Top Tweets for #FellowBootCamp
Starting cath lab fellowship? @MortonKern shares practical advice on prep, pacing, and professionalism for interventional trainees. Find a link to his discussion with @DrJayMohan
📄https://t.co/PDtJRr4HAu
#FellowBootCamp #CathLab #Cardiology #MedEd #InterventionalCardiology
#Fellowbootcamp- Vascular Access!
My goals in the Cath lab for a first year:
🛑Safety
🟢Access
😎Getting the RCA
In the first couple of months of your training focus on these important concepts. Understand both #RadialFirst and #SafeFemoral ..ultrasound and micro puncture!
Keys to access
🔑 Don’t get frustrated
🔑 Understand the anatomy and how to troubleshoot location of vessel
🔑 Don’t rush!
🔑 Don’t be ashamed to ask for help/give up the needle
Equipment needed
⭐️ Use a 21G (micro puncture) needle for any access.
⭐️ 21G needle works with an 0.018 wire. Can consider micro wire, nitrex, or platinum plus among others
⭐️ 6F sheath usually used (sheath size is by inner diameter vs guide is outer)
hemostasis
As a fellow spend at least the first month not only learning access but also HEMOSTASIS
Put the radial hemostasis band on yourself. Understand patent hemostasis!
Pull the groin sheath yourself. Realize why closure devices don’t always work!
all the vascular pros out there (#IC #Vascular, #IRAD) share any advice in regards to access to the residents/fellows out there stepping into the endovascular world
#FellowBootCamp #Cardiotwitter #Cardiology
For the fellows! #FellowBootCamp!
Yes yes yes, trigger #EchoFirst peeps 😂 but that doesn’t mean never do LV gram! Gives more data/ useful in a pinch.
🔑 RAO 30 Projection (MC)
🔑 LAO for septum/lateral wall
🔑 Power injection (I like 10:3)
🔑 PIG tail always. Never end hole
#Cardiotwitter #Cardiology #July
New fellows have started! We started with our #Fellowbootcamp this week with
basics into cath lab, floors, and echo!
The real fun starts next week! Buckle up!
#FellowBootcamp Sinus Rhythm and #EKGs
I teach every fellow/resident to take the time to read each of their patients EKGs. It is the only way you will get any better. Stick to the pattern:
RATE
RHYTHM
AXIS
A common mistake is claiming “sinus rhythm is a P before every QRS.” Don’t do this! Know why it’s called sinus and where to look for upright P waves! Upright in I, II and inverted in AVR= SINUS!
#CardioTwitter #Cardiology
19/ hope you enjoyed this #Tweetorial! To all the new fellows out there take your time and learn the basics. Cardiology can be a whirlwind, but if you develop a solid foundation you will fly!
#Cardiology #Cardiotwitter #FellowBootCamp
9/ last my favorite view! SPIDER! LAO CAUDAL.
This view shows the left main bifurcation. It’s a great view to start wiring to help you see where the Lcx and LAD are!
#Cardiology #Cardiotwitter #FellowBootCamp
6/ then I hit RAO cranial (30/30)
Great view to lay out the LAD with the septal/diagonal bifurcation
#Cardiology #Cardiotwitter #FellowBootCamp
5/ I like to start with RAO/Caudal (usually 20/20).
🎥 Shows me the:
➡️left main, prox LAD/Lcx, and many of the OM branches
#CathLab #FellowBootCamp #Cardiotwitter
3/ 🔑 to anatomy! Learn the simple tricks
��️ Side branches of the LAD= Diagonals (D) and Septals
⭐️ Side branches of the Lcx= Obtuse Marginals (OM)
⭐️ Side Branches of the RCA= Acute Marginals
#Cardiotwitter #Fellowbootcamp #cardiology
🔑 to success
It’s not going to come easy! It’s all about repartition and practice! Learn a good pattern to follow!
Use the RCIS techs to your benefit! They know more than you right now! Focus on the basics!
#CathLab @RadialFirstBot @BotPci #Cardiotwitter #FellowBootCamp
Great time speaking with @MortonKern and @CathLabDigest about the new fellow experience in the cath lab! Check the video out!
Kern and Mohan: Our Top Tips for a New Fellow Starting in the Cath Lab
#Cardiotwitter #FellowBootCamp
https://t.co/LskWQr8Kp0
Kern and Mohan: Top Tips for a New Fellow Starting in the Cath Lab
@MortonKern talks with @DrJayMohan, who created and tweets at #FellowBootCamp, and is on Instagram at https://t.co/HSCJyKdlDM
Watch/listen/read:
https://t.co/YHYJ5cEXHU
#cardiotwitter #Medtwitter @InvasiveCardiol
For my #EchoBoards and #FellowBootCamp peeps out there! Good luck! You will kill it! Go with your gut and don’t second guess yourselves!
Here’s a quick review of a commonly tested topic- Constrictive Pericarditis
#EchoFirst @EchofirstB @ASE360 #Cardiotwitter #Cardiology @JasonGKaplanMD @pagingdr_rao @VYelamanchiliMD
#FellowBootCamp
A common request from ID/Neuro/Med is a TEE for endocarditis rule out. It’s an entity you have to familiarize yourself with.
Here’s a quick review of the common players:
🦠MCC of native valve= STAPH AUREUS
🦠MCC of subacute= STREP VIRIDANS
🦠Bad Teeth= ALPHA HEMOLYTIC STREP (viridans, mutans)
🦠Prosthetic- STAPH EPIDERMIDIS
#Cardiology #Cardiotwitter
#FellowBootcamp Sinus Rhythm and #EKGs
I teach every fellow/resident to take the time to read each of their patients EKGs. It is the only way you will get any better. Stick to the pattern:
RATE
RHYTHM
AXIS
A common mistake is claiming “sinus rhythm is a P before every QRS.” Don’t do this! Know why it’s called sinus and where to look for upright P waves! Upright in I, II and inverted in AVR= SINUS!
#CardioTwitter #Cardiology
Thank you @Ryan_S_DSouzaMD for this thread! Learning a whole new field can be intimidating.
#Pain #Medicine #FellowBootCamp
Good luck to fellows starting their #pain #fellowship!
Here are some tips in this thread 🧵
Hope you find this helpful. At the end, do what works best for you!
@SMoeschlerMD @nasir418 @MayoAnesRes @NANSRFS @ASRA_Society @MayoPMRRes @MayoPainMed @KohanLynn @TrentDEmerick
For the fellows! #FellowBootCamp!
Yes yes yes, trigger #EchoFirst peeps 😂 but that doesn’t mean never do LV gram! Gives more data/ useful in a pinch.
🔑 RAO 30 Projection (MC)
🔑 LAO for septum/lateral wall
🔑 Power injection (I like 10:3)
🔑 PIG tail always. Never end hole
#Cardiotwitter #Cardiology #July
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