNl

Nope. Just like pulse oximetry won’t replace a blood gas or echo hemodynamics won’t replace a RHC in certain situations, respectively.

We’re pulling out all the stops to get back to normal service! ❄️ Meet the fire snake. 🔥🐍