Giacomo De Luca @jackdeliuc
Internal Medicine specialist working in imCU 👾 🇮🇹. Interested in #POCUS, #CriticalCare and anything with caffeine ☕. Supporting #FOAMed 🤓. linkedin.com/mwlite/in/giac… Piacenza, Emilia Romagna Joined May 2011-
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If you continue to prescribe antibiotics for "fever and rising RCP", then you should seriously feel ashamed.
2) Likewise: we’re trained in medicine to value certain environments (academia, research, leadership, etc). This is not for everyone. If it doesn’t make you happy - don’t do it. Choose a work environment that you enjoy and that fits with the rest of your life and priorities.
🫂 You live and learn... If you face a sympathetic crashing acute pulmonary edema, then you have to keep in mind that: 😔 Furosemide is pointless 😔 Morphine is pointless 😔 Nitro < 3 mg/h is pointless 😔 Low PEEP is pointless 🔑 high dose nitro + PEEP 10 cmH20
Serum lactate poorly specific for hypoperfusion, more often associated with impaired tissue O2 use. Levels affected by ⬆️ increased anaerobic glycolysis & ⬆️ aerobic glycolysis production ⬇️ impaired mitochondrial function ⬇️ reduced hepatic clearance Potential harm may result…
Serum lactate poorly specific for hypoperfusion, more often associated with impaired tissue O2 use. Levels affected by ⬆️ increased anaerobic glycolysis & ⬆️ aerobic glycolysis production ⬇️ impaired mitochondrial function ⬇️ reduced hepatic clearance Potential harm may result… https://t.co/obtU9fst18
Enterococcus: may be ampicillin sensitive even when penicillin resistance (and if sensitive, this is drug of choice). If PCN resistance, pretty much vanco, dapto, linezolid. Not carbapenems or cephalosporins.
#1: Falling blood pressure with increasing doses of epinephrine... Consider dynamic LVOT obstruction - epinephrine and other inotropes will make the hypotension and stroke volume WORSE, not better. Screen with #POCUS - look for hyperdynamic LV, aliasing over the LVOT, a PW…
Nutrition in our critically ill patients should never be overlooked. @Paul_Wischmeyer and colleagues do a fantastic job at addressing the questions we contemplate when assessing our patients. 🎩 tip to the authors! eddyjoemd.com/foamed/
EMCrit Wee - @ross_prager on 10 Heuristics for the New ICU Attending. We took an amazing tweetorial and made it into a podcast. Fantastic tips for Resus and Crit Care [#FOAMed] emcrit.org/qus8
And take a look at how many of the sodiums were above 120 13 out of 15 cases Also note that only 2 patients had rapid correction of sodium😳 Malnutrition, hypokalemia, and alcohol continue to represent as they do in every study. 4/4
Fun fact: vancomycin is active against many anaerobic gram-positive bacilli & cocci, including Bacillus spp., Actinomyces spp., Clostridium spp., Corynebacterium spp, Peptostreptococcus etc... 🤷♂️
C has no activity against anaerobic pathogens. Therefore, even though now we know that aspiration pneumonia does not seem to need anaerobic coverage, the truth is that in cases of intra-abdominal infections (eg, perforated diverticulitis), C is clearly inadequate treatment.
6. Cefepime (C) is a 4th-generation cephalosporin that I witness being used very often in the ED or the wards (as part of the cefepime-vancomycin cocktail) when a septic patient has “penicillin allergy” listed in the chart. This is fine but it is frequently forgotten that
🙋♂️ CHECK OUT new Episode of Critical Care Time @CritCareTime podcast where I am honored to join @nickmmark & @Askins_Razor to talk about #ICUNutrition See all the ways to 🎧 listen in and 📺 watch episode below! 👇 👇 #FOAMcc #Nutrition #ICU #MedEd #MedX #MedTwitter
🙋♂️ CHECK OUT new Episode of Critical Care Time @CritCareTime podcast where I am honored to join @nickmmark & @Askins_Razor to talk about #ICUNutrition See all the ways to 🎧 listen in and 📺 watch episode below! 👇 👇 #FOAMcc #Nutrition #ICU #MedEd #MedX #MedTwitter https://t.co/rWVeye6cXD
@teachplaygrub 18/ Take 🏡 points: 👉 If you suspect meningitis, give steroids before or with antibiotics 👉 Strep pneumo is the most common 🦠 👉 Strep pneumo can live in the respiratory tract and be a colonizer, causing trouble in specific people 👉 IT vanco can be used for refractory cases
again for the people in the back: if you are giving antibiotics for suspected meningitis, give steroid too. the neuroICU will appreciate it later on 🙏 10 mg dexamethasone IV.
