Dr. Sen makes an excellent point! mechanical ventilation in arrest is not an absolute contraindication.

Terren Trott takeaway: - Limited studies on pigs determined that RR 10 is ideal which is used in AHA guidelines. "Sounds crazy!?" to use this in a critical pt! Seems low to get to the goal: cerebral & coronary reperfusion. #resusx2022 Haney Mallemat

Epinephrine in refractory vfib? -> overactive catecholamine release -> Increased myocardial O2 demand, ischemia, and depression of VF threshold Terren Trott Haney Mallemat #Resusx2022

Refractory VF: why esmolol? Beta-1 selective & ULTRA short acting! Dosing: 500mcg/kg bolus & 0-100mcg/min gtt (consider avoiding epi?) Terren Trott #ResusX2022 #FOAMed

Echo is one of the more skilled ultrasound exams you can do. Having learnt it and now teaching it, I see the same mistakes being made over and over again. I have put together thread on beginner mistakes in echo. #tweetorial #POCUS #FUSIC #askpocus

Words of truth.

...one...zero! Thanks Parijat Sen for the poster!

And look at these superstars who will be part of our Fellowship Family next year!! The future of PCCM is bright 🤩🤩 University of Kentucky PCCM Fellowships Terren Trott UK HealthCare UK IM Residency

Jason Balangee WON the Top Rapid Fire Case Report session at CHEST this year for "outstanding original scientific presentation". Congratulations 🎉 Rock Star!!!

Phenomenal news that Kate Shrake will be joining the crew at the University of Kentucky! University of Kentucky PCCM Fellowships Parijat Sen

FINALLY! An easier way to use the Butterfly Network iQ+ for #POCUS guided procedures! OcuLine | Handheld Ultrasound Mount has created a great peripheral for your phone/probe. Watch my review here: youtu.be/nuwjOQ96Ceo #FOAMed #MedEd Arun Nagdev

Another day, another lecture meme

Curious how my Twitter #CriticalCare and #ID peeps practice… 🩸🦠Do you remove central lines, ports, tunneled lines, etc for GNR bacteremia?🦠🩸

I'm struggling with a slide. Can you help me with which one is more effective? (Also, don't judge me for teaching non-POCUS stuff thaaaaaaanks)

Is the #POCUS echo pulse check #DNR? Some studies stirred some controversy, but what if we didn’t look at the heart at all (apart from identifying reversible causes & procedural)? In this video, Terren Trott and I discuss two recent studies: youtu.be/isFJBHckiPA #FOAMed #MedEd

Congrats to ⁦Parijat Sen⁩ who successfully defended his MS in clinical and translational science from ⁦UK CCTS⁩. ⁦UK Research⁩ ⁦University of Kentucky PCCM Fellowships⁩

POCUSing the Pulse #ResusXROSC Terren Trott Haney Mallemat Replace manual pulse palpation ➡️ Femoral artery doppler Flow in the femoral artery 20cm/s = SBP >60 mmHg

In cardiac arrest, corticosteroids may help improve neurological outcomes by mitigating shock-related sequelae/complications such as inflammation and edema. #ResusXROSC Terren Trott Haney Mallemat

Eight RCTs examining 814 patients demonstrate a trend toward increased rates of ROSC but not toward good neurological outcomes. Terren Trott Haney Mallemat #ResusXROSC