Matt Siuba
#Zentensivist passionate about PH/RV Hemodynamics (esp in Liver Disease & ARDS) | Anti-structural violence | co-EIC http://shockwaves.icu views = mine
- Reposted by Matt SiubaWe need health care for all, not militarized immigration enforcement that destabilizes communities across the country.
- Reposted by Matt SiubaYou have to read this. Firsthand affidavit from one of the women who was there and recording the video. She talks about how Alex Pretti was directing traffic when she arrived. She watched him be killed in front of her. She's afraid to go home, worried she'll be arrested.
- JUST IN: Lawyers file declaration in federal court from first-hand witness to immigration agents' shooting of a US citizen onlookers today. Minneapolis Mayor Frey said details would be used to bolster case for ousting ICE from city. Doc: www.documentcloud.org/documents/26...
- Reposted by Matt Siubaive seen more articles this week about how the phrase “abolish ice” could hurt dems in the midterms than ive seen articles about how paramilitary death squads terrorizing cities will hurt republicans in the midterms
- Asking for a visual abstract on first submission of a manuscript is an act of violence
- Andddd desk rejected
- Another journal asked me to change the background color of the visual abstract and then resubmit. And then desk rejected it!!
- Nice work by a stellar team of trainees journals.lww.com/ccmjournal/f...
- Reposted by Matt SiubaI was just denied access to the ICE processing center at the Whipple Building. Members of Congress have a legal right and constitutional responsibility to conduct oversight where people are being detained. The public deserves to know what is taking place in ICE facilities.
- JUST NOW: Huge mass of agents in a standoff, weapons drawn as Reps. Ilhan Omar, Angie Craig, and Kelly Morrison attempt to conduct congressional oversight at the Whipple Building, which has been HQ for thousands of ICE agents. @zeteo.com
- Reposted by Matt SiubaThe goal here is martial law. It’s martial law. Let’s be clear about that.
- Reposted by Matt Siubafriendly reminder that urine drug screens are bad tests, they miss a lot of things and a lot of common/benign medications can trigger false positives it's basically an EM boards question to NOT make clinical decisions based on UDS
- Reposted by Matt SiubaGreat summary of driving pressure and overview of DESIGNATION. Maybe check out some of my old physiology musings too 🤪 www.pulmccm.org/p/can-drivin... @zentensivist.bsky.social @drfreeze.bsky.social @www.pulmccm.org @pulmcrit.bsky.social @maxhockstein.bsky.social
- Reposted by Matt SiubaNEW: Ohio has just restricted mail voting, banning the so-called 'grace period' that allows mail ballots to come in the day after Election Day as long as they've been postmarked in time. This is likely to lead to thousands of Dem-leaning ballots to be rejected. Ohio is following Trump's demands.
- Reposted by Matt SiubaNEW: In this short piece (open access!) I describe how ecomodernist visions and "green growth" scenarios rely on fundamentally imperialist assumptions, and have no answer to this problem. brill.com/view/journal...
- Reposted by Matt SiubaThe US aggression against Venezuela is naked imperialism. All pretext has been exposed as farce. An invasion would cause tens of thousands of deaths. Every sane person must oppose this madness.
- Reposted by Matt SiubaIn case people need a refresher: The Trump administration is fighting contempt proceedings y in federal court over what happened “inside CECOT” to human beings unlawfully renditioned there. Bari Weiss’s CBS News is now part of the coverup.
- Reposted by Matt Siubasuspect a big reason why many academics and others who work in areas where getting facts RIGHT is key are disinterested in using LLMs for research: they’ve tried it, they keep noticing major errors in output, and they conclude that having to verify all that doesn’t actually save them time.
- Reposted by Matt SiubaYeah I have a question can I have 20% of my screen back so I can RTFA
- Traditionally a ketamine first guy, but I let my trainees choose their med most of the time and don’t see apparent hemodynamic differences I do push the MAP to ~75 with pressors regardless of agent And I do give fent with etomidate Overall agree with @pulmcrit.bsky.social’s take
- It's honestly hard to know how to interpret this data due to statistical power limitations. This is an important trial that should change practice. But I don't think we should all jump on the bandwagon that ketamine is a bad RSI drug. Fresh blog: emcrit.org/pulmcrit/rsi...