again for the people in the back: if you are giving antibiotics for suspected meningitis, give steroid too. the neuroICU will appreciate it later on 🙏 10 mg dexamethasone IV.
ICU stories (a common one): Patient found unresponsive by police, taken to 🏥 ER. Was febrile, tachycardic. BP 100/60. Sat 99%. Labs: Hb 6.3 g/dl (MCV 78), WBC 5k (poly: 90%, lymph: 2%), PLT 30k, INR 1.5, PTT 38, fibrinogen 135, D-dimer 15,000 ng/ml, BUN/creat 163/3.3, Na 126,
5 #sepsis heuristics (things not to miss) in the #ICU . A 🧵 #medtwitter #foamed #foamcc #IDtwitter #meded
Sonographic_Tendencie.. @trigeminy_henry
16K Followers 2K Following Sonographer, Educator, decent guitarist! 🎸 here’s some of my links https://t.co/ecDh6WRAEd…
Segun Olusanya (He/Hi.. @iceman_ex
19K Followers 3K Following Husband to @monanniecakes| Intensivist @nhsbartshealth| Ultrascoundrel |#FOAMed|@thosewecarry|@ics_updates|@wicsbottomline|@esicm|@tea_empathynhs| 🇳🇬
Syed Shahrul Naz @drshahrul80
7K Followers 6K Following Emergency Physician 🇲🇾 | Emergency Critical Care Trainee | Member of the Malaysian Society of Intensive Care | ED-ICU | EM CCM | PoCUS | #FOAMcc
Ashley Miller @icmteaching
6K Followers 764 Following #zentensivist #FUSIC co-chair. ICS council member. Former BSE committee member & examiner. BJJ ⬛️⬛️🟥⬛️🥋. No politics, no pets, just #foamed #fluids #pocus
Eduardo R Argaiz @ArgaizR
18K Followers 3K Following Attending Nephrologist @incmnszmx | Board Member at the Mexican Society of Echocardiography @SONECOM_AC | #Hemodynamics #EchoFirst
𝗗𝗮𝗻𝗶𝗲�.. @TaotePOCUS
4K Followers 1K Following 👶🏻Ⓜ️ | Taote - R2 Internal Medicine | Progressive Metal 🤘🎧 #POCUS
Arnel Carmona @ecgrhythms
26K Followers 23K Following US-IMG, ECFMG-cert, FPCP (@pcp1953), CDIP, CRAT. The avatar above is by @yuta24yuttari
Ahmet COŞAR M.D. @ahmetcosar2
352 Followers 2K Following Hayatta 2 şey paylaştıkça çoğalır SEVGi ve BILGI
Shabir Ahmad 🩺 @MedicoTalk
227 Followers 582 Following Junior Doctor | Medicine | fitness and beyond. Do no harm. #medtwitter
Andrej Bucha @AndrejBucha
15 Followers 169 Following
Abdo Aljazz @AbdoAljazz
38 Followers 612 Following
Clara marry @yhvvjnb6404
4 Followers 184 Following I am single DM if you wanna make yourself happy and be real and honest don't play games with mother fuckers🥺🥺💞
Abdul Manaf MBBS DTCD.. @drmanaf12
594 Followers 4K Following Respiratory and Critical Care physician. Assistant Professor.
Megan Wilkinson @MeganWilki36255
40 Followers 2K Following
Sony Thomas @s18thomas
107 Followers 2K Following
Geni Buil @BuilGeni
80 Followers 2K Following
EchoTech @EchoTech_4
2K Followers 712 Following "Every image tells a story of love, hope, and new beginnings. #EchoTech"
Mohan Sai Gudela, MD @drmohansai
6K Followers 6K Following Anaesthesiologist. Learning Critical Care Medicine skills.
