Andrew Helt
@CanEMDoc
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Father & husband. Intensivist, ER doc, TTL, & POCUS proponent. Wilderness enthusiast.
London, Ontario
Joined November 2010
@Jeff_Mans @SiriusXMFantasy We called it Sohogby (Soccer-Hockey-Rugby). It was soccer with checking while the ball was on the ground, but if the ball was kicked up & caught, it became rugby. Couldn't just pick up the ball, though. Was awesome. Played this from grade 4-7 when the teachers weren't looking.
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@BVidalPimentel @ThinkingCC @ross_prager @ArgaizR @NephroP @zbriote I have the same experience at times ing evidence of venous congestion when no great view of the IVC could be had. That said, in those circumstances, the RAP wasn't really in question. BUUUUUT One of my favourite tricks is to look at the IVC from the RUQ through the liver.
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@ross_prager To build off this, perhaps the most powerful way this tool will be utilized will be as a dynamic marker. Being able to stop diuresis prior to exacerbating an AKI would be incredibly useful. Maybe we will find it's dynamic enough to use the 'ol passive leg raise to extract info.
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RT @SAlerhand: Cardiac #POCUS: An Emergency Medicine Review Free manuscript link: From beginner to advanced...all…
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RT @muscedej: Thank you to @CIHR_IRSC ACT competition for funding a Phase 3 trial of inhaled furosemide as supportive therapy for resp. fai…
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#CCR24 Day 3 Overview: DEFENDER: No benefit with SLG2Is for allcomers in ICU, but safe. REMAPCAP-steroid: Hard to make sense of this one, but no benefit to steroids in CAP. NAVIGATE: Early NIV prevents worsening of resp failure. REVISE: SUP with PPI ⬇️ GIBs @CritCareReviews
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For the PO vs IV PPI (and H2 blocker vs PPI for that matter) PEPTIC (which was discussed at CCR in 2020) provides me some reassurance that the options for SUP are all similarly effective.
#CCR24 #REVISE @CritCareReviews Regarding these results, can we extrapolate to PO PPI? Can we (should we?) extrapolate findings to those on NIV?
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This might be the most insightful part of the entire trial. What matters to clinicians may not be what matters to our patients. Transfusion of a single unit, CT angio, and diagnostic endoscopy, all things that really matter to patients. #CCR24 #REVISEtrial
Kudos to the #REVISEtrial investigators for engaging patients and families to identify outcomes important to them #CCR24
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RT @ADAlthousePhD: Since @CritCareReviews and #CCR24 have had a couple of win ratio analyses, here’s a little plug for a video I made with…
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So, there was no RT involvement. TY for the answer & reposting of the slide! My question remains how much, compared to the usual care group, extra attention did the NIV group get from allied health & MDs? Looking forward to seeing the paper!!! #CCR24 #NAVIGATEtrial
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The #NAVIGATEtrial shows a very impressive decrease in severe resp failure with WARD-BASED NIV. If findings external valid, then this could be BIG! #CCR24 I'm skeptical & still have Qs. Unsure my centre would replicate these results. Regardless, early NIV seems SAFE and SMART.
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