A 🧵about the detrimental consequences of intravenous fluid therapy and the associated sodium overload 🧂 in hospitalized patients: #IFAD2023@Manu_Malbrain@Fluid_Academy
Elderly pt presenting for acute unresponsiveness preceded by a few min of sob. Apneic on arrival to ED. Intubated, put probe on chest & found what I'm calling ‘worm sign’ in the IVC + right heart strain. CT showed totally occluded MCA + bilat submassive PEs. #wormsaremean#POCUS
Really interesting medico-legal discussion on #POCUS with Prof Maclean.
You are far more likely to get sued in today’s environment for NOT using #POCUS than you are to get sued for using #POCUS and making a mistake- unpublished data from him and Huang
@avkwong @ultrasoundREL