Giuseppe Bozzetti @GiuseBozz
712 Followers 1K Following Cardiothoracic Anaesthesia and Intensive Care Medicine/Echocardiography/Tennis/Own Views
Gavin Preston, M.D. @GavinPrestonMD
89K Followers 98K Following Author of the upcoming book: "The Managed Care Blues: A doctor's journey, a broken system, real solutions." Retired physician. Willing to be wrong. Trumpeter.
Kim Hee-young @kyung_eun60186
12 Followers 200 Following Passionate, ambitious, and kind-hearted, I'm a woman who cherishes life's adventures. From exploring new cultures to nurturing relationships
Chandini kotha @kotha_chandini
1K Followers 2K Following nephrologist@Apollo hospital##OSMANIAN #Glomcon fellow 2022#proud and blessed mother#artist#dancer#eternal optimist #ATOMIC HABITS #
Danny_deviktor @danny_deviktor
1 Followers 136 Following
Kareem El Mahdy @KareemELMahdy21
95 Followers 586 Following FACULTY OF MEDICINE TANTA UNIVERSITY.EGYPT
kétofol @olamiricano
49 Followers 713 Following
Nobodyknows @Nobodyk28671259
140 Followers 2K Following
STARGATEstudy @stargate_study
574 Followers 4K Following Observational international study on airway management in operating room and non-operating room anaesthesia.
Vito Torrano @TorranoVito
248 Followers 313 Following Appassionato dell'anestesia e della Terapia del dolore, Tifoso del Napoli
Charles MacAllister @John_CarterN
479 Followers 626 Following
Mátyás Andorka @easypocus
490 Followers 246 Following consultant in ICM&anaesth.; POCUS: FAMUS+FUSIC supervisor, FUSIC heart, CACTUS mentor; likes regional anaesth.; airway lead; retired ATLS/ETC/ALS/GIC instructor
JFidalgo @JFidalgo5
123 Followers 909 Following Galego. Based in Madrid. Urgenciólogo - POCUS - VMNI
مُصطفَى @MK_almahdi313
651 Followers 881 Following Respiratory Therapist🩺🫁| Teaching Assistant 👨🏫 | Interested in education 💡📚| 'ياكُميل!.. إن هذه القلوبُ أوعية فخيرُها أوعاها!...'🕯✨
mariamJobway @mariamJobway
6 Followers 304 Following
mohammed moolla @mohammedimoolla
104 Followers 266 Following
csemen @Const_SEMEN
198 Followers 2K Following
yahia almatary @almatary80
4 Followers 168 Following
Dr Stephen T Webb @stephen_t_webb
9K Followers 10K Following Follow for🫀🫁🚴♂️🦋🌳🍪⚔️ Past President @ICS_updates 🇬🇧 🩺🥼Consultant in Intensive Care @RoyalPapworth 🏥 via Belfast☘️ Views=own
Jasmine Sethi @JasmineNephro
10K Followers 7K Following Assistant Professor Nephrology @PGIMER Chandigarh. Passion ☀️Onconephrology SoMe member @onconephsociety. SoMe editor @NDTsocial @CKJsocial. SoMe @ERAKidney
Megan @megan_ramos_
213 Followers 3K Following
TA in Pulmonary & Cri.. @TAPulmCritCare
21 Followers 194 Following Pulomary & Critical Care Medicine | Impact Factor 2.0 | Indexed in: ESCI, PMC, Scopus, DOAJ, ProQuest | Published by @SAGEJournals | #OpenAccess
roro @iiiiirrrrlll
49 Followers 1K Following
lamin @CamaraEbou3867
444 Followers 7K Following Am orphan living with my little siblings and struggling hard and lord knows here and we are in needy for support for my little siblings 🙏🙏❤️
Vinson Yew @Dokutah_Vyew
155 Followers 346 Following Current 🇭🇰Internal Medicine resident, Ex-NHS Dr, MRCP🇬🇧. Also film, weeb and video game “enjoyer”
