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@A_Rad_Resident @medicalaxioms Not all hospitals are teaching hospitals. But they are all learning hospitals.
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Max Hockstein
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Max Hockstein retweetledi
#HospitalCosts Associated With #MechanicalLeftVentricularUnloading #Devices During #VAECMO for Adult #CardiogenicShock
👉tinyurl.com/4ewdem7m
@MedStarGUH @UofUHealth 🇺🇸|#ArtificialOrgans #ECMO #HeartFailure #CriticalCare
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Max Hockstein retweetledi
In my experience:
Scrub pants + T-shirt —> intensivist (especially noctensivst)
Cargo pants + scrub top —> hospitalist
Khaki pants + scrub top —> IM subspecialist (especially GI)
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🥼Sartorial scrubs question:
What’s the deal with “half wearing” scrubs? Which of these looks is the least bad?
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Max Hockstein retweetledi
This week @TheLancet cover
and link to their accompanying editorial
thelancet.com/journals/lance…
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Max Hockstein retweetledi
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
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Max Hockstein retweetledi
Nope. Just like pulse oximetry won’t replace a blood gas or echo hemodynamics won’t replace a RHC in certain situations, respectively.
Srihari S. Naidu, MD@SrihariNaiduMD
Can MRI replace the RHC? Commentary on an interesting @JACCJournals paper covered by @Medscape @purviparwani @OKhaliqueMD @rooshaparikh @PragyaRanjan @DrFuisz @SCAI @Babar_Basir @agtruesdell @adityadoc1 medscape.com/s/viewarticle/…
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Max Hockstein retweetledi
We’re pulling out all the stops to get back to normal service! ❄️
Meet the fire snake. 🔥🐍
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@ross_prager @ThinkingCC @khaycock2 @icmteaching @TheSGEM @iceman_ex @NephroP With tamponade, get rid of the obstructive shock, but don't be surprised when the function decreases afterwards. We see this occasionally in the postoperative period for patients who have had a pericardiectomy.
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@ross_prager @ThinkingCC @khaycock2 @icmteaching @TheSGEM @iceman_ex @NephroP The uncomfortable thing to think about is how pericardial effusions unload both ventricles. When the effusion applies external pressure on the myocardium, the sarcomeres become closer, often improving contractile state (some think this is an evolutionary response to HF).
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What is your preferred approach to draining an effusion like this causing tamponade?
How many mL would you drain in this case.. all or do you stop after XmL to avoid RV failure?
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Max Hockstein retweetledi
Excited to share our work surrounding ACLS medications and neurologic outcomes in ECPR.
Circ: Heart Failure@CircHF
In ECPR, higher epinephrine exposure is linked to worse neurologic outcomes—medication effects may be unmasked by ECPR @NickJohnsonMD @csmfisher @JoeTonnaMD @maxhockstein @MedStarHealth @UofUHealth ahajrnls.org/45xykdq
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Max Hockstein retweetledi
In ECPR, higher epinephrine exposure is linked to worse neurologic outcomes—medication effects may be unmasked by ECPR @NickJohnsonMD @csmfisher @JoeTonnaMD @maxhockstein @MedStarHealth @UofUHealth ahajrnls.org/45xykdq
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Traditionally a ketamine first guy, but I let my trainees choose their med most of the time and don’t see apparent hemodynamic differences
I do push the MAP to ~75 with pressors regardless of agent
And I do give fent with etomidate
Overall agree with @PulmCrit’s take
𝙟𝙤𝙨𝙝 𝙛𝙖𝙧𝙠𝙖𝙨 💊@PulmCrit
It's honestly hard to know how to interpret this data due to statistical power limitations. This is an important trial that should change practice. But I don't think we should all jump on the bandwagon that ketamine is a bad RSI drug. fresh blog: emcrit.org/pulmcrit/rsitr…
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Max Hockstein retweetledi
It's official:
We are bringing the Commanders home to RFK and activating 180 acres of opportunity on the banks of the Anacostia River.
We’re ready to deliver for our city—our businesses, our people, our project.
🔗tinyurl.com/SeptemberDCNew…
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The most on-axis shot (ever) is I think what @DavidWienerMD said. Pretty sure that's what he said.
David H. Wiener, MD@DavidWienerMD
Innovative, hands-on scanning education at #ASE2025 on #HCM from experts like @echoguru at our DIY sessions . Come to #ASE2026 for more of the same (you can't get this on YouTube). @ASE360
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Max Hockstein retweetledi
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Max Hockstein retweetledi
Like the troponin, imaging, or risk scores, AI will make good doctors great and bad doctors worse.
We use technology.
Technology doesn’t use us. #ChatGPT
Srihari S. Naidu, MD@SrihariNaiduMD
Was interviewed by @TIME magazine about chatGPT in healthcare and it got me wondering whether we’ve forgotten what doctoring really is - a human exercise married to science and trchnology. Anyway not sure when it’ll come out but interesting times indeed @CMichaelGibson @DLBHATTMD @scooperpr @pkothapalliMD
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Max Hockstein retweetledi
The combination of septic shock and RV failure together are really not fun! 0/10
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