Jonathan Nicolas
@yonicolas14
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Nephrology - Critical care medicine
🇫🇷🇱🇧
Joined December 2009
Presented at #LIVES2025: In a pragmatic trial conducted in general medical wards with limited diagnostic and therapeutic resources in Kenya, glucocorticoids reduced mortality in patients with community-acquired pneumonia. Full trial results: https://t.co/WEQvqhbqKY Editorial:
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🚨 New @ESICM Guidelines Released! The 2025 ESICM Guidance on Circulatory Shock & Hemodynamic Monitoring provides 50 expert statements defining what to assess, when to intervene, and how to monitor in adult ICU patients. Delighted to see IFA Executive Board Members Prof.
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The ANDROMEDA-SHOCK-2 is finally released!! We found that a personalized resuscitation targeting capillary refill time through simple bedside hemodynamic tools was superior to usual care for the composite of mortality/vital support/hospital stay and for faster decrease in SOFA.
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Very proud of our work at @NSLIJ_EM in @AnnalsofEM More clinicians are questioning the need for every 2 min pause of compressions in non shockable rhythm cardiac arrest. But how to know when to stop? ‼️ Femoral Doppler waveforms during chest compressions are 89% accurate‼️
Can Doppler ultrasound waveforms during CPR help predict return of arterial pulsatility? A new Annals of Emergency Medicine study suggests they can — with strong diagnostic accuracy. Read more in Annals of EM. https://t.co/4aam93e1Eg
#AnnalsOfEM #EmergencyMedicine #EM #ER
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Interesting sequence of events - from Muchmore, et al. J Am Coll Cardiol Case Rep. 2025 Aug, 30 (25) . doi - 10.1016/j.jaccas.2025.104821 #POCUS #FOAMed #FOAMcc Image 1️⃣ - Initial #echocardiogram showing large, circumferential pericardial effusion, right atrial collapse, and
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Enquête sur la pose de KT Tunnélisés par les néphrologue en France, SFNDT 2025
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Not your everyday cause of pericardial effusion/tamponade‼️⚠️ See thread for answer/source article. #POCUS #FOAMed #echofirst
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@selvan_ramsamy I don’t see ‘an acute angle’ But maybe that’s because of positioning “Using a VL does not obviate the need for good basic airway care: -positioning -preoxygenation -paralysis -precision”
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@selvan_ramsamy The stylet should NEVER pass the glottis. ALWAYS withdraw it as the TT is advanced Tube passage improved by - proper head and neck positioning (most often neglected) - small tube (6.6.5 ID) With this difficulty is very uncommon Additional options - soft tip tube - 180 degree
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Great case! Personally probably would have drained and Ashley highlights the most important bit being that tamponade is a spectrum that depends on the Pip to RAP, so anything dropping RAP can get you in trouble quick! Great management! Finesse!
1/ Anaesthetic challenge. Patient turns up at a district general hospital for urgent (cancer) surgery. 2 months earlier TTE showed this pericardial effusion considered to be neoplastic in origin. Colchicine and steroids had been prescribed. A repeat echo the day before surgery
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Enquête de pratique sur la pose de cathéters tunnélisés de dialyse par les néphrologues en France
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l've seen toxic shock syndrome a number of times in my career. Things can get ugly pretty quickly, especially in the desquamation phase. Don't forget to add an antitoxic agent to the mix. The jury is still out on IVIG. tip to the authors. https://t.co/Sfr6vCnEaM
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