Shvaib🇵🇸 @hass_shuaib
255 Followers 681 Following Student Doctor👨⚕️⚕️| Sports enthusiast | Certified @manutd fan 🔴 | MERCEDES AMG F1🏎 | Deer District @bucks 🦌🏀
Sebastian Morales @smorales_a
86 Followers 1K Following Explorer | Runner | Physician | ICU Research
Amit Sharma (Godiyal) @AmitSha23387058
1K Followers 5K Following US IT Recruiter and New Youtuber ;) 👇 @TaxiCabwaleUK07 (Travel Channel) @therapydogtroy (animals channel) @amazingflora (flower channel)
Diana @Diana53700199
19 Followers 2K Following
Se lene @nyha_linda
41 Followers 365 Following
Rocio Tureau @tureau_rocio
8 Followers 124 Following
Journal of Brown Hosp.. @BrownJHM
323K Followers 635 Following Official account of ‘The Brown Journal’. We aim to provide practical information relevant to hospital & internal medicine. Posts ≠ medical advice.
Sam Ghali, M.D. @EM_RESUS
565K Followers 274 Following ER Doctor | Resuscitation | Airway | Cardiovascular Emergencies | ECGs | Emergency Radiology | Trauma | Critical Care | #FOAMed | Patient Advocate
Dr. Glaucomflecken @DGlaucomflecken
710K Followers 438 Following Ophthalmologist. Comedian. Speaker. Tiktok. Contact: [email protected] *Personal views only* https://t.co/GMXSgqZUvF
NephroPOCUS @NephroP
66K Followers 283 Following Point-of-care ultrasound #POCUS 📖 | by Abhilash Koratala MD @KoraAbhi, Associate Professor #Nephrology @MCW_Nephrology I👨🏻✈️ @POCUSIAPN | X≠ medical advice
Josh Trebach, MD @jtrebach
111K Followers 772 Following ER doc. Toxicologist. I talk about poisons. Show me ur cat. Posts/opinions/DMs = my own (not employer’s) & not medical advice. Contact: [email protected] ☠️
𝙟𝙤𝙨𝙝 𝙛.. @PulmCrit
62K Followers 548 Following zentensivist 😷 FOAMite 🌊 diuresis jedi 💦 leader of the rebel alliance ⚔️ resuscitationist 💉 humanist 😢 writer with aweful speling 😬 no COI 💰
𝗡𝗶𝗵𝗮𝗿 .. @nihardesai7
67K Followers 541 Following Consultant Hemato-Oncologist 🇮🇳 | Stem Cell Transplant @pmcancercentre @UHN | @UofT | DM Hematology @SGPGI, MD Medicine, LTMMC | Photographer, Drummer
Nick Mark MD @nickmmark
58K Followers 1K Following Intensivist, pulmonologist | Husband, Dad² | made @OnePagerICU @CritCareTime | passionate about MedEd & MedTech innovation | https://t.co/XoJT2T5cFV
Philippe Rola @ThinkingCC
10K Followers 1K Following #zentensivist, EMCrit Teammate, Proud daddy and husband. ICU chief at Santa Cabrini Hospital, @[email protected]
André Martin Mansoor @AndreMansoor
46K Followers 427 Following Clinician. Author of #FrameworksForInternalMedicine. Cofounder https://t.co/tknXc0rwOV. https://t.co/gRv9lQrnRk
Sonographic_Tendencie.. @trigeminy_henry
16K Followers 2K Following Sonographer, Educator, decent guitarist! 🎸 here’s some of my links https://t.co/ecDh6WRAEd…
Segun Olusanya (He/Hi.. @iceman_ex
19K Followers 3K Following Husband to @monanniecakes| Intensivist @nhsbartshealth| Ultrascoundrel |#FOAMed|@thosewecarry|@ics_updates|@wicsbottomline|@esicm|@tea_empathynhs| 🇳🇬
Robert Oubre, MD | Th.. @Dr_Oubre
35K Followers 526 Following I simplify clinical documentation & billing | Have helped 500+ become efficient & effective clinicians by optimizing notes with my Resident Guide video course.
