#_POCUS Few tips for learning POCUS for beginners like myself 1- it is very steep learning curve & long journey. 2- pick up one source & keep watching it over & over again. Youtube has lot of them 3- POCUS has 3 parts: image acquisition, interpretation & clinical integration

RT @lzavorszky: Where is this central line and what to do? #ICUrounds 1/14 (repost, as left CXR pic out😀)

@argulian You mean the ratio E/A <1 supports elevated filling pressure ?

@ross_prager Hr 186, narrow PP. Low CO status and likely CS pt. Would you mange it differently if this pt has wide PP ( i.e spetic shock) ?

@InternSupp @ross_prager @rudyunni @CardioCrit @CardioNerds @zacksinger26 @john_basmaji @nickmmark @ThinkingCC @katiewiskar @KiranRikhraj Make sense. Can you please share any reference for this statement?

Zosyn is proven more toxic than IV contrast. If this pt Cr continue to worse. Everyone will blame IV contrast & forget everything else that led to AKI in 1st place. a lot of care got delayed coz of what so-called contrast nephropathy ! we need to come up with clear statement here

@KiranRikhraj Increase stressed vol by giving vesopressor

Great lecture, very much focused and straight to the point. There are some basic hemodynamic terms that I encourage everyone to spend time learn them Pres & vol, non-linear relationship Compliance vs Resistance vs capasitance . Pmfs , VR & CVP PV loop, FS curve Av coupling

Must read... especially for POCUS enthusiatic beginners

@IM_Crit_ @EM_RESUS It would ask first to check eGFR

@NephroP @ArgaizR @MDBeni @IM_Crit_ @ThinkingCC . Have you seen this device used for CRS ?

@Rajiv_Sinanan @ThinkingCC @katiewiskar @khaycock2 @ABCDEcografia @IM_Crit_ @ArgaizR @NephroP Small LV cavity and PHTN ....

@Rajiv_Sinanan @ThinkingCC @katiewiskar @khaycock2 @ABCDEcografia @IM_Crit_ @ArgaizR @NephroP Not on any other bp meds, just trying to find other meds to blame for low BP and AKI?

@Rajiv_Sinanan @ThinkingCC @katiewiskar @khaycock2 @ABCDEcografia @IM_Crit_ @ArgaizR @NephroP It was his outpt diuretic regimen & for how long ?

@Rajiv_Sinanan @ThinkingCC @katiewiskar @khaycock2 @ABCDEcografia @IM_Crit_ @ArgaizR @NephroP Interesting ! 1st clips showed large RVOT & septal flattening. EF reduced in SAX? IDK if there is WMA? Was HCOM dx based on septal thickness? I dont see SAM in 1st clip. Is it present in 2nd clip, just to explain some of his symptoms?

@khaycock2 @IM_Crit_ the slope of VR function = ( -1/Rvr )

@IM_Crit_ MSFP is dependent on stressed volume and systemic compliance. MSFP = Ve/Cs Both compliance and Resistance affects VR. Compliance is static Process While Resistance is a dynamic process. @khaycock2 corrects me here plz!

@IM_Crit_ I recently i saw septic shock pt received 9 L of saline in less than 24 h and the plan still to give more because Ivc collapsible and hyperdynamic LV !

RT @IM_Crit_: The figure speaks for itself, but we have to highlight a few points made throughout the paper...