#NephJC Transcript
Healthcare social media transcript of the #NephJC hashtag.
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See #NephJC Influencers/Analytics.
| Profile | Tweet |
|---|---|
 | Sharon Lagas @SharonLagas RT @gratefull080504: Here are the @goKDIGO guidelines for #raredisease #kidneydisease @IGANFoundation @PKDFoundation @Nephcure #nephJC @AlportSyndFndn https://t.co/4BV567wHX6 |
 | CAPN-ANPC @CAPNeph RT @NephJC: Fluid Resuscitation in Sepsis: Fluid Resuscitation in Sepsis: The next #NephJC summary https://t.co/l5X80arQ9F |
 | Daniel Amador (IM, Neph) @DanielAmador_dr RT @kidney_boy: Here is a #VisualAbstract (kind of) that describes Simplified Severe Sepsis Protocol (SSSP) that failed in the study. Don't do this! #NephJC https://t.co/emjepMVAG8 |
 | LifEnrich @LifEnrichLLC RT @hswapnil: Paul Marik opines on the Andrews et al trial we are discussing tomorrow at #NephJC https://t.co/t5NDodZ4QD on @emcrit h/t @medevidenceblog |
 | Arvind Canchi (Conjeevaram)🇮🇳 @arvindcanchi Nice summary by @Errantnephron on the next #nephjc topic. Fluid Resus in Sepsis - Another Failure. https://t.co/uZ8xtiATUr |
 | @askrenal @askrenal .@nephjc RT @rednephron: Salient H&I slides from UCL transplant course #NephJC #askrenal https://t.co/0vokCax98q |
| @askrenal @askrenal .@nephjc RT @rednephron: Anaesthetic assessment of pulmonary hypertension in the pre-tx work up. #NephJC #askrenal https://t.co/TQQVfMzB5I |
| @askrenal @askrenal .@nephjc RT @rednephron: Really important slide - immunological pre-tx risk assessment. #askrenal #NephJC https://t.co/4HpUBWJgvU |
 | Nephrology Journal Club @NephJC Join us tonight to discuss a RCT of sepsis treatment. 9pm EST #NephJC https://t.co/cySCXGpFjZ |
 | Sibel Gokcay Bek @sibgokcay RT @askrenal: .@nephjc RT @rednephron: .@nephjc RT @rednephron: Anaesthetic assessment of pulmonary hypertension in the pre-tx work up. #NephJC #askrenal https://t.co/TQQVfMzB5I |
| Nephrology Journal Club @NephJC Sepsis in Africa Visual Abstract https://t.co/Ng76OMPFwR |
 | Cristhy Albornoz @acristhy RT @NephJC: Fluid Resuscitation in Sepsis: Fluid Resuscitation in Sepsis: The next #NephJC summary https://t.co/l5X80arQ9F |
 | ISN Education @ISNeducation @DamianFog :) Send us your 2018 campaign and we'll list it in the re-designed Directory...releases December 2017 #NephEd #NephJC |
 | Ana Maria Matias @AMCMA6 RT @askrenal: .@nephjc RT @rednephron: .@nephjc RT @rednephron: Anaesthetic assessment of pulmonary hypertension in the pre-tx work up. #NephJC #askrenal https://t.co/TQQVfMzB5I |
 | Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @NephJC: Join us tonight to discuss a RCT of sepsis treatment. 9pm EST #NephJC https://t.co/cySCXGpFjZ |
| Ana Maria Matias @AMCMA6 RT @NephJC: Join us tonight to discuss a RCT of sepsis treatment. 9pm EST #NephJC https://t.co/cySCXGpFjZ |
 | Mana @manasigh RT @kidney_boy: #VisualAbstract Release Candidate 1 for tomorrow's #NephJC on Protocol Driven Sepsis Therapy in Africa. Looking For Feedback. Be brutal. https://t.co/Hj9DyngKlc |
| Sibel Gokcay Bek @sibgokcay RT @NephJC: Sepsis in Africa Visual Abstract https://t.co/Ng76OMPFwR |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @NephJC: Sepsis in Africa Visual Abstract https://t.co/Ng76OMPFwR |
| Sibel Gokcay Bek @sibgokcay RT @kidney_boy: Here is a #VisualAbstract (kind of) that describes Simplified Severe Sepsis Protocol (SSSP) that failed in the study. Don't do this! #NephJC https://t.co/emjepMVAG8 |
| Nephrology Journal Club @NephJC RT @NephJC: Join us tonight to discuss a RCT of sepsis treatment. 9pm EST #NephJC https://t.co/cySCXGpFjZ |
| Nephrology Journal Club @NephJC RT @NephJC: Sepsis in Africa Visual Abstract https://t.co/Ng76OMPFwR |
| Nephrology Journal Club @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 @NephJC: #NephJC Oct 10/11 The article: https://t.co/XCOazv3Yer The summary: https://t.co/cySCXGpFjZ #VisualAbstract https://t.co/HyWGVZUC82 |
 | Joel M. Topf, MD FACP @kidney_boy RT @NephJC: #NephJC Oct 10/11 The article: https://t.co/XCOazv3Yer The summary: https://t.co/cySCXGpFjZ #VisualAbstract https://t.co/HyWGVZUC82 |
 | Bea Concepcion @KidneyBea_n RT @NephJC: #NephJC Oct 10/11 The article: https://t.co/XCOazv3Yer The summary: https://t.co/cySCXGpFjZ #VisualAbstract https://t.co/HyWGVZUC82 |
 | Rolando Claure, MD, FASN, FISN 🇧🇴 @RClaure_nefro RT @NephJC: #NephJC Oct 10/11 The article: https://t.co/XCOazv3Yer The summary: https://t.co/cySCXGpFjZ #VisualAbstract https://t.co/HyWGVZUC82 |
 | soda_troubles,https://med-mastodon.com/@haysam @set_fortess RT @NephJC: #NephJC Oct 10/11 The article: https://t.co/XCOazv3Yer The summary: https://t.co/cySCXGpFjZ #VisualAbstract https://t.co/HyWGVZUC82 |
 | Gonzalo Bautista Prieto. MD 🇪🇨 @GonzalBautistaP RT @kidney_boy: #VisualAbstract Release Candidate 1 for tomorrow's #NephJC on Protocol Driven Sepsis Therapy in Africa. Looking For Feedback. Be brutal. https://t.co/Hj9DyngKlc |
 | Silvi Shah, MD, MS @silvishah RT @NephJC: Sepsis in Africa Visual Abstract https://t.co/Ng76OMPFwR |
 | devika nair md msci @devimol sad to miss #NephJC - am a paul marik fan. many qs - usual care got ~earlier abx. 4L = a lot in ppl who are fluid avid+chronically-inflamed |
| Nephrology Journal Club @NephJC Testing 1,2,3. #nephjc |
