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josh farkas
intensivist • US & EKG nerd • FOAMite • skeptic • caffeine & iphone addict • leader of the rebel alliance • writer • resuscitationist
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josh farkas retweeted
Frank Farkash 15h
question- anyone using Ideal body weight (IBW) for dosing the core measure IVF bolus? Per guidelines, if BMI >30 using IBW will meet core measure IF documented. Still disagree w/ measure, but may help prevent some drowning? Ping
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josh farkas 15h
excellent point
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josh farkas 16h
well, an ICU bed costs ~5000/day, so unless iv phenobarb is insanely expensive should eventually save money (Rosanson showed fewer icu admits w phenobarb). could also use PO phenobarb which is well absorbed and dirt cheap.
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josh farkas Jan 16
Replying to @HayderAledan
two options 1. bicarb amps can be used as hypertonic tx - described in link 2. oral salt (eg soy sauce via NG tube).
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josh farkas retweeted
Essentials of EM Jan 16
Essentials of is nearly SOLD-OUT and the schedule is finalized! Pick up a ticket ASAP if you're joining us in 2 weeks for our 1-day conference in NY, or grab the online/on-demand pack if that day doesn't work for you:
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josh farkas Jan 16
have worked at hospitals that do it both ways (ward or ICU). DKA can be managed on wards but requires frequent labs/glucose monitoring. ultimately an issue of nursing resources.
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#hellomynameis Segun Jan 15
This is brilliant . A great balanced look at ARDS and an interesting algorithm which finally fits recruitment, APRV and proning into a sensible structure.
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josh farkas Jan 16
strange. I dont know exactly but it should be cheap.
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josh farkas Jan 15
Replying to @jtheheist @iceman_ex
belated reply: fresh post on P/F ratios. researching this blog showed that these are even more unreliable than I imagined. this is a major problem regarding the definition of ARDS & when to pll trigger on tx’s like proning
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josh farkas Jan 15
Replying to @Dimdamm0 @emcrit
im sure they adjusted the vent somehow. do to otherwise would be malpractice.
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the EMCrit Crew Jan 15
ARDS... or pseudoARDS? Definition failure. -by
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josh farkas Jan 15
Replying to @Dimdamm0 @emcrit
the standard of care involves *some* form of vent optimization (eg even something as simple as a standard PEEP table). its unclear what they did (protocol on NEJM is written in french!!) but they undoubtedly did something to adjust the vents.
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josh farkas Jan 14
thanks, love the podcast. in fairness phenobarb monotherapy wasn’t my idea, was used sucessfully in Europe during most of 20th century. if you wait long enough, everything comes back around. (last week used IV digoxin for unstable AF)
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josh farkas retweeted
jeremy faust Jan 14
We’re back! New on phenobarbital as *monotherapy for alcohol withdrawal, discussing by Josh Farkas , and what and Goldfrank’s texts have to say. Show: Blog+show:
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josh farkas retweeted
Dr. Zubin Damania Jan 12
The Hard Truth Behind That Baltimore Patient Dumping Video
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josh farkas Jan 13
yep, pulmonologists do something similiar with the names of interstitial lung diseases so that they can seem smart.
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josh farkas Jan 13
“I wish we could re-define and re-name diseases every 10 years.” - said no clinician, ever
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josh farkas Jan 13
careful, you should never order labs in odd hour intervals (q3, q5, q7). this may cause inversion of the spacetime continuum and implosion of the universe.
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josh farkas retweeted
the EMCrit Crew Jan 12
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josh farkas Jan 9
it’s an enormous privilidge to be entrusted with the care of another human being. try not to forget that.
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