Matthew Coghlan
trilaudid.bsky.social
Matthew Coghlan
@trilaudid.bsky.social
IU Pulmonary and Critical Care Medicine Fellow 🫁 | Dad | DND nerd | He/Him
Reposted by Matthew Coghlan
i don’t even know if crime is the right word for the illegal destruction of USAID. it is an autocratic power grab and a direct attack on the sovereignty of the american people
February 5, 2025 at 3:16 AM
Reposted by Matthew Coghlan
OMG
From my fellow
January 27, 2025 at 4:42 PM
Reposted by Matthew Coghlan
cheat codes to help your hospitalized patient:

1. “regular diet”

- Na or carb-restricted diets are trash
- Treat CHF or diabetes with meds (diuretics etc)
- Avoid malnutrition

2. “PT consult”

- physical therapy = great for lung recruitment, DVT ppx, delirium
- avoid deconditioning ➡️ dispo home
a woman is reading a menu in a restaurant and asking if someone said fine dining
ALT: a woman is reading a menu in a restaurant and asking if someone said fine dining
media.tenor.com
January 13, 2025 at 3:39 PM
Indy Residents:
“I want the lowest possible property taxes and will cry if they are raised even a little to match current property values”

“public services here really suck, I wish my municipality was better able to cater to my needs”

“I don’t see how these two ideas are connected at all”
January 11, 2025 at 2:36 PM
Reposted by Matthew Coghlan
Hey #HoosierSky

If you or a loved one have not yet had time to get an influenza vaccine, NOW IS THE TIME

The Indiana Dept of Health tracks "Influenza-Like Illness" (ILI) as the influenza surveillance system

ILI just now ticking upward, so we have not yet seen much flu but it is coming
December 18, 2024 at 12:25 PM
Love this for art lines
Here is an example of Out-of-plane DNTP (dynamic needle tip positioning) for an IV cannula- then switching to long axis view for the saline flush!

A little fiddly, but a nice confirmation!

#AnSky #POCUSky
December 14, 2024 at 12:13 AM
Wild that we as a species haven’t come up with a better Christmas album since a children’s cartoon in 1965
December 13, 2024 at 11:38 PM
THE ohio flag planting ban
December 11, 2024 at 5:51 PM
Reposted by Matthew Coghlan
62 hours hell yeah
December 9, 2024 at 11:22 PM
Reposted by Matthew Coghlan
How do you all handle determining when to call (as in end) an arrest?

Let’s say PEA, nothing obviously fixable, family unavailable/unprepared to say ‘stop.’

Obviously so much variability depending on situation, but do you have any guiding principles?

#emimcc
December 9, 2024 at 1:44 AM
I’ve suspected this but nice to have data to back up. Have not had a situation in my entire medical training where I’ve found telemedicine to been helpful #EMIMCC
jama.com JAMA @jama.com · Dec 8
Daily multidisciplinary rounds conducted by a board-certified intensivist through telemedicine did not reduce ICU length of stay in critically ill adult patients.

https://ja.ma/3ZpCQqn
December 8, 2024 at 3:58 PM
Can’t wait for this 🙃
December 5, 2024 at 8:16 PM
Reposted by Matthew Coghlan
A real, actual thing BCBS is doing youtube.com/shorts/vWA2a...
No More General Anesthesia
YouTube video by Dr. Glaucomflecken
youtube.com
December 4, 2024 at 2:11 PM
Reposted by Matthew Coghlan
People will inevitably tell you that their favorite inodilator (usually milrinone) is better since there are fewer arrhythmias compared to the other (usually dobut)

DOREMI says 🤷‍♂️ #emimcc
December 4, 2024 at 1:07 AM
Reposted by Matthew Coghlan
You don't notice the benefits of public health until they're gone

#MedSky
December 4, 2024 at 2:50 AM
Reposted by Matthew Coghlan
1/
I love love LOVE scanning the heart 😍, but when it comes to bang for your buck for ultrasound novices, lung ultrasound is such a winner 🏆

It's time for another #POCUS basics #skeetorial 🧵

Let's talk about common pitfalls in #LungUltrasound and how to correct these ✔️

#emimcc
December 3, 2024 at 6:15 PM
Reposted by Matthew Coghlan
Wow this highlights the issue with housing and rents in Indianapolis

#HoosierSky

From:
www.ft.com/content/8683...
December 3, 2024 at 4:02 PM
Reposted by Matthew Coghlan
I must not be the only one who feels this way
December 2, 2024 at 1:21 AM
When Dr. Unconfirmed spits out a paragraph of diagnoses on an ECG, it’s gotta be hyperkalemia 🍌🍌🍌
what is the correct diagnosis for this ECG?

what does this have in common with the computer algorithm in the Hunt for the Red October?

answer: emcrit.org/squirt/ecg2/ #EMIMCC #ECGsky
December 2, 2024 at 7:39 PM
Reposted by Matthew Coghlan
Since we’re entering the last month of 2024, here is a non-systematic review of #pulmcrit trials published this year that I found particularly noteworthy. Not comprehensive, so please include any that I may have missed!

(🧵1/11)

#emimcc #critcare #pulmsky #medsky
a man in a blue shirt and tie is standing in front of a bulletin board with papers on it .
ALT: a man in a blue shirt and tie is standing in front of a bulletin board with papers on it .
media.tenor.com
December 1, 2024 at 2:15 AM
Reposted by Matthew Coghlan
Want people to have more kids?

Create policies that make having kids easier

1. Subsidized child care
2. Universal pre-k
3. Non-punitive family leave policies (Sweden gives 480 days to be split as parents see fit or not if the parent is single)

This is not hard- it just requires we prioritize it
December 1, 2024 at 3:52 AM
Reposted by Matthew Coghlan
#PCCMSky Starter Pack Update

135 on the list- only 15 more slots before I would have to make another

Repost so the noobs know who the cool kids are

Reply if you should be on this and are not (please ensure your bio reflects your PCCM creds I am not putting randos on here)

go.bsky.app/88wg6oG
November 30, 2024 at 3:40 PM