Emily Fridenmaker @emily_fri
37K Followers 4K Following Wife | Mom | Appalachian | MD | Pulmonary & Critical Care
Manual Of Medicine @ManualOMedicine
199K Followers 17K Following Creating and sharing pictures, infographics, diagrams etc. in the field of medicine. #foamed #meded #medtwitter
Intensive Care Medici.. @yourICM
71K Followers 156 Following International peer-reviewed medical journal for all involved in Intensive Care #FOAMed #FOAMcc 🖋 Write https://t.co/j4p0oZF5XA 📨 Submit https://t.co/BJMsQ4rNz3
Matt Siuba @msiuba
17K Followers 1K Following #Zentensivist & Critical Care APD @CCF_PCCM | #ThePeoplesVentricle🫀Advocate | PH/RV Hemodynamics (especially in ARDS and Liver Disease) | “Shoo-ba”
Ashley Miller @icmteaching
6K Followers 764 Following #zentensivist #FUSIC co-chair. ICS council member. Former BSE committee member & examiner. BJJ ⬛️⬛️🟥⬛️🥋. No politics, no pets, just #foamed #fluids #pocus
Eddy J. Gutierrez, MD @eddyjoemd
6K Followers 179 Following Critical Care Medicine Physician. Author of 'The Vasopressor & Inotrope Handbook'. Saving Lives Podcast Host. Scratching my academia itch on social media.
Davide Valsecchi, MD .. @davidaus82
632 Followers 2K Following Geriatrician, Emergency Physician at IRCCS MultiMedica Emergency Dept IO irriducibile. Telegram: @davidaus82
Rob Orman MD | Physic.. @emergencypdx
19K Followers 290 Following 🥼 I help doctors get unstuck, unburnt, and rediscover the joy in medical practice 🎙️Host "Stimulus" podcast 📖 Get my best updates (link in bio)
ICUEdandToddCast @IcuCast
1K Followers 304 Following Two ICU guys walk into a recording studio and talk about the latest and greatest in ICU evidence
IntensiveCareNetwork @I_C_N
16K Followers 431 Following Intensive Care Network is a site run by Oli Flower and team as an educational and networking resource for critical care. #FOAMed
Maryland CC Project @MdCCProject
1K Followers 24 Following Critical Care Education by the CCM fellows of the University of Maryland. A member of the CCP Network http://t.co/1lDRycUfsU
ISICEM @ISICEM
11K Followers 846 Following ISICEM is a non-profit organization, which was created in 1980 around one international symposium in intensive care & emergency medicine.
NephSIM @Neph_SIM
14K Followers 1K Following A free, mobile-optimized #nephrology teaching tool using CBL & more |#FOAMed #MedEd |@ssfarouk @ISMMSKidney @RachelHilburg @PennKidney | @ASNKidney 2018 IKEC🏅
ICU Advantage @ICUAdvantage
784 Followers 94 Following 🎥 Free, high-quality ICU educational videos 👍🏼 Confidence to succeed in the ICU! ➡️ Follow to Learn & Grow (🧠& 🌱)
Vito Torrano @TorranoVito
248 Followers 313 Following Appassionato dell'anestesia e della Terapia del dolore, Tifoso del Napoli
William Aird @WilliamAird4
23K Followers 310 Following Professor of Medicine at Harvard Medical School #Hematology #MedEd Founder of @TheBloodProjec1
Mátyás Andorka @easypocus
490 Followers 246 Following consultant in ICM&anaesth.; POCUS: FAMUS+FUSIC supervisor, FUSIC heart, CACTUS mentor; likes regional anaesth.; airway lead; retired ATLS/ETC/ALS/GIC instructor
