Follow up to last two tweetorial on #EEG https://t.co/UXanU6rp2m

there's been LOTS of back-and-forth about vaso in sepsis (e.g., these two 2025 review articles reach totally different conclusions! Lajoye is correct IMHO) TLDR: there is no simple answer; personalize tx 🌌 my current take on vaso in sepsis is here https://t.co/uLT6mpfJrG

. @icmteaching @khaycock2 @ArgaizR Have you seen this notching/systolic spike accentuation in patients with cirrhosis? I think it's a manifestation of intense renal vasoconstriction (as in HRS pathophysiology +/- other similar insults).

Echocardiography is one of the most complex medical image sets to analyze, with multiple views + cardiac motion. A new @Nature paper shows how A.I. can do that and provide accurate reports @David_Ouyang https://t.co/IMxQYmCW5C

🧵 HYPOXEMIA: The ICU Masterclass 1️⃣ Start with the foundation Hypoxemia = low PaO2 in arterial blood (mmHg). Hypoxia = low oxygen at tissues. A patient can have SpO2 99, Hb 5 and lactate 7. This is hypoxia despite normal saturation. ❓ SpO2 98 but lactate rising. What

Mechanical circulatory support as a cornerstone in advanced heart failure and transplantation CCR Journal Watch  https://t.co/Sp06oA6IDG

Definiendo Delirium 🆚 Encefalopatía 🧠 🔰📚Intensive Care Med https://t.co/g0M2TAXuTJ Enlace a Artículo Completo 👇🏼✅🆓 https://t.co/rPEDXf5xvO

I still see 0ּּ·9% sodium chloride being used for resuscitation, and amazingly even for maintenance fluid. Let’s take a look at one important aspect of that. The huge salt burden in just one litre.

@Rajiv_Sinanan @NephroP Great question 👇 1️⃣ Chronic oedema / high-compliance interstitium Chronically stretched tissues can hold more fluid without a rise in interstitial pressure (Pi). That blunts the passive driving force for lymph flow. Drainage continues via intrinsic lymphatic pumping but is

Interesting image - NOT pericardial effusion. It’s a giant pericardial cyst. #POCUS #Nephpearls #FOAMed From 🔗 https://t.co/nnhVPDRdGS

❓What does this clip show? Answer: Large circumferential pericardial effusion (subcostal view). 🧠 Learning tip: Don’t wait for textbook tamponade. Before hypotension or tachycardia appear — can you already recognize the RA or RV collapse that signals rising pericardial

🔴 Echocardiographic Features of Cardiomyopathies: A Comprehensive Review #Cardiology #CardioEd #FOAMed #echofirst

Today's Paper of the Day is: Physiological and Pathophysiological Consequences of Mechanical Ventilation https://t.co/JKgcYjlUQ5 Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2025

Slide on Vasogenic edema vs Cytotoxic edema. #Radiology

⚠️ TPN does NOT increase risk of INFECTION! 🔎 It is just as safe to put PN through a central line as saline 4 large trials show! 📣 New trial in @JAMASurgery shows early PN REDUCES INFECTION in surgery! 🔗 https://t.co/EImEgKrwFf 📧 Please comment if you want full papers!

🎬 TRAILER... ULTRASOUND CHRONICLES (Episode 3) Title: Basic Physics of Ultrasound (Part II) In the last episode, we uncovered how sound travels and forms images. Tonight, we go deeper into what shapes those images: brightness, sharpness, and control. Drops tonight || 9 pm.

Electrical Rotation of the Heart An underrated concept in ECG interpretation Despite the name, “rotation” does not mean the heart is physically turning. Instead, electrical rotation refers to the position of the QRS transition zone across the precordial (V1–V6) leads. It

The magnificent #VExUS waveforms #KidneyWk #POCUS

Thank you @BharatJagiasi sir for busting this myth! Cerebral vasospasm leads to secondary brain injury in various clinical conditions apart from sub-arachnoid hemorrhage. It's important to know about this complication and remain vigilant to prevent catastrophic ischemia/infarcts.

1️⃣ We can remove fluid at rates up to 12 mL/kg/h and blood pressure often holds. That limit isn’t arbitrary – it comes from dialysis data showing steep rises in hypotension and mortality above it. It marks the upper boundary of how fast plasma can be refilled from the

ULTRASOUND CHRONICLES (Episode 3) Topic: Basic Physics of Ultrasound (Part II) Every image begins as sound; bouncing, bending, and fading through the body. Understanding how these waves behave turns echoes into stories. 1. ACOUSTIC IMPEDANCE AND IMAGE FORMATION Every tissue