Lasix is NOT nephrotoxic 🫘 Please retweet so we can end this myth once and for all 🦄 Rising creatinine is more often an indicator of inadequate Lasix dosing than excessive!! Lasix can only harm the kidneys if it decreases cardiac output by dropping preload to the point of

Less than 12 hours to the FREE virtual Emergency Cardiology Symposium, but there's still time to register at https://t.co/2KqdXFfxgr #FOAMed

Emergency medicine is a lifestyle, not just a job. You’ll see the sickest patients, the worst luck, and the darkest corners of humanity—& still be expected to smile, move fast, and get it right every time. A thread on what they don’t tell you about EM. 🧵

(2/X) #1: ETCO2 monitoring intra-arrest For some clinicians ETCO2 use in cardiac arrest is routine - for many others -- it is not available (or being used). It is easy to use and very useful. Read more: https://t.co/k5HtHhWrvw The theory behind using ETCO2 in cardiac arrest is

We need #healthcare reform in the U.S. Here’s the latest version of my idea. I welcome your feedback. The National Medical Bill Registry (NMBR) The NMBR is a direct pay model designed to benefit people across the socioeconomic spectrum. It is neither a single payer system nor a

As usually, great case by @EM_RESUS! Pls see how TEE i) revealed immediately the cause of the arrest & ii) showed chest compressions were ineffective because they were delivered over the LVOT We do have a trial now in abstract form 👇 that studied the effect of TEE-guided CPR

(1/x) The term 'pre-renal' acute kidney injury is dated and should stop being taught in medical schools. Why? The term pre-renal is inextricably linked to the idea that the treatment of pre-renal AKI is IV fluids. Here's the paradigm of hemodynamic AKI and why it is helpful. A

EMCrit 387 - Emergency Department Charting for Legal Protection and Patient Safety with @embouncebacks. I have read 6 page notes that missed the two sentences that would have kept the doc out of court--don't let that be you! [#FOAMed for now] https://t.co/fOGoan8frI

We just finished the #HRvexusmasterclass - a 1 day curated dive into all things hemodynamics, perfusion, and congestion. Here are my 10 most important take homes. A 🧵 ping @ArgaizR @ThinkingCC @KiranRikhraj @khaycock2 @heart_lung @DCBrotherston @john_basmaji @WBeaubien

Transesophageal #echocardiography in cardiac arrest, from ED to #ICU: 🫀why using #POCUS in CA & why TEE better vs TTE? close anatomical proximity = superior image quality, ability to view wider range of structures staying away from chest + continuous imaging 🩺TEE diagnostic

IVC assessments were the “hot new thing” in POCUS when I was a fellow. Today, it’s a very small component of my practice. There are too many variables involved to help one make a volume status decision based solely on this. 🎩 tip to the authors. https://t.co/4Ise540F2X

@NephroP @Ahmed43101178 #echofirst #CardioTwitter 🔘BASIC HEMODYNAMICS🔘

A quick run through of #VExUS scan #POCUS #FOAMed #Nephpearls #FOAMcc

1/ 44 yo patient came to ED with SBP 70 mmHg, HR 150-160 atrial fib. Was s/p ablation for atrial fib 12 days ago and had sudden presyncope and palpitations. POCUS: plethoric IVC and reverse S on HV,diffuse B-lines, TRpv 35 mmHg (so sPAP about 55-60), & the following other images:

If anyone is still interested in joining @ArgaizR and I on May 3rd at 12pm (EST - Toronto) for our first monthly Hemodynamics, Congestion, and Perfusion rounds there are still some spots 👇 - What is an "endotype" of venous congestion? - What is the impact of tricuspid

portal vein Doppler could become gamechanger Is it better for monitoring 📈 decongestion 🚿than IVC diameter and collapsibility? @LHoyesWouter @ArgaizR @maartenfalter @msiuba @YouriBekhuis @ThinkingCC @DelpireBoris @khaycock2 @katiewiskar

Hi POCUS folks, I'm Dr. Mahmoud Kullab, Palestinian GP doctor from Gaza, enthusiastic about POCUS learning and teaching. For thise who don't know, here in Gaza we have a war from Israeli military. As a doctor I have to do my duty and help the injured people as much as I can

Discover FloPatch in action at our #AONL2024 booth! 🎥 Watch how it provides real-time, actionable data, helping clinicians make quick, confident decisions. Ever thought obtaining data to understand a patient's fluid responsiveness could be this easy? @tweetAONL #FloPatch

What defines a massive transfusion? It turns out there is no universal definition. This systematic review evaluated massive transfusion definition in RCTs, and here's some definitions: >=10 units PRBC in 24h* >=3 units PRBC in 1h >=6 units PRBC in 24h >=4 units PRBC in 6h >=5

ACLS has traditionally recommended chest compressions for PEA...does this need to be revised and re-taught? Listen to Dr. Alblaihed's lecture on emergent ECHO in cardiac arrest from https://t.co/8VHxmLVy8M Check out her lecture at https://t.co/x4lemdu55r #FOAMed