| Nephrology Journal Club @NephJC We are live and ready to rock! #nephjc |
| Nephrology Journal Club @NephJC Going to run and pour a glass scotch, don't start with out me #nephjc |
| Nephrology Journal Club @NephJC It’s 9 PM Tuesday. Welcome to another exciting edition of #NephJC |
| Nephrology Journal Club @NephJC I'm Joel Topf, co-founder of #NephJC. I'll be spinning the freshest Tweets from HDub https://t.co/qORqQgbyaG #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @NephJC The right fluid to discuss the fluid trial, eh Joel? #NephJC |
| Nephrology Journal Club @NephJC Anybody out there? Or did I put in the wrong hashtag on TChat? #nephjc |
| Nephrology Journal Club @NephJC Hey Swap, thanks for coming. #nephjc |
 | Roger Rodby @NephRodby Roger Rodby, love scotch but recently prefer Manhattans #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil Swapnil Hiremath from @OttawaHospital #nephjc No CoI Restrictive fluid user? https://t.co/AQbhmjNYkw |
| Nephrology Journal Club @NephJC Remember to add #NephJC to every tweet. That will allow everybody in the chat to see your contribution. |
| Nephrology Journal Club @NephJC Hey Rodger, did the Cubs beat the Nats? #nephjc |
| Roger Rodby @NephRodby Rained out today #nephjc |
| Nephrology Journal Club @NephJC I am a clinical nephrologist. I have no conflicts of interest (COI). #NephJC |
 | Annabel Biruete 🇲🇽 @anniebelch Annabel Biruete, dietetic intern @BSUHealth and #NSMC intern. Lurking tonight🙊 #NephJC |
| Nephrology Journal Club @NephJC Please share your name, and COI. #nephjc |
| Nephrology Journal Club @NephJC We recommend using tchat.io or https://t.co/rFoH4MVMzu. They filter out everything but the hashtag and add #NephJC to every tweet |
| Nephrology Journal Club @NephJC Hey Annabel, you coming to New Orleans? #nephjc |
 | Michelle Rheault @rheault_m @NephJC Michelle here. Ped Neph. COI in bio. Never been to Zambia. #NephJC |
| Nephrology Journal Club @NephJC Ankit, thanks for coming! #nephjc |
| Nephrology Journal Club @NephJC Michelle! Great! #nephjc |
 | Matthew Sparks, MD @Nephro_Sparks Matt Sparks #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @anniebelch @BSUHealth hey Annabel! #NSMC represent! #nephjc |
| Nephrology Journal Club @NephJC One of the goals of #NephJC is to build a personal learning network, so punch that follow button https://t.co/WTusn7Yx2W |
| Silvi Shah, MD, MS @silvishah Hi this is Silvi transplant nephrologist #nephJC no Coi |
| Nephrology Journal Club @NephJC Hey Matt, thanks for making it. #nephjc |
| Nephrology Journal Club @NephJC Silvi! #nephjc |
| Nephrology Journal Club @NephJC Give a shout out when you push it and push it real good https://t.co/wxSJjm8YlZ #NephJC |
 | Pravir @Proximal_Baxi Pravir Baxi, Rush Nephrology, no COI #nephjc |
 | Gates Colbert, MD @DoctorGates Dallas Nephrologist. #NSMC 2017. COI: I take care of a LOT of ICU patients, sometimes with Na 180. Think fluid first, then wait/resist the bolus/track your I/O. #NephJC |
| Nephrology Journal Club @NephJC @rheault_m You predicted the topic zero question! #nephjc |
| Nephrology Journal Club @NephJC While we are waiting, Topic Zero: Have you been to Africa? Zambia? Have you been a doctor or nurse in Africa? #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @ansakhuja ooh! Critical care trained: just what we need tonight! #nephjc |
 | Hector Madariaga, MD FASN 🇲🇽 @HecmagsMD Hi everyone. Hector Madariaga. From #Patriotsnation. No COI #nephjc |
| Nephrology Journal Club @NephJC Pravir, thanks for coming. We interviewed one of your residents for our fellowship last week! #nephjc |
| Silvi Shah, MD, MS @silvishah @NephJC No never..would like to go though #NephJC |
| Annabel Biruete 🇲🇽 @anniebelch @NephJC Of course! Can't wait for #kidneywk and and the #NephJC #tweetup! |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @Proximal_Baxi hey Pravir! Thanks for coming tonight #nephjc |
| Roger Rodby @NephRodby I've seen the Lion King on broadway, is that a COI? #nephjc |
| Nephrology Journal Club @NephJC Roger being Roger! RT @NephRodby: I've seen the Lion King on broadway, is that a COI? #nephjc |
| Nephrology Journal Club @NephJC @NephRodby you're like the Puig of #NephJC |
| Nephrology Journal Club @NephJC Alternate Topic Zero. If Doc Rivers' Early Goal Directed Therapy was on Tinder, would you swipe left or right? #NephJC |
 | Edgar V. Lerma 🇵🇭 @edgarvlermamd Edgar Lerma, 🌧 Chicago-based Nephrologist #NephJC https://t.co/1NawWghiRv |
| Roger Rodby @NephRodby RT @NephJC: @NephRodby you're like the Puig of #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @DoctorGates Awesome! Let's see some #280character tweets tonight! #nephjc |
| Bea Concepcion @KidneyBea_n Bea Concepcion @VUMCKidney, Nashville TN, no COI #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @NephJC: While we are waiting, Topic Zero: While we are waiting, Topic Zero: Have you been to Africa? Zambia? Have you been a doctor or nurse in Africa? #NephJC |
| Michelle Rheault @rheault_m @NephJC I worked at an orphanage in rural Romania once. Pretty awful and low resource in its own way. #NephJC |
| Nephrology Journal Club @NephJC Wow, sounds hard RT @rheault_m:I worked at an orphanage in rural Romania once. Pretty awful and low resource in its own way. #NephJC |
| Nephrology Journal Club @NephJC Hey Bea, thanks for coming #nephjc |
