Father of daughters. Husband. ICU & pulmonary physician & associate professor @intermountain. Critical care research. Tweets my own.
Salt Lake City, UT
Joined March 2009
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Join me and @Moskowcrit for high yield, practical strategies for launching & running clinical trials in your ICU at ATS 2026 in Orlando.
More session info: ats2026.d365.events/educatio…
Register at: site.thoracic.org/conference…
@ATSCritCare
Physician variation in early sepsis treatment (substantial), causal inference methods on potential overtreatment with faster antibiotic practices (none), and understand how some physicians go faster (proactive, parallel processing care/team management)
jamanetwork.com/journals/jam…
Early identification of patients presenting with #sepsis is likely to aid timely care delivery. Compared to usual triage strategies, @Kasra_Rahmati (currently MS2 at @dgsomucla) identified two risk scores that seem to perform well at ED triage
sciencedirect.com/science/ar…
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The key parameters of prediction models for relatively rare events like sepsis are sensitivity — the proportion of cases identified — and positive predictive value (or inversely, the false alert rate).
pubmed.ncbi.nlm.nih.gov/2947…
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We're recruiting a critical care physician to join our @IntermtnMedCtr #PCCM faculty! Job includes *substantial* guaranteed time for research/academic endeavors (add more with grant support). Clinic time likely too you want it. Details and application at: tinyurl.com/e7fhksv7
Thrilled to receive a Notice of Award for our R35 MIRA grant from @NIGMS to continue our work @Intermountain @Research_Inter harnessing observed practice variation to understand how to improve care for #sepsis (1/4)
ENORMOUS thanks to the mentors, coaches, & sponsors who have helped me get here, including @Terri_Hough, @DrSamuelBrown, Colin Grissom, Nat Dean, Matt Samore, @RajSrivastavaMD, @JRandallCurtis1 (much missed), @joey_bledsoe1 and many others (2/4)
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Great work by Gabriel Hooper @UofUMedicine MS2 at #ATS2023 — Self-reported confidence metrics (aka “self efficacy”) didn’t correlate with resuscitation teams’ code blue performance, except when looking at how teams worked together (“non-technical skills”)
Lower-than-expected rates of false positive presumptive infection dx among >8000 ED patients with #sepsis — now out @CIDJournal. Brilliant work by @UofUMedicine student Gabriel Hooper. Funded by @NIGMS @nih_nhlbi & @Research_Inter. Thx @IDSAInfo @HIVMA
academic.oup.com/cid/advance…
Great #SCCM2023 discussion of caring for patients & families (& clinical teams) during death & dying in the ICU featuring @DrSamuelBrown and Ellie Hirshberg from @Research_Inter as well as @jcjackson68 @hopealuko @tammyeaton17 hosted by @HBGMD/@tchen383
@Research_Inter PCCM team key contributors on 2 of 4 high-impact papers at #SCCM2023 live release session: @nih_nhlbi #PETALnet CLOVERS trial out in @NEJM while @DrSamuelBrown's #APICS team reports @CritCareMed on unmet d/c needs after respiratory failure nejm.org/doi/full/10.1056/NE…
Important new real world data from IVY Network in @CDCMMWR demonstrating substantial added protection from bivalent booster for severe #COVID19. Glad to contribute with @Research_Inter @Intermountain.
TL;DR: #GetVaccinated & stay out of my ICU
cdc.gov/mmwr/volumes/71/wr/m…
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Just created my Mastodon account. Hope to see you all there.
@ipeltan@med-mastodon.com
med-mastodon.com/@ipeltan
Great start to core curriculum at the @NM_Lung Respiratory/Critical Care Symposium with asthma state of the art by @NorthwesternMed Dr. Sharon Rosenberg. Looking forward to summarizing latest data and guidelines for #sepsis shortly.
Standard names for groups:
"Murder" of crows
"Crash" of rhinos
"Doctrine" of doctors
merriam-webster.com/words-at…
I propose:
"Ruination" of grants (exclusively for imperfect future pleural participle of "grant")
[grammar terms purposely garbled, don't @ me]
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Resource strain makes difficult tasks (like recognition of hospital-acquired #sepsis) even harder. Commentary by Amelia Bowman @UofUResearch and myself on an elegant & thoughtful analysis in @annalsats
atsjournals.org/doi/full/10.…
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Link to the primary manuscript by @jenginestra Rachel Kohn @mpkerlin @garyweissman
atsjournals.org/doi/citedby/…
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Need help interpreting the #COVID19 sabizabulin that reported a big effect but 2x too high control-group mortality? My editorial with @DrSamuelBrown out today alongside the manuscript in @NEJMEvidence
evidence.nejm.org/stoken/def…
[Almost] out in print @accpchest: our multihospital RCT found live telemedicine consultation by an ICU physician did not improve CPR quality or ACLS protocol adherence during "mock codes," but did help resuscitation teams identify the etiology of the simulated cardiac arrest
INSIDE LOOK 👀 Read more of the latest research from the new @journal_CHEST issue, launching July 6:
Consultation from a telemedical intensivist did not improve resuscitation quality during simulated in-hospital cardiac arrest: hubs.la/Q01g3YXM0 @ipeltan #MedEd #MedTwitter
Responding to a Code Blue is stressful and scary, even for experienced clinicians. I still get a jolt when a pager goes off with the tone we used for the @mghmedres code pagers
Really excited to join @HalliePrescott @tmosbornmd @DeenaKCosta and others to discuss best practices in early sepsis care at 2:15 PDT in Moscone 3020 #ATS2022
Best advice I've got in awhile: "Dude, live it up!" Also, that groundhog one. Also, option #4.
npr.org/2022/03/06/108480078…
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Out today in @JAMANetworkOpen: 16% of ED patients with sepsis are discharged to outpatient management, but have non-inferior risk-adjusted mortality jamanetwork.com/journals/jam…
Reassuringly, illness characteristics & severity as well as patients' clinical risk (e.g. age) were associated with ED disposition, but not system- or equity- factors cdn.jamanetwork.com/ama/cont…
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