Hot off the press in @CJEMonline! Our expert panel just tackled cardiac and lung #POCUS for our POCUS literature primer series. @CAEP_EUC @CAEP_Docs @GillianSheppar9 @TomJelic 🔗 https://t.co/r4gUX87FSb Check out the 🧵 below for our top 5 papers on cardiac & lung POCUS 👇

@JonathanCaseyMD & @KevinGibbsMD summarise the #PREOXItrial, which they presented this morning at #CCR24 and was simultaneously published in @NEJM https://t.co/4Awp1u7axg @PCCRG

Hepatic vein Doppler 🔑 Findings 🔹Severe TR – systolic flow reversal 🔹Constriction – expiratory diastolic flow reversal 🔹Restriction (aka myocardial disease) – INSPIRATORY diastolic flow reversal Don’t ignore the hepatic veins #pocus #Echofirst

ICU Extubation Tips: Let’s admit it. As intensivists, we will never be as good in airway management as our Anesthesia or Emergency Medicine colleagues are. They intubate many more pts than we do & some of them under very suboptimal conditions. So, we can never match their skills

💉Do you sedate acutely ill patients in the ER or ICU?💉 🏥Check out our Network Meta-Analysis examining the safety and efficacy of all IV procedural sedation agents used in the ED and ICU!🏥 Link: https://t.co/C52CPJxo9B See Below for a Summary of What We Found 🧵 (1/N):

ICU hemodynamic secrets: Not every case of cardiogenic shock (CS) is born equal. In this 👇 beautiful study, the researchers analyzed data from 1959 CS patients from 2 international cohorts:

How to doctor - a thread.

It’s out! Delighted to introduce the new @SCC_CCS guidelines on #antiplatelet therapy, chaired by @BaineyKevin and I, with a group of 21 primary 🇨🇦 panelists. https://t.co/CYwbfnlyBy @ShamirMehta @ebelleycote @Ricky_Turgeon @Mtl_PlateletLab @brianpotter11 @Cardio_Girl

Independent predictors of ticagrelor discontinuation due to dyspnea included current smoking status, prior PCI, hypercholesterolemia, prior CABG, PAD, BMI ≥30 kg/m2, Asian race (lower risk), and age ≥65 years old (higher risk). Read more: https://t.co/5x7TguH3rp #JACCINT

Arrhythmia management in pregnancy 📚 Cardiac-centered #womenshealth

For those of use who work in the ICU and, unlike our ED colleagues, rarely see a myocardial infarction (MI) on presentation, these are some important electrocardiographic (ECG) patterns to consider as life-threatening STEMI equivalents:

~~ 🔑 Update: New 2023 Duke criteria for infective endocarditis ~~ Note changes (in bold): w/ new microbiology dx, imaging (CT and FDG PET), and inclusion of surgical inspection as a major clinical criterion 💥 #CardioTwitter

#Clopidogrel monotherapy was assoc w/ better thrombotic & bleeding outcomes than #aspirin monotherapy, regardless of clinical risk & relative ischemia/bleeding risk in pts undergoing #PCI & 6-18 months of DAPT w/out clinical events. https://t.co/ljjqqJp3Iv #JACC #HOSTEXAM

STRATUS Trial published @JAMA_current 🩸Cluster trial 25 ICUs >27,000 patients 🩸Switch to “small-volume” tubes that⬇️blood drawn for lab tests may⬇️RBC transfusion↔️effect on testing 🩸Available, cost-neutral, compatible with analyzers – will you switch? https://t.co/sTkJVyfrgS

#echofirst 💜 Simple tip for pericardial effusion echo. Often timing of RV diastolic collapse is ambiguous. Obtaining m-mode through RV with either MV or AV included helps confirm timing of RV wall collapse 💜 End of T wave could be used if they are not flat @Deya_AlkhatibMD

Our work out today in @AnnalsofIM shows the importance of systematic follow up for patients with so-called “secondary” or “peri-operative” #AtrialFibrillation. 1 in 3 will have AF recurrence when assessed with 14 day Holter @McMasterU @PHRIresearch

This largest single-center study of DCD vs. DBD heart transplant recipients demonstrates no difference in 1-year outcomes including survival, treated rejection, CAV and hospital readmission. https://t.co/qyPdmcuhwS #JACC #Hearttx #ACCHFT #ACCEarlyCareer #CardioTwitter

I often teach the a few core principles of what makes ICU decision making different from treating what appears to be similar problems on the med-surg floors. Here are a few principles I emphasize, in no particular order...🧵

⚤ Sex & gender differences in #ICU, influence on 🏥 admission 🧫 #sepsis & septic shock 🫀 cardiac arrest 🫁 #ARDS 🫀 cardiogenic shock 🫘 #AKI 😵‍💫 delirium 🩺 medical treatment 🏥 general outcome Be aware & address in practice/research! #FOAMcc @yourICM 🔓 https://t.co/w8B010bn18

The 2023 ESC Guidelines for Management of Cardiomyopathies include all cardiomyopathy subtypes & mark the first time that specific recommendations are made for cardiomyopathies other than #cvHCM. Read the key points from the guideline here: https://t.co/kVqNvd5Pr7 #ESCCongress