| Matthew Sparks, MD @Nephro_Sparks @KidneyBea_n @VUMCKidney Hi Bea #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil T0: no, not been to Africa or Tinder. #gulp #nephjc |
| Roger Rodby @NephRodby RT @NephJC @NephRodby you're like the Puig of #NephJC The Puig of NephJC: all hype, overrated, egomaniac? Yikes |
| Hector Madariaga, MD FASN 🇲🇽 @HecmagsMD @NephJC never. Been a doctor in rural areas, though #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @KidneyBea_n @VUMCKidney Hi Bea! Good #NSMC presence tonight with @anniebelch & @DoctorGates #nephJC |
| Silvi Shah, MD, MS @silvishah @anniebelch @BSUHealth Hi Anna! #nephjc |
| Nephrology Journal Club @NephJC @edgarvlermamd did you ever practice medicine in the Philippines? #nephjc |
| Matthew Sparks, MD @Nephro_Sparks @NephJC GDT was preached and meticulously followed when I was in ICU as resident #NephJC I drank the KoolAid |
| Pravir @Proximal_Baxi @hswapnil thanks! too much rain and too late to golf ;) JK #nephjc |
| Hector Madariaga, MD FASN 🇲🇽 @HecmagsMD @anniebelch see you there! 😃 @NephJC #nephjc |
| Nephrology Journal Club @NephJC with low resources? What was it like? RT @HecmagsMD: @NephJC never. Been a doctor in rural areas, though #nephjc |
| Matthew Sparks, MD @Nephro_Sparks @NephJC Not sure which way the swipe is good #NephJC is it like clearing notification on EMR |
| Edgar V. Lerma 🇵🇭 @edgarvlermamd Early Resuscitation Protocol ➡️ In-hospital Mortality in Adults w/ Sepsis & Hypotension 🇿🇲 #NephJC #Nephpearls 👉🏼 https://t.co/C3GbN47L3M https://t.co/64yqVCHUnr |
| Nephrology Journal Club @NephJC Had an opportunity to go to Kenya as a resident. Foolishly didn't do it. Big mistake. One of my few regrets. #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil Though working at public hospital in Mumbai was pretty resource poor. Lots of malaria and other infectious septic shock...#nephjc |
| Gates Colbert, MD @DoctorGates TO: Tonights chat theme song: https://t.co/XwYSFsDdWf #NephJC |
| Nephrology Journal Club @NephJC @Nephro_Sparks we're so old we won't admit to knowing how to use Tinder #nephjc |
| Roger Rodby @NephRodby One of my partners Casey Gashti went to Haiti and volunteered, so limited in what he had to offer #nephjc |
| Nephrology Journal Club @NephJC @DoctorGates I was thinking of using that for the title of the post #nephjc |
| Nephrology Journal Club @NephJC RT @NephRodby: One of my partners Casey Gashti went to Haiti and volunteered, so limited in what he had to offer #nephjc |
| Matthew Sparks, MD @Nephro_Sparks @Proximal_Baxi @hswapnil #MorningGolfGate #NephJC #RenalRushAttendingsGolfInsteadOfRound |
| Michelle Rheault @rheault_m @NephJC @Nephro_Sparks I tell my husband I keep him around just so I don't have to learn how to use a new dating app. #NephJC |
| Nephrology Journal Club @NephJC 28-day mortality and time to death #nephjc |
| Nephrology Journal Club @NephJC This is a single center, open label, randomized controlled trial of a sepsis protocol versus usual care. This was done in Zambia #NephJC |
| Nephrology Journal Club @NephJC The burden of sepsis is greatest in developing countries but what we know about sepsis comes from wealthy countries. #NephJC |
| Nephrology Journal Club @NephJC Do you think we should to apply the lessons of wealthy countries to developing countries? #NephJC |
| Silvi Shah, MD, MS @silvishah @NephJC @HecmagsMD Have practiced medicine with low resources ... not that easy #nephjc |
| Bea Concepcion @KidneyBea_n Victoria Falls in 2016 #NephJC https://t.co/vDTtRxjqbv |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @NephJC: Do you think we should to apply the lessons of wealthy countries to developing countries? #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @NephJC: The burden of sepsis is greatest in developing countries but what we know about sepsis comes from wealthy countries. #NephJC |
| Edgar V. Lerma 🇵🇭 @edgarvlermamd @NephJC I came to the US 🇺🇸 right after graduation from @UST1611official @ustmaa #NephJC https://t.co/XgTqKQEzFk |
| Roger Rodby @NephRodby The most limited I have ever been was moonlighting as a resident in a rural VA #nephjc |
 | Scherly Leon, MD @SLeonMD #nephjc Hello all! Scherly, nephrologist in NYC. Schedule conflicts with chats now. Joining on phone. |
| Annabel Biruete 🇲🇽 @anniebelch RT @NephJC: The burden of sepsis is greatest in developing countries but what we know about sepsis comes from wealthy countries. #NephJC |
| Hector Madariaga, MD FASN 🇲🇽 @HecmagsMD Yes.Small outpatient clinic & limited resources including meds & diagnostic tests(almost non existent) Best resource was education #nephJC https://t.co/085abL5VA9 |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @NephJC Etiology, patient profile different , but arguably pathogenesis, similar in septic shock? #nephjc |
| Nephrology Journal Club @NephJC RT @edgarvlermamd: Edgar Lerma, 🌧 Chicago-based Nephrologist #NephJC https://t.co/1NawWghiRv |
 | Cathy Quinlan @CathyQuinlan.bsky.social @KidneyCathy Lurking today but learning loads. #NephJC |
| Roger Rodby @NephRodby @hswapnil @NephJC sepsis is sepsis, must be, after all we evolved from Africa #nephjc |
| Nephrology Journal Club @NephJC @SLeonMD You are missed! Do your best! Any developing country medical stories to share? #nephjc |
