HP

Crit Care fellow @UAlberta_ICU, here to serve. She/her.

[Ross Prager @ross_prager]

(1/7) We previously proposed a 4 quadrant approach to phenotyping shock based on stroke volume and markers of venous congestion. Check out our study of hypoperfused ED patients that helps support this paradigm. A 🧵

TLDR:❌Low preload does NOT mean fluid responsive!

https://t.co/IBP1LIvn8o

#medtwiter #meded #foamed #foamcc #pocus #echofirst #sepsis

[HP @HeatherPerryNL]

Closing off an awesome N-ACES conference with these future intensivists and forever colleagues. What a crew of impressive & inspiring women. @CritCareSociety

[HP @HeatherPerryNL]

When your ICU attending rescues your dog for you ❤️❤️ THIS is why I’m in Edmonton 😭 @UAlberta_ICU

[Darren Markland @drdagly]

July is a tough time for medical residents. They often find themselves in new hospitals, in new cities, often half way across the country from where they started their training. The upheaval can be disorienting for them, and is certainly rough on the dogs who love them.

[HP @HeatherPerryNL]

@JohnJeddore His perfect lil FACE 😭

[HP @HeatherPerryNL]

Sooo excited to be joining this vibrant CCM community!

[UAlberta Crit Care @UAlberta_ICU]

Wishing a warm welcome to our 2023 incoming trainees @HeatherPerryNL, @jaygorman85, @ZahraaHabeeb, Josh Butcher and Evan Wiens

[HP @HeatherPerryNL]

Love!

[Jamie Galen @DrGalenMD]

Inflate a glove to teach the anatomy of how the parasternal long axis establishes the plane of the apical 4 chamber #cardiacpocus:
1) show the plane of the PLAX

[Nabeela Syed @NabeelaforIL]

My name is Nabeela Syed. I’m a 23-year old Muslim, Indian-American woman. We just flipped a Republican-held suburban district.

And in January, I’ll be the youngest member of the Illinois General Assembly.

[HP @HeatherPerryNL]

Love this

[Cliff Reid @cliffreid]

Over the last couple of decades my colleagues and I have analysed HUNDREDS of resuscitation cases and here are the THREE things you need to master to save more lives

[Dan Kim @dan___kim]

Great 5-point summary from @CMAJ about the safety of pressors through peripheral IVs.
#sepsis
https://t.co/AYRLEQ3uJg

[Eric Topol @EricTopol]

The involvement of endothelium, the lining of blood vessels, is an important underpinning of #LongCovid's pathophysiology. An impressive review paper @jclinicalinvest
https://t.co/TYLx2ZsZZF

[Mathilde Gaudreau-Simard @MathildeGSimard]

Excited to share our work on IM POCUS rotations in Canada @IM_POCUS @katiewiskar @ElaineKi @WalshMH @shanearish @08JDub88 @msattin4 @zain_burhani Jeffrey Yu Adam Lam
https://t.co/hdSvN92n4m
(Please note that my correct affiliation is '1' only @GIMOttawa)

[Nida Qadir, MD @NidaQadirMD]

Text exchange b/w me and my fellow a while back after a very challenging pheresis catheter placement in a patient w/ acute leukemia & WBC of 350K.

➡️ Where’s the tip?
➡️ Do you use the catheter?

Comment below - I’ll post the answer tomorrow! #MedEd #MedTwitter

[Josh Farkas MD 💊 @PulmCrit]

Hot take on dual diuretic therapy for decongestion of heart failure (ADVOR trial)

🔥furosemide monotherapy is an amateurish strategy for decongestion (esp if this already failed as an outpatient)

🔥adding acetazolamide improves natriuresis & efficacy

https://t.co/ir1hCZWXwO

[Prague ICU_Michal Pazdernik @PragueICU]

#ADVOR trial: acetazolamide added to intravenous loop diuretics decreases congestion within 3 days in patients with acute decompensated #heartfailure.

#ESCCongress

[Alyssa Louis @TheAlyssaLouis]

This blog is great, and I refer to the asynchrony section frequently - definitely worth a look pre-exam, its the best resource I've come across on the topic https://t.co/Qc5T1R4o6W

[HP @HeatherPerryNL]

LVOT obstruction 😍
more common than one thinks?

[Cliff Reid @cliffreid]

Last night we had a case that demonstrates an extremely important cause of shock that many ED clinicians know little or nothing about

1/

[Josh Farkas MD 💊 @PulmCrit]

new shortages of IV lorazepam & diazepam 😬

if you’re not allready using phenobarbital for alcohol withdrawal, now is a good time to learn 🍺

conserve IV benzos for situations where they’re truly needed (eg status epilepticus) ⚡️

https://t.co/F7sBRfwteO

[Josh Farkas MD 💊 @PulmCrit]

neurologists intensivists

🤝

nobody should die
without steroids

[Dr. Glaucomflecken @DGlaucomflecken]

4th hour of internal medicine rounds

[Elliot Tapper @ebtapper]

Addressing low potassium is part of supportive care for hepatic encephalopathy
🧵
#cirrhosis
#livertwitter