Deep Breathe @DeepBreatheInc
89 Followers 42 Following Redefining Lung Ultrasound Diagnostic for Respiratory Diseases with AI-driven accuracy.
Pulmonary-POCUS @HoosierPocus
2K Followers 235 Following Pulmonary and Critical Care Medicine Point Of Care Ultrasound (POCUS) education. By @Edwin_J_Jr Website coming soon https://t.co/Yti0LE8HRQ
Ross Prager @ross_prager
7K Followers 622 Following Intensivist ⚕️Creator of https://t.co/S7HBZvwYR6 Follow for ultrasound cases, hemodynamics, and discussions around performing efficient and impactful research 📊
Ryan O'Keefe @ROKeefeMD
5K Followers 1K Following MD/MBA @PennMedicine @Wharton | IM PGY3 at Penn | Onc, Pall Care, MedEd | Creator @pointofcaremed | Follow for clinical threads and pearls
Point of Care Medicin.. @pointofcaremed
2K Followers 4 Following We create digital resources including templates, graphics, podcasts, and videos for use at the point of care. Newsletter - https://t.co/t6GAAcIs5w
Prof. Feynman @ProfFeynman
1.4M Followers 0 Following A universe of atoms, an atom in the universe. Tribute to the great explainer. Tweets about Science and Wisdom. Portrait by L.V Patten.
TA in Pulmonary & Cri.. @TAPulmCritCare
21 Followers 194 Following Pulomary & Critical Care Medicine | Impact Factor 2.0 | Indexed in: ESCI, PMC, Scopus, DOAJ, ProQuest | Published by @SAGEJournals | #OpenAccess
Intensive Care Societ.. @ICS_updates
40K Followers 2K Following We are the oldest intensive care professional body and charity in the world. The home of the UK's #intensivecare community since 1970.
Dr. Larry Istrail @dr_larryi
638 Followers 185 Following Doctor who loves coffee and #pocus. Author of The #pocus Manifesto: Expanding the Limits of our Physical Exam with Point-of-Care Ultrasound @pocus_manifesto
Landsberg Manual @LandsbergManual
7K Followers 2K Following Prof. Medicine at UCSD SOM Former Section Chief for PCCM at VASDHS Former CMR Yale New Haven Hosp Author CPMPCCM 1st ed Author CPMPCCM 2nd ed (in progress)
Jon-Emile Kenny @heart_lung
3K Followers 48 Following moonage daydreamer; physiology wonk; always regarded spectral Doppler as superior to B-mode, so co-founded @flosonics; #FOAMed; #thepalebluedot.
Hassan A. Raza @hraza222
415 Followers 245 Following PCCM 3rd year Fellow || POCUS Enthusiast #IMPOCUS || Advanced Critical Care Echo #ACCE Views are my own and do not represent my institution's
Mateusz Zawadka @m_zawadka
1K Followers 1K Following MD, PhD Anaesthesia & Intensive Care. POCUS, Lung Ultrasound, Echo, Education
Ki Jinn Chin @KiJinnChin
5K Followers 128 Following
Jack (EMNote) @jackcfchong
7K Followers 5K Following Creator of EMNote YouTube - free, focused, and facts.
