Shannon Fernando

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Shannon Fernando

Shannon Fernando

@shanfernands

Critical Care physician. Emergency physician. Researcher interested in all things resuscitation and critical care. Learning every day.

Toronto, Ontario Katılım Şubat 2017
240 Takip Edilen1.2K Takipçiler
Shannon Fernando retweetledi
Benjamin Hibbert
Benjamin Hibbert@benhibbertMDPhD·
Another output from superstar fellow @JungRichardG - Prognostic factors associated with mortality in septic shock: a systematic review and meta-analysis - out in @LancetRespirMed Downloadable: authors.elsevier.com/a/1mWi%7E7tFB1… Kudos to @SameerKadri12 for the accompanying editorial. In fields like cardiogenic (evidence.nejm.org/doi/full/10.10…) and septic shock we generate large amounts of prognostic data that live individually in studies published across time, journals etc. These findings have important implications for clinical and research applications but it can be difficult to understand these factors comparatively. In our publication, we boiled the data down to 95 eligible studies that included 4.8 million eligible patients. We divided the analysis into patient, presentation factors and biochemical markers as they related to in-hospital or 30-d mortality. Significant patient factors included black race, history of cirrhosis or malignancy. Significant presentation risk factors included respiratory source, AKD or elevated risk score (SOFA>APACHE>SAPSII) Significant treatment/biochemical risk factors included need for NE or mechanical ventilation. The identification of these prognostic factors could aid in clinical risk application, goals of care discussions, and identifying the subset of patients at highest and lowest risk of early mortality for patients with septic shock. Kudos to co-authors and collaborators @shanfernands @rebeccamathewmd @Bram_Rochwerg @PietroDiSantoMD @PietroDiSantoMD @GProsperiPorta @cameron_stotts #SEPSIS #SpesisAwareness #StopSepsis #critcare #criticalcare #ICU #CICU @MayoClinicCV @mayoclinicCCM @MayoPCCM @MayoCCJC @UOHI
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Dr. Randy Wax
Dr. Randy Wax@drrandywax·
Kudos to the author team including lead author @shanfernands from our @LakeridgeHealth @queensccm Critical Care faculty! Looking forward to the eventual results of the BLUSH trial underway to provide the randomized evidence needed to evaluate methylene blue in septic shock.
Critical Care Medicine@CritCareMed

🔍 Methylene blue (MB) use is uncommon in septic shock, with substantial variability across time, patient populations, and hospitals. Randomized evidence is required to evaluate the efficacy and safety of MB. 📖 Read more in CCM: ow.ly/YoTN50Y432S #CritCareMed #SCCM @SCCM

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Critical Care Medicine
Critical Care Medicine@CritCareMed·
🔍 Methylene blue (MB) use is uncommon in septic shock, with substantial variability across time, patient populations, and hospitals. Randomized evidence is required to evaluate the efficacy and safety of MB. 📖 Read more in CCM: ow.ly/YoTN50Y432S #CritCareMed #SCCM @SCCM
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Tommaso Scquizzato, MD
Tommaso Scquizzato, MD@tscquizzato·
We just published in @ResusJournal a meta-analysis of MCS after ROSC While only 1 RCT addressed this topic only in CA pts, most RCTs of MCS in AMI-CS enrolled a high proportion of post-CA pts We pooled data from RCTs with available CA subgroups. sciencedirect.com/science/articl… 1/
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MLB Network
MLB Network@MLBNetwork·
"I'm stunned that we're standing here talking about the Blue Jays winning the [AL] East." #MLBTonight reacts to Toronto's division clinch.
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Dr. Randy Wax
Dr. Randy Wax@drrandywax·
The pitching duel I never knew I needed to see…Rowdy Tellez (1B) versus Tyler Heineman (backup C).
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Marc Carrier
Marc Carrier@MarcCarrier1·
🩸 Meta-analysis presented at #ISTH2025 and simultaneously published in @ehj_ed found that several risk factors (e.g., previous history of VTE or bleeding, advanced cancer, and specific cancer sites) are associated with recurrent VTE and bleeding in patients with CAT. academic.oup.com/eurheartj/adva…
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Matt Siuba
Matt Siuba@msiuba·
Very thankful to my fellows for the kind recognition. Teaching engaged learners is a privilege.
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Marc Carrier
Marc Carrier@MarcCarrier1·
Prof. @isabellemahe1 presents API-CAT at #ACC2025, published in @NEJM Extended anticoagulation with reduced-dose apixaban is noninferior to full-dose for preventing recurrent VTE, with less clinically relevant bleeding 🩸in patients with cancer. nejm.org/doi/full/10.10…
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Queen’s CCM Program
Queen’s CCM Program@queensccm·
Huge congratulations to our very own Dr. Sibley for receiving a @CIHR_IRSC project grant to study magnesium prophylaxis to prevent atrial fibrillation in critically ill patients.
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