Anton Nikouline Profile
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
Don't wanna be here? Send us removal request.
@FIRST60_resus
FIRST60
1 year
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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@Anikoul
Anton Nikouline
1 year
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
@UAlberta_ICU
UAlberta Crit Care
1 year
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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@Anikoul
Anton Nikouline
1 year
Glad to see a prospective study demonstrating the benefit of optimizing compression placement with TEE. Important step to getting TEE more widely adopted
@ross_prager
Ross Prager
1 year
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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@Anikoul
Anton Nikouline
2 years
New motivation to come back ever year @rob_leeper @MaratSlessarev
@Bram_Rochwerg
Bram Rochwerg
2 years
I've always said that medical conferences could use more puppies. @atscommunity @ATSCritCare
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@rob_leeper
Rob Leeper
2 years
FAST probably seemed crazy too when Dr. Rozycki first described it. TEE for resus has been a game changer for us. Well presented by @ewwalser and well moderated by @Anikoul
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@ross_prager
Ross Prager
2 years
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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@ross_prager
Ross Prager
2 years
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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@ajz_henry
Henry Ajzenberg
2 years
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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@critconcepts
Critical Concepts
2 years
@PulmCrit Any drug introduced since I finished school is an unnatural affront to god and man
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@Anikoul
Anton Nikouline
2 years
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
@Bram_Rochwerg
Bram Rochwerg
2 years
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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@rob_leeper
Rob Leeper
2 years
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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@Anikoul
Anton Nikouline
2 years
Great initial guide for #resusTEE Has definitely changed my practice
@ross_prager
Ross Prager
2 years
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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@FIRST60_resus
FIRST60
2 years
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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@Anikoul
Anton Nikouline
2 years
Thank you to the whole team! Couldn't have done it without them @brodie_nolan @SPOClab @acute_care_doc
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@Anikoul
Anton Nikouline
2 years
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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@ross_prager
Ross Prager
2 years
#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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@ross_prager
Ross Prager
2 years
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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@Anikoul
Anton Nikouline
2 years
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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@nickmmark
Nick Mark MD
4 years
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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@Anikoul
Anton Nikouline
2 years
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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