Dor Cohen retweeted
Should we be afraid of the DARK?
New study I helped lead just dropped in @JAMANetworkOpen: Nighttime out-of-hospital cardiac arrests still carry a serious survival penalty - 14% lower odds of ROSC and 15% lower odds of neurologically favorable survival compared to daytime, even in 2024 data.
The gap hasn't closed in over a decade. Response times explain only a tiny part of it. Time to fix nighttime EMS response, CPR quality, and community recognition.
Kudos to @joshkimbre for all his excellent work!
Full thread 👇
#FOAMed #Resuscitation #CardiacArrest
This leaves a window of opportunity to improve OHCA survival, designing systems and community responses that improve nighttime OHCA survival. Let's get to work!
Thanks to @JAMANetworkOpen for publishing this work.
Dor Cohen retweeted
🚨 Just had an absolute BLAST recording Episode 98 of @icuscenarios on RV failure in the ICU - with sepsis + renal failure making it extra brutal.
We break down the real-world chaos:
- Why POCUS can fool you
- CVP trends
- Why vasopressin is my PVR-sparing go-to pressor
- Aggressive early diuresis guided by spot urine Na
- Why intubating is like walking a tightrope
- Avoid the killers that crank up PVR and doom the RV
Huge thanks to the host for the deep dive. This stuff saves lives in the trenches every night.
Listen now: icuscenarios.com/episode-98-…
And grab my new open-access review for the full framework: Acute Right Ventricular Failure in the Medical ICU (Lung 2025) → doi.org/10.1007/s00408-025-0…
What’s your clutch move when the RV starts failing in mixed shock? Drop it below -> let’s talk shop #RVFailure #CriticalCare #MICU #FOAMed #RightHeart #PulmonaryHypertension #Noctensivist
Dor Cohen retweeted
ICU #Airway Secrets:
Intubation may be difficult due to anatomic airway abnormalities but also due to physiologic derangements that predispose patients to cardiovascular collapse during the procedure
This is the concept of "physiologically difficult airway":
