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Ever wondered what determines the hemodynamic impact of tricuspid regurgitation? What is the impact of RegVol/RegFr on RA V waves and on stroke volume? What the impact of RA compliance on RA V waves? Can we safely use indirect Fick in tricuspid regurgitation? Circ: Heart Failure 🧵👇

Pls give Vimal Bhardwaj a follow if you are into ventilator and hemodynamics analysis! ping Matt Siuba Ashley Miller Kshitij Chatterjee korbinhaycockmd Eduardo Mireles-Cabodevila

Took an X hiatus but back & will post POCUS cases, can't miss diagnoses, etc. 1st clip-Aorta POCUS. ??? #POCUS #ultrasound #MedTwitter #medicalstudent 🩺 Hari (హరి 🇮🇳) Kalagara Cristin Mount, MD Eduardo R Argaiz NephroPOCUS Matt Siuba Joseph Minardi TPA IMCrit ACEP Ultrasound Sam Ghali, M.D. POCUS Med Ed

Case of the week. Posts can also be found at pocusfocused.com #POCUS #IMPOCUS #MedTwitter #Medicalstudent #MedicalEducation 🩺 Hari (హరి 🇮🇳) Kalagara Cristin Mount, MD NephroPOCUS Eduardo R Argaiz Matt Siuba POCUS Med Ed ACEP Ultrasound Joseph Minardi IMCrit IM POCUS Focus POCUS Journal Tom Jelic MH/CCF/CWRU Emergency Medicine Residency

🧵 Lymphangions: The Hidden Pump Protecting You From Oedema 1️⃣ What if I told you that you have hundreds of tiny hearts quietly pumping litres of fluid every day? They’re called lymphangions—segments of your lymphatic system that actively contract to return interstitial fluid to

🧵 Starling’s Law: Misunderstood, Misapplied, and Still Misleading 1 🚨 “Starling’s Law explains how the heart increases cardiac output.” You’ve probably heard this a thousand times. But it’s wrong. Or at least - very incomplete. Let’s fix it. Because this matters - for heart

Yet another crazy statistic: Israel has murdered more doctors, nurses, and EMS workers than all the victims on October 7th combined.

8 days left to submit ANDROMEDA-SHOCK-2 to a major journal. A long journey by a fantastic academic research organization grounded on friendship with 78 centers in 18 countries worldwide. Sure it will be a breakthrough for personalizing septic shock resuscitation! 1500 pts.

Septic shock on Levo develops ⬆️HR⬇️BP. Diagnosis/tx? #POCUS #MedTwitter #EchoFirst NephroPOCUS Eduardo R Argaiz 🩺 Hari (హరి 🇮🇳) Kalagara Matt Siuba Siddharth Dugar MD FCCM,FCCM,FASE Philippe Rola korbinhaycockmd Katie Wiskar Pulmonary-POCUS IMCrit Ross Prager 𝙲𝚒𝚊𝚗𝙼𝚌𝙳𝚎𝚛𝚖𝚘𝚝𝚝 ABCDEcografía EchoTech Tom Jelic Cristin Mount, MD

Pulmonary-POCUS A flat IVC is not an indication for IVF

Using multimodal diuresis has been one of the biggest changes to my practice in the past 2 years. Decongesting patients and their edema gets better WITHOUT lab abnormalities? Too good to be true? Join us July 21st, 2025 at 1pm EST for a webinar with Frederik H. Verbrugge and Eduardo R Argaiz

Sharing: The equation of motion: a brief guide to ventilator adjustment academic.oup.com/ehjacc/article… CCF Pulmonary and Critical Care Fellows UC Riverside Critical Care Medicine Matt Siuba AARC SCCMRespiratory SCCMohio Carlos L. Alviar MD, FACC Dr. Miguel Ibarra-Estrada Ariel J Garnero Sameed M Jordi Bañeras

#VExUS classic! (HV Doppler- CVP waveform comparison) #POCUS #FOAMed #Nephpearls

51-year-old woman with a history of rheumatoid arthritis. Progressive dyspnea in the last 4 years. I need help with hepatic venous flow pattern. #echofirst

1/ Shock is complex. But our tools are often simplistic. This paper proposes a new model: 🩸 Four circulatory interfaces that must stay coupled to maintain perfusion. Uncouple any one — and shock worsens. #Shock #MedX #FOAMcc Here’s the framework. 🔗 doi.org/10.3390/jpm150…

Do you use a cardiac output (CO) monitor in patients with septic shock? This - just published - study is for you:

Cardiac output monitors in septic shock: do they deliver what matters? A systematic review and meta-analysis CCR Journal Watch - tracking the critical care literature daily criticalcarereviews.com/latest-evidenc…