Interesting RCT in @NEJM about platelet transfusions prior to CVC placement in people w/ thrombocytopenia (Plt 10-50k): - higher rate of grade 2-4 bleeding w/o Plt transfusion: 11.9% vs 4.9% - difference driven by much more bleeding w/ subclavian lines https://t.co/MwlDtLPxub 1/

Our next Fall 2021 MEDP winner for the Harvard Training to Teach in Medicine Program is Dr. Steven Montague from the Department of Medicine. Congratulations! #MedTwitter #MedEd #funding

#IMPOCUS for pleural effusion is more accurate, takes less time, and confers higher confidence than physical exam. #SpineSign Thanks to @IMUS_Spokane et al for the collaboration & congrats to @WalshMH on your #IMPOCUSFellowship project https://t.co/kiu1gtoA2I

Happy to share our recent publication in @JournalGIM regarding #POCUS and paracentesis. The paper started as a debate between @Hookeyl and I (which me and @StevenMontague won 😉) https://t.co/HHpX0BBZFV

hypothermia after cardiac arrest just died. should we cool it down, for old time’s sake? #TTM2

Now sending ICU patients to Kingston (as soon as we can secure a helicopter). This absolutely NOT our usual winter surge.

Sono Sunday:Case of the Week 𝘾𝙇𝙊𝙏 𝙄𝙉 𝙏𝙍𝘼𝙉𝙎𝙄𝙏 𝐹𝑟𝑒𝑒 𝑡ℎ𝑟𝑜𝑚𝑏𝑖 𝑖𝑛 𝑡ℎ𝑒 𝑟𝑖𝑔ℎ𝑡 𝑠𝑖𝑑𝑒 𝑜𝑓 𝑡ℎ𝑒 ℎ𝑒𝑎𝑟𝑡 𝑎𝑟𝑒 𝑎𝑛 𝑖𝑛𝑑𝑒𝑝𝑒𝑛𝑑𝑒𝑛𝑡 𝑝𝑟𝑒𝑑𝑖𝑐𝑡𝑜𝑟 𝑜𝑓 𝑤𝑜𝑟𝑠𝑒 𝑝𝑟𝑜𝑔𝑛𝑜𝑠𝑖𝑠. #MedTwitter #pocus #echo @ColumbiaEM @NYEmergency

14 yo F presenting with acute onset urinary retention. Foley drains 1500 ml. No PMH, no meds, not sexually active, no periods, no drugs. POC trans-abdominal pelvic US below.

From UBC #ultrarounds earlier today, incredible #POCUS clip of ischemic ventricular septal rupture captured by @UBCFraserEMRes emerg resident Riley Golby

Adult patient presents with eye pain, redness, and vision loss. What are the POCUS findings?

Young patient p/w salvos torsades de pointe QTc 580. TTE once stablized showed the remarkable findings below. No prior malignancy. #ACCFIT #echofirst @onco_cardiology @FilipeAMoura @mirvatalasnag @heartdoc45 @DavidWienerMD @purviparwani @SaurabhSDani @DrNasrien @DocStrom

What's up with the phosphate? Today's episode "Heating the Log Cabin - Phosphate Disorders" covers everything you need to know about phosphate disorders - hypo & hyper! https://t.co/zfVQadLW4W Written by Dr. Caitlyn Vlasschaert @DrFlashHeart (IM Resident) from @queensuim

⚠️ New podcast episode on phosphate disorders ⚠️ A #FOAMed primer on: - What regulates phosphate balance - How to treat the highs and lows Written by @MattLanktree, @StevenMontague, Dr. Rachel Holden and I.

More on preeclampsia from @stephtomycin & @DrFlashHeart at @InternAtWork Podcast: https://t.co/xDT6qY7d3O

Thursday, May 14, 2020: Kingston & Regional Heritage Fair. Celebrating 25 Years of rich & diversified heritage! Students, Teachers & Volunteers - Get involved!🎉 https://t.co/NG8O6T0aM4 #KRHF2020

Scanning a patient in ICU...Stopped to trace LV. Literally, put the probe back on patient...then this...instant, solid clot. CPR started...no point. Entire heart clotted in a flash. Case courtesy Julia Lewallyn Ronin.

Pull up your bootstraps- this weeks case is a doozy... 67F post-EGD became hypoxic & brought to ICU for monitoring & NIPPV. Initially hemodynamically stable; over the next 6hrs became profoundly hypotensive requiring very high doses of multiple vasoactive agents

Point-of-Care Ultrasound for Internal Medicine Residency Training: A Position Statement from the Alliance of Academic Internal Medicine

Dr Barry Chan (now @UBC) & Matt Jefkins publish paper from @QueensuDOM on the utility of POCUS of hepatic and portal vein as a bedside ultrasound technique to identify venous hypertension @KingstonHSC https://t.co/c2aZ5G2LN5

Some great @queensuim posters at #csim2019 Incredible case of weakness! Dr A Kundra and Dr Wijeratne @twinbuzzing