| Pravir @Proximal_Baxi @hswapnil @NephJC thats what I would think as well #nephjc |
| Nephrology Journal Club @NephJC The visual abstract for the study: https://t.co/Ng76OMPFwR #NephJC |
| Gates Colbert, MD @DoctorGates @NephJC I think we have to trust the data we are given. Obviously we welcome publishing from resource poor settings. Look at Mesoamerican Nephropathy in Central America - hotspot of CKDu. Limited resources, wealth of data/insight/knowledge/hope. #280toolong? #NephJC |
| Nephrology Journal Club @NephJC Topic One: Methods | What they did #nephjc |
| Nephrology Journal Club @NephJC Study ran from Oct 2012 to November 2013. #NephJC |
| Nephrology Journal Club @NephJC Inclusion criteria: 1. Sepsis (suspected infection + ≥ 2 SIRS syndrome criteria) #NephJC |
| Nephrology Journal Club @NephJC Inclusion criteria: 2. and hypotension (SBP ≤90 or MAP ≤ 65) #NephJC |
| Nephrology Journal Club @NephJC Exclusion Criteria: Hypoxia O2 sat < 90% or RR > 40 #NephJC |
| Nephrology Journal Club @NephJC When NephJC gets 280 characters that will be easier #nephjc |
| Scherly Leon, MD @SLeonMD Yes. Worked in Haiti after residency for short while and did trip to Peru in medical school. #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @NephJC Yes and No! What is efficacious may not be effective (eg processes)? #NephJC https://t.co/XCMelRbR2X |
| Nephrology Journal Club @NephJC Additional exclusion criteria: GI bleed without fever, CHF exacerbation, ESRD, elevated JVP, need for immediate surgery. #NephJC |
| Nephrology Journal Club @NephJC Inclusion and Exclusion seem kosher? What's there that is surprising? What's missing? #NephJC |
| Roger Rodby @NephRodby important that these are savageble sepsis patients #nephjc |
| Scherly Leon, MD @SLeonMD RT @NephJC: The visual abstract for the study: The visual abstract for the study: https://t.co/Ng76OMPFwR #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @NephJC: The visual abstract for the study: The visual abstract for the study: https://t.co/Ng76OMPFwR #NephJC |
| Nephrology Journal Club @NephJC @NephRodby that's hard to know prospectively #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @NephRodby: @hswapnil @NephJC sepsis is sepsis, must be, after all we evolved from Africa #nephjc |
| Nephrology Journal Club @NephJC @ansakhuja can we also add ARISE to that group of failed EGDT studies? #nephjc |
| Matthew Sparks, MD @Nephro_Sparks RT @HecmagsMD: Yes.Small outpatient clinic & limited resources including meds & diagnostic tests(almost non existent) Best resource was education #nephJC https://t.co/085abL5VA9 |
| Nephrology Journal Club @NephJC I guess GI bleed and fever in Africa means viral hemorrhagic fever? Frightening if so. #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @NephJC Is it too early to ask why it took 4 years to publish? #NephJC #skeptic |
| Bea Concepcion @KidneyBea_n RT @NephJC: The visual abstract for the study: The visual abstract for the study: https://t.co/Ng76OMPFwR #NephJC |
| Hector Madariaga, MD FASN 🇲🇽 @HecmagsMD RT @NephRodby: @hswapnil @NephJC sepsis is sepsis, must be, after all we evolved from Africa #nephjc |
| Roger Rodby @NephRodby @NephJC yes but it seems that these were treated early enough to make a difference and actually study an effect of fluid #nephjc |
| Nephrology Journal Club @NephJC Great work on enrolling patients within 4 hours of first BP measurement. #NephJC |
| Roger Rodby @NephRodby @hswapnil @NephJC yes the elephant in the room #nephjc |
| Roger Rodby @NephRodby RT @NephRodby @hswapnil @NephJC yes the elephant in the room #nephjc (no pun intended) |
| Nephrology Journal Club @NephJC @hswapnil @NephJC yes too early #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @ansakhuja @NephJC Good points - but these were all legit practices in 2012 I presume? #NephJC |
| Gates Colbert, MD @DoctorGates T1: Amazing that almost half had HIV. Striking. #NephJC |
| Nephrology Journal Club @NephJC I thought it was 90% RT @DoctorGates: T1: Amazing that almost half had HIV. Striking. #NephJC |
| Edgar V. Lerma 🇵🇭 @edgarvlermamd @NephJC Not this Doc Rivers #NephJC https://t.co/VmtjCMB74e |
| Nephrology Journal Club @NephJC #NephJC HIV is everywhere https://t.co/qgJQ460qTp |
| Roger Rodby @NephRodby What is used or preferred these days, SOFA, Apache, other? #nephjc |
| Gates Colbert, MD @DoctorGates Yes my error, 90+ #NephJC |
| Nephrology Journal Club @NephJC @edgarvlermamd or this one #NephJC https://t.co/PXEDfIqcfS |
| Annabel Biruete 🇲🇽 @anniebelch @NephRodby When I did my first internship in 🇲🇽 it was Apache, now my internship here (5y later) I feel the ICU doctors mention mostly SOFA #NephJC |
| Nephrology Journal Club @NephJC I can't find average weights for patients, anyone? MT @ansakhuja: 30cc/kg fluid is now recommended for sepsis #nephjc |
| Nephrology Journal Club @NephJC People that did outcome assessments were blinded to the treatment group. #NephJC |
| Matthew Sparks, MD @Nephro_Sparks I'm back #nephjc |
| Nephrology Journal Club @NephJC Patients, treating clinicians, and clinical study personnel were aware of group assignment after enrollment. #NephJC Good |
| Edgar V. Lerma 🇵🇭 @edgarvlermamd Rivers’ Early Goal Directed Therapy EGDT Criteria #Nephpearls #NephJC https://t.co/cnKsLOmQNg |
