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Josh Farkas
intensivist • US & EKG nerd • FOAMite • skeptic • caffiene & iphone addict • leader of the rebel alliance • writer • resuscitationist
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Josh Farkas 5h
completely agree, working on some blogs about abdominal sono. especially in medical ICU we need to do this better & more systematically
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Josh Farkas Aug 21
Replying to @momedic9019
with newer contrast dye that probably doesnt cause AKI, unnecessary troponins probably lead to more iatrogenic harm than ddimers
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Josh Farkas Aug 21
if you notice the sky darkening today, that's a sign of God's wrath because you are ordering too many troponins.
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Anand Swaminathan Aug 20
LITFL Review 294 | The BEST of the week. Ripper interviews EM legend Jerry Hoffman
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Josh Farkas Aug 19
fortunately pt had normal lungs and an intact respiratory drive. survival despite medical care, not because of it.
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the EMCrit Crew Aug 19
Some thoughts on apneic oxygenation, RSI, and the burden of proof by
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Josh Farkas Aug 19
Replying to @Rick_Pescatore
bipap or cpap both safe & effective. key is achieving high mean positive airway pressure (eg, bipap 18/14 or cpap 15 prob equivalent)
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Josh Farkas Aug 19
Replying to @iceman_ex @avkwong
my opinion of single-arm industry-funded trials:
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Josh Farkas Aug 19
SCAPE tx: hi-dose NTG is great but dont forget to crank up the BiPAP pressures too. ideal unclear, maybe shoot for ~18/14 (Epap counts most)
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Josh Farkas Aug 18
Replying to @ketaminh @OrenFriedman
thats not bad, once recieved a patient in transport with an ETT attached to nothing (just sticking into thin air). no bag, no vent- nothing
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Josh Farkas Aug 18
thanks for your leadership on this. another superiority of scalpel is that catheters can get occluded with vomit/secretions.
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Bill Jeffries Aug 17
Bravo! We completely agree. Standards of evidence that apply in research and the clinic should apply to education!
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Josh Farkas Aug 16
Replying to @katiewiskar
def. have similiarly brought borderline septic pts to icu for peripheral pressor & close obs. feels silly but maybe best for patient
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Josh Farkas Aug 16
Replying to @icugasdoc
tricky. when you take a wait-and-delay strategy, the folks who get tubed are sicker & associates w worse outcome. i dont believe causal
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Josh Farkas Aug 16
agree 1000%. for patients sitting on the fence, often best to send to ICU for ongoing observation on HFNC or BiPAP (with intubation PRN)
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the EMCrit Crew Aug 14
Toxicology dogmalysis: the osmolal gap -by
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Josh Farkas Aug 13
in US, it looks like resuscitationist TEE will be spearheaded by emerg physicians & ACEP. brilliant work, look forwards to validation etc
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Christina Wilkie Aug 12
"On many sides." A woman was just killed by a white supremacist at a white supremacist rally and Trump condemns violence "on many sides."
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Josh Farkas Aug 12
great editorial. blaming poor outcomes on FOAM is today's equivalent to yelling "get off my lawn"
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Josh Farkas Aug 10
Replying to @CTeneback
sometimes they are- the subsegemental ones are submissive
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