#NephJC Transcript
Healthcare social media transcript of the #NephJC hashtag.
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See #NephJC Influencers/Analytics.
| Profile | Tweet |
|---|---|
 | Dr Mukesh Rulaniya @RulaniyaDr RT @edgarvlermamd: @srrezaie ✅ The myth of renal dose dopamine #RenalRules #Nephpearls #NephJC 👉🏼 https://t.co/xHHgHoiG2Q https://t.co/39AoW7Z9Fj |
| Dr Mukesh Rulaniya @RulaniyaDr RT @edgarvlermamd: ICU Nephrology: ICU Nephrology: Quick reference for DOSING OF PRESSORS from @srrezaie #Nephpearls #NephJC https://t.co/v1oxvtC0LB |
 | The Herrick Society @herricksociety RT @frank_dor: |
 | Dragon Fisting @dragon_fisting SICK PEOPLE: Median SBP was 83 mmHg (IQR, 76-87 mm Hg) with a median lactate level of 4.3 mmol/L (IQR, 2.8-7.7 mmol/L). #nephjc |
 | David Llantén @d_llanten RT @hec_310: |
 | Ibrahim Showaihi @showaihi RT @edgarvlermamd: ICU Nephrology: ICU Nephrology: Quick reference for DOSING OF PRESSORS from @srrezaie #Nephpearls #NephJC https://t.co/v1oxvtC0LB |
 | Sue G @living_donor RT @frank_dor: |
 | Ana G. Robles @AnaAGRob RT @hec_310: |
 | Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @NephRodby: You have to wonder how many other things we assume are helpful may not be or are even harmful? #nephjc |
 | Willij Zuidema @WillijZuidema RT @frank_dor: |
 | Joel M. Topf, MD FACP @kidney_boy RT @Nephro_Sparks: thanks to @ansakhuja for joining. @Errantnephron for writeup and @kidney_boy for moderating. #NephJC I learned that sepsis in Zambia is bad |
 | Prof. Dr. Ayhan ÖZHASENEKLER @AOzhasenekler RT @edgarvlermamd: ICU Nephrology: ICU Nephrology: Quick reference for DOSING OF PRESSORS from @srrezaie #Nephpearls #NephJC https://t.co/v1oxvtC0LB |
 | Fitz @fpgmanmd RT @edgarvlermamd: Early Resuscitation Protocol ➡️ In-hospital Mortality in Adults w/ Sepsis & Hypotension 🇿🇲 #NephJC #Nephpearls 👉🏼 https://t.co/C3GbN47L3M https://t.co/64yqVCHUnr |
 | özgür özen @ozgurozen80 RT @edgarvlermamd: ICU Nephrology: ICU Nephrology: Quick reference for DOSING OF PRESSORS from @srrezaie #Nephpearls #NephJC https://t.co/v1oxvtC0LB |
| Joel M. Topf, MD FACP @kidney_boy #NephJC ? https://t.co/wsuDb5hIUF |
 | Ibrahim Shatat @pedsnephrology RT @NephJC: #NephJC Oct 10/11 The article: https://t.co/XCOazv3Yer The summary: https://t.co/cySCXGpFjZ #VisualAbstract https://t.co/HyWGVZUC82 |
 | Sidney Erwin Manahan, MD 🇵🇭 @PhRheumaJr Ideally for (insert intervention). However, due to (finances/ unavailability/ etc) and discussion with pt, will give (alternative int). https://t.co/Z2pyHZTWw5 |
 | EVER OLIVIE CIPRIANO @DREVEROLIVIE RT @edgarvlermamd: Edgar Lerma, 🌧 Chicago-based Nephrologist #NephJC https://t.co/1NawWghiRv |
 | Pano @ED_TRex RT @edgarvlermamd: ICU Nephrology: ICU Nephrology: Quick reference for DOSING OF PRESSORS from @srrezaie #Nephpearls #NephJC https://t.co/v1oxvtC0LB |
 | Samir C Gautam @drsamirgautam RT @edgarvlermamd: Early Resuscitation Protocol ➡️ In-hospital Mortality in Adults w/ Sepsis & Hypotension 🇿🇲 #NephJC #Nephpearls 👉🏼 https://t.co/C3GbN47L3M https://t.co/64yqVCHUnr |
 | American Society of Pediatric Nephrology @ASPNeph RT @NephJC: #NephJC Oct 10/11 The article: https://t.co/XCOazv3Yer The summary: https://t.co/cySCXGpFjZ #VisualAbstract https://t.co/HyWGVZUC82 |
 | Taryn Lloyd @JustLloydering RT @edgarvlermamd: ICU Nephrology: ICU Nephrology: Quick reference for DOSING OF PRESSORS from @srrezaie #Nephpearls #NephJC https://t.co/v1oxvtC0LB |
