About Josh Farkas
I am an assistant professor of Pulmonary and Critical Care Medicine at the University of Vermont (Burlington Vermont, USA). My training consists of medical school at Cornell University followed by Internal Medicine residency at Dartmouth University and a Pulmonary and Critical Care fellowship at Albany Medical Center. Although trained and board certified in both Pulmonology and Critical Care, I work exclusively as a clinician educator in the combined medical, cardiac, and neurological ICU. Interests include point-of-care ultrasonography, coffee, FOAMed, and all things related to the ICU.
Goal of this blog

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Post-publication peer review policy
This blog has no formal pre-publication peer review. As such it should be viewed similarly to a lecture at grand rounds or a conference (neither of which has pre-publication peer review either). References to relevant literature are provided wherever possible, and readers are encouraged to delve into this literature and reach their own conclusions. This blog is about controversies in critical care, so it is not intended nor advertised to represent the absolute truth or last word on the topic. In most cases, there is inadequate evidence to be sure what the answer is!
All readers are invited to leave comments at the bottom of each post. One goal of these comments is to invite any critique and debate regarding the topic at hand. All comments will be posted immediately in real time to promote active discussion. (Comments which are spam will be removed as quickly as possible; please accept my apologies if they appear occasionally.) None of us has all of the answers, so a healthy debate is always a good way to explore limitations in our knowledge and different perspectives.
The fine print
I have no conflicts of interest. I receive no funds from drug or device manufacturers. I receive no money from this blog either.
Blogs don't represent medical advice. These are opinions about the art and science of medicine only. Ultimately every physicians is responsible for their own actions. Medicine is a constantly changing field, and every patient is unique. This blog is not intended to replace a sub-specialty consultation, and in situations of uncertainty local or regional experts should be consulted (i.e. poison control, regional referral centers, etc).
This blog claims no credit for any images posted on this site unless otherwise noted. Images on this blog are copyright of its respectful owners. All efforts are made to use only images which are public-domain and freely available, with appropriate attribution of images within each blog post. If there is an image appearing on this blog which belongs to you and you do not wish for it to appear on this site, please E-mail with a link to said image and it will be promptly removed.