ER looking for PE in relatively young patient. Good reminder to double check the coronaries if you have a decent bolus.

Can a patient be fluid responsive and venously congested at the same time? Yes — and this changes everything. Our recent study shows how bedside ultrasound can reveal what clinical signs often miss. Let’s break it down: #POCUS #VExUS #CriticalCare 🧵

No DM in Critical Care. We're always underrated 😢

Lung point. AliReza Bahmani, MD Joaquín Martínez Orlando R. Pérez-Nieto ABCDEcografía Curro Miralles PocusHUPR NephroPOCUS Paco Dardón Medicina Interna. Lo miro y mañana te digo. 𝗗𝗮𝗻𝗶𝗲𝗹

LV Torsion: A Powerful Marker of Systolic Function Definition Left ventricular (LV) torsion (or twist) refers to the wringing motion of the heart during systole, apical counterclockwise rotation vs basal clockwise rotation. It results from the unique helical arrangement of

Seen it many times. Totally real.

Veo que las Universidades del Bienestar ya empiezan a tener egresados en medicina, ¡enhorabuena!

1/10 A 70-year-old man presents with dyspnea. What do you notice when you first meet him? This finding should generate a hypothesis, which we will circle back to eventually.

2025 and 30 mL/ kg is still a thing...

Top 5 advances in medicine this week (🧵) 1. A drug that beats chemotherapy in a subset of lung cancers Small cell lung cancer is usually treated with chemotherapy, but resistance is common, and side-effects can be severe Tarlatamab is a bispecific antibody: it recruits T

This might be a simple way to (dramatically) improve outcomes in patients awaiting thrombectomy (mechanical clot removal) for ischaemic stroke in a large artery Put the head of the bed at 0°:

POCUS glotis. Cuerdas vocales. ABCDEcografía Joaquín Martínez Curro Miralles Medicina Interna. Lo miro y mañana te digo. Paco Dardón NephroPOCUS PocusHUPR Orlando R. Pérez-Nieto

Vesícula en porcelana La calcificación de la pared vesicular produce una línea semilunar hiperecogénica que produce una densa sombra acústica posterior. Joaquín Martínez ABCDEcografía Paco Dardón EchoTech EcosemFYC 𝗗𝗮𝗻𝗶𝗲𝗹

Important pushback on the Anderson/Guyton model: is pressure really a driver, or just a consequence of volume and compliance? A quick thread to unpack the physiology (and clinical relevance) 🧵👇

a NAVA catheter in place, to monitor the diaphragm's electrical activity (Eadi), while another mode is being used. What is going on? What mode do you think it is being used? Dr. Miguel Ibarra-Estrada Eduardo Mireles-Cabodevila CCF Pulmonary and Critical Care Fellows Mohammed Megri. MD Sateesh chandra Critical Concepts IMCrit Saudi Respiratory

🧵 "What really determines tissue perfusion?" – and why most explanations get it wrong. Let’s sort out MAP, CVP, CCP, autoregulation, vasopressors, and the flow that actually reaches your organs. 👇

CVP trace. Amy thoughts without any other information?

— So, your grampa's lungs are severely injured, we're not achieving our targets with the ventilator and it seems we'll have to connect him to an ECMO machine. – OMG, that sounds dangerous! Are there any other options? – Well...

1️⃣ We can remove fluid at rates up to 12 mL/kg/h and blood pressure often holds. That limit isn’t arbitrary – it comes from dialysis data showing steep rises in hypotension and mortality above it. It marks the upper boundary of how fast plasma can be refilled from the

Among patients with high-grade stenosis without recent symptoms, the addition of stenting led to a lower risk of a composite of perioperative stroke or death or ipsilateral stroke within 4 years than intensive medical management alone. Carotid endarterectomy did not lead to a