- Reposted by Matt SiubaMan, this is just the most fucked up blatantly racist shit, for the last forty years any national politician would have been afraid to say anything even remotely like this
- Typeset version of our scoping review on RV reserve is now live in the latest issue of @jcfint.bsky.social www.onlinejcfi.org/article/S305...
- Reposted by Matt Siuba
- Two papers on high cardiac output states in the special hemodynamics issue of the Journal of Cardiac Failure thanks to hard work by stellar fellows and residents
- Reposted by Matt SiubaWhen they tell me I have a bad bedside manner
- Reposted by Matt Siubayour daily reminder: ☕️ coffee is great ☕️ caffeine-free diets for hospitalized patients are silly & cause misery due to caffeine withdrawal #EMIMCC
- Reposted by Matt SiubaTo recap, among young voters… Prop 50: +58 Sherril: +37 Spanberger: +40 Mamdani: +61 I better see the media start retracting some of those stories saying Gen Z is the most conservative generation.
- Reposted by Matt SiubaMamdani: "We can respond to oligarchy and authoritarianism with the strength it fears, not the appeasement it craves. After all, if anyone can show a nation betrayed by Donald Trump how to defeat him, it is the city that gave rise to him."
- Reposted by Matt SiubaNearly all of the #Gaza Strip’s residents have been displaced. Following the start of the ceasefire, many families tried to return to their homes, most to find only rubble. According to the United Nations Satellite Centre, around 81% of all structures in Gaza are damaged.
- Reposted by Matt SiubaAfter 13 years, Mississippi Democrats have broken the Republican Party’s supermajority in the Mississippi Senate. Democrats flipped two GOP-held Senate seats and one House seat in the special elections. buff.ly/nTvLlFI
- Reposted by Matt Siuba“The youngest New York mayor in more than a century. The city’s first Muslim mayor, first South Asian mayor, first mayor born in Africa.” In First Draft from Zeteo, Peter Rothpletz on a historic night for Mamdani, for Dems, for NYC, for America:
- Reposted by Matt Siuba“Dick Cheney Has Died. The War Criminal in His Own Words” 10 quotes worth remembering, and that’ll be glossed over in MSM obits, from a former vice president who pushed for a murderous invasion of Iraq, lied about the WMD threat, and defended torture.
- Reposted by Matt SiubaHe should have died in The Hague.
- Former Vice President Dick Cheney has died, his family said in a statement. He was 84 abcnews.go.com/Politics/for...
- Reposted by Matt Siuba
- Reposted by Matt SiubaPlease use my tax dollars to help feed literally everyone. Age? I don’t care. Citizenship status? Don’t care. Race/gender/religion? Don’t care. Do they have a job? Statistically yeah but don’t care. Do they have nice nails? DON’T CARE.
- Reposted by Matt Siuba“Trump’s administration arrested Sami Hamdi following a social media campaign from far-right, Islamophobic figures.” New reporting from Zeteo on the latest example of this administration cracking down on speech on behalf of Israel. Against a British Muslim journalist on a valid visa:
- Reposted by Matt SiubaNo one knows what is or isn't possible politically. Anyone who says they do is lying.
- Reposted by Matt SiubaShame on NEJM for keeping this under a paywall.
- Reposted by Matt Siuba💯 The study doesn’t mean that all A-lines are worthless. It does mean that you can excercise your judgement and if you drag your feet a little to see how patients respond to initial resuscitation thats OK.
- Reposted by Matt SiubaNew RCT: Avoiding A-line in shock didn't affect mortality (trend towards *reduction*) & decreased line complications They avoided A-lines despite patients requiring pretty substantial doses of vasopressors Very #zentensivist Don't need to rush to an A-line www.nejm.org/doi/full/10.... #EMIMCC
- Reposted by Matt SiubaMASSIVE RCT from Kenya showing that steroids reduce mortality in CAP Mortality benefit easier to demonstrate w/ less resources available to salvage pts Should allay the hype that the negative REMAP-CAP steroid RCT received (despite being woefully underpowered) www.nejm.org/doi/pdf/10.1... #EMIMCC
- Reposted by Matt SiubaKat is being federally charged by the FBI for protesting at Broadview. This is a flagrant political prosecution by the Trump administration, which is trying to prevent free speech and free association. I am proud of Kat. Her movement is being targeted by the government. She needs your support.
