Mátyás Andorka
@easypocus
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consultant in ICM&anaesth.; POCUS: FAMUS+FUSIC supervisor, FUSIC heart, CACTUS lung mentor; regional anaesth.; airway lead; retired ATLS/ETC/ALS/GIC instructor
Redhill, England
Joined November 2018
some says #POCUS answers (to the basic #FICE #CUSIC #FAMUS questions) are binary: yes/no. but imo there must be 3:.- yes.- no.- i don’t know. 3rd is not cool, but absolutely valid and most importantly: safe.
We need to teach how doubt is not to be feared but welcomed. It's OK to say, "I don't know."
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RT @Turningthe_Tide: 💧Fluid creep accounts for more fluid than resuscitation in ICU. But nobody prescribes it — and most don’t even notice….
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haemodynamic thread to read!. @icmteaching this is funny:. you got us vote on a better name for preload, then 2days later you “hide” the best one in your thread:. tissue afterload
6/.Interface III: Capillary to Venular.This is the forgotten interface. It’s CVP that matters here:.– perfusion pressure falls.– oedema forms (↑ filtration; ↓ clearance). Think of CVP as tissue afterload, not preload. "Perfusion without congestion" is the goal.
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RT @icmteaching: 1/.Shock is complex. But our tools are often simplistic. This paper proposes a new model:.🩸 Four circulatory interfaces th….
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RT @icmteaching: 🧵 Preload is one of the most misleading terms in clinical physiology. It shapes how we think, prescribe, and teach – but i….
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RT @zedunow: 🚨 GPs + #POCUS = Game Changer! 🚨.New study: GPs, after short training, achieve HIGH accuracy with Lung #Ultrasound! 🤯. Blue Pr….
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RT @WAMM2025: With a fantastic number of submissions already and many of you asking for more time, we've extended the abstract submission d….
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we only need more beds😳. either in critical care.or vasoactive compatible ward areas….
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💉 “Give a fluid challenge — see if we can get the norad down.”. We’ve all heard it. Boluses are often given just to reduce vasopressor doses. Why?.• Fear that pressors are harmful.• Pressure to keep patients off ICU.But topping up to drop the norad might not be the best move…
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RT @dasairway: In response to numerous requests from the attendees, the abstract deadline for @WAMM2025 is now extended to 23:59 (BST) on….
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RT @kyliebaker888: For sure - and also peek at the GB as cholecystitis is another of the common sources in septic shock of unclear aetiolog….
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single organ scan - in the context of the critically ill - is a partial scan…. this is why #FUSIC #FAMUS #CACTUS modules cover (nearly) the whole body.
(1/x) We often focus on crazy POCUS cases that are so visually impactful (see this effusion 👇) but I am convinced that most of the benefit of POCUS is in its routine application for select populations. Let's take sepsis and see how POCUS upgrades our traditional assessment 🧵
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#FUSIC HD.
Septic shock on Levo develops ⬆️HR⬇️BP. Diagnosis/tx? #POCUS #MedTwitter #EchoFirst @NephroP @ArgaizR @KalagaraHari @msiuba @siddharth_dugar @ThinkingCC @khaycock2 @katiewiskar @HoosierPocus @IM_Crit_ @ross_prager @cianmcdermott @ABCDEcografia @EchoTech_4 @TomJelic @mount_md
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RT @Turningthe_Tide: 🧵Why does low protein intake cause hyponatraemia?. Most people find this confusing. But the underlying physiology is….
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RT @Turningthe_Tide: 🧵 Lymphangions: The Hidden Pump Protecting You From Oedema.1️⃣ What if I told you that you have hundreds of tiny heart….
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RT @Turningthe_Tide: 1️⃣1️⃣ Summary.💧 ~8–12 L/day filtered from tissues.🫀 Lymphangions actively return it — with 67–80% EF.🧠 Vasopressors s….
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RT @icmteaching: 🧵 Starling’s Law: Misunderstood, Misapplied, and Still Misleading.1.🚨 “Starling’s Law explains how the heart increases car….
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RT @RJonesSonoEM: Flank pain, fever.Diagnosis/pathogen? #POCUS #ultrasound #MedTwitter #Nephpearls @NephroP @ArgaizR @KalagaraHari @mount_m….
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RT @_NMay: Sending you all love on John Hinds Day. Hug those close to you, remember life is short, and don’t let the wankers bring you down….
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#VL !
And another Great Science Letter from our team .-everyday VL .- within patient comparisons of laryngeal view with a Mac VL vs Mac DL .- 1373 patients .- all grades, experience & locations . Difficult laryngoscopy .DL 2.5% .VL
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RT @icmteaching: The very 1st line of a recent @BJAJournals states:.'In early critical illness, intravascular volume depletion secondary to….
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