josh farkas 💊

@pulmcrit.bsky.social

Pulm/crit attending at U. Vermont 🐄 Zentensivist 🧘‍♂️ trying to post more about medicine in order to distract myself from doomscrolling 🤦‍♂️ author of free online critical care textbook emcrit.org/ibcc/toc/ 📖 no conflicts of interest 💰

@pulmcrit.bsky.social

Fresh IBCC chapter on airway management:

🤿 Systematic pre-intubation evaluation, optimization, & checklist

🤿 BiPAP preoxygenation

🤿 HOB up, sniffing position

🤿 1st attempt with hyperangulated VL

🤿 Pulmonologist-style bronch for awake intubation

emcrit.org/ibcc/tube/

@pulmcrit.bsky.social

Fresh Blog: Is oseltamivir assassinating ICU patients?

☠️ The REMAP-CAP trial has concluded with >98% certainty that oseltamivir is killing patients.

☠️ This is an extraordinary claim that requires extraordinary evidence.

#1/2... #EMIMCC

@pulmcrit.bsky.social

Global warming is increasing the rate of Vibrio vulnificus infections in Louisiana and Florida.

Also, the CDC has stopped tracking Vibrio infections.

So basically, don't eat any oysters 🤷‍♂️

www.nbcnews.com/news/us-news... #IDsky

nbcnews.comTwo dead after getting flesh-eating bacteria from eating raw oystersMore than 20 Louisiana residents have contracted Vibrio vulnificus, which can cause illness when a person eats raw or undercooked seafood.
@pulmcrit.bsky.social

Skytorial: Five pearls on olanzapine 😁 Between agitation and nausea/vomiting, olanzapine has a wide range of use. Olanzapine is generally not a front-line agent (e.g., haloperidol or ondansetron often are). But sometimes, it really comes in clutch....

media.tenor.coma man in a plaid shirt sits at a picnic table with the words " settle down " on the bottomALT: a man in a plaid shirt sits at a picnic table with the words " settle down " on the bottom