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Replying to @medicalaxioms
Not all hospitals are teaching hospitals. But they are all learning hospitals.
How should #CardiogenicShock be staged and triaged in the emergency department?
Max Hockstein, MD, explores applying SCAI shock staging to assess severity and inform transfer from Level 2 to Level 1 shock centers.
#SCAISHOCK @debdiercks @ddbergMD @AdamMay64908870 @em_ccmdoc @MaxHockstein @rachkataria
once more and again ...
Sodium Bicarbonate for Critically Ill Adults with Metabolic Acidosis and Shock | New England Journal of Medicine nejm.org/doi/full/10.1056/NE…
Max Hockstein retweeted
Why do ICU clinicians approach ventilation differently?
The approach depends on how the lung is interpreted in real time.
In this episode, Dr Rory Spiegel and Dr Max Hockstein explore both sides of APRV.
Link in comments 👇
Max Hockstein retweeted
Thrilled to announce that MIMIC-IV-Ext-CLIF is now available on physionet!
Download today and accelerate your ICU data science- the Common Longitudinal ICU data Format (CLIF) consortium (1 M critical illness hospitalizations) will run any well coded project written using this resource!
Max Hockstein retweeted
#HospitalCosts Associated With #MechanicalLeftVentricularUnloading #Devices During #VAECMO for Adult #CardiogenicShock
👉tinyurl.com/4ewdem7m
@MedStarGUH @UofUHealth 🇺🇸|#ArtificialOrgans #ECMO #HeartFailure #CriticalCare
Max Hockstein retweeted
This week @TheLancet cover
and link to their accompanying editorial
thelancet.com/journals/lance…
Max Hockstein retweeted
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
Max Hockstein retweeted
Nope. Just like pulse oximetry won’t replace a blood gas or echo hemodynamics won’t replace a RHC in certain situations, respectively.
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/c…
Max Hockstein retweeted
We’re pulling out all the stops to get back to normal service! ❄️
Meet the fire snake. 🔥🐍
Excited to share our work surrounding ACLS medications and neurologic outcomes in ECPR.
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
Max Hockstein retweeted
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
Max Hockstein retweeted
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/SeptemberDCNewsl…
Max Hockstein retweeted
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
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
Max Hockstein retweeted
21. A hyperdynamic LV (“kissing” papillary muscles) on echo is not necessarily a sign of hypovolemia & should not reflexively trigger iv fluid bolus. Give yourself 1 mg of iv epinephrine and see what happens in your LV. Actually: don’t do it!




























