I was an ordinary person who studied hard. There's no miracle people.

“When a person can't find a deep sense of meaning, they distract themselves with pleasure.” — Viktor Frankl

“Facts do not cease to exist because they are ignored.” — Aldous Huxley

Understanding the McGinn-White Sign (S1Q3T3 Pattern) The McGinn-White Sign is a classic but uncommon, ECG finding in acute pulmonary embolism (PE) or other causes of acute right heart strain (e.g., cor pulmonale). It consists of the S1Q3T3 pattern: 🔵 A prominent S wave in

“In my whole life I've never been good at something I wasn't very interested in. It just doesn't work. There's no substitute for strong interest.” — Charlie Munger

"I think a life properly lived is just learn, learn, learn all the time." — Charlie Munger

80% of the diagnosis is in the history, 80% of the examination is in the inspection.

«Ho deciso di conoscere la sapienza e la scienza, come anche la stoltezza e la follia, e ho capito che anche questo è un correre dietro al vento. Infatti: molta sapienza, molto affanno; chi accresce il sapere aumenta il dolore.» (Qohelet 1, 17-18) #LectioPetri

"Intelligence consists in ignoring things that are irrelevant." - Nassim Nicholas Taleb

ESICM guidelines on circulatory shock and hemodynamic monitoring 2025! https://t.co/XSgHeTFRXy @AndromedaShock @Manu_Malbrain @SheilaMyatra

REBOA = higher mortality (47% vs 36%), more transfusions, longer time to OR. No survival benefit. Check the new study by Hatchimonji et al. https://t.co/RnQGoCdJXI and Jansen's commentary https://t.co/s3qqRcWi6C. @jhatchmd @dianehaddadmd @pdowzicky @markseamonmd

How the ECG Tells You Where VT Is Coming From 1️⃣ When a rhythm comes from the ventricles, it travels slowly across muscle instead of racing through the Purkinje system. That’s why VT is wide, fast, and regular.

Are we interpreting VExUS correctly? If you are not sure about this, please check this 👇 https://t.co/PqnvHH5ltI

Many of us are still learning how to use VExUS in our clinical practice. Here's a concise paper to help some jump on board. 🎩 tip to the author. https://t.co/Sfr6vCn6le

«Credente non è chi ha creduto una volta per tutte, ma chi in obbedienza al participio presente del verbo, rinnova il suo credo continuamente», scrive @Erriders. La fede è una scelta quotidiana, un impegno esistenziale, un amore autentico.

Echocardiographic assessment of the right ventricle Credit: @bebulwer

If you have to remember one thing today, this is it: #foamed #foamcc #meded #MedTwitter

A simplified ANDROMEDA- SHOCK-2 algorithm display by Jesus Nieves from Spain! As he said complex at first glance but quite easy when practicing!! Thanks Jesus😍😍

Among patients with early #SepticShock, a personalized hemodynamic resuscitation protocol targeting capillary refill time was superior to usual care for the primary composite outcome, primarily driven by a lower duration of vital support. #LIVES2025 @ESICM

The Sequential Organ Failure Assessment (SOFA) score is the most widely used tool for evaluating organ dysfunction. This week, JAMA published the SOFA-2 score, a data-driven update that incorporates current organ support therapies and introduces new scoring thresholds.