| Gates Colbert, MD @DoctorGates Anybody using the straight leg raise with CVP monitoring to assess fluid status? #NephJC |
| Nephrology Journal Club @NephJC @ansakhuja @NephJC mean upper arm circumference, MUAC. It has its own Wikipedia page #nephjc |
 | Pablo Garcia @PabloGarciaMD #NephJC Pablo Garcia. Intern NSMC 2017. No CoI. Today from Guatemala. https://t.co/IjplNoYdP6 |
| Nephrology Journal Club @NephJC RT @DoctorGates: Anybody using the straight leg raise with CVP monitoring to assess fluid status? #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @ansakhuja which is perhaps acceptable for setting? Can't do something in RCT which cant translate to real life? #nephjc |
| Nephrology Journal Club @NephJC OMG that is awesome! #Jelous #NephJC https://t.co/sUCPzRMpMj |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @PabloGarciaMD nice! #nephjc |
| Nephrology Journal Club @NephJC There are only 10 ICU beds in all of Zambia! RT @ansakhuja: And only 1 of 209 patients was admitted in ICU. These were sick patients #nephjc |
| Nephrology Journal Club @NephJC The treatment group received the Simplified Severe Sepsis Protocol (SSSP). See the 2nd visual abstract at: https://t.co/8MWxflxXn5 #NephJC |
| Nephrology Journal Club @NephJC SSSP patients got 2 liters in 1 hour then 2 more liters in the next 4 hours. Dopamine is MAP <65 and transfusions for Hgb <7 #NephJC |
| Nephrology Journal Club @NephJC Higher than placebo? RT @ansakhuja: Dopamine was the only pressor available, it is associated with higher mortality in septic shock #nephjc |
| Edgar V. Lerma 🇵🇭 @edgarvlermamd ProCESS Trial vs Rivers EGDT #Nephpearls #NephJC 👉🏼 https://t.co/pD3lEMisIH https://t.co/mVIDhYoSxJ |
| Michelle Rheault @rheault_m RT @NephJC: The treatment group received the Simplified Severe Sepsis Protocol (SSSP). See the 2nd visual abstract at: The treatment group received the Simplified Severe Sepsis Protocol (SSSP). See the 2nd visual abstract at: https://t.co/8MWxflxXn5 #NephJC |
| Bea Concepcion @KidneyBea_n RT @NephJC: There are only 10 ICU beds in all of Zambia! RT @ansakhuja: There are only 10 ICU beds in all of Zambia! RT @ansakhuja: And only 1 of 209 patients was admitted in ICU. These were sick patients #nephjc |
| Nephrology Journal Club @NephJC I'm not certain but I'm guessing it was Dopamine or nothing. #nephjc |
| Nephrology Journal Club @NephJC In the SSSP patients were screened for fluid overload every hour. Fluids were stopped if O2 sat fell 3%, Resp rate inc'd 5bpm, or... #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @DoctorGates do we even really know distance from sternal angle to RA? https://t.co/OgVz9k8l0U #nephjc |
| Matthew Sparks, MD @Nephro_Sparks @NephJC Dopamine all they have in these settings? #nephjc |
| Roger Rodby @NephRodby Is dopamine kosher these days? Has it been shown to be harmful in any way? #nephjc |
| Nephrology Journal Club @NephJC cont: In the SSSP patients were screened for fluid overload every hour. Fluids were stopped if JVP >3 CM over sternal notch #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @ansakhuja @NephJC and fallen out of favour pre-2012, am i right? #nephjc |
 | Adam Cifu @adamcifu RT @edgarvlermamd: Edgar Lerma, 🌧 Chicago-based Nephrologist #NephJC https://t.co/1NawWghiRv |
| Nephrology Journal Club @NephJC The Spice girls have fallen out of favor. Has dopamine simple fallen out of favor or rigorously shown to be inferior? #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @ansakhuja again - these don't limit internal validity - but do make generalizability tough? #nephjc |
| Nephrology Journal Club @NephJC What do you think of these stopping criteria? If a resident used them while assessing patients, I would nod my head #NephJC |
| Silvi Shah, MD, MS @silvishah @ansakhuja Any idea what is the difference in mortality between dopamine and levophed? #nephJC |
| Roger Rodby @NephRodby I remember the days of "renal dose dopamine", damn I'm old #nephjc |
| Pravir @Proximal_Baxi @NephJC I heard a reunion is on though.... #nephjc |
| Nephrology Journal Club @NephJC The usual care group got < 2 liters of fluid in the first 6 hours and less than half received anu fluid bolus at all. #NephJC |
| Matthew Sparks, MD @Nephro_Sparks andreoli would do it all the time... CRs job to stop it RT @NephRodby: I remember the days of "renal dose dopamine", damn I'm old #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @NephJC Amen to that! But would like to know @ansakhuja thoughts? #nephjc |
| Nephrology Journal Club @NephJC No boluses? That just doesn't sound like sepsis #NephJC |
| Edgar V. Lerma 🇵🇭 @edgarvlermamd ICU Nephrology: Quick reference for DOSING OF PRESSORS from @srrezaie #Nephpearls #NephJC https://t.co/v1oxvtC0LB |
| 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 |
 | Nathaniel Reisinger @nephrothaniel RT @NephJC: The visual abstract for the study: The visual abstract for the study: https://t.co/Ng76OMPFwR #NephJC |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @NephJC: There are only 10 ICU beds in all of Zambia! RT @ansakhuja: There are only 10 ICU beds in all of Zambia! RT @ansakhuja: And only 1 of 209 patients was admitted in ICU. These were sick patients #nephjc |
| Matthew Sparks, MD @Nephro_Sparks Critical Care Region #NephMadness 2015 #NephJC https://t.co/3AUBOCz6qb |
