Gowrii Ganesan

Aka Sasu l MD via @WCMQatar I EM Fellow I Interested in EMS 🚑 / tox ☠️ / teaching 🍎I Professional paperwork-er and fun fact-er |

[SaltyEM @SaltyEMNY]

I am not aware of any studies of this, nor any studies of the components
Would just a heel drop work? I doubt it.
Would a flat beverage work?
How often is this successful?
Does the zofran help?
I don't know any of these things.
But maybe one of you residents can do a study.

[Lea Alhilali, MD @teachplaygrub]

You will never know how much work this reel took!!

I think if I had known how hard it was when I started, I wouldn’t have started at all 😂

Scrolling through a brain MRI is like driving down the road. There are signposts & check marks along the way.

These are some of the anatomic landmarks I check as I scroll through a brain MRI

These help you to orient yourself to the anatomy and help you to remember to look for pathology in small places.

Of course, these are not all the landmarks—it’s just a start.

I want to show more signposts that I stop by when reading a brain MRI—so follow along—I think all the extra work will be worth it!!

[Josh Guttman @drjgutt]

1/ Wild cardiac arrest with #POCUS playing a major role

An elderly male was sent from the nursing home in cardiac arrest. Per the prehospital report that we got, the patient was in vfib and refractory to 5 defib attempts. The patient got amio as well as several doses of epi.

[Historic Vids @historyinmemes]

A Thread of the work of Japanese artist Lito, known otherwise by his moniker Lito Leaf🧵

[Richard Ferraro @RichardAFerraro]

Such an excellent review of ECG findings in occlusion MI in @AnnalsofEM

A lot of value in reading and collaborating with our colleagues in other departments. Recommend reading!

https://t.co/731rLgyXKG

[Katie Wiskar @katiewiskar]

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Time for another #POCUS pitfalls thread 🧵: the infamous IVC 🤩

I have MANY thoughts on the IVC 💭

When I first started teaching POCUS, I actually disliked the IVC because it was often poorly done or incorrectly interpreted ❌

I have now come to love the IVC, BUT you have to do it right!

#tweetorial

[Katie Wiskar @katiewiskar]

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Back to the basics today: let's talk about common pitfalls in obtaining cardiac #POCUS images ❤️

Here are some very common image acquisition errors in basic views, as well as the simple moves to correct them ✅

🧵

[Ben Steiner @BenSteiner00]

I’ve seen a lot of the Toronto running community, but this guy wins.

[Michelle Kittleson MD PhD @MKIttlesonMD]

A heart transplant patient came to clinic: a thriving medical miracle. He stopped himself in the middle of describing some minor aches and pains and said, "Irritation is the luxury of a healthy person."

Now adopted as one of #kittlesonrules.

[Dr Luis Felipe Cabrera Vargas MD FACS @PipeCabreraV]

The loop technique to fix a drain: how to do it! @SWexner @pferrada1 @Cirbosque @TomVargheseJr @rbarbosa91 @sminaev2015

[Sam Ghali, M.D. @EM_RESUS]

What’s something LIFE-SAVING from your specialty that everyone should know?

[Claire Snyman @clairehsnyman]

"Never-words are conversation stoppers". This is an excellent article, probing the use of language and its impact on patients, families & caregivers.

[Dr. Mia 🇬🇷 @Miazolam]

I literally have the coolest job in the world…in what other field could you make someone’s heart start beating again, deliver a baby, put in a chest tube, perform an LP, reduce a dislocation, do a thoracotomy, put in a transvenous pacemaker…I could go on…ALL IN ONE DAY?!?!

[IMCrit @IM_Crit_]

Follow-up on my post a few days ago regarding the application of APRV in the management of a severely hypoxic, morbidly obese patient

This fairly recent review from legends in our field presents strategies to optimize mechanical ventilation in ICU patients with obesity

[Cliff Reid @cliffreid]

Today during two critical care intubations I saw an experienced airway practitioner struggle and a much less experienced one get a perfect view. It was 100% due to position so I’m posting this again. View in first case became grade 1 when I insisted on more head elevation

[Avraham Z. Cooper, MD 🩺 @AvrahamCooperMD]

This is the greatest explanation of the Epley maneuver I’ve ever seen 🤯

🎥 IG thedizzypt_amy #medtwitter

[James Lucas @JamesLucasIT]

The beauty of wildlife - a thread 🧵

1. Dick Van Duijn captured the exact moment a squirrel stopped to smell a flower

[Ron Barbosa MD FACS @rbarbosa91]

Finally, as a trauma surgeon, I have to point out one of my favorite teaching points: The flow rate of a 16 G IV is **twice** that of an 18 G IV.

So the difference between those two IV's may not sound much at first, but it makes a big difference for major resuscitations.
⬛️

[Toby Ord @tobyordoxford]

The James Webb Space Telescope has started capturing images of galaxies so far away that they are causally disconnected from the Earth — nothing done here or there could ever interact. 🧵
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