Philippe Rola @ThinkingCC
#zentensivist, EMCrit Teammate, Proud daddy and husband. ICU chief at Santa Cabrini Hospital, @[email protected] thinkingcriticalcare.com Montreal, Canada Joined August 2013-
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Gonna have to read this. Any info on microcirculation? Because strategies to increase BP are not hemodynamically equal, so broad statements become almost meaningless…
Gonna have to read this. Any info on microcirculation? Because strategies to increase BP are not hemodynamically equal, so broad statements become almost meaningless…
Registered!
Awesome stuff!
Hey! Any experts out there on duration of O2 therapy for the bends? Only joints and skin affected.
Yup. A slide from my grand rounds talk this friday for Dr. Paul Mayo’s group this friday.
Yup. A slide from my grand rounds talk this friday for Dr. Paul Mayo’s group this friday. https://t.co/39EXc28BxC
Can’t agree more
🚨 Congress is preparing to vote on a military funding bill to Israel. Call TODAY - tell them to vote NO. The Israeli government has killed more than 33,000 Palestinians and is starving people to death. We cannot continue funding this genocide. Call now: jvpaction.org/stoparmingisra…
Armenain freedom wasn't conditional on them loving the Turks. Liberation of Jews from ghettos wasn't conditional on them loving the Germans. Dismantling of aparthied wasn't conditioned on all blacks loving the Afrikaaners. Why must then Palestinians prove their love for Jews?
An extraordinary @TEDTalks conversation between @AzizAbuSarah + @maozinon that opened the 40th anniversary of the remarkable TED conference that will give you hope about the broken state of the world: ted.com/talks/aziz_abu…
I really hope that all #GIM and other hospitalists trainees have signed up for this awesome free (for trainees!) webinar that the one and only @katiewiskar Has put together for us on June 15! Please RT and spread the word :-) thinkingcriticalcare.com/2024/03/18/hr2…
Very nice! For learners, note that very elegantly, low PMS was not equated with hypovolaemia :-)
Lotsa goodness here!
Discover FloPatch in action at our #AONL2024 booth! 🎥 Watch how it provides real-time, actionable data, helping clinicians make quick, confident decisions. Ever thought obtaining data to understand a patient's fluid responsiveness could be this easy? @tweetAONL #FloPatch…
Big thank you to the Enoch Cree First Nation. ❤️🙏
@Mark_Ungrin - The stakeholders interested in the conflation of “droplets” with “aerosols/airborne” are the SAME who have conflated “masks” with “respirators” since early 2020. At the very core of their “debate” is the dissolution of occupational protections for HCWs #LanguageMatters #HICPAC
@Mark_Ungrin - The stakeholders interested in the conflation of “droplets” with “aerosols/airborne” are the SAME who have conflated “masks” with “respirators” since early 2020. At the very core of their “debate” is the dissolution of occupational protections for HCWs #LanguageMatters #HICPAC
What is the relationship between venous Doppler patterns and fluid responsiveness? @heart_lung et al. describe a case of hypoxic respiratory failure where the pre-fluid bolus D wave predominant (congested) jugular waveform correlated with lack of fluid responsiveness. With…
Hey, question for any paediatric endocrinologist with experience in this area, my good friend has a 15-year-old boy on the very low side of height, bone age 14, anyone currently suggesting or working with hormone height enhancement? Advice? Please RT!
Le français ne décline pas et les immigrants ne sont pas une menace. Ces dossiers sont un écran de fumée pour que Legault + Fitz continue de vendre le Québec à rabais aux industriels étrangers (+ aux très riches québ.) tout en appauvrissant le Québec. Keep your eyes on the ball!
Le français ne décline pas et les immigrants ne sont pas une menace. Ces dossiers sont un écran de fumée pour que Legault + Fitz continue de vendre le Québec à rabais aux industriels étrangers (+ aux très riches québ.) tout en appauvrissant le Québec. Keep your eyes on the ball!
