Niklas Jonsson

Specialist i Akutsjukvård & i Anestesi & Intensivvård. Arbetar i PMI på KS, Solna. Kursledare för Ultraljud för hemodynamisk bedömning som hålls årligen på KS

[the EMCrit Crew @emcrit]

EMCrit 375 - Vasopressors for Early Hemorrhage? We talk about the debate over whether to give vasopressors as part of a balanced resus in early exsanguination. Europeans go one way and North Americans/UK seem to have a different view. Let's discuss...
https://t.co/u29S6UhToK

[The Heart @ZHeart11768530]

🔴THOMBOLYSIS FOR PULMONARY EMBOLISM.

https://t.co/T2PyzUiwNV

[Critical Care Reviews @CritCareReviews]

Today's paper of the day is on acute dyspnea in the emergency department

https://t.co/JKgcYjlUQ5

Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2024

[Mohan Sai Gudela, DM @drmohansai]

POCUS in predicting fluid responsiveness by @cardiacACCP
POCUS is more helpful in assessing when not to give fluids than when to give. Insightful!
#WINFOCUS2023

[NephroPOCUS @NephroP]

Weekend #VExUS ology questions for experts @khaycock2 @MDBeni @WBeaubien
1. Why is the S-D relationship preserved despite TR and pulmonary hypertension? (IVC plethoric). Noted prominent A-wave (⬆️RVEDP) but still seems inconsistent with RAP and portal waveform.
2. What's the likely reason for variation in PV pulsatility fraction? (yellow trace is obtained in breath hold