Thanks! This was a blast to write with Mike Keller @megan_acho and Burton Lee! 5 signs of autopeep
1) persistent end exp flow
2) volume in ≠ volume out (flow in ≠ flow out)
3) pressure above peep during exp hold
4) ineffective triggering
5) broken tooth sign
What does this vent waveform indicate?
#FOAMed#MedEd#Criticalcare
(Illustration courtesy & answer: https://t.co/CKauRZ7zvo)
*additional clinical pearls welcome
@rishikumarmd I wonder if the consolidation is atelectasis or pneumonia. The pleural effusion doesn't seem to be abundant enough to cause atelectasis; could it be a parapneumonic effusion instead? The dynamic air bronchogram also aligns with pneumonia.Nice case, congrats and thx for sharing
(1/x) Managing conflicts with families in the ICU is crucial as they endure one of the toughest times in their lives. While there are numerous aspects to effective communication, here are 3 essential yet simple strategies to minimize family conflicts in the ICU. A 🧵
@EmergPOCUS Very good, I use it in my everyday practice. Clear, it’s not a gold standard but it helps with volume estimation when it is performed by the same operator
🩺 Aplicando la fórmula de Balik para cuantificar el volumen pleural:
🖼️ Imagen de ejemplo 👇
•Sep (Distancia Interpleural Máxima) en la imagen: 30 mm
•Fórmula: V = 20 × Sep
•Fórmula: V = 20 x 30mm = 600 ml
•Volumen estimado: 600 ml 📊
🚨Nota: Existen otras fórmulas y métodos para estimar el volumen pleural‼️.
#POCUS #MedicinaDeUrgencias
#EstimaciónPleural #EcografíaTorácica
An email from @SpringerNature with three lines yet it summarizes more than three years of planning, reading, writing, reviewing and editing. It was such an exciting journey! Can’t wait to put my hands on the print copy of our first book @LunaGargani@marcelohaertel@giovolpicelli #pocus #echofirst #MedEd
https://t.co/mJ34N7jVRs
ChatGPT: The doctor in your pocket 🤯
ChatGPT can now look at X-rays, prescriptions, or medical reports and answer any question in a matter of seconds.
Future of health talk - simple, snappy, and AI!
Fantástico video que acabamos de tomar donde se observa perfectamente el BRONCOESPASMO en un paciente con Silicososis y exacerbación severa de EPOC 🫁
Neumólogo Broncoscopista David Trejo
#UCIHGSJR#AVENTHO
60 yo Male complaining for dyspnea and fever for 4 days.
🩸 WBC 12k, CRP 220 (n.v. 0-5)
PMH: severe CMD with 20% EF, ICD carrier, COPD and chronic kidney disease.
How would you manage this monolat. effusion?*
#pocus#lungpocus#pulmonology#pulmonarymedicine