Great wisdom shared from Dr. Vivek Moitra SCCM Anesthesiology Section Society of Critical Care Anesthesiologists The American Board of Anesthesiology on crisis management, teamwork, situational awareness, cognitive biases and patient safety. High functioning teams listen and have high EQ.

It is our pleasure to welcome Vivek Moitra, MD to UVA Anesthesiology talking about crisis resource management UVA Regional Columbia Anesthesiology ASA® talking about bias, who do you want in your team and much more

About to start your first anesthesiology attending job in a higher acuity setting? I have attendingier attending advice for ya, if ya want it... (a #patientsafety risk mitigation 🧵 compiled from 9 years of directing an #anesthesiology safety program) 1/12

ANDROMEDA-PEGASUS coming March 2025! Will keep posted for interested colleagues and A2 followers💪 A cross-sectional, milticentric, transcontinental study exploring the RR between pulse pressure and stroke volume from an epidemiological perspective💪Aimed at 2000 pts

Underlying assumptions are the foundation of organizational culture, driving the values that, in turn, drive behavior. Learn more: mitsmr.com/431axPO

Sandeep_59 Eduardo R Argaiz NephroPOCUS Joel M. Topf, MD FACP Matt Siuba IMCrit Nick Mark MD lasix is not nephrotoxic.

if you give so much lasix that you cause hypovolemia, then *hypovolemia* may be nephrotoxic.

if you give lasix to treat systemic congestion and promote euvolemia, that may improve kidney function.

thanks for attending my Ted talk.

Yes! #PsychologicalSafety is primarily about safety, but not at the expense of accountability and performance. A great overview from The Irish Times on the research behind psych safety and its benefits in the workplace...
irishtimes.com/special-report…

Adverse events related to physical restraint use in ICU

CCR Journal Watch
criticalcarereviews.com/latest-evidenc…

Get the latest critical care literature every weekend via the CCR Newsletter - subscribe at criticalcarereviews.com/newsletters/su…

Welcome to Dr. Michael Mushailov, our new Attending Physician and Critical Care Fellow!
Columbia Medicine NYP Columbia/Cornell Emergency Medicine Residency NewYork-Presbyterian
Columbia Faculty Advancement Vivek Moitra, MD Columbia Critical Care Medicine #CriticalCare #EmergencyMedicine 🔖🏥💉🩺

1 in 3 academic physicians report they are considering leaving their institution within 2 years. Burnout and lack of professional fulfillment were associated with intention to leave; a comprehensive approach will be needed to reduce physician turnover. ja.ma/3GKmRKN

Being drawn to conspiracy theories is more than a failure of critical thinking. It's a sign of feeling threatened and cynical.

170 studies, 150k+ people: the strongest correlates of conspiracy beliefs involve doubting others' intentions.

What looks like low IQ may be low trust.

One of Amelia Crabtree’s many wonderful illustrations from my 📕 #RightKindOfWrong … and such a great way to show how a culture that makes it safe to talk about #failure can coexist with high standards!

What do patients fear most about operations

‘Will I wake up?’

#NAP7 report from Royal College of Anaesthetists answers this.
-who will
-who is at risk of not
-what are the numbers?

Eg cardiac arrest during all surgery
1: 3000

Fit & well, elective surgery
Cardiac arrest <1 : 10,000
Death <1 :…

Received this from a former Cardiothoracic ICU fellow who worked with me in the past, now an intensivist in a different institution.

Someone who I worked with is making a difference somewhere.

This made my day.

Columbia wic representing at AHA this weekend! #AHA23

Conclusions

Periop cardiac arrest

-not rare for anaesthetists
-common causes deemed to be cardiac, anaphylaxis, airway
-most survive resuscitation -later outcomes uncertain but probably not bad

The NAP7 registry will tell us much more

Catch the baseline papers video here

8/8

A thread on some more aspects of the NAP7 BASELINE Papers

Individual anaesthetists experience of perioperative cardiac arrest

…-publications.onlinelibrary.wiley.com/doi/full/10.11…

How many?
Who arrests where?
Why?
What outcomes?

National Audit Projects 𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 Royal College of Anaesthetists

1/8

If you could showcase one of your failures in a museum, what would you choose?

I love how DC's MuseumofFailure embraces shedding light on failures instead of hiding them -- a key part of #FailingWell . Stop by the exhibit thru Dec 10: museumoffailure.com

#RightKindOfWrong

Join SOCCA’s Emily Vail, MD Sheela Pai Cole & Dr. Brigid Flynn November 2 to discuss “Tackling Challenges in a Career in Critical Care Medicine” | Sign up in advance: buff.ly/3PYvYNs Shahla Siddiqui, MD, MSc, FCCM May Hua Madiha Syed KU Anesthesia Critical Care Stanford Anesthesiology Penn Medicine