- Reposted by Matt Siuba📊 Research Summary: Personalized resuscitation targeting capillary refill time modestly improved organ support–free days and composite outcomes in early septic shock, but showed no difference in mortality vs usual care. #LIVES2025 @esicm.bsky.social ja.ma/4huvHOa
- Reposted by Matt Siuba💬 Editorial: While capillary refill time shows promise for early #SepticShock management, integrating it into broader, multimodal resuscitation strategies remains key to improving outcomes. #LIVES2025 @esicm.bsky.social ja.ma/4hAs5u7
- Reposted by Matt SiubaWe live in a country where the media is focused more on who a Democratic mayoral candidate defines as his ‘aunt’ than on the DHS Twitter account putting out white nationalist propaganda and replying to Nazis online.
- Reposted by Matt SiubaAs Americans, we collectively decided almost a century ago that we didn't want to live in a society where some people literally starved while others prospered. We created a system whereby people who are able to pay for food aid, and people with means pay more, and people without means receive aid.
- Reposted by Matt Siuba"You Don’t Argue With Extremists. You Organize Against Them" A fascinating piece from a researcher on why debates don't always work as a method of effecting change. As a debater, I don't agree with all of it, but Zeteo is all about encouraging... debate:
- Reposted by Matt Siubajesus christ man, we can’t ever get used to this and normalize it.
- Reposted by Matt Siuba"Aristotle has not defined pity and terror. I have." annalsofintensivecare.springeropen.com/counter/pdf/... @drfreeze.bsky.social @khaycock.bsky.social @maxhockstein.bsky.social @zentensivist.bsky.social @thinkingcc.bsky.social
- Reposted by Matt SiubaIf Congress could do or say literally anything about this at all, that would be cool!
- I obtained video of two FBI agents visiting an anti-ICE protester not charged with any crime. While the media continue to mock Trump's war on "Antifa" as legally impossible, the FBI is quietly implementing it with investigations like these: www.kenklippenstein.com/p/video-fbi-...
- Reposted by Matt Siubaa glorious rebuttal of the asinine MAHA report from a few weeks ago. TLDR: we have ways of making the US healthy but they’re not discussed in the report, and anyhow the current administration is doing everything it can to make people less healthy through its actions. jamanetwork.com/journals/jam...
- Reposted by Matt SiubaLayup "orange man bad" story here for major media, feel free not to credit just please write something - anything - about this
- Less than an hour from now!
- Last hurrah today at #CHEST2025
- Reposted by Matt SiubaSenator Jeff Merkley says NSPM-7 appears "a strategy to take folks you disagree with and label them a terrorist threat"
- Last hurrah today at #CHEST2025
- Reposted by Matt Siubathe moment NSPM-7 comes up, CNN anchor laughs nervously and ends the segment. ???
- Reposted by Matt SiubaMatt is a distinguished boy I am not My version: a fool with a tool is still a fool...
- Key point from my invasive CO talk the other day #CHEST2025
- Reposted by Matt SiubaThis is the asymmetry in our politics and media. If this was the other way around, Biden had pardoned someone then charged with trying to kill Trump, it would be the biggest story in America and every Republican commentator, congressman, news outlet, would be screaming about it in unison.
- Key point from my invasive CO talk the other day #CHEST2025
- Reposted by Matt SiubaAnyone wanting to bring the US healthcare system to your shores is basically at war with you. It's a hostile invasion. Really.
- Reposted by Matt SiubaIt simply must be a right of all humans. #medicareforall #m4a
- In one hour at #CHEST2025 Pulmonary vascular challenges in cirrhosis
- Reposted by Matt SiubaExcited to learn from @zentensivist.bsky.social and colleagues about Cardiac Output Monitoring! #CHEST2025
- Starting in just over two hours at #CHEST2025 Cardiac output monitoring in 2025: the good, the bad, and the echo
