Nel (Dr Unicorn)

General surgery Resident, ENFP, 🦄, black cat mom AKA puma mom. (Today's oak tree is yesterday's nut that held its ground).⚜

[ميد | MED💉🎓 @Medical_MD1]

Head-tilt & chin-lift ✨

Is the procedure to prevent tongue obstruction and to open up the the upper airway 🫁

Look at this MRI, look at how effective this procedure is! 🧐

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[Internal Medicine @pgMedicine]

Horner's syndrome (Oculo-sympathetic paresis)
causes & features of
Horner's syndrome
Explained
In our visual guide here 👇

https://t.co/SNBsRyVKx2

[Surgical Clinics @SurgicalClinics]

The latest #Thoracic #Surgery Clinics #Podcast is up! Editors @jonyeung and Elena Elimova discuss articles from their Nov 2022 issue on #Esophageal #Cancer with Consulting Editor @vlitle. Podcast: https://t.co/xgmzGv1woj Articles: https://t.co/fjoS9ymZu7

[Blake Elens @blakeelens]

@travisakers *people today discovering light refraction*

“oH mY gOd StOp WiTh ThE gAy AgEnDa!!”

[ICU OnePager @OnePagerICU]

This week will be sharing #ICUOnePagers about #shock!

First, an approach to shock. Is it cardiogenic, obstructive, hypovolemic, or distributive?

This OnePager covers #physiology & how to integrate #POCUS, 🩺exam, & 🩸hemodynamics in your assessment.

https://t.co/Bz61cW6fut

[ICU OnePager @OnePagerICU]

Today's Shock themed OnePager is a duo on hemorrhagic shock.

What blood products should you give & what is the fastest line to infuse them? These #OnePagers cover all the details. (Hint: don't try to use a PICC for resuscitation; you'll be disappointed)

https://t.co/U43uqsm5P2

[ICU OnePager @OnePagerICU]

Today's Shock #ICUOnePager is about #vasopressors!

This covers:
What is the goal MAP?
When to give "push dose pressors"?
When is a central line required?
What can you do when pressors aren't enough? (hydroxycobalamin, methylene blue, steroids, etc)

https://t.co/DdULbqLfgW

[ICU OnePager @OnePagerICU]

Next in our shock series: Fluid responsiveness

Giving unnecessary fluid is harmful. How can we know if a bolus may be beneficial?

A comparison of the (many) methods of determining fluid responsiveness: dynamic vs static, invasive vs non-invasive, POCUS
https://t.co/OYXUePUSri

[ICU OnePager @OnePagerICU]

We use ETCO2 & SpO2 all the time as non-invasive surrogates to measure PaO2 & PaCO2.

How do these monitors work? What are the limitations & when can they give misleading results?

2 OnePagers 1️⃣📟about ETCO2 & SpO2 monitoring:
https://t.co/bliKP3KmA0
https://t.co/iFghhlXyqN

[ICU OnePager @OnePagerICU]

Abdominal compartment syndrome is serious but can be an easy to miss diagnosis.

This #ICUOnePager (in collab w/ @MRamzyDO) covers the physiology of abdominal pressure, how to measure bladder pressure, & how to treat abdominal compartment syndrome.
https://t.co/YD4FWLmteS

[ICU OnePager @OnePagerICU]

Interpreting acid/base physiology can be tricky. Here's the 4 step #ICUOnePager approach, including some useful mnemonics for
🟠metabolic alkalosis --> BLVD PLACE
🔵non-AG metabolic acidosis --> RAGES
🟣anion gap metabolic acidosis --> GOLDMARKeT

https://t.co/Ff7U5w9x5m

[ICU OnePager @OnePagerICU]

Overview of continuous renal replacement therapy:
⬛ Modes: CVVH, CVVHDF, etc?
🟥Qb
🟦Qd
🟨dialysate
🟩replacement
🟧anticoagulant
⬜ dialyzer

This OnePager is great intro for people learning about how CRRT works & what the settings mean. #FOAM

https://t.co/FHkeLHfIRy

[Nick Mark MD @nickmmark]

@jpsitesMD @thecurbsiders Thanks! It was loads of fun to make that episode @Askins_Razor @DoctorWatto @PaulNWilliamz

You might also like the related @OnePagerICU OnePagers on 🔵hypoxia/hypoxemia https://t.co/mzJIrn2J6v

🟣pulse oximetry https://t.co/kVWZ97mU4k

🟢oxygen delivery
https://t.co/uG0RCZlkOS

[ICU OnePager @OnePagerICU]

Capnography/End-tidal CO2 monitoring is an important tool for monitoring physiology & improving safety.

This #ICUOnePager reviews:
🔘types of capnographs
🔘physiology of ETCO2 vs PaCO2
🔘when to use capnography
🔘capnograph waveforms & their significance
https://t.co/iFghhlXyqN

[ICU OnePager @OnePagerICU]

Today's ICU #OnePager is about a topic we should consider in every person every day: #ICUnutrition!

When to start feeds? Which formula? At what goal?

Also busts some persistent ICU myths: there are no magic disease specific feeds & residuals don't matter (so don't check 'em)!

[Code Blue Memes @codebluememes]

[me charting]
patient did not lose consiousness
consiusness
consciusness

denies LOC

[RedCiruAndes @CiruAndes2]

Step by step of transversus abdominis release technique described by Dr @NovitskyYuri
🪢🔪🥊🧤🌎 ⤵️🔝! #SoMe4Surgery @SWexner @pferrada1 @juliomayol @almagoch @MISIRG1 @DrThawaba @topknife @docmartin22 @NeilFlochMD @sminaev2015 @PipeCabreraV

[Helen Zille @helenzille]

This was a power crisis in 1947. Little did we know....

[RedCiruAndes @CiruAndes2]

Schematic drawing of endoscopic component separation technique and transversus abdominis release
🪢🔪🥊🧤🌎 ⤵️🔝! #SoMe4Surgery @SWexner @pferrada1 @juliomayol @almagoch @MISIRG1 @DrThawaba @topknife @docmartin22 @NeilFlochMD @sminaev2015 @PipeCabreraV