Hayley Gershengorn@HBGMD

Intensivist & health services researcher at @UMiamiHealth, Editor at @journal_CHEST Critical Care, NYer at heart. Views expressed are my own.

 Miami, FL
Joined March 2014
277 Photos and videos
✔️ out Snyder & Martin’s new editorial contextualizing “risk-tailored” contact precautions: Ed: chestcc.org/article/S2949-78… Art: chestcc.org/article/S2949-78… #OpenAccess #journal_CHESTCritCare

Contact precautions to prevent transmission of antimicrobial-resistant Gram positive pathogens:...

chestcc.org
Hayley Gershengorn@HBGMD
May 26
🦠 Tired of MDRO infections & looking for better ways to prevent in-ICU spread? L Huerta & colleagues look at feasibility of targeted MRSA/VRE contact precautions 🎯: chestcc.org/article/S2949-78… ❓ Can we ⬇️ contact days without ⬆️ infection? #journal_CHESTCritCare
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😩 Do you struggle with when/how to consider #ECMO for your patients? 🫀🫁 @drkatiemoynihan & colleagues explore inter-🏥 decision-making across US pediatric cardiac #ICUs: chestcc.org/article/S2949-78… #OpenAccess in #journal_CHESTCritCare!
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😝 We know adherence to LTVV in #ARDS isn’t perfect 🎯… But is non-adherence universal? Just out in #journal_CHESTCritCare, Ingraham et al look at provider-level variability 👨‍⚕️👩‍⚕️: chestcc.org/article/S2949-78…
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😵‍💫 Is it possible that the pulse ox story is more complicated? …yep! Douin & colleagues 👀 at concordance of 2 simultaneous SpO2s from different sites 👋 by different manufacturers: chestcc.org/article/S2949-78…
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🫁 Is spontaneous breathing in ARF requiring iMV good or bad❓ Just out in #journal_CHESTCritCare, @D_Jayasimhan et al present a 🔭 scoping review showing us we do (& don’t) know: chestcc.org/article/S2949-78… #OpenAccess
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🤔 Do you wonder about in-ICU disparities? ✔️ out Day & Valley’s ⭐️editorial⭐️ in #journal_CHESTCritCare: Ed: chestcc.org/article/S2949-78… Art: chestcc.org/article/S2949-78…

Outside the ICU: The Social Context of Critical Illness

chestcc.org
Hayley Gershengorn@HBGMD
May 1
💰🎓 We know ICU outcomes differ by SES in the USA… but is this due to insurance access? N Cocoros & colleagues 👀 at outcomes of iMV in Denmark 🇩🇰, a country w a single payor… chestcc.org/article/S2949-78… …am I surprised or not? 😳 #OpenAccess in #journal_CHESTCritCare
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🤷‍♀️ Does echo help guide resuscitation in sepsis? 🦠 Hasegawa et al report their systematic review and meta analysis, just out in #journal_CHESTCritCare: chestcc.org/article/S2949-78… …for something we do so often, is the data there? 📊
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📣 Listen to Podcast moderator Dan Fein discuss a study of ⭐️family engagement⭐️ in the ICU w lead author, Ella Christoph: chestnet.org/guidelines-and-… (Paper: chestcc.org/article/S2949-78…)
Hayley Gershengorn@HBGMD
Sep 14
🥳 #journal_CHESTCritCare volume 4, issue 3 is here‼️ chestcc.org/current 2️⃣0️⃣ research papers 2️⃣ HIDIs 4️⃣ editorials 2️⃣ correspondence pieces ✔️ it out, it’s all #OpenAccess
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🥳 #journal_CHESTCritCare volume 4, issue 3 is here‼️ chestcc.org/current 2️⃣0️⃣ research papers 2️⃣ HIDIs 4️⃣ editorials 2️⃣ correspondence pieces ✔️ it out, it’s all #OpenAccess
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😳 Are you fascinated by the pulse ox saturation bias issues? If so, ✔️ out an amazing editorial by A Fawzy considering 2 recent pulse ox bias 🔵🔴 studies from #journal_CHESTCritCare: Ed: chestcc.org/article/S2949-78… Art 1: chestcc.org/article/S2949-78… Art 2: chestcc.org/article/S2949-78…
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❓Curious about ICU staffing ratios? ➗ @MitchBPharmD, D Costa, A Higgins, & I got our interprofessional brains 🧠 together to discuss ICU staffing ratios… specifically, the: 1️⃣ evidence 📊 2️⃣ experience ❤️‍🔥 3️⃣ economics 💰 4️⃣ execution 🏁 authors.elsevier.com/a/1nibA…
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🧸 ICU clinicians surely love their toys… …but monitoring vital signs from an under-mattress sensor once patients leave the ICU?!?! 🛌 @MeganTrieuMD & colleagues explore the feasibility of this new tool ⚒️, just out in #journal_CHESTCritCare: chestcc.org/article/S2949-78…
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📏 Benchmarking #ECMO outcomes is important… @AnnaFretz & @NidaQadirMD discuss “counting what matters” in their #journal_CHESTCritCare editorial: Ed: chestcc.org/article/S2949-78… Art: chestcc.org/article/S2949-78…

