Jaco Swanepoel

Oral and Maxillofacial Surgeon

[Medical Notes @A25ma22]

oxygen delivery devices

[Updates in Medicine @medic_updates]

Sepsis care in 2026 isn’t about faster—it’s about smarter, individualized decisions that change outcomes.

[World of Science @Science_TechTV]

Wisdom teeth are weird 🦷😨

[JAMA @JAMA_current]

An estimated 1.1 million to 1.9 million #pediatric concussions occur annually in the US.

📊 This JAMA Rational Clinical Examination reviews the diagnostic accuracy of symptoms and signs observed in the initial evaluation of a child or adolescent who may have had a #concussion.

https://t.co/pCEhjaAoI2

[nervemed @nervemed]

Types of Hypoxia

[Oren Gottfried, MD @OGdukeneurosurg]

Neurotransmitters

[Manual Of Medicine @ManualOMedicine]

Antibiotics by Mechanism of Action

#medtwitter #foamed #usmle

[Critical Care Reviews @CritCareReviews]

Managing bleeds on anticoagulant therapy: a practical guide for clinicians

CCR Journal Watch
https://t.co/Sp06oA6IDG

[JAMA Internal Medicine @JAMAInternalMed]

📊 JAMA Clinical Guidelines Synopsis: The 2025 ACC/AHA guideline recommends home and office #BloodPressure monitoring to confirm diagnosis and titrate medications, with a target blood pressure of <130/80 mm Hg for most adults.

https://t.co/PSVJGLesbs

[Plastic and Reconstructive Surgery @prsjournal]

#Rhinoplasty remains one of the most debated—and difficult to teach—procedures in plastic surgery. In @PRSJournal, 4 senior surgeons share a practical framework for balancing preservation and structural techniques.

Read more: https://t.co/9DulraR7ju
@Dr_SamuelLin

[JAMA @JAMA_current]

📊 JAMA Clinical Guidelines Synopsis: The newly released Surviving #Sepsis Campaign guidelines from ESICM and SCCM endorse early broad-spectrum antibiotics, rapid fluid resuscitation, and deescalation strategies for adults with sepsis or septic shock.

https://t.co/AVBfkuij0j

[RunTheList @runthelistpod]

We are so lucky to have another RTL handout by Ally Scheve for "Perioperative Medicine" with links to the episode below!

iTunes: https://t.co/lSN2sjH0kA

Spotify:
https://t.co/JrIIx8f1bP

#meded #medtwitter

[Keith Siau @drkeithsiau]

Probiotics - how they differ from prebiotics and summary of their evidence based on ⁦@WorldGastroOrg⁩ guidelines.

[Mohan Sai Gudela, DM @drmohansai]

Surviving Sepsis Campaign 2026 Guidelines - Summarised
Some key thoughts got my attention
- Pre hospital antibiotics
- Code Sepsis/ Sepsis Huddle
- No empirical anaerobic or antifungal coverage in sepsis/septic shock unless at high risk for such infections
- Initiating Vasopressors through peripheral line
- Emphasis on De-resuscitation
- Arterial lines if required
- Insufficient evidence for Methylene Blue and Midodrine (gonna change for sure in the following guidelines)
- HFNC over NIV in hypoxemic respiratory failure
Do like and share if you find them useful!
#Sepsis #Septicshock #Survivingsepsiscampaign

[Intensive Care Medicine @yourICM]

JUST RELEASED!
The 2026 Update of the Surviving #Sepsis Campaign Guidlines is now online!
Permanent Free Access
Adult: https://t.co/Noup1PiXmZ
Children: https://t.co/zN6pifl8FT

[Critical Care Reviews @CritCareReviews]

Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2026

CCR Journal Watch
https://t.co/Sp06oA6IDG

[Keith Siau @drkeithsiau]

When to treat high blood pressure: Summary of the 2025 AHA/ACC hypertension guidelines 🚨

https://t.co/OeDnTBjqP5

[سامي @smahup1]

Classification of viruses

[Dr. Filippo Cademartiri @FCademartiri]

🧬🫀 Lipoprotein(a) meets Calcium Score: are we finally refining risk?

This large multicohort study tackles a clinically frustrating question:
👉 What do we do with elevated Lp(a) when risk is still uncertain?

🔍 Core idea
Lp(a) is a genetically driven, causal risk factor for ASCVD.

But in practice:
⚠️ Risk remains heterogeneous
⚠️ Treatment pathways are still evolving
⚠️ Not all patients with high Lp(a) behave the same

📊 What this study shows
Adding Coronary Artery Calcium (CAC) dramatically improves risk stratification:
✅ High Lp(a) + high CAC → clearly elevated risk
✅ High Lp(a) + CAC = 0 → surprisingly lower short-term risk

👉 In other words:
Lp(a) = potential risk
CAC = realized disease

🧠 Why this matters
We often treat Lp(a) as a binary “on/off” risk signal.

This paper reinforces a more nuanced model:
💡 Risk is not just biology (Lp(a))
💡 It’s the interaction between biology + plaque burden

⚖️ But here’s the catch

Population-level conclusions can mislead:
CAC = 0 does NOT mean “no risk”
It may simply reflect earlier disease stage
Especially relevant in younger patients with high Lp(a)

👉 Time horizon matters.

🔮 Clinical takeaway

This is where imaging becomes decisive:
✔️ Use CAC to contextualize Lp(a)
✔️ Avoid over- or under-treatment
✔️ Move toward precision prevention

🚨 Bottom line

Lp(a) tells you who might be at risk
CAC tells you who already is

The future is not choosing between them—
👉 it’s integrating both intelligently

[AbdAllah Othman @CardioBeat_]

https://t.co/nPptWFSAQK
ECG leads and coronary anatomy.
🫀 II, III, aVF → RCA
🫀 V1–V4 → LAD
🫀 I, aVL, V5–V6 → LCX
🫀 V7–V9 → RCA or LCX
Like | 📤 Share | 👥 Tag a colleague | ⏳ Save for later. 🤗
#Cardiology #ECG #EKG #STEMI #MI #HeartAttack #MedicalEducation #MedStudent