Brandon Lee

Dedicated to sucking the marrow out of life

[Ken Milne MD @TheSGEM]

"SGEM#505: HFNO vs NIV for Acute Respiratory Failure https://t.co/4E0G90CO3n" — Ken Milne https://t.co/RZKtGuW4SJ @TheEMNerd

[Trung Phan @TrungTPhan]

Lee Kuan Yew:

“Air conditioning was a most important invention for us, perhaps one of the signal inventions of history. It changed the nature of civilization by making development possible in the tropics. Without air conditioning you can work only in the cool early-morning hours or at dusk. The first thing I did upon becoming prime minister was to install air conditioners in buildings where the civil service worked. This was key to public efficiency."

[CIKYANie @lady_bugg11]

Panasss!

Nabeel dapat maklumat dalaman… 😎

Setelah kantoi pendedahan bahawa Kolej milik 100% kerajaan negeri Kelantan (KIAS) mengiktiraf UEC…semalam pengurusan KIAS kena kerja overtime. 🤣

Pagi tadi 16 Mei jam 12.36 pagi diorang ubah dan upload dokumen baru dalam portal staf KIAS.
Kononnya ada pindaan pada tahun 2023. 😂
(Rujuk gambar)

Perubahan ini dilakukan tanpa sebarang keputusan mesyuarat dan boleh dianggap sebagai pemalsuan dokumen.
Harap Menteri KPT Zambry Abd Kadir hantar pegawai siasat kolej KIAS ini.

Boleh ubah-ubah syarat kemasukan ikut suka hati mereka rupanya....

[Heart_BMJ @Heart_BMJ]

Fluid restriction in patients with heart failure: a systematic review https://t.co/4UpOCfvyWZ

[Fahmi Hassan @Fahmibinhassan]

"This is the dark ages"

The Pitt S2E8. Cyber attack. Hospital jadi manual.

Noob. Kitorang hari hari dark ages.

😂😂😂😂

[Dr. Ish (they/them) @ishsulin]

literally ever paper on this theme seems to be like this lmfao (satire) xx

[Mads @europemaxxed]

it's okay
i mean no it's not
but what the fuck can i do about it

[malaysiakini.com @malaysiakini]

Will KLites be getting their Zohran moment?

Advocates say that mayoral elections strengthen democracy, while opponents raise concerns about governance.

Read more on malaysiakini, link in bio.

What are your thoughts on KL's mayoral polls? Comment below.

Prepared by John Ng
Reviewed by Faidzal Mohtar
Video edited by John Ng

[Science Magazine @ScienceExpand]

Physics

[Rory Spiegel @TheEMNerd]

I wrote something. These are my stories. I imagine many of you have your own. My hope is this valid representation of the weight we carry.

[IMCrit @IM_Crit_]

It took me a while to get to this. @EMNerd_ is eloquently packing and presenting to us some of his experiences in medicine. Highly recommended!

PS: I am also an 11-blade scalpel type of guy but recently decided to add a 10-blade...

[Brandon Lee @OhMyBrandon]

@OocTobeyM Marry

[Krishna @22KK_krish]

They really don’t like their own kind? 👀

[KucingKerongKuantan @KlutzyKucing]

Muahahahaha...

https://t.co/x6MXX4kWtl

[TheLiverDoc™ @theliverdoc]

Gentle reminder to all medical students and medicine graduates and non-medical people. Binge watch this. Took me back to a terrible time which made me what I am today... one which I really want to forget, but cant.

[Brandon Lee @OhMyBrandon]

Not answering your calling is a real insult to yourself

[Dr sthanu subramanian @drsthanus]

Anatomy of the endotracheal tube...

https://t.co/A5wjlzAdu8

[NephroPOCUS @NephroP]

Nice graphic on #hemodialysis and peritoneal dialysis.
#FOAMed #MedEd #Nephrology
From 🔗JAMA 2024;332;(18):1559-1573. doi:10.1001/jama.2024.16338

[POCUS Focused @1POCUSFocused]

🫀 VExUS isn't just diagnostic - it guides treatment.

Here's how.

Most physicians use VExUS as a one-time snapshot. But here's what 5+ years of clinical experience has taught me: VExUS is your real-time decongestion roadmap.

The Problem: Traditional markers (weight, BUN/Cr, clinical exam) lag behind actual volume status changes by hours to days.

The Solution: Serial VExUS monitoring during decongestion therapy.
What to expect:

✅ Grade 3 → Grade 2: Usually within 24-48 hours of effective diuresis
✅ Grade 2 → Grade 1: May take 48-72 hours, signals safe intensification
✅ Grade 1 → Grade 0: The sweet spot - optimal volume status achieved

Clinical Pearl: If VExUS score isn't improving after 48 hours of diuresis, reassess your strategy. The venous system doesn't lie.

Red Flag: Worsening VExUS despite diuretics? Consider cardiorenal syndrome or inadequate decongestion.

This dynamic monitoring approach - not just the technique - is what separates novice from expert VExUS users.

Comprehensive decongestion strategies covered in our VExUS POCUS course. Learn more here: https://t.co/yvJoLzrUbI

#VExUS #POCUS #Decongestion #CardiorenaI #ClinicalDecisionMaking #MedicalEducation
@‌ArgaizR @‌RJonesSonoEM

[Dr sthanu subramanian @drsthanus]

Pulmonary embolism signs...

https://t.co/9nEVuFHNSJ