Philippe Rola
@ThinkingCC
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#zentensivist, EMCrit Teammate, Proud daddy and husband. ICU Santa Cabrini Hospital. @thinkingcc.bsky.social HR25 registration here: https://t.co/e5LGE7jP3T
Montreal, Canada
Joined August 2013
Yup.
Needs to be repeated again and again,Golden words 🔑. 🫡.“That’s why it’s a mistake to “fill the heart to improve function.”.Distending the ventricle in search of better output often worsens failure (increases wall stress, oxygen demand, ventricular interdependency).You're
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RT @Srivatsa34: Needs to be repeated again and again,Golden words 🔑. 🫡.“That’s why it’s a mistake to “fill the heart to improve function.”….
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Assessing shock without pocus is, imo, inadequate.
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Ugh…looks like another FR strategy. Would advise against. If you are ramping up your resus game, assess MSFP & look at your interfaces. Ping @khaycock2 @icmteaching @EMNerd_.
Dr. James Russell has been publishing review articles since before I was a resident. His papers guided me through my training and played a role in inspiring my book. Check out this paper from 2019. 🎩 tip to Dr. Russell.
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Pls give @drvimalzenICU a follow if you are into ventilator and hemodynamics analysis! ping @msiuba @icmteaching @chatterJ5 @khaycock2 @emireles_c.
Decipher the Graphics, after troubleshooting the 2nd graph was pristine. What was wrong in first graph
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Nice!.
Can cardiac pacemaker cause ventilator Dysynchrony| Yes!!.Go through our publication in Indian Journal of Critical Care Medicine
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Umm given that most deaths occurred prior to the development of the vaccine, this is clearly antivaxx disinformation with an agenda. How stupid does this person think people are?.
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A must read thread right here.
The very 1st line of a recent @BJAJournals states:.'In early critical illness, intravascular volume depletion secondary to capillary leak is common & requires aggressive fluid resuscitation to improve cardiac output & tissue perfusion'.Why are we still propagating these myths? 🧵.
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Oh man…much work ahead of us, we have.
The very 1st line of a recent @BJAJournals states:.'In early critical illness, intravascular volume depletion secondary to capillary leak is common & requires aggressive fluid resuscitation to improve cardiac output & tissue perfusion'.Why are we still propagating these myths? 🧵.
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Something every icu doc should have in their back pocket….
Sunday morning teaching session for fellows and attending at @SHEBA_ .Trying to break old habits. Thanks.@ThinkingCC @EMNerd_ @MaxHockstein
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Great review Jonny. Unbelievable to me these silver bullet studies are still being done with minimal subgroup phenotyping. This result was 100% predictable. Time and $ continue to be wasted. Need to understand phenotypes and pinpoint the spot on the sepsis path to direct tx….
Did Thymosin Alpha-1 impact sepsis mortality?? . #FOAMed #POCUS #FOAMcc #Meded . . @drshahrul80 @icmteaching @Manoj_Wickram
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RT @drvimalzenICU: Identify the dysynchrony and why did it correct after setting the pressure support to zero
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So, figuring out some HR edu-event(s) for fall or next year. Can i get some votes here? (And email hospresusconference@gmail.com to get on mailing list).
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Right here people. Sri drops a ton of wisdom.
@drmohansai My few humble opinions after reading the article. 1/We Are Already Altering Therapy -Thoughtfully. IMHO for many of us, VExUS and Doppler findings do alter decisions. We withhold fluids,initiate de-resuscitation or re-stratify decongestion therapies like diuretic dose and.
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A reply from this morning
Major academic publishers' revenue and what they pay authors and reviewers:. Revenue:.Elsevier: $3.9 billion.Springer Nature: $2 billion.Taylor & Francis: $800M.Wiley: $1.8 billion. What they pay:.Academic authors: $0.Peer reviewers: $0.
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Yup. Yup. Yup. Cracks me up when ppl say hmm that aki must be “pre-renal” after a day npo… don’t miss the sepsis!!!!.
🧵1/.Hypovolaemia is the most overdiagnosed concept in medicine. We say it reflexively — especially in sepsis. But here’s the uncomfortable truth:.We can’t measure blood volume. We infer it. Often wrongly. Let’s unpack why that matters. 👇.#MedTwitter #FOAMed
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Plaignez vous a votre politicien local. Contrairement a ce que disent bcp de medias, la faute n’est pas chez les tds. Et ca ne va qu’empirer avec l’exode que la strategie electoraliste encourage.
Je teste le système de santé et ma patience solidement.Nous sommes avec ma mère âgée qui est arrivée à 10h ce matin à l'urgence. Après 10h30 d'attente, toujours pas consultation d'un médecin.Tant qu'à pas donner de services, fermez la place!!.Aucun sens niaiser le monde de même.
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RT @TimBalthazar: 1/We should consider the additive benefits of #GDMT during MCS for #Cardshock. Recently, we looked at the effect of imple….
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