Using dots to orchestrate commandcode

Using xHigh for the whole day and yes it feels cheaper than medium. But no numbers to back it up

1/3-Back by request for new ICU residents! 💥 12 KEY TRIALS I teach on #ICU Rounds each week they must know! Do you agree? Any you would add? 1. ARDSNET @NEJM -PMID 10793162 2. LEUVEN Glucose 1 @NEJM-PMID 11794168 3. SAFE Trial @NEJM PMID: 15163774 #FOAMcc #medtwitter #MedEd

Wide QRS Tachycardia? It's Not Always VT This ECG panel compares V₁ and V₆ leads in both LBBB-type and RBBB-type QRS morphologies across common causes: 1️⃣ Ventricular tachycardia (VT) 2️⃣ SVT with aberrancy 3️⃣ SVT with preexcitation (WPW) 4️⃣ SVT with baseline abnormal ECG 5️⃣ SVT with hyperkalemia 6️⃣ Ventricular pacing Observe how the QRS morphology changes with each condition. Certain clues like AV dissociation, fusion beats, or extreme axis favor VT, while others may suggest supraventricular origin. This chart is a great reference for ECG interpretation, especially in acute settings. Reference: Zipes & Jalife, Cardiac Electrophysiology: From Cell to Bedside #ECG #Cardiology #MedEd #EPeeps #MedTwitter #Electrophysiology

STOP TELLING CHATGPT TO “MAKE IT SOUND BETTER” Use these 7 smarter prompts instead:

We talk a lot more about how to put an ETT *IN* than how to take em *OUT*. On this week's @CritCareTime @Askins_Razor & I talk all things EXtubation. - readiness to exubate - breathing trials - overcoming challenges - addressing cuff leak - plus many cases Give it a listen! 1/

So a toddler won’t move an arm or leg Parents are panicked X-ray is normal Now what?! Let’s break down the workup for the limping (or non–moving) toddler in the ED #FOAMed #EM #Peds #PEM 🧵

🎬 2nd chapter ...🧵This a thread about 1.3% sodium bicarbonate🧂 (aka isotonic bicarb drip) in critical care. ☝🏻 If you missed the first part about 8.4% bicarb, I would strongly recommend you to read it before moving on 🏃🏻.

ICU Hemodynamics: In this recently published article, the authors propose a classification of different cardiovascular phenotypes potentially observed in septic shock into 3 profiles of LV-centric dysfunction, promptly recognizable by critical care echocardiography (CCE):

A “Razor” is a rule of thumb that simplifies decision making. Here are 15 Razors every person should know (a visual thread:

1/ Time for another #POCUS pitfalls thread 🧵: the infamous IVC 🤩 I have MANY thoughts on the IVC 💭 When I first started teaching POCUS, I actually disliked the IVC because it was often poorly done or incorrectly interpreted ❌ I have now come to love the IVC, BUT you have to do it right! #tweetorial

Particularly useful for HEMS in a confined aircraft. But then again airway management is best done on the ground.

When you achieve ROSC

1/ Hi 👋 #medtwitter #neurotwitter #neurocritcare #FOAMed #meded have another interesting case I wanted to share with you and see if perhaps you learn something new!

After being trained by🇲🇾tax Ringgit @ RM1 Million per med student, they exit KKM, due to: ✅Push factor by @KKMPutrajaya dr-unfriendly policies ✅Pull factor by 🇸🇬 🇦🇺 🇬🇧 🇮🇪 ✅Combination of lousy remuneration, crazy workload, mental unwell being & ambiguous career progression

That genuine happiness from simple pleasures of life. instagram.com/p/CapIHDZpA-d/…

Download a Bear! tunnelbear.com Browse like you're in another country! @theTunnelBear pic.twitter.com/Bq9Ucm8xfQg

Download a Bear! tunnelbear.com Browse like you're in another country! @theTunnelBear