Ariel J Garnero @ArielG_RRT
2K Followers 889 Following "I cannot teach you anything, I can only make you think". Respiratory Therapist / Physiotherapist / Chronic student Disclaimer: "My opinions are my own"
❗NTE®️N🅰️L .. @pgMedicine
58K Followers 956 Following 📖🩺💊💉🤳💎✍👨⚕️👩⚕️ 📣📣🏥 🧐🤜🤛 ℹNTE ®️NAL Ⓜ️EDℹ©️ℹNE 🧑⚕️👩🏻⚕🧠🫀🫁👅👁👀🦴🦶👂👃💪 https://t.co/xu71tUG50W
Sateesh chandra @DrSateeshPCCM
2K Followers 84 Following
Critical Care Reviews @CritCareReviews
55K Followers 916 Following The leading critical care evidence dissemination platform. Website, newsletter, blog, book, podcast, livestream & meeting. #CCR24 June 12-14
RutgersNJMS_POCUS @RutgersPOCUS
1K Followers 322 Following Weekly @POCUSPearls — Rutgers Emergency Ultrasound Division @Rutgers_NJMS @RutgersNJMS_EM in Newark, NJ - @SAlerhand @annettemdinnyc @IOstrovsky99 @1indaqiu
Ben McKenzie @AMAX4minutes
67 Followers 65 Following Emergency Physician, Retrieval Physician. Advocate for patients and specialists in critical care and emergency medicine. Father of 3 children.
Ahmed T Abdellah @MynephCC
1K Followers 441 Following Hemodynamicologist (aka nephrologist) CCE exam testamur, interested in POCUS, cardiorenal physiology & critical care. Tweets reflect my own personal opinion
Univ. of Wisconsin EM.. @MadtownEM
2K Followers 65 Following ACGME-accredited 3-year residency program at @UWEmerMed. Based at a Level I Trauma Center and the #1 hospital in Wisconsin. 📸IG: MadtownEM #WhyUWEM
Critical Care Notes @CritCareNotes
11K Followers 3K Following A curated guide to the best #FOAMed resources and thoughts on critical care/#POCUS. One half of @icuscenarios. Follows=/=endorsements @bryanboling
Critical Care Time @CritCareTime
6K Followers 4 Following The podcast for everyone who cares for the critically ill
RCEMLearning @RCEMLearning
22K Followers 417 Following Royal College of Emergency Medicine Elearning and #FOAMed resource 🖥 🎧iTunes https://t.co/aL3WUBjIkV
Luciano Gattinoni @gattinon
14K Followers 70 Following Emeritus,Milan University, gast@Professor UMG
Nico Gagelmann @NicoGagelmann
37K Followers 749 Following @TheEBMT_Trainee co-chair. Hematology. Medicine. Science. Train. Think. Implement an integral actuality.
WikiGuidelines @Wiki_Guidelines
2K Followers 11 Following WikiGuidelines is a collaborative effort to transform how clinical guidelines are constructed. We seek to incorporate humility of uncertainty into guidelines.
Arun Sayal @arunsayal1
2K Followers 103 Following Emerg Doc, CASTED Creator. Family, ED ortho, The 6ix, The Leafs.
EUSEM @EuropSocEM
7K Followers 353 Following The European Society for Emergency Medicine (EUSEM) #EUSEM2024: 12-16 October, in Copenhagen, SAVE THE DATE!