| Nephrology Journal Club @NephJC Are we okay with the outcomes? Any further questions on the methods? (yes, I know you have moved on but I have a script, kind of) #nephjc |
| Matthew Sparks, MD @Nephro_Sparks @ansakhuja @hswapnil @NephJC why the difference in groups #askingforafriend #nephjc |
| Gates Colbert, MD @DoctorGates RT @edgarvlermamd: ICU Nephrology: ICU Nephrology: Quick reference for DOSING OF PRESSORS from @srrezaie #Nephpearls #NephJC https://t.co/v1oxvtC0LB |
| Matthew Sparks, MD @Nephro_Sparks lol RT @NephJC: I know you have moved on but I have a script, kind of) #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @Nephro_Sparks @NephJC If not in ICU, can't monitor BP closely/intensively, hard to titrate pressors IMO #NephJC |
| Nephrology Journal Club @NephJC Topic Two: RESULTS #nephjc |
| Nephrology Journal Club @NephJC "Of 382 pts w/ sepsis & hypotension, 212 met eligibility criteria, provided consent to participate, & were randomized" INCREDIBLE #NephJC |
| Edgar V. Lerma 🇵🇭 @edgarvlermamd @srrezaie ✅ The myth of renal dose dopamine #RenalRules #Nephpearls #NephJC 👉🏼 https://t.co/xHHgHoiG2Q https://t.co/39AoW7Z9Fj |
| Nephrology Journal Club @NephJC If you have ever enrolled ICU patients in an RCT you know how incredible that last stat is! #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @edgarvlermamd: ICU Nephrology: ICU Nephrology: Quick reference for DOSING OF PRESSORS from @srrezaie #Nephpearls #NephJC https://t.co/v1oxvtC0LB |
| Nephrology Journal Club @NephJC Hats off to the investigators and people of Zambia #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @NephJC: "Of 382 pts w/ sepsis & hypotension, 212 met eligibility criteria, provided consent to participate, & were randomized" INCREDIBLE #NephJC |
| Roger Rodby @NephRodby Zambia, Zambia, serious kudos! #nephjc |
| Nephrology Journal Club @NephJC @ansakhuja @Nephro_Sparks @hswapnil @NephJC I'm guessing they were white a bit smaller than 80 kg. Mean MUAC was 20 cm! #nephjc |
| Matthew Sparks, MD @Nephro_Sparks @ansakhuja @hswapnil @NephJC so it is the resus technique then?? confused #NephJC |
| Silvi Shah, MD, MS @silvishah @NephJC Yes- kudos to them #NephJC |
| Pablo Garcia @PabloGarciaMD RT @NephJC: Hats off to the investigators and people of Zambia #nephjc |
| Nephrology Journal Club @NephJC I love me some Table 1! #NephJC https://t.co/zGBSQI0drS |
| Nephrology Journal Club @NephJC Undertand RT @ansakhuja: @NephJC @Nephro_Sparks @hswapnil I was being generous 🤓#nephjc #nephjc |
| Silvi Shah, MD, MS @silvishah @NephJC P values would have helped...#nephJC |
| Roger Rodby @NephRodby @NephJC Lactate 4-5, speaks volumes (another no pun intended) #nephjc |
| Nephrology Journal Club @NephJC @ansakhuja is making a bid for #NephJC MVP in this chat alone. Incredible tweeting! |
| Bea Concepcion @KidneyBea_n RT @Nephro_Sparks: @ansakhuja @hswapnil @NephJC so it is the resus technique then?? confused #NephJC |
| Pablo Garcia @PabloGarciaMD I agree, to conduct a trial like that in low income country requires a lot of effort https://t.co/xPrNIPe13x |
| Matthew Sparks, MD @Nephro_Sparks so standard arm just gave Abx & stood and watched & had better outcomes. the other was killed with dopamine and fluids. hmmph #nephjc |
| Nephrology Journal Club @NephJC Average age was 36.7. That sounds like babies. What were the average age in Process, ARISE and PROMISE? #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @NephJC: I love me some Table 1! #NephJC https://t.co/zGBSQI0drS |
| Gates Colbert, MD @DoctorGates @NephRodby @NephJC Yet so few made it to an ICU bed bc lack of resources #NephJC |
| Nephrology Journal Club @NephJC @Nephro_Sparks Not so disimilar to FEAST trial where boluses of albumin or saline were equal and worse than no bolus at all. #nephjc |
| Annabel Biruete 🇲🇽 @anniebelch @NephJC I didn't read the paper, but odd they reported MUAC and not other anthropometric measurement (e.g., wt, ht, BMI) #NephJC |
| Bea Concepcion @KidneyBea_n real world setting in many parts of the world RT @ansakhuja: @Nephro_Sparks @hswapnil @NephJC and septic shock patients on floor #nephjc |
| Nephrology Journal Club @NephJC @DoctorGates @NephRodby @NephJC When there are 10 ICU beds in the whole country, everyone but the president is treated on the floor #nephjc |
| Gates Colbert, MD @DoctorGates @Nephro_Sparks Ever read House of God?? #FatMan #NephJC |
| Nephrology Journal Club @NephJC RT @anniebelch: @NephJC I didn't read the paper, but odd they reported MUAC and not other anthropometric measurement (e.g., wt, ht, BMI) #NephJC |
| Roger Rodby @NephRodby Call me naive, call me in denial, but I just don't see these methods issues as that big a deal since otherwise is simple study #nephjc |
| Matthew Sparks, MD @Nephro_Sparks truf RT @KidneyBea_n: real world setting in many parts of the world RT @ansakhuja: and septic shock patients on floor #nephjc |
| Matthew Sparks, MD @Nephro_Sparks @ansakhuja @Nephro_Sparks maybe need less ICU #nephjc |
| Nephrology Journal Club @NephJC 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 |
| Matthew Sparks, MD @Nephro_Sparks seems like the more we throw at them the worse they do... maybe NE and the other "pressors" just as bad #nephjc |
