Josh Farkas MD 💊 ✓

@PulmCrit · University of Vermont 🐄 · joined 11 Oct 2012

Author of the Internet Book of Critical Care 🖋️ Board certified in critical care, pulmonology, and neurocritical care 🤓 Zentensivist🧘‍♂️ ECG nerd 🫀 No COI💰

65 298Followers

523Following

14 439Posts total

103KViews on collected posts

Against accounts of the same size

5 posts from the last 90 days, next to the 10K–100K follower range. shown widely, but few of those viewers react.

Median views10 560this account3 259median for 10K–100K

Reach, %16.17%this account10.24%median for 10K–100K

Engagement, %0.75%this account1.40%median for 10K–100K

Metric	This account	Median for 10K–100K	Ratio
Median views per post	10 560	3 259	3.24×
Reach (views ÷ followers)	16.17%	10.24%	1.58×
Engagement rate	0.75%	1.40%	0.53×

Others in this range → Compare with another account → How these benchmarks are built →

Growth & engagement

How the posts we collected actually performed: views and reaction rate post by post, what the audience did with them, and where the follower count goes.

Views per post

10.6K31 Aug

33.8K1 Sep

40.4K

8.5K2 Sep

9.8K3 Sep

Last 5 collected posts, oldest on the left. The scale is logarithmic: one post can outrun the rest a hundred times over.

Engagement rate per post

0.75%31 Aug

0.63%1 Sep

0.47%

1.54%2 Sep

1.15%3 Sep

Reactions — likes, reposts, replies and quotes — divided by views. Median for 10K–100K accounts is 1.40%.

What the audience does

Likes54.9%552 in total

Reposts9.9%99 in total

Replies6.8%68 in total

Quotes0.5%5 in total

Bookmarks28.0%281 in total

Share of every reaction we collected for this account. Replies mean argument, reposts mean endorsement, bookmarks mean the post was worth keeping.

The follower curve appears once this account has two daily snapshots — we take one a day, and this one is on its first.

Latest posts

I'm working on the RV failure chapter is anyone using IV nitroglycerine infusions intentionally as a *pulmonary* vasodilator? IV nitroglycerine is actually a reasonably good pulmonary vasodilator with a lot of parallels to IV milrinone or IV epoprostenol (physiology data review 9.8K views · 83 likes · 14 reposts · 15 replies 03 Sep 2026 Fresh IBCC chapter on intubation in critical illness 😁 Contains some basic stuff & some cutting-edge stuff (see the section on Ultra Rapid Sequence Esophageal Intubation 🔥) This is aimed at occasional intubators (e.g., Pulm/CC), especially trainees. It outlines a safe https 8.5K views · 105 likes · 18 reposts · 8 replies 02 Sep 2026 nice example of when videolaryngoscopy is used to look around a corner *without* proper positioning to allign the airway (ie not in sniffing position) you get a terrific view of the glottis, but the acute angle between the ETT and the trachea (which is diving *downward* in this 40.4K views · 158 likes · 20 reposts · 11 replies 01 Sep 2026 Conference RCT dumps sure are exciting, but here are some tough questions: [1] What are the ethics of embargoing every cardiology RCT for months leading up to the conference? (If this is life-saving information, shouldn't it be released ASAP?) [2] Do you think releasing all of 33.8K views · 153 likes · 33 reposts · 24 replies 01 Sep 2026 A new RCT about catheter-directed tPA for intermediate-high risk PE released today in NEJM! https://t.co/KG88HmDRP3 10.6K views · 53 likes · 14 reposts · 10 replies 31 Aug 2026