Sad how both sides ended up bowing to their true corporate masters. Til it’s clear that repeated infection harms the economy, we’re stuck in this nonsense while there r things we could do like clean the air/mask in crowds. thegauntlet.news/p/liberals-joi…
Head-to-toe bedside #ultrasound for adults on #ECMO 🔓 rdcu.be/dEpOA 🫀🫁 prior to ECMO initiation: echocardiography, indications-contraindications + choice of configuration, pre-cannulation findings, LUS 🚨 #POCUS during #ECPR 🖥️ procedural guidance: vascular access…
NephroPOCUS @NephroP
66K Followers 282 Following Point-of-care ultrasound #POCUS 📖 | by Abhilash Koratala MD @KoraAbhi, Associate Professor #Nephrology @MCW_Nephrology I👨🏻✈️ @POCUSIAPN | X≠ medical advice𝙟𝙤𝙨𝙝 𝙛.. @PulmCrit
62K Followers 548 Following zentensivist 😷 FOAMite 🌊 diuresis jedi 💦 leader of the rebel alliance ⚔️ resuscitationist 💉 humanist 😢 writer with aweful speling 😬 no COI 💰Nick Mark MD @nickmmark
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28K Followers 903 Following Remember to be skeptical of anything you learn, even if you heard it on the Skeptics’ Guide to EM. (he/him)Katie Wiskar @katiewiskar
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3 Followers 61 Following Intensivist and professor. I am curious about the translation of biological plausibility to clinical relevance.sadr taheri @sadr_taheri
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0 Followers 57 FollowingBizarrMD 🧬🦠🔬.. @DrAntonioSilva1
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39 Followers 140 FollowingGustavo Torres @gustavotorresf1
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199 Followers 534 Followingthe HEAL science @ScienceHeal
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2 Followers 2K FollowingPulmonology On Air @pulmonologyoa
589 Followers 2K Following Join the World's Largest Online Pulmonology CommunityNephroPOCUS @NephroP
66K Followers 282 Following Point-of-care ultrasound #POCUS 📖 | by Abhilash Koratala MD @KoraAbhi, Associate Professor #Nephrology @MCW_Nephrology I👨🏻✈️ @POCUSIAPN | X≠ medical advice𝙟𝙤𝙨𝙝 𝙛.. @PulmCrit
62K Followers 548 Following zentensivist 😷 FOAMite 🌊 diuresis jedi 💦 leader of the rebel alliance ⚔️ resuscitationist 💉 humanist 😢 writer with aweful speling 😬 no COI 💰Nick Mark MD @nickmmark
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18K Followers 3K Following Attending Nephrologist @incmnszmx | Board Member at the Mexican Society of Echocardiography @SONECOM_AC | #Hemodynamics #EchoFirstSegun Olusanya (He/Hi.. @iceman_ex
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62K Followers 4K Following Saying the product of the kidneys is urine is like saying the product of a factory is pollution. Urine is a by-product. The product is homeostasis COI: link👇🏼Stephen W. Smith @smithECGBlog
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37K Followers 397 Following EM doc | Views my own | Medical commentary on CNN, Yahoo, MSNBC, NBC. he/him/hisFluid Academy @Fluid_Academy
17K Followers 136 Following International Fluid Academy promotes #FOAM education + innovation. Mark #IFAD2024 May 10 @ECCC_DUBAI and August 20 @crit_sa CCSSA Jo-burg, #SMACC affiliatedKen Milne MD @TheSGEM
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12K Followers 1K Following Consultant ICM/Anaes @KingsCritCare PhD candidate @KCLDocStudies @KingsCollegeLon Editor @WICSBottomLine Views my own.Matt Siuba @msiuba
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6K Followers 3K Following ASARUC SONO Academy / SONOflix / International Training Center #POCUS / Info: https://t.co/KEADHC2MyCMarvel's Agents of S... @AgentsofSHIELD
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347 Followers 267 Following my tweets are my opinions, NOT medical advice; plz talk to ur doctor for medical adviceProf. Akiko Iwasaki @VirusesImmunity
220K Followers 2K Following We study antiviral immunity and viral disease pathogenesis. #COVID19 #longCOVID #vaccines @HHMINEWS @YaleIBIO @YaleMed @YaleCII President of @ImmunologyAAIOrlando R. Pérez-Nie.. @OrlandoRPN
85K Followers 13K Following Critical Care & Emergency MD | Low-Resource Settings | 🇲🇽 #SMMCE | #AVENTHO 🫁 | Awareness 🧠 | 📸 orlandorpnReadimask @readimask
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49 Followers 262 FollowingØystein M. Hansen @OeysteinMyrlund
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3 Followers 34 FollowingSébastien Mubayed @MDseb1
222 Followers 418 Following Médecin de Famille | Directeur médical GMF-Universitaire Laval | Chef adjoint service gériatrie CISSS Laval | Responsable du comité de l’enseignement SAPA DMFMUWild content @NoCapFights
1.7M Followers 44 Following Posting what the News won’t show 🥷🏿✊🏾 Viewer discretion is advised. Awareness is key 𝕏 DM for credit ✍🏾nick pulmcrit @pulmtoilet
2K Followers 1K Following Dad/Husband | Current #PCCM MedStar Baltimore | Former Chief Fellow @medstarwhc | Former Chief Resident @mcmc_imres | ABG miser | #PhillyAurelia Hübner DFTT @a_hueb
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973 Followers 266 Following Chair Intensive Care ESAIC Forum Organs. Past President EACTAIC@steviewelles55 @CarolineFohlin Yes, a lot of comfortable white academics are currently enrolled in a crash-course titled: "Property rights and their role in the preservation of the status quo: Why the cops aren't the friends you thought they were"
Great comment of Antoine Vieillard Baron, Phillipe Vignon et al on the recent paper on Coexistence of Fluid Responsiveness and Fluid Tolerance! An open field for debate with potential relevant clinical implications! Free access
@ThinkingCC thank you very much for sharing your insight; few help teach here ;)
Professors from GWU, AU, and Georgetown have joined the Gaza encampment at DC and formed a protective barrier for the students protesting in solidarity.