Arjun Khadilkar, MD @akhadilkarMD
14K Followers 455 Following Cardiology fellow @IUcardsfellows 🫀| Interested in Prevention and Medical Education | Via @USFIMres @UToledoMed @cwru | Husband to @salonijairdn|
Roseann | Keep On Goi.. @Motivateme247
515K Followers 820 Following Dig deep and transform | Confront self-sabotage • limiting beliefs • negative self-talk |Please STOP prescribing antibiotics for every damn thing ! Fever can be non infectious in etiology! Diarrhea can also have a non infectious etiology! Runny noses also don't need antibiotics! STOP THIS MADNESS 🙏🏼 STOP IT NOW. #MedTwitter
@VerwerftJan @LHoyesWouter @ArgaizR @maartenfalter @msiuba @YouriBekhuis @ThinkingCC @DelpireBoris @khaycock2 Absolutely - tons of added value in addition to (not instead of, as Phil mentions!) other POCUS and clinical parameters. To me - it adds specificity for deleterious organ congestion. A plethoric ivc is highly sensitive, but not specific
@VerwerftJan @LHoyesWouter @ArgaizR @maartenfalter @msiuba @YouriBekhuis @DelpireBoris @khaycock2 @katiewiskar No need for it to be “instead.” Even better “together with” 😉
@jackdeliuc TBH I dont think it would be safe to use enough fentanyl to really treat a 200J shock the fent doses thrown around for DCCV are symbolic better to go hard w midaz monotx to ensure a deep sedation & no recall studies show this works & pts report satisfaction w results
@nickmmark Doesn’t seem very auspicious to me having a patient on pressors for 4 days w/o a CVC. I know the limitations but… no SvO2? No GapCO2? 😖
Damn! Critical Care Time @CritCareTime was (temporarily) the #1 critical care podcast in the world this week! 🎉🎊🥳
@PulmCrit Idk why this is funny as hell to me "...even when performed by cardiologists"
Exceptional episode from @CritCareTime and @Paul_Wischmeyer on critical care nutrition. Must listen. criticalcaretime.com/episodes/icu-n… #medtwitter #FOAMcc
@katiewiskar @ross_prager @NephroP @ria_dancel @msiuba @caseyalbin @DrGalenMD @PulmCrit @ArgaizR @emily_fri Great points! Also: 1. Respect your colleagues, nurses, aides etc. Medicine is a team sport 2. If able, try to avoid humorless people 3. Take care of your health. It's easy to develop bad habits (and really hard to break them) 4. Try to learn something new every day 5. Smile!
10) At the end of the day, medicine is a job. It’s an incredible career and most of us feel very fortunate to work in the field. But it’s a job; and at the end of the day your loved ones and passions outside of medicine are what you’ll remember.
3) Under-commit. It’s easy to end up with a congested schedule by saying yes to multiple opportunities. It’s also easy to underestimate the toll that increased responsibility takes. This will lead to burnout. In most fields, it’s easy to pick up more work after the fact.
2) Likewise: we’re trained in medicine to value certain environments (academia, research, leadership, etc). This is not for everyone. If it doesn’t make you happy - don’t do it. Choose a work environment that you enjoy and that fits with the rest of your life and priorities.
Norepinephrine is such a powerful vasopressor due to its effects on both cardiac output and SVR to increase the MAP. This image depicts how it affects the CO. 🎩 tip to the authors including @DrMiguelIbarra1 and @cjungMD. eddyjoemd.com/foamed/
Enterococcus: may be ampicillin sensitive even when penicillin resistance (and if sensitive, this is drug of choice). If PCN resistance, pretty much vanco, dapto, linezolid. Not carbapenems or cephalosporins.
@SIMEU_EM Privileged to be a mentee of ‘Maestro’ Fernando Schiraldi ➡️ Forever grateful ➡️ First encounter was Life changer ➡️ The revelation of BGA interpretation in the critically ill
#1: Falling blood pressure with increasing doses of epinephrine... Consider dynamic LVOT obstruction - epinephrine and other inotropes will make the hypotension and stroke volume WORSE, not better. Screen with #POCUS - look for hyperdynamic LV, aliasing over the LVOT, a PW…
Nutrition in our critically ill patients should never be overlooked. @Paul_Wischmeyer and colleagues do a fantastic job at addressing the questions we contemplate when assessing our patients. 🎩 tip to the authors! eddyjoemd.com/foamed/
EMCrit Wee - @ross_prager on 10 Heuristics for the New ICU Attending. We took an amazing tweetorial and made it into a podcast. Fantastic tips for Resus and Crit Care [#FOAMed] emcrit.org/qus8
And take a look at how many of the sodiums were above 120 13 out of 15 cases Also note that only 2 patients had rapid correction of sodium😳 Malnutrition, hypokalemia, and alcohol continue to represent as they do in every study. 4/4
Fun fact: vancomycin is active against many anaerobic gram-positive bacilli & cocci, including Bacillus spp., Actinomyces spp., Clostridium spp., Corynebacterium spp, Peptostreptococcus etc... 🤷♂️
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