Head over to to hear more fantastic webinars from this all star crew!!.

5. Use Acetazolamide from the get go to prevent diuretic resistance - IV or PO are both acceptable .6. Chloride loss is a key reason for diuretic resistance - replace that chloride with KCL and remember to replace Mg too!.

3. Dose Lasix based on a patient's GFR. The lower the GFR, the higher of a dose you need!.4. Choose your Lasix frequency based on how quickly and how much you want to diurese patients in a day (don't base frequency on the GFR).

1. Rising Cr when diuresing patients is not necessarily reflective of tubular injury. Can have many causes - key one being intraglomerular hemodynamic changes .2. Doubling a patient's home dose is often not enough when you need them to really pee!.

What a fantastic #HCP webinar by @ross_prager @ArgaizR and @FH_Verbrugge on mastering diuresis. A few of the many things I learned and need to read up on below!

Back to basics! I am starting a new series of videos focusing on mastering basic #POCUS concepts. Starting off with honing your ability to obtain the 4 basic cardiac views and steps on how to obtain additional/advanced views. Please give it a watch: .

Incredibly informative and helpful thread. A must read for all resuscitationists!.

@NephroP @icmteaching @StevenMathern @UAlberta_Sono @khaycock2.

Twitter friends: when deciding whether to tap a pleural effusion, what are the things you look at on #POCUS to determine if the effusion is safe to tap? . Poll below 👇

@NephroP @FH_Verbrugge @ArgaizR @EMNerd_ @CPSolvers @AllisonRBond @AndromedaShock (11/11) You need a team you can rely on and trust when working on something like #HR25. I am so thankful for @ThinkingCC @ross_prager @G2Disrupt @katiewiskar @AmyDhillon and @JasmineLam. Excited to start working on #HR26!.

@NephroP @FH_Verbrugge @ArgaizR @EMNerd_ @CPSolvers @AllisonRBond (10/11) Pay attention to how quickly Capillary Refill Time normalizes in septic shock resuscitation. @AndromedaShock pearl: Rapid normalization of CRT may reflect preserved macro- to micro-circulation coupling while failure to improve CRT is associated with increased mortality.

@NephroP @FH_Verbrugge @ArgaizR @EMNerd_ @CPSolvers (9/11) Think about your antibiotic routes more carefully @AllisonRBond shared her Top 10 Infectious Disease Pearls reminding us that not all antibiotics need to be given through an IV, even in bacteremic patients!

@NephroP @FH_Verbrugge @ArgaizR @EMNerd_ (8/11) Experience is not the same as expertise. @CPSolvers pearl: We should not be reflecting on a case for 20 hours over the course of 1 day but instead, think about the case for 1 hour every day for 20 days. Consistency matters!

@NephroP @FH_Verbrugge @ArgaizR (7/11) Pay attention to your patient's Minute Ventilation and their PaCO2. As @EMNerd_ cleverly described, the more dead space you have, the higher the MV you need to maintain a normal CO2. This increases a patient's respiratory workload and can drive weaning failure.

@NephroP @FH_Verbrugge (6/11) Key pearl from @ArgaizR on intrarenal vein doppler: Systolic-only flow in the IRV is an indication of pericardial disease. This needs to be interpreted VERY differently to diastolic-only flow (often due to more "classic" causes of congestion eg. TR, PE, volume overload)

@NephroP (5/11) The Pulse Pressure is a poor man's Swan-Ganz! As @FH_Verbrugge beautifully explained, looking at the PP and DBP together helps you understand the pathophysiology behind a patient with acute decompensated heart failure.

@NephroP (4/11) @NephroP pearl: In a pinch, use calipers to calculate the cardiac cycle duration and apply this to your HV trace in order to better predict where the S and D waves are. But as he said, “if your hospital can afford an US machine, it can afford ECG leads for the machine.”

(3/11) @NephroP showed us how VEXUS parameters correlate with improvement in kidney function and electrolytes when decongestion is initiated. Do not be fooled into thinking that someone with “no pitting edema” does not require decongestion.

(2/11) As Marco Garrone wisely said “Being fluid responsive and fluid tolerant doesn't mean you need fluids.” We give IVF for a) replacing fluid losses b) increasing CO c) maintaining hydration and d) nutrition. All these reasons require an assessment of fluid tolerance.

(1/11) A week after having the opportunity to co-organize #HR25, I had some time to reflect on my top 10 learning points. Please give it a read 👇.