Brian Soto, MD. 🇧🇴
@bsoto8941
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🫁Fellow @USF_PCCM #MedEd enthusiast. @ATSMedEd - Vice chair of Education Technology. Interest: Interventional Pulm | POCUS. Alum @SUNYDownstate
Tampa, FL
Joined May 2024
Airway management - Update: What to do in order to rule out esophageal intubation:
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Does the use of ultra-short-acting β-blockers (esmolol or landiolol) in patients with #sepsis with persistent tachycardia improve mortality? Read the full research in the January issue of the journal CHEST®: https://t.co/fj8jRe6SMG
#MedEd #MedTwitter
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ICU Infections: Nice infographic summarizing the key steps in the management of necrotizing fasciitis:
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Graphical summary of the three components used to describe the standard #echofirst views: (1) Sonographic window (2) cardiac imaging plane (3) the cardiac region or structure of interest. Courtesy: Thoracic Key/Dr. Bernard E. Bulwer #POCUS #MedEd #Nephpearls
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#echofirst views used to perform comprehensive evaluation of the right heart. Each view is accompanied by uses, advantages, and limitations. Courtesy: …… https://t.co/Upt4hAPdrY……
#POCUS #FOAMed #Nephpearls
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ICU (Central Venous/Arterial) Line Secrets - Part 1: An ICU where the patients have no central lines & are not connected to ventilators is not a real ICU. This may be a controversial statement but in my humble opinion not far from truth
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ICU Snaphots: One of the common scenarios in the ICU: the patient with known systolic heart failure who is admitted to us either from the ED or from the ward because she is "diuretic-resistant". There are some nice algorithms to follow:
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Cardiac #POCUS parameters in the assessment of pulmonary hypertension #FOAMed #Nephpearls Click 'ALT' for abbreviations Courtesy: 2022 ESC/ERS pulm HTN Guidelines
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Approach to elevated PT/PTT - start with bleeding/clotting hx - PT measures VII + final common pathway (FCM) - PTT measures: XII, XI, IX, VIII + FCM - TT sensitive to thrombin inhibitors, fibrinogen abnormalities, paraprotein, hypoalbuminemia (latter two 2/2 assay interference)
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ICU Pharmacology Secrets: Diuretics are not inherently nephrotoxic (with some debatable exceptions: eg, mannitol). Diuretics can affect the kidney function only if they induce hypovolemia that leads to hypoperfusion #foamed #foamcc #meded #MedTwitter #medstudent
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Great talk by @IP_DOC on the growing potential benefit of Robotic assisted crybiopsy for peripheral pulmonary lesions #AABIP2024
@AAB_IP
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Super excited for another great learning and networking at #AABIP2024 @AAB_IP ! See y’all soon! 👍
WE GOT THIS…. excited to attend 70+ sessions, 200 faculty, simulation, networking, and over 1000 participants. Waiting for everyone to arrive! @AAB_IP @carlalambWiIP @handsnotmitts @LauraFryeDrL @PannuJasleen @ahalraiyes @ClevelandClinic @ummcIPdoc @vanholdenmd
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Our manuscript describing the sub population of monocytes associated with increase mortality in IPF is finally out in a preprint https://t.co/nwPE9aIqrO
medrxiv.org
Rationale The association between immune-cell-specific transcriptomic profiles and Idiopathic Pulmonary Fibrosis (IPF) mortality is unknown. Objectives To determine immune-cell-specific transcripto...
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MICU day 20 of 28 Maybe controversial take: we need to do more surgical chest tubes again.
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