UW Medicine’s ECMO programs at Harborview & UWMC Montlake have launched a new ECMO Transport Team. This means we can now bring our team to the bedside at any hospital within Washington (more states to come soon). Referring providers can find info here: https://t.co/Qfb4SkPtIq

Meet this month's YPS-AAEM Fellowship Spotlight, Dr. @RobertWhitford! He joined YPS-AAEM to network and find mentorship in career development. As an EM physician, he is capable of providing care to any patient, regardless of age or complaints, and in austere environments.

Angiogram for fellows. Diagnosis? Classification/types of the lesion?

Here’s another pulmonary physiology question that *everyone* who gives O2 to patients ought to know: What is the primary mechanism by which supplemental oxygen can increase PaCO2 in someone with severe COPD? 1/

(1/10) Pericardial tamponade is a clinical diagnosis supported by #echo (2D + quantitative). A 🧵of 10 confirmed tamponade cases (by drainage!) starting with obvious and ending with subtle ones that you could easily miss.. some PEARLS along the way 👇#medtwitter #foamed

#resusTEE post cardiac surgery for worsening hypotension and shock. 🫀What's the can't miss finding here (its not an easy one! - see next for poll and final post for answer!) A 🧵 #echofirst #medtwitter

Constrictive pericarditis. Great CT images. Enjoy! #echofirst #CardioED @echocardiac @ASE360 @escardio @EchoCases @excellentecho @HeartToProve @The_echo_lady @echotalk @drzgezdentok1 @Ivan_Echocardio @echo_stepbystep @VLSorrellImages @NMerke @Echo_DGK_GER

@calldaburd @UCAirCareDoc Check out the @TamingtheSRU Air Care series on balloon tamponade of varicella hemorrhage- written by @robertwhitford himself! https://t.co/DY7aIgftma

#CriticalCareQuiz A 75-year-old man has urosepsis; no prior history. BP 95/52, HR 124, lactate 6. TTE shows EF 75%. VTI is 60 cm from pulsed wave Doppler. LVOT diameter is 2 cm, which yields CO 23.4 L/min. MV CW Doppler is also shown. Why is CO so high? #SCCMSoMe

Successful ascent, switchover to header tanks & precise flap control to landing point!

Just in case it got buried in the thread, check out this fantastic talk on echo guided resus by my friend and former co-resident @robertwhitford. Fantastic images and discussion on diastology and physiology. #POCUS #echo #CCM https://t.co/8wFPgdLW0v

https://t.co/WRouMYdoNc

If the link does not work I will post the lecture to YouTube later.

For those who couldn't make the talk yesterday on Echo Guided Shock Resuscitation: https://t.co/zMzVo8EoDs @ryangamlin @AalapMD @TamingtheSRU @sonostolz @karigorder @CriticalCareNow @emcrit @ResusPadawan @emcurrents @ultrasoundpod @UltrasoundMD @pocus_society @SCCM

@laertezz @robertwhitford @TamingtheSRU @JimMakinen @cshaw1026 @RealShanModi @UCAirCareDoc @UCcritcare @waknight4 @christian_renne @karigorder I will be disappointed if thoracotomy, bougie, or Minnesota tube is not mentioned

Looking forward to @robertwhitford’s zoom lecture. @TamingtheSRU residents and alumni tuning in from across the US #CincyEM #EMCC @oMichaelJo @JimMakinen @cshaw1026 @RealShanModi @UCAirCareDoc @UCcritcare @waknight4 @christian_renne @karigorder

Young patient with chest pain and global ischaemia on ECG presenting to cathlab.

"The... revised propensity analysis... identified a significant protective effect for doctor present at scene on mortality (OR 0.77; 95% CI 0.62 to 0.95, p=0.015)."

In 16,546 patients treated with droperidol, QT before, after, before & after, all similar. 1 (0.006%) developed TdP. Drop QT concerns=fake news before there was fake news. Fantastic review, more of the best agitation research by @jonbcole2 & UMN group https://t.co/d2GEUQdBa2

OMI vs. NOMI: The STEMI/NSTEMI is a failed pardigm! - many NSTEMI have occlusion - many STEMI don't have occlusion - @PendellM at #HRreloaded