Biden's priority is to waste money funding endless wars, weapons, and corruption instead of adequately addressing affordable housing/rent, universal healthcare, student debt, infrastructure, climate, price gouging, & protecting rights/privacy. We've lost so much under his watch.
State Troopers each appear to be carrying 100+ of rounds of AR-15 ammunition at the UT Austin protest
Minutes ago: Atlanta cops tasing a restrained student protester at Emory University.
Very much enjoying having our paper showing how important vaccination is for the population as a whole boosted by vaccine antagonists. Our Altimetric score thanks you. If you have any substantive comments on the paper itself we are all ears 😂🤣
Yesterday I posted about a weird and illogical paper David Fisman has published which modelled what might happen when a minority of unvaxxed people existed in a generally jabbed population. Here's the paper again 1/ journals.plos.org/plosone/articl…
@ThinkingCC Good point! Not all hypotension are the same Flow=MAP-CVP/R MAP=CO x R + CVP Increasing MAP through resistance could reduce flow
Twilight of the Idols: Norepinephrine increase blood pressure but decrease cerebral blood flow and CO MAP is not end organ flow, they may even exhibit opposite trends.
@RyanChandlerTV They can't suppress these voices, the world is waking up
Hear about this and other local #PublicHealth efforts in Ontario to address indoor air quality for the purpose of preventing respiratory infection transmission. This afternoon at #ph24sp!
About 2 years ago @NiagaraRegion public health was providing air quality assessment with their inspections. Not sure if that is no longer the case as I haven’t heard about anymore. It should be happening across the province by now @mustafahirji We all would be much further ahead
@ThinkingCC Halfway through my dive medicine module. My best advice is to call @DANGlobalSafety who can put you in touch with a qualified duty physician. It really depends on exposure (depth/duration/gases) symptom onset and severity.
Its been a while in the making but I am really excited to partner with my good friend @ArgaizR to produce the first (of many!) Hemodynamics, Congestion, and Perfusion (HCP) rounds where we explore these topics with leaders in the field. When: May 3rd at 12pm EST (Toronto).…
@EchoSoliman @ASRA_Society @mayojaxanes @ArcherKMartin @ICS_updates @SCCM @katiewiskar @icmteaching @ICUltrasonica @EchoSoliman reminds the Peoples Heart and RV !! RVOT VTI and uncoupling Look at ventilation perfusion mismatch assessments with doppler @kyliebaker888 @siddharth_dugar @msiuba @khaycock2 @NephroP @ThinkingCC @IM_Crit_ @KiranRikhraj @msenussiMD @NibrasBughrara @pperezde
@icmteaching @IM_Crit_ @Wilkinsonjonny @iceman_ex @ThinkingCC @khaycock2 @ICUltrasonica @PARADicmSHIFT @katiewiskar @ross_prager Agree with Phil. VTI assumes good flow, could be a bit vasodilated due to positive inotropes on board. Assess afterload titrate vasopressors to effect. Give fluid only if fluid responsive and in small doses and only if needed. Monitor CO/SV non-invasively on a continuum if…
@ThinkingCC @norfolk_tim @siddharth_dugar @NephroP @katiewiskar @POCUSJournal 2/2 Mind that the bulk of flow occurs early in the release of ventilator pressure, so extending the release time adds to the risk of atelectotrauma with diminished gain of ventilation. This is the beauty of APRV/TCAV.
@dorcodoc @saikatmitra05 @ThinkingCC @ABCDEcografia @KrKrramanathan @Drnasap @ross_prager @khaycock2 We must leave behind maneuvers that try to dichotomize something as complex as shock, especially when they are often misinterpreted.
@dorcodoc @saikatmitra05 @ThinkingCC @ABCDEcografia @KrKrramanathan @Drnasap @ross_prager @khaycock2 Precisely because a shock is something complex regardless of the cause, we must forget the algorithms that begin with a fluid responsiveness. We must assess the hemodynamic profile, peripheral perfusion status, fluid tolerance and comorbidities.