1/🧵
In the early days of fellowship, I remember checking our SAH patients’ transcranial dopplers (TCD), scanning the Vmeans & if they were ~<70 cm/sec throughout thinking:
“Great. Perfect. TCDs globally low. Nothing to worry about here!”
Right?
A #tweetorial on TCDs
Adrenocortical gene expression: any relationship with clinical outcomes/response to steroids in septic shock?
➡️no evidence of association with 90/28-day mortality
➡️variation in gene expression may be mechanism for heterogeneity of treatment response https://t.co/NWxOxsQR1X
Swan-Ganz catheters can provide valuable diagnostic information as well as guide management.
However, the sheer amount of data can sometimes be 🤯
“VERSION 2.0” of my RHC infographic for @CardioNerds Academy!
Scan QR code for references https://t.co/gqOJKN5Axt
#CardioTwitter
1/
1st week of NeuroICU fellowship. A #tweetorial summary:
1⃣ Pt in DI. Give anti-diuretic hormone (ADH), call it “pit drip”
2⃣Pt in distributive shock. Give ADH, call it “vaso”
3⃣Pt on ASA needs EVD. Give ADH (sort of), call it “DDAVP”
4⃣ Fellow postcall & confused, give….