 | Austin Jule @AJule450 RT @edgarvlermamd: ICU Nephrology: ICU Nephrology: Quick reference for DOSING OF PRESSORS from @srrezaie #Nephpearls #NephJC https://t.co/v1oxvtC0LB |
 | Mana @manasigh RT @edgarvlermamd: ICU Nephrology: ICU Nephrology: Quick reference for DOSING OF PRESSORS from @srrezaie #Nephpearls #NephJC https://t.co/v1oxvtC0LB |
 | Dr L K Tripathi @lktr18 RT @edgarvlermamd: ICU Nephrology: ICU Nephrology: Quick reference for DOSING OF PRESSORS from @srrezaie #Nephpearls #NephJC https://t.co/v1oxvtC0LB |
 | Hemachandar @drhemachandarr RT @anupampom: @NephJC EGDT is a story of medical reversal ..We should take all 'bundled' approaches with pinch of salt #nephjc https://t.co/NDCNkneipL |
 | Andres Cadena @ctropicalis RT @edgarvlermamd: ICU Nephrology: ICU Nephrology: Quick reference for DOSING OF PRESSORS from @srrezaie #Nephpearls #NephJC https://t.co/v1oxvtC0LB |
 | Nephrology Journal Club @NephJC #NephJC Europe-Africa 8pmBST Fluids in sepsis in Africa - How could you not join? Summary from @errantnephron https://t.co/cySCXGpFjZ |
 | Chris Laing @drchrislaing Great graphic team. Well done. Surprising results? Maybe needs further validation in other centres? I note 4 litres in fluid protocol https://t.co/T8PFA6my1T |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @drchrislaing Excellent points! There will be a discussion again in about 30 minutes on #NephJC - hope you can join? |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @NephJC: #NephJC Europe-Africa 8pmBST Fluids in sepsis in Africa - How could you not join? Summary from @errantnephron https://t.co/cySCXGpFjZ |
| Chris Laing @drchrislaing RT @hswapnil: @drchrislaing Excellent points! There will be a discussion again in about 30 minutes on #NephJC - hope you can join? |
| Chris Laing @drchrislaing Why not https://t.co/ImYwxlhjLz |
| Nephrology Journal Club @NephJC Half an hour until #NephJC Take a look at the visual abstract! https://t.co/m0fPgpSdKi |
| Nephrology Journal Club @NephJC Join us for the europe/africa edition in 15 minutes?! #NephJC https://t.co/ONS835kC5J |
 | Nathaniel Reisinger @nephrothaniel RT @NephJC: #NephJC Europe-Africa 8pmBST Fluids in sepsis in Africa - How could you not join? Summary from @errantnephron https://t.co/cySCXGpFjZ |
| Nephrology Journal Club @NephJC It’s 8pm GMT - Welcome to #NephJC |
| Nephrology Journal Club @NephJC #NephJC is the twitter journal club for Nephrology. And it's actually brilliant, if we say so ourselves. |
| Nephrology Journal Club @NephJC I’m @drbstewart - Neph/med trainee in Cambridge, UK hosting tonight’s #NephJC |
| Nephrology Journal Club @NephJC It can be helpful to use https://t.co/rFoH4MVMzu tchat.io or https://t.co/HkSJU7K32t to tune into #NephJC |
| Nephrology Journal Club @NephJC Remember to include #NephJC to every tweet |
| Nephrology Journal Club @NephJC Please introduce yourself, any COI, what do you do? #NephJC |
| Nephrology Journal Club @NephJC Don't be shy! Even if you are lurking/spectating #NephJC |
| Nephrology Journal Club @NephJC Anyone working in Zambia? #NephJC |
| Nephrology Journal Club @NephJC Great crowd already! #NephJC |
| Nephrology Journal Club @NephJC Stateside had fun with this last night #NephJC |
