Anton Nikouline
@Anikoul
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Intensivist, Emerg and TTL @ualberta | Grad @CritCareWestern @EMUofT @uoftmedicine | Interested in Trauma, QA, AI and staying active. Opinions are my own
Edmonton, Alberta
Joined July 2011
Come hear more about our Trauma Video Review program with @anisanazir today at the World Trauma Congress, AAST @traumadoctors ⏰ 2:15pm 📍 SKYVIEW II 26th Floor 🌎Paris Hotel, Las Vegas Analyzing adverse events for data-driven approach for improved patient care and safety
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Should be a great talk! I really think the application of machine learning that changes our field will be in finding and applying individualized treatment effects. Looking forward to it @f_g_zampieri
Please plan to join us Tuesday September 3rd for the first Critical Care Medicine Grand Rounds of the 2024-25 academic year. @f_g_zampieri will be presenting "Personalized Medicine for Critically Ill Patients" #dccmrounds @UAlberta_FoMD
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Glad to see a prospective study demonstrating the benefit of optimizing compression placement with TEE. Important step to getting TEE more widely adopted
If you ever perform #CPR this is a must read (paper at bottom)! 👇 Echo clip shows CPR over aorta 😰 I genuinely believe that optimizing compression placement during CPR presents the single greatest opportunity to improve outcomes for cardiac arrest in the past 2 decades.
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New motivation to come back ever year @rob_leeper @MaratSlessarev
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My top 10 tips to function efficiently as an MD in the hospital 🏥🚑 What are yours? Please share so we can all try to achieve a little bit better work life harmony 🙏 #medtwitter #foamed #efficiency
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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).
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What happens when there is disagreement between an MD and a patient or substitute-decision maker (SDM) about code status? Is it ethical (or legal) for a physician to unilaterally make a patient “DNR”? Check out this short thread 🧵 and our new publication in @CJA_Journal below
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@PulmCrit Any drug introduced since I finished school is an unnatural affront to god and man
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Incredibly necessary guidelines. Can’t count the number of times “Should we try albumin?” is said on rounds. Glad to have something to point too
New albumin guidelines from the International Collaboration for Transfusion Medicine. Addressing ICU, CVSx, peds, cirrhosis, ARDS, volume overload, neonates, dialysis, and more!! Check them out! @ICTMG1 @JeannieCallum @SethRBauer @CanadasLifeline
https://t.co/AGqJqEUld8
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Finding new ways to improve our system every time we run our in-situ trauma simulations. 👏 for @Anikoul & @kellynvogt and so many others for making this a regular part of practice @LHSCCanada @western_gensurg
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Great initial guide for #resusTEE Has definitely changed my practice
You decide to do a #resusTEE for a pt. who arrests in your emergency department ⚡️ A great use of #TEE in this situation is to position CPR over the left ventricle (as opposed to LVOT/Aorta) 🫀 Where is CPR being done here? (see next for poll) #pocus #echofirst #medtwitter
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Predicting massive transfusion in trauma with machine learning using NTDB https://t.co/CDNwed4YFd
@Anikoul @brodie_nolan @EMUofT @UnityHealthTO Thank you to @davidgomez_ces for your mentorship 👀 Stay tuned for more AI 🩸 work coming soon!
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Thank you to the whole team! Couldn't have done it without them @brodie_nolan @SPOClab @acute_care_doc
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Proud to finally have this published! We leveraged machine learning to accurately forecast massive transfusion from early clinical data. Now to put it into practice! #AIinMedicine
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#Foamed colleagues - please consider retweet for reach 🙏 A long shot but any medical student, residents, physicians (or I guess just anyone!) with full-stack programming experience who wants to help innovate how researchers can perform high quality, efficient, and impactful
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6/10: Be wary of admitting a patient to the ICU with a diagnosis of sepsis NYD (not yet diagnosed)- in the ICU, we should be able to figure out the D (diagnosis). Repeat the primary history, re-examine, consider pan-CT, echo, focused TEE etc. Think about where infection can hide!
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Nice to see a paper fighting the dogma of GCS<8 = intubate. This at least gives options to ED physicians for helping ventilate low GCS patients. Would be nice for the next study to show more patient-centered outcomes. @PulmCrit
https://t.co/wty0kqB3Al
jamanetwork.com
This clinical trial compares the efficacy of intubation withholding vs routine practice on clinical outcomes of comatose patients with acute poisoning and a Glasgow Coma Scale score less than 9.
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Here’s a situation many of us have seen in the ICU or ED: “It looked like there was ST elevation on the monitor but when I took a 12 lead it was gone?!” A STEMI went MIA? Here’s a #tweetorial all about why ST segments look different on monitors. #FOAMed #FOAMcc 1/
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I don’t think anyone in healthcare will be surprised to read this, but this problem is only getting worse. Our system isn’t failing, its already failed and working in the ED is a daily reminder.
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