atuldom

Sekiranya anda ingat akan nama saya Doakan saya dipermudahkan urusan. ☺️

[atuldom @atuldomarang]

👍👍👍

[IMCrit @IM_Crit_]

On the flip side, adding 5 cm of PEEP can ⬇️ work of breathing by almost 40% in ventilated pts & can substantial ⬆️ cardiac output in pts w LV failure. If you've seen someone developing pulm edema right after extubation & elimination of positive intrathoracic pressures, you know!

[IMCrit @IM_Crit_]

3. Assuming the pt needs to be "weaned", what is the "starting point" that has to be satisfied? We usually talk about "minimal vent settings (MVS)”, such as FiO2≤40% & PEEP ≤8 cmH2O. Problem is that if a pt is at 6 l/m O2 at home or has a BMI of 50, the MVS may be much higher!

[IMCrit @IM_Crit_]

1. Discontinuing ventilator support is not the same as weaning this support. The former is the abrupt termination of ventilation, also known as "pulling the breathing tube". The other is the gradual reduction in the level of vent support. Not every ventilated pt needs "weaning"!

[IMCrit @IM_Crit_]

ICU Extubation Tips:

Let’s admit it. As intensivists, we will never be as good in airway management as our Anesthesia or Emergency Medicine colleagues are. They intubate many more pts than we do & some of them under very suboptimal conditions. So, we can never match their skills

[atuldom @atuldomarang]

Ya Allah
mak mana yg tak merutun hatinya
tak sanggup😭😭
tak sanggup nak bygkan anak sendiri terseksa semasa pergi.
i’ve keep reminding Yusuf that this world is so full of bad people
😭😭

[Hariz Mohd @HarizMohdWrites]

Update kes arwah Zayn Rayyan:
10.45pm 7 Dis

Terdapat kesan jerutan di leher arwah.

Polis percaya mangsa dibunuh di tempat lain sebelum diletakkan di lokasi jenazah ditemui.

Menurut pengarah JSJ Shuhaily Mohd Zain.

[atuldom @atuldomarang]

You know sometimes kita nmpk smtg tu sooo beautiful kalau kita tak terpaksa dan tak stresss

Mcm im looking at this polycystic kidney yet its so beautiful
I must’ve gone crazy i think😂😂😂

[Keith Siau @drkeithsiau]

This patient had a transplant. What’s the diagnosis?

[atuldom @atuldomarang]

First mothery syndrome kind of hand is what i calling it

[Abu Shanab @med_712]

Name of test ?

Which tendons is affected?

[Sarini Zainal @sarinizainal]

Dulu, kini & selamanya ia adalah product China. Mereka ada duit, target small countries dan mereka tahu kita mudah percaya brand luar. Letak Canada je terus semua beli, puji murah dan kutuk brand tempatan mahal.

Skrg dah faham kan?

[atuldom @atuldomarang]

@fadek_ali Huhu tp district pun kdg2 boleh lg busyyyyy lg2 kalau sorg dua je cover byk2 kawasan

[atuldom @atuldomarang]

Nak kena topup sunscreen.
Rasa mcm dah lama tak tooup brg2 mekap
Sejak raya kot
Ke masa puasa tah

Korg salu topup brg mekap berape lameee

[atuldom @atuldomarang]

Havent been scrolling twitter in a while now.
Dia mcm all news without tapisan gitu. Haha

[atuldom @atuldomarang]

Yang bestnya support team ni.
Saya tak risau ty soalan bodoh pun dlm ni. Huhu

And honestly mentor tak pernah marah buat benda pelik2
Huhu

Kalau org ty saya soalan2 yg saya mcm hmmm.
Kita ty je la mentor kita

🫶🏻thank you team

[atuldom @atuldomarang]

@effenzeck Huhu we use what we have. Thats what iron lady made of i guess😭

[William Aird @WilliamAird4]

1/10

CASE OF HOSPITAL ACQUIRED THROMBOCYTOPENIA

Check out the CBC in the graphic. This represents one time point during the hospital stay of a 62 yo man whose platelet count was normal on admission (that's all the history you get 😉).

[atuldom @atuldomarang]

I feel like twitter is being very emotional about threads stuff and start changing their logo

Mcm teenage kids that going all emo
With all X and black symbol.

I dont know an apps actually can cause so much feelings haha

[Dr G Rajesh (Gopalan Nair Rajesh). @DrRajeshG1]

Basics for Residents. This X-ray is that of a patient with long standing dyspnoea on effort. What is the likely cause?

[atuldom @atuldomarang]

@_UnderPaidPul @nawwalsofeaa @nuriyliamalek @cydxxhxxxxx Huhu tak sama. Sbb espring amway uv light dia dekat dalam filter. On 24hours untuk setiap air. Bila tukar filter, tukar sekali uv light.

Selalu bila saya cari kebanyakannya dkt muncung air je, then setiap 2 jam sterilisekan air😅😅

[atuldom @atuldomarang]

@marinadndy Ini moisturiser apa