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PulmCrit – The Full Story

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.

On twitter and instagram I'm @PulmCrit.   My e-mail is farkasmd@gmail.com.

Goal of this blog

I enjoy twitter and social media as a way to gain additional perspectives and opinions from colleagues around the world.   One downside of being an attending is that people sometimes don't challenge my ideas enough, even in a teaching hospital.   Social media is often more critical, and provides a way of testing new ideas and refining my perspective.   I hope this blog will create a space to foster critical thfoaminking, free exchange of ideas, and constructive criticism as we collectively stumble through the challenge of caring for critically ill patients with limited information in a rapidly evolving world.  The blog is also a nice way to provide asynchronous eduction for trainees and nurses – if we don't have enough time for discussion on rounds, the blog may explain the rationale behind the way I do things.

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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.

Drugs and devices discussed on this blog are usually drawn from my own experience.  Thus, simply because I discuss a device does not necessarily mean that I think it is the best device available (instead it may merely be the device that I happen to have the most experience with).
I have lots of opinions.   For me, opinions breath life into the facts of medicine.   I encourage my trainees to have opinions about everything, because this forces them to think more.   My opinions are my own, they do not reflect the opinion of my colleagues nor my employers.   Sometimes my opinions may be simplified a bit to make a succinct argument.   In real life, at the bedside, the situation is often more murky than it is on a blog post.

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.

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We are the EMCrit Project, a team of independent medical bloggers and podcasters joined together by our common love of cutting-edge care, iconoclastic ramblings, and FOAM.

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EMCrit®️ is the registered trademark of Metasin LLC. All EMCrit Content is a product of EMCrit LLC; Copyright 2009-. All PulmCrit and IBCC Content are a product of Farkas Medical LLC; Copyright 2009-. This site represents our opinions only. See our full disclaimer, privacy policy, commenting policy, terms of service, and credits and attribution.AI Use Prohibited: Content on this website may not be used in the training or development of AI systems without our express permission.