| Pablo Garcia @PabloGarciaMD #NephJC 1. All the sepsis trials were conducted in high income countries. The guidelines are made for high income countries. |
| Nephrology Journal Club @NephJC 20% had positive tuberculosis blood cultures. I don't think I have ever seen a blood culture positive for TB #nephjc |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @NephRodby: Call me naive, call me in denial, but I just don't see these methods issues as that big a deal since otherwise is simple study #nephjc |
| Michelle Rheault @rheault_m RT @PabloGarciaMD: #NephJC 1. All the sepsis trials were conducted in high income countries. The guidelines are made for high income countries. |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil RT @KidneyBea_n: real world setting in many parts of the world RT @ansakhuja: real world setting in many parts of the world RT @ansakhuja: @Nephro_Sparks @hswapnil @NephJC and septic shock patients on floor #nephjc |
| Pablo Garcia @PabloGarciaMD #NephJC 2. This is a very important trial for low income countries. Like Guatemala for example. |
 | Salim R. Rezaie, MD @srrezaie RT @edgarvlermamd: ICU Nephrology: ICU Nephrology: Quick reference for DOSING OF PRESSORS from @srrezaie #Nephpearls #NephJC https://t.co/v1oxvtC0LB |
| Matthew Sparks, MD @Nephro_Sparks RT @PabloGarciaMD: #NephJC 2. This is a very important trial for low income countries. Like Guatemala for example. |
| Roger Rodby @NephRodby @PabloGarciaMD Important trial for much of the world #nephjc |
| Pablo Garcia @PabloGarciaMD #NephJC 3. Here in Guatemala sometimes we don't have dopamine available. |
| Annabel Biruete 🇲🇽 @anniebelch @Nephro_Sparks What about simple stuff like Vitamin C and Thiamine? https://t.co/uTRstxzRBX #NephJC |
| Matthew Sparks, MD @Nephro_Sparks way ahead of the curve RT @PabloGarciaMD: #NephJC 3. Here in Guatemala sometimes we don't have dopamine available. |
| Edgar V. Lerma 🇵🇭 @edgarvlermamd Comparison of Rivers, ProMISe, ProCESS, ARISE studies #Nephpearls #NephJC https://t.co/xxT9xTVHq0 |
| Pablo Garcia @PabloGarciaMD #NephJC 4. With trials like this I can say "let's use dopamine instead of norepinephrine because it showed less mortality" |
| Matthew Sparks, MD @Nephro_Sparks NOOOOOO RT @anniebelch: @Nephro_Sparks What about simple stuff like Vitamin C and Thiamine? https://t.co/gsM7PUT7P3 #NephJC |
| Matthew Sparks, MD @Nephro_Sparks @anniebelch @Nephro_Sparks no offense but talk about poorly conducted study.. retrospectoscopy before and after (NOT GOOD)... #nephjc |
 | Anupam Singh @anupampom @NephJC Anupam Singh , hospitalist, India ,no COI #nephjc |
| Annabel Biruete 🇲🇽 @anniebelch @Nephro_Sparks The intensivists and pharmacist were implementing in the hospital I rotated 😳#NephJC |
| Nephrology Journal Club @NephJC median time between ED registration and the first dose of intravenous antimicrobial therapy was similar in both groups #nephjc |
| Michelle Rheault @rheault_m RT @edgarvlermamd: Comparison of Rivers, ProMISe, ProCESS, ARISE studies #Nephpearls #NephJC https://t.co/xxT9xTVHq0 |
| Swapnil Hiremath @hswapnil@bsky.social @hswapnil @tulunsokit @NephJC Hey Tulun! #nephjc |
| Edgar V. Lerma 🇵🇭 @edgarvlermamd @ansakhuja Comparison of Rivers, ProMISe, ProCESS, ARISE studies #Nephpearls #NephJC https://t.co/YW59P9zlaB |
| Nephrology Journal Club @NephJC Only 11 minutes left, sorry guys. But top line: 48% with protocol, 33% when docs used their brain. The brain wins! #nephjc |
| Roger Rodby @NephRodby Not a small difference in mortality. #nephjc |
| Anupam Singh @anupampom @Nephro_Sparks @PabloGarciaMD Dopamine has higher mortality than noepi..#nephjc https://t.co/A1vWT0gIGL |
| Matthew Sparks, MD @Nephro_Sparks @PabloGarciaMD but Dopamine was used in group with more mortality in this study #nephjc |
| Nephrology Journal Club @NephJC When people know little protocols are good, when we get better at sepsis, brains are individual assessment wins #nephjc |
| Matthew Sparks, MD @Nephro_Sparks clear as mud RT @ansakhuja: @tulunsokit @edgarvlermamd we know that some fluid is beneficial, what 'some' is, is unclear #nephjc |
| Nephrology Journal Club @NephJC The Number Needed to Harm in this patient is astounding: 6 for in-hospital mortality and 4 for 28-day mortality #nephjc |
| Roger Rodby @NephRodby Is some fluid beneficial or too little detrimental? #nephjc |
| Roger Rodby @NephRodby @NephJC that is a remarkable statistic #nephjc |
| Nephrology Journal Club @NephJC @NephRodby In FEAST the control group got "maintenance fluids" and did better than boluses (20 ml/kg I think) #nephjc |
| Matthew Sparks, MD @Nephro_Sparks doubt we will see a none versus little study RT @NephRodby: @NephJC that is a remarkable statistic #nephjc |
| Michelle Rheault @rheault_m @ansakhuja Maybe 'sepsis' isn't one disorder that needs to be treated with exactly the same fluid regimen for everyone #NephJC |
| Matthew Sparks, MD @Nephro_Sparks we need more critical care chats. I like these. invite Ankit more often. #nephjc |
| Nephrology Journal Club @NephJC What is the mean hospital length of stay at your institution for sepsis? 7 days for control, 5 for SSSP. #nephjc |
| Annabel Biruete 🇲🇽 @anniebelch @Nephro_Sparks #nephjc https://t.co/n6joF1hUVm |
| Nephrology Journal Club @NephJC Is the shorter length of stay in protocol group due to excess mortality #Cynic #nephjc |