Counting What Matters in Venovenous ECMO

chestcc.org
Hayley Gershengorn@HBGMD
Aug 1
🫀🫁 The volume-outcome relationship in #ECMO is clear… or is it? Green & colleagues consider a new metric for ECMO volume 📊, just out in #journal_CHESTCritCare: chestcc.org/article/S2949-78… Counting may be more complicated than it seems… 1️⃣2️⃣3️⃣…
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⚖️ The eternal #ICU ❓… “To SBT or not to SBT”… Wojciechowski & Lui discuss it in their new #journal_CHESTCritCare editorial: Ed: chestcc.org/article/S2949-78… Art: chestcc.org/article/S2949-78…

To SBT or Not to SBT

Early liberation from mechanical ventilation is a pillar of critical care medicine, with multiple studies demonstrating various benefits.1 This has led to the development of standardized nursing-dr...

chestcc.org
Hayley Gershengorn@HBGMD
Jul 14
⛓️‍💥 We know protocolized SBTs lead to earlier liberation from #MV… But do we do them when we should & do delays harm patients? ⏰ Just out in #journal_CHESTCritCare, Sonti et al 👀 these ❓s: chestcc.org/article/S2949-78… 🫣 sneak peak: we aren’t great & patients suffer
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🤔 Thinking about starting a post-ICU clinic or peer support group? 👯 ✔️ out Bakhru et al’s new survey study in #journal_CHESTCritCare describing what others are doing in this space: chestcc.org/article/S2949-78… #OpenAccess
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To better understand ARDS, we’re developing many tools ⚒️; but how might they work together? JCG Aldama & colleagues consider how 1️⃣ RV-PA uncoupling ⛓️‍💥 & 2️⃣ subphenotypes 🔴🟢🔵 interact: chestcc.org/article/S2949-78… #journal_CHESTCritCare
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👀 Read this new editorial by @DocUnicHorn & Hraiech who make the case that Fromage et al’s work is valuable beyond its use in VAP prediction: Ed: chestcc.org/article/S2949-78… Art: chestcc.org/article/S2949-78… #journal_CHESTCritCare

Beyond Prediction

Ventilator-associated pneumonia (VAP) remains one of the most frequent infectious complications in mechanically ventilated patients. Although its attributable mortality remains debated, VAP substan...

chestcc.org
Hayley Gershengorn@HBGMD
May 25
🔮 Want to predict #VAP? Y Fromage & colleagues create a tool 🛠️ that might help: chestcc.org/article/S2949-78… #journal_CHEST_CritCare is all #OpenAccess, all the time 🕰️ #ICU #mechanicalventilation
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💉 Ever struggle w how to manage sedation & analgesia in #ICU patients receiving continuous paralytics? 😫 ✔️ out a new HIDI in #journal_CHESTCritCare by a quartet of amazing #ICU clinical pharmacists led by Mojdeh Heavner: chestcc.org/article/S2949-78… #OpenAccess
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😖 #ICU care is complex & protocols can improve care (MV weaning, sedation management, etc.)… but are protocols ever bad? 👎 Bodley et al investigate this ❓ in the context of an existing electrolyte replacement protocol: chestcc.org/article/S2949-78… #journal_CHESTCritCare
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📋 We know protocolized MV liberation evals improve vent liberation… but what about for VV-ECMO? 🫁🫀 ✔️ out the trial protocol for the RCT to inform this ?, just out in #journal_CHESTCritCare by @whitney_gannon et al: chestcc.org/article/S2949-78…
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