ATS Breathe Easy

The health care sector is responsible for 8.5% of greenhouse gas emissions in the United States and around 4.6% globally. This gives clinicians and healthcare delivery systems the potential power to both improve patient care through better, less polluting delivery and improve global health by mitigating climate change. Jared Radbel, MD, Rutgers Robert Wood Johnson Medical School, Emily Brigham, MD, MHS, University of British Columbia, and host Erika Moseson, MD, MA discuss a new report by the ATS on how health care facilities and the practice of pulmonary, critical care and sleep medicine generate emissions and ways we can lessen their environmental impact.
Read the full report: https://academic.oup.com/annalsats/article/23/6/837/8524737

This is part one of a two-part discussion so tune in next week for the conclusion.

There are various types of inhalers, but how do you use them to ensure the treatment is given effectively? Improper use of inhalers is more common than you might think. Registered respiratory therapist Givenchy Ayisi-Boahene, NYU Langone and host Amy Attaway, MD, Cleveland Clinic, walk through the difference between the various types of inhalers, common mistakes patients make in using each, and other tips for managing asthma.

There has been a sharp spike in silicosis diagnoses among workers who work with engineered stone countertops. The ATS released a report in 2026 on the subject, “Silicosis in the Artificial Stone Countertop Industry: An Official American Thoracic Society Workshop Report”. One of the report’s authors Kristin Cummings, MD, MPH, California Department of Public Health, and expert Maeve McMurdo, MBChB, Cleveland Clinic, discuss why engineered stone can cause severe, rapidly progressive lung disease in young workers as well as the limitations of current workplace protections. On this episode of the ATS Breathe Easy podcast, they also highlight safer alternatives, the importance of recognizing occupational exposures, and what clinicians, employers, and consumers can do to help protect workers.
Important resources:
Read the full ATS report: https://pubmed.ncbi.nlm.nih.gov/42363709/ 
Failure of wet methods to control silica exposures: Soo et al. Respirable dust and respirable crystalline silica exposures among workers at stone countertop fabrication shops in Georgia from 2017 through 2023: https://pubmed.ncbi.nlm.nih.gov/40249150/ 
Prevalence of silicosis among Australian countertop workers: Hoy et al. Prevalence and risk factors for silicosis among a large cohort of stone benchtop industry workers https://pubmed.ncbi.nlm.nih.gov/37328266/
Rapid progression of artificial stone silicosis after exposure cessation: Leon-Jimenez et al. Artificial Stone Silicosis: Rapid Progression Following Exposure Cessation: https://pubmed.ncbi.nlm.nih.gov/32563682/ 
California engineered stone silicosis dashboard (updated weekly): https://www.cdph.ca.gov/Programs/CCDPHP/DEODC/OHB/Pages/essdashboard.aspx

Clinicians and medical providers rely on data to tailor care plans to their patients. Aartik Sarma, MD, University of California, San Francisco, Pat Lyons, MD, Oregon Health & Science University, and host Lekshmi Santhosh, MD, the University of California, San Francisco, discuss the use of data science in critical care medicine and how it has evolved over time. They dive into how new technologies benefit ICU patients, and how the medical infrastructure can be further improved.

The most common treatment for obstructive sleep apnea (OSA) is an at-home CPAP machine, but patients often remove their mask in their sleep or stop using the machine all together. Neomi Shah, MD, Mount Sinai Hospital, and host Ugo Ezema, MD, Tulane University, discuss a novel oral medication that opens a patient’s airway, exponentially improving their quality of sleep.