| Nephrology Journal Club @NephJC Last five minutes, final thoughts? #nephjc |
| Arvind Canchi (Conjeevaram)🇮🇳 @arvindcanchi @tulunsokit @NephJC Yes that is remarkable. May have something to do with the HIV status. I haven't seen a positive blood culture for TB here either. #Nephjc |
| Roger Rodby @NephRodby You have to wonder how many other things we assume are helpful may not be or are even harmful? #nephjc |
| Nephrology Journal Club @NephJC RT @NephRodby: You have to wonder how many other things we assume are helpful may not be or are even harmful? #nephjc |
| Matthew Sparks, MD @Nephro_Sparks and this is why debates and research will always be needed #NephJC https://t.co/CeeNvYD2ce |
| Edgar V. Lerma 🇵🇭 @edgarvlermamd @NephRodby Glass 🥃 is half full or half empty (no pun intended) #NephJC https://t.co/6Lh1lBxNvU |
| Bea Concepcion @KidneyBea_n need more studies like this in developing countries. study interventions that are actually available there. #nephjc |
| Nephrology Journal Club @NephJC RT @KidneyBea_n: need more studies like this in developing countries. study interventions that are actually available there. #nephjc |
| Matthew Sparks, MD @Nephro_Sparks thanks to @ansakhuja for joining. @Errantnephron for writeup and @kidney_boy for moderating. #NephJC I learned that sepsis in Zambia is bad |
| Bea Concepcion @KidneyBea_n as a med student in the Philippines, we would always say "ideally..." then would use some other affordable intervention #nephjc |
| Nephrology Journal Club @NephJC @Nephro_Sparks @ansakhuja @Errantnephron @kidney_boy sepsis in Detroit is no walk in the park. This disease sucks. #nephjc |
| Roger Rodby @NephRodby @tulunsokit @NephJC And to simply something like sepsis into a one fits all goal directed therapy may be pernicious #nephjc |
| Edgar V. Lerma 🇵🇭 @edgarvlermamd @NephRodby What to do in the absence of evidence? #NephJC https://t.co/KgoDuBg6hv |
| Pravir @Proximal_Baxi Great discussion! thanks to all! #nephjc |
| Matthew Sparks, MD @Nephro_Sparks The numbers: 389 Tweets. 56 Participants. October 10th 2017. More #NephJC 📊 here https://t.co/cAxNfYm7XX via @symplur |
| Roger Rodby @NephRodby Thanks all, Go Cubs, Go BlackHawks, Bears... glass half full... #nephjc |
| Nephrology Journal Club @NephJC @NephRodby and the bulls suck #nephjc |
| Bea Concepcion @KidneyBea_n I'm turning my TV off after baseball season RT @NephRodby: Thanks all, Go Cubs, Go BlackHawks, Bears... glass half full... #nephjc |
| Anupam Singh @anupampom @NephJC EGDT is a story of medical reversal ..We should take all 'bundled' approaches with pinch of salt #nephjc https://t.co/NDCNkneipL |
| Roger Rodby @NephRodby Wow, very telling I didn’t even think to mention the Bulls! Glass empty there, but at least no expectations. #NephJC https://t.co/yGGkK7eglK |
 | AJPMD @pulmccm2016 RT @edgarvlermamd: ICU Nephrology: ICU Nephrology: Quick reference for DOSING OF PRESSORS from @srrezaie #Nephpearls #NephJC https://t.co/v1oxvtC0LB |
| Anupam Singh @anupampom @NephJC A suggested approach to restrictive fluid therapy in septic shock #nephjc https://t.co/IeyDlTBQ7C https://t.co/yVh4kCus0z |
 | Ellen Dawson @elledaws RT @edgarvlermamd: ICU Nephrology: ICU Nephrology: Quick reference for DOSING OF PRESSORS from @srrezaie #Nephpearls #NephJC https://t.co/v1oxvtC0LB |
| Nephrology Journal Club @NephJC RT @edgarvlermamd: @ansakhuja Comparison of Rivers, ProMISe, ProCESS, ARISE studies #Nephpearls #NephJC https://t.co/YW59P9zlaB |
| Nephrology Journal Club @NephJC RT @NephRodby: @tulunsokit @NephJC And to simply something like sepsis into a one fits all goal directed therapy may be pernicious #nephjc |
| Nephrology Journal Club @NephJC 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 |
 | Syed Shahrul Naz @drshahrul80 RT @NephJC: SICK PEOPLE: 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 |
 | Kevin J. Fowler Principal The Voice of the Patient @gratefull080504 I am attending the Annual Transplant Quality Institute Wed + Thursday too Stay tuned for my tweets! #nephJC @Nephro_Sparks #transplant https://t.co/nMWoF2gj2Q |
| Matthew Sparks, MD @Nephro_Sparks RT @gratefull080504: I am attending the Annual Transplant Quality Institute Wed + Thursday too Stay tuned for my tweets! #nephJC @Nephro_Sparks #transplant https://t.co/nMWoF2gj2Q |
 | Aileen Dualan MD @megamomph You said it! https://t.co/6oapMXMV9C |
 | Sushant Chhabra @sushantdie4u RT @edgarvlermamd: ICU Nephrology: ICU Nephrology: Quick reference for DOSING OF PRESSORS from @srrezaie #Nephpearls #NephJC https://t.co/v1oxvtC0LB |
| Daniel Amador (IM, Neph) @DanielAmador_dr RT @edgarvlermamd: @ansakhuja Comparison of Rivers, ProMISe, ProCESS, ARISE studies #Nephpearls #NephJC https://t.co/YW59P9zlaB |
 | VICTOR SANNA 🇻🇪 🇳🇬 @VICTORSANNA RT @gratefull080504: I am attending the Annual Transplant Quality Institute Wed + Thursday too Stay tuned for my tweets! #nephJC @Nephro_Sparks #transplant https://t.co/nMWoF2gj2Q |
 | Neil Floch MD @NeilFlochMD RT @JHospMedicine: A GIF Is Worth 3000 Words: New #VisualAbstract for #JHMChat: A GIF Is Worth 3000 Words: New #VisualAbstract for #JHMChat: THIS MONDAY 9p ET! @WrayCharles @kidney_boy #nephjc https://t.co/fJSpk1ZhKO https://t.co/zyRDtcLTHL |
 | 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 |
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