Cardiologist and Cardiac ICU @THP_hospital / @UofT_DoM, via @McGillMed and @MayoClinic. Always learning. #POCUS and coffee, ideally together.
Toronto, ON
Joined March 2009
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Finally in print! Our data from @MayoClinicCV CICU patients showing how echo can help risk stratify patients within SCAI shock stages. @seanvandiepen @nandananavekar @CICU_ECHO @MayoPCCM
journal.chestnet.org/article…
Barry Burstein, MD retweeted
#CardioNerds, it is with GREAT pleasure that we break ground on a NEW Series:
🚨Cardiac Critical Care🚨
Stay tuned for an incredible curriculum & a comprehensive dive into this burgeoning field!
❤️🤓Co-Chairs: @MarkBelkinMD @EuniceDuganMD @karanpdesai @YoavKarpenshif 🙏🏽
Barry Burstein, MD retweeted
Join us LIVE this Thur @ 3:30PM EST for a @CANCARESociety Virtual Journal Club, discussing @NEJM's Capital DoReMi Trial, comparing dobutamine to milrinone in #CardiogenicShock.
We'll be joined by 2 authors @RebeccaMathewMD & @DiSantoPietro from @UOHIResearch🇨🇦
See details⤵️
Great collaboration demonstrating the increased CV risk associated with sepsis survival. A potentially important risk factor in CV prevention. Great work @leahkosyakovsky, @fedeangriman, @PatrickLawlerMD and team!
Our #systematicreview and #metaanalysis on the association of #sepsis with long-term #CVD is out now in @yourICM ! Surviving sepsis was associated with ⬆️#cvMI, #heartfailure, and #stroke over 5+ years. Take-home points below. tinyurl.com/p5n634jy
Barry Burstein, MD retweeted
Important new @AHAScience Scientific Statement on The Prevention of #CICU Complications led by @fordycecb @JasonKatzMD @carlosalviar published in @CircAHA
ahajournals.org/doi/10.1161/…
Worth the read!!
Does your center permit use of CPAP/BPAP in patients with COVID (or under investigation)?
82%Yes
18%No
17 votes • Final resultsThe definition of "pre-shock" in CICU patients can be elusive. In the latest issue of @CircHF we demonstrate that it may not be what you think...
Defining Shock and Preshock for Mortality Risk Stratification in Cardiac Intensive Care Unit Patients ahajournals.org/doi/10.1161/…
Take home message: don't ignore a patient with elevated lactate just because the blood pressure is normal - it may not be for long!
Thanks to co-authors @seanvandiepen, @davebaran, @HenrytTimothy, @venumenon10, @ChetRihal, @SrihariNaiduMD, @davebaran, and of course Jake Jentzer (who is not on Twitter) for their valuable input and guidance.
Important position on #bestpractices for all #CICU patients. Congratulations to @JasonKatzMD @carlosalviar @seanvandiepen @fordycecb!
Important new @AHAScience Scientific Statement on The Prevention of #CICU Complications led by @fordycecb @JasonKatzMD @carlosalviar published in @CircAHA
ahajournals.org/doi/10.1161/…
Worth the read!!
Barry Burstein, MD retweeted
Surely a no. You only have to read IABP-SHOCK II in @NEJM, @TheLancet and @CircAHA
If you use IABP it may only to make you better sleep during the night. But it does not help the patient! Even no benefit on lactate or does of catecholamines...
I voted no. @thiele_holger what do you think? Do you even have one still in Leipzig? And how about @BenediktSchrage and @dirkwestermann after your comparison with Impella from last year? @AGIKinterv
Our analysis of the @MayoClinic database demonstrating that MAP>65 mmHg is associated with survival in #CardiogenicShock, now published in @Crit_Care. Some guidance for clinicians to improve care for our patients. Great collaboration with @MeirTabi, @kianoushbk, and others!
Confirm your CVC position with #POCUS!
Check out this subX view after a push of agitated saline to confirm CVL placement! Thanks for the submission @vmjbang! If you aren’t doing this yet consider bubble study + b/l lung US to eval for pneumo. No need to wait for XR to use your line! #MedTwitter #POCUS #bedsideUS #ECHO
Barry Burstein, MD retweeted
It’s amazing how quickly deconditioning occurs in the hospital. Before my hospitalization, I was running 4-5 miles. After 3 days of not moving in the ICU, a 10 minute walk is exhausting. I have a much better understanding about why I ordered all those PT consults during intern yr
Barry Burstein, MD retweeted
How hospitals are struggling to get PPE. Being outbid by federal government. FBI, Homeland Security involvement. My goodness!! A chilling narrative by a hospital CEO in @NEJM. @choo_ek
nejm.org/doi/full/10.1056/NE…
A great resource for anyone managing patients on #ventilators. Thanks to "vent whisperer" @Steven94666177 for sharing @MayoPCCM
vta.allego.com/home.do
Ventilator Manufacturers Form Ventilator Training Alliance, Create App to Help Front-Line Medical Workers During COVID-19 Pandemic - AARC. Great resource in time of crisis! @Steven94666177 @ogi_gajic @roeckler @MayoPCCM. aarc.org/ventilator-training…
Barry Burstein, MD retweeted
BREAKING: Brief19 has learned that only 43% of covid-19 patients admitted to hospital had fever on initial evaluation. but 88.7% developed fevers during hospitalization.
This goes against @WHO catch-net definitions requiring fever + one respiratory symptom.
New @NEJM letter👇