| Nephrology Journal Club @NephJC Tonight we are talking about an RCT of fluid resuscitation in sepsis #NephJC |
| Nephrology Journal Club @NephJC @errantnephron has written an excellent summary of the article: https://t.co/cySCXGpFjZ #NephJC |
| Nephrology Journal Club @NephJC The paper is available on JAMA https://t.co/XCOazv3Yer #NephJC |
| Nephrology Journal Club @NephJC Also shhhh but there may be a link... #NephJC https://t.co/1mHpQxdq4n |
| Nephrology Journal Club @NephJC Unfortunately not #openaccess #NephJC |
| Nephrology Journal Club @NephJC @Wamugwe @DrMattGB Welcome! #NephJC |
| Nephrology Journal Club @NephJC Remember to include #NephJC with every tweet |
| Nephrology Journal Club @NephJC Let's get cracking #NephJC |
| Nephrology Journal Club @NephJC We’ve been sailing down the EGDT river for a long time - choppy waters recently #NephJC |
| Nephrology Journal Club @NephJC 3 important trials ProCESS, ARISE and ProMISe from different corners of the globe spelled bad news for EGDT #NephJC https://t.co/cwKwY8r5Fk |
| Nephrology Journal Club @NephJC The FEAST study https://t.co/Zqvm9VUbZr argued against fluid boluses in paediatric sepsis. #NephJC |
| Nephrology Journal Club @NephJC FEAST was conducted in sub-saharan Africa #NephJC Nice LIFTL review here: https://t.co/wrekz9MyXX |
 | Florian Buchkremer @swissnephro Hi guys, Florian Buchkremer, no COI, still reading... (thanks, Tom) #NephJC |
| Nephrology Journal Club @NephJC @swissnephro Hi! #NephJC |
| Nephrology Journal Club @NephJC Total classic amongst clinical trials youtube videos right here: https://t.co/NHYVbmrQkl #NephJC |
| Nephrology Journal Club @NephJC #NephJC Great to have you with us https://t.co/HDZlQn75ft |
| Nephrology Journal Club @NephJC The venue for this study is Zambia - only 10 ICU beds! #NephJC |
 | Fiona Duthie @faiduthie Hi, Fiona from Edinburgh, multitasking and haven't read manuscript so mainly lurking! #nephjc |
 | Arkana Laboratories @arkanalabs RT @NephJC: Tonight we are talking about an RCT of fluid resuscitation in sepsis #NephJC |
| Nephrology Journal Club @NephJC So the stage is set for the simplified severe sepsis protocol (SSSP) study #NephJC |
| Nephrology Journal Club @NephJC I think we can all agree it’s fantastic work from the investigators and people of Zambia to produce these data #NephJC |
| Nephrology Journal Club @NephJC Ok - Let’s crunch the methods and cohort #NephJC |
| Nephrology Journal Club @NephJC Study ran oct 2012 to nov 2013 #NephJC |
| Nephrology Journal Club @NephJC RT @AKIfellow: |
| Nephrology Journal Club @NephJC Included sepsis (infection +>=2SIRS) with SBP<=90 or MAP <=65 #NephJC |
| Nephrology Journal Club @NephJC @toates_19 Haha great! #NephJC |
| Fiona Duthie @faiduthie @DrMattGB Hmmmmm it got more complicated mid-July..! #nephjc |
| Nephrology Journal Club @NephJC They excluded the hypoxic and tachypnoeic #NephJC |
| Nephrology Journal Club @NephJC Pretty broad inclusion criteria - agree? #NephJC |
| Nephrology Journal Club @NephJC Two arms SSSP (106) vs standard care (103) #NephJC |
| Nephrology Journal Club @NephJC Here is the SSSP: #NephJC https://t.co/z9mmdyar3W |
| Nephrology Journal Club @NephJC SSSP gives overall 4 litres in five hours 2:1, 2:4 #NephJC |
| Nephrology Journal Club @NephJC they clearly recognise this is a fair bit! - screened for overload every hour #goodmedicine #NephJC |
