Ards on VVA #ecmo with an impella for venting. #pocus shows reduced RVOT vti with notching. Repeat later same day after 2ng/kg/min treprostinil shows notching resolved and VTI increased 3 cm. No other changes were made in between. So many chances to nerd out on one case. #pccmsky #emimccm

CT progression of a patient with GPA. Discussed in ILD conference that centrilobular nodules aren't just bronchiolitis. Can sometimes be early vasculitis. This patient needed ecmo,steroids, cytoxan,PLEX, ivig 2g/kg. #pccmsky #emimccm #ctchest #ecmo #ILD

Do you cannulate ‘awake’ (non intubated) for VV ECMO? What’s your experience? Our findings using the ELSO registry match what we’ve seen @montefiorecritcare.bsky.social. About half of patients intubated at 24-hours. No mortality difference. Check it out! pmc.ncbi.nlm.nih.gov/articles/PMC... #emimccm

And mortality higher in PCT guided arm! Should this have been designed as a non-inferiority trial with a 5% non-inferior mortality margin? Makes the study conclusions read very strangely #emimccm

Should you be scared of the dark?

If you think lower odds of survival from out-of-hospital cardiac arrest (OHCA) is terrifying, then yes.

jamanetwork.com/journals/jam...

🧵

#medsky #emimccm #foamed