Critical Care and Emergency Medicine Attending, CT Surgery intensive care. Interests: echo, cardiogenic shock, mechanical circulatory support, rock climbing.
UW Medicine’s ECMO programs at Harborview &
UWMC Montlake have launched a new ECMO Transport Team.
This means we can now bring our team to the bedside at any hospital within Washington (more states to come soon).
Referring providers can find info here: https://t.co/Qfb4SkPtIq
Meet this month's YPS-AAEM Fellowship Spotlight, Dr. @RobertWhitford! He joined YPS-AAEM to network and find mentorship in career development. As an EM physician, he is capable of providing care to any patient, regardless of age or complaints, and in austere environments.
Here’s another pulmonary physiology question that *everyone* who gives O2 to patients ought to know:
What is the primary mechanism by which supplemental oxygen can increase PaCO2 in someone with severe COPD?
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(1/10) Pericardial tamponade is a clinical diagnosis supported by #echo (2D + quantitative). A 🧵of 10 confirmed tamponade cases (by drainage!) starting with obvious and ending with subtle ones that you could easily miss.. some PEARLS along the way 👇#medtwitter#foamed
#resusTEE post cardiac surgery for worsening hypotension and shock. 🫀What's the can't miss finding here (its not an easy one! - see next for poll and final post for answer!) A 🧵 #echofirst#medtwitter
#CriticalCareQuiz
A 75-year-old man has urosepsis; no prior history. BP 95/52, HR 124, lactate 6. TTE shows EF 75%. VTI is 60 cm from pulsed wave Doppler. LVOT diameter is 2 cm, which yields CO 23.4 L/min. MV CW Doppler is also shown. Why is CO so high?
#SCCMSoMe
@loganwalsh@NoLimit_91@sonostolz@blonde_doctr@harty_shaun @mingespg With TEE keeping the view is easy. It’s practically cheating. Generally the mid-esoph long axis gives the best evaluation of effectiveness of compressions. The transgastric RV outflow view gives best image to evaluate for doppler evidence of PE which I think has great promise.
Just in case it got buried in the thread, check out this fantastic talk on echo guided resus by my friend and former co-resident @robertwhitford. Fantastic images and discussion on diastology and physiology.
#POCUS#echo#CCM
https://t.co/8wFPgdLW0v