 | Paul Phelan @paulphel Evening, Paul Phelan, Edinburgh what did I miss? #nephjc |
| Nephrology Journal Club @NephJC @paulphel But reflective of their presenting population? #NephJC |
| Nephrology Journal Club @NephJC @logiebear111 What’s up with excluding GI bleed without fever? #NephJC |
| Nephrology Journal Club @NephJC Fluids were not weight adjusted- no weights in paper #NephJC |
| Nephrology Journal Club @NephJC SSSP mandated stopping fluids if JVP>3cm #NephJC |
| Nephrology Journal Club @NephJC SSSP stopped fluids if SpO2 fell 3% or RR increased >=5bpm #NephJC |
| Nephrology Journal Club @NephJC SSSP also allows for the addition of dopamine for hypotension and transfusion for anaemia #NephJC |
| Nephrology Journal Club @NephJC What are your thoughts on dopamine in this mix? #NephJC |
| Nephrology Journal Club @NephJC 209 patients - mostly HIV+ #NephJC |
| Nephrology Journal Club @NephJC These patients were sick - I think we can agree #NephJC |
| Nephrology Journal Club @NephJC Sick patients = HIV median CD4 <100 #NephJC |
| Nephrology Journal Club @NephJC Sick patients = Positive cultures for TB #NephJC |
| Nephrology Journal Club @NephJC Sick patients = Mean Hb 7.8g/dL #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @AKIfellow @Wamugwe @NephJC HIV numbers may not be representative of gen population, but may be of patients with sepsis/shock? #nephjc |
| Nephrology Journal Club @NephJC Sick patients = Median alb 2.2g/dl #NephJC |
| Nephrology Journal Club @NephJC Sick patients = average lactate >4 #NephJC |
| Nephrology Journal Club @NephJC RT @AKIfellow: |
| Nephrology Journal Club @NephJC Average age was 36.7 - thoughts on how this shifts things vs other EGDT trials ? #NephJC |
| Nephrology Journal Club @NephJC The authors were using the SIRS criteria. This was '12-13 #NephJC |
| Nephrology Journal Club @NephJC RT @DrMattGB: |
| Fiona Duthie @faiduthie @logiebear111 @NephJC Ditto but better than nothing given resource issue... #nephjc |
| Nephrology Journal Club @NephJC Importantly the average IV fluid input over 1st 6h <2l in standard care - too much, too little? #NephJC |
| Nephrology Journal Club @NephJC Less than half of standard care grp received any fluid bolus #NephJC |
| Nephrology Journal Club @NephJC Very unusual #NephJC https://t.co/oS8zdDgUsa |
| Nephrology Journal Club @NephJC Vasopressors in <2% in standard care grp #NephJC |
| Nephrology Journal Club @NephJC Not subtle difference in management approach I think we can agree? #NephJC |
| Nephrology Journal Club @NephJC @AKIfellow Depends on the clinician's "standard care" #NephJC |
| Nephrology Journal Club @NephJC @toates_19 @logiebear111 Or post surgical abdominal sepsis disasters #IBD etc. #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @drchrislaing Sorry: just tweet with hashtag #NephJC Or go to https://t.co/zpxswszfWz |
| Nephrology Journal Club @NephJC @DrMattGB @alehkir Malnourished TB and HIV in the cohort probably doesn't make for a very effective LV #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil #NephJC https://t.co/PANqvFvm4h |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil #NephJC https://t.co/f2UPoXw2Es |
| Nephrology Journal Club @NephJC @toates_19 @DrMattGB @AKIfellow Sounds like kwashiorkor territory? #NephJC |
| Nephrology Journal Club @NephJC Let’s talk results #NephJC - pretty clear cut! |
| Nephrology Journal Club @NephJC Primary outcome was in hospital mortality #NephJC |
| Nephrology Journal Club @NephJC Secondary outcome: 28-day mortality and time to death #NephJC |
| Nephrology Journal Club @NephJC Bottom line: SSSP does harm - 48% in hospital mortality vs 33% for standard care #NephJC https://t.co/LySmplizbS |
| Nephrology Journal Club @NephJC Please tag tweets with #NephJC |
| Nephrology Journal Club @NephJC #NephJC https://t.co/T6UwOheJFd |
| Nephrology Journal Club @NephJC Bottom line: SSSP does harm - 67% 28 day mortality vs 45% for standard care #NephJC |
| Nephrology Journal Club @NephJC Nearly 70% pts died by 28 days! Let that sink in... #NephJC |
| Nephrology Journal Club @NephJC Number needed to Harm is 6 for in hospital mortality and 4 for 28 day mortality #NephJC |
| Nephrology Journal Club @NephJC Remember: only one patient made it to the ICU #NephJC |
| Nephrology Journal Club @NephJC @neilturn @AKIfellow Particularly on the back of mounting (-) literature on EGDT #NephJC |
| Nephrology Journal Club @NephJC Anyone willing to trot out reasons why we can ignore these results? #NephJC https://t.co/uXNQktIHR3 |
| Nephrology Journal Club @NephJC Is this harm all down to mostly volume? mostly dopamine? cocktail? Something great in standard care? #NephJC |
| Nephrology Journal Club @NephJC #NephJC https://t.co/IE1nI5CwQ7 |
| Nephrology Journal Club @NephJC @AKIfellow @Dr_Beale_ @neilturn Tyranny of distance also #NephJC |
| Nephrology Journal Club @NephJC Results in full detail - pretty clear evidence of harm overall #NephJC https://t.co/jBG6jUvvtk |
| Nephrology Journal Club @NephJC K-M curve tells story of 2ndry endpoint #NephJC https://t.co/vHncQWbPQt |
| Fiona Duthie @faiduthie @logiebear111 @toates_19 @NephJC Pulmonary oedema or ARDS? Anyone know if ards is less common in hiv given it's an inflammatory illness..? Maybe not the issue... #nephjc |
| Nephrology Journal Club @NephJC Single centre - #FEAST went all over SSafrica ... would the results have changed? #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @neilturn: |
| Nephrology Journal Club @NephJC @toates_19 With albumin that low, there's rationale for giving fluid that stays put? #NephJC |
| Nephrology Journal Club @NephJC If you designed this study - what other end points would you want to include? #NephJC |
| Chris Laing @drchrislaing #nephjc 4 litres seems a lot |
| Nephrology Journal Club @NephJC SSSP gives overall 4 litres in five hours 2:1, 2:4 #NephJC https://t.co/fYcydcrC2r |
| Nephrology Journal Club @NephJC Ok 10 minutes left - Any further ideas about where the paper leaves us? #NephJC |
| Nephrology Journal Club @NephJC #NephJC how will this change your management? |
| Nephrology Journal Club @NephJC Will you be "keeping 'em dry"? #NephJC https://t.co/WOZJZ8mroL |
| Chris Laing @drchrislaing #nephjc none of the major GDT NEJM trials have reduced severe AKI rates. I guess what is surprising here is adverse outcome? |
| Nephrology Journal Club @NephJC @WhistlingDixie4 thanks for joining! See you again #NephJC |
| Chris Laing @drchrislaing #nephjc @toates_19 like many things in life with fluids "timing is everything" |
| Nephrology Journal Club @NephJC @toates_19 Fluids = drugs with benefits and harms #NephJC (though not really any benefits here!) |
| Nephrology Journal Club @NephJC Any final ideas about this paper? #NephJC |
 | Dr. HattaN BojaN I د. هتان بوجان @hattanbojan RT @edgarvlermamd: ICU Nephrology: ICU Nephrology: Quick reference for DOSING OF PRESSORS from @srrezaie #Nephpearls #NephJC https://t.co/v1oxvtC0LB |
| Nephrology Journal Club @NephJC About time to draw to close - Thanks all for joining in - really enjoyed this #NephJC chat! |
| Nephrology Journal Club @NephJC Absolutely this should be #openaccess #NephJC https://t.co/MezbddTSSi |
| Nephrology Journal Club @NephJC Thanks for joining this #NephJC - this is @drbstewart signing off! |
| Chris Laing @drchrislaing #nephjc don't forget with the big sepsis GDT trials "standard care" was not unrecognised sepsis/no action. Lack of evidence is around GDT |
| Chris Laing @drchrislaing Another great graphic from the #NephJC team https://t.co/LEPf2q7LbT |
 | Matthew Sparks, MD @Nephro_Sparks RT @NephJC: #NephJC Oct 10/11 The article: https://t.co/XCOazv3Yer The summary: https://t.co/cySCXGpFjZ #VisualAbstract https://t.co/HyWGVZUC82 |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @neilturn: |
| Matthew Sparks, MD @Nephro_Sparks fantastic stuff #NephJC https://t.co/R5HMQXVkDw |
 | Gail Rae-Garwood @Slowitdownckd RT @NephJC: #NephJC is the twitter journal club for Nephrology. And it's actually brilliant, if we say so ourselves. |
 | Michelle Rheault @rheault_m RT @NephJC: #NephJC is the twitter journal club for Nephrology. And it's actually brilliant, if we say so ourselves. |
 | Jerad Gardner, MD @JMGardnerMD RT @NephJC: #NephJC is the twitter journal club for Nephrology. And it's actually brilliant, if we say so ourselves. |
| Jerad Gardner, MD @JMGardnerMD #NephJC was a major inspiration for #pathJC. Our neph colleagues helped us a lot when starting the #pathology Twitter journal club! https://t.co/ghv5YkTxsx |
 | YNP of ERA @ynptweets RT @NephJC: I love me some Table 1! #NephJC https://t.co/zGBSQI0drS |
| YNP of ERA @ynptweets RT @drchrislaing: Another great graphic from the #NephJC team https://t.co/LEPf2q7LbT |
 | Sibel Gokcay Bek @sibgokcay RT @NephJC: #NephJC chat tonight/tomorrow Summary: https://t.co/NAbvetvGSo Full text: https://t.co/lFTvhvOign #VisualAbstract : https://t.co/mHEtv2QYnr |
 | Martín Vargas 🇲🇽 @MartinVargas89 RT @edgarvlermamd: ICU Nephrology: ICU Nephrology: Quick reference for DOSING OF PRESSORS from @srrezaie #Nephpearls #NephJC https://t.co/v1oxvtC0LB |
 | MJ (Marietjie) Slabbert Keilty 🚁 🐈⬛ @Gas_Air_CCdoc RT @edgarvlermamd: ICU Nephrology: ICU Nephrology: Quick reference for DOSING OF PRESSORS from @srrezaie #Nephpearls #NephJC https://t.co/v1oxvtC0LB |
 | Natalie Lavergne @LavergneNatalie RT @edgarvlermamd: ICU Nephrology: ICU Nephrology: Quick reference for DOSING OF PRESSORS from @srrezaie #Nephpearls #NephJC https://t.co/v1oxvtC0LB |
 | John P Erwin III MD FACC @HeartOTXHeartMD RT @edgarvlermamd: ICU Nephrology: ICU Nephrology: Quick reference for DOSING OF PRESSORS from @srrezaie #Nephpearls #NephJC https://t.co/v1oxvtC0LB |
 | Dr.Carlos Fernandez Pereira @dr_cfp RT @edgarvlermamd: ICU Nephrology: ICU Nephrology: Quick reference for DOSING OF PRESSORS from @srrezaie #Nephpearls #NephJC https://t.co/v1oxvtC0LB |
 | Jonathan Britton @JonTheMedic RT @edgarvlermamd: ICU Nephrology: ICU Nephrology: Quick reference for DOSING OF PRESSORS from @srrezaie #Nephpearls #NephJC https://t.co/v1oxvtC0LB |
#NephJC content from Twitter.