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PulmCCM

@PulmCCM

Life, death and the ICU

 United States
pulmccm.org
Joined March 2011
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  • Following259
  • Followers16K
197Media
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NEW: Earn CME for reading PulmCCM. We now partner with Learner+, a reflective learning platform which lets you earn CME anywhere and anytime learning happens. open.substack.com/pub/pulmcc…
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A new sepsis alert says it’s better than the rest. Could this be “the one”? pulmccm.org/p/fda-clears-a-s…
FDA Clears A Slightly Better Sepsis Alert

FDA Clears A Slightly Better Sepsis Alert

TREWS beats the competition but sepsis still sneaks through

pulmccm.org
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A new sepsis alert says it’s better than the others. Could this be “the one”? pulmccm.org/p/fda-clears-a-s…
FDA Clears A Slightly Better Sepsis Alert

FDA Clears A Slightly Better Sepsis Alert

TREWS beats the competition but sepsis still sneaks through

pulmccm.org
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Register for HR 2026 today and use PulmCCM promo code for a discount substack.com/@pulmccm/note/c…
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open.substack.com/pub/pulmcc… New Guideline on care for older adults in the ICU. Isn't that just "care in the ICU"?
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pulmccm.org/p/biomarker-driv…
Biomarker-driven AKI prevention improves labs, but what about kidneys?

Biomarker-driven AKI prevention improves labs, but what about kidneys?

Bigpak-2 tests the NephroCheck™ story in a larger population

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Just-released: Decoder chart incorporating the secret messages in the new PE guidelines
Image from PulmCCM (@PulmCCM)
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New Guideline for End-of-Life Care in the ICU : hospitals need to do more. Will they? open.substack.com/pub/pulmcc…
New Guideline for End-of-Life Care in the ICU

New Guideline for End-of-Life Care in the ICU

Time for hospitals to do more. Will they?

pulmccm.org
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Here’s a breakdown of the 2025 post cardiac arrest guideline updates by AHA and ESICM. pulmccm.org/p/post-cardiac-a…
Post-Cardiac Arrest: 2025 Guideline Update

Post-Cardiac Arrest: 2025 Guideline Update

The American Heart Association and the European Society for Intensive Care Medicine each updated their post-cardiac arrest guidelines in 2025.

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FDA approves a high-risk device with a <10% chance of success, and CMS agrees Medicare will pay $23,650 per patient for the device, all without requiring the marketer to show it’s superior to a plausible risk-free competitor that costs $75. Can Lungpacer® wean your patient off the vent? pulmccm.org/p/can-lungpacer-…
Can Lungpacer® wean your patient off the vent?

Can Lungpacer® wean your patient off the vent?

What you need to know about the new FDA-approved diaphragm-buzzer

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Please answer this “boards” question on VF: what would you do? pulmccm.org/p/the-real-world…
THE REAL-WORLD BOARDS: Question #1

THE REAL-WORLD BOARDS: Question #1

An 82-year-old woman in refractory V-fib arrest arrives in the E.D. Your move.

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Do you know the gross story of how “sepsis bundles” came to be the law of the land, even though they don’t help? pulmccm.org/p/sepsis-bundles…
"Sepsis bundles": No good evidence of benefit

"Sepsis bundles": No good evidence of benefit

A randomized trial testing SEP-1 against usual care is long overdue

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New society guideline says physicians are responsible for providing “family centered care” pulmccm.org/p/are-you-treati…
Are you treating the patient, or their family?

Are you treating the patient, or their family?

Both, according to the newest society guideline update

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Melatonin for sleep and delirium prevention in the ICU : does it actually help? pulmccm.org/p/sedation-analg…
Sedation, Analgesia, and Sleep Guideline Update: Melatonin

Sedation, Analgesia, and Sleep Guideline Update: Melatonin

Reviewing the evidence for the newest PADIS recommendation

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The weekend effect is real pulmccm.org/p/maybe-reschedu…
Maybe reschedule that Friday surgery for Monday

Maybe reschedule that Friday surgery for Monday

Large cohort study adds evidence for the "weekend effect"

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BOLO: CDC receiving multiple reports of serious adverse events with injectable ceftriaxone, state health authorities say pa.gov/content/dam/copapwp-p…
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pulmccm.org/p/how-long-shoul…
How long should CPR be performed after cardiac arrest in the hospital?

How long should CPR be performed after cardiac arrest in the hospital?

A series to help inform the final life-and-death decision

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Here's today's jeremiad/screed/philippic inspired by @PulmCCM piece on sepsis tests today: Ignore Any Report of a Diagnostic Test that Highlights +/- Predictive Value rather than Sensitivity & Specificity medicalevidenceblog.com/2025… #intellisep #septicyte #septicyterapid
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Do you think triage tools like ARDS and sepsis criteria (add delirium) will ever unveil a mechanistic approach to treatment? (Please share I don't have many followers) @PatientStormDoc @PulmCCM @PulmCrit @TheSGEM @emcrit @IM_Crit_
35%Yes
65%No
89 votes • Final results
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Neurologists’ jobs just got harder. pulmccm.org/p/should-thrombo…
Should thrombolytics be given >4.5 hours after stroke onset?

Should thrombolytics be given >4.5 hours after stroke onset?

Improved outcomes despite intracranial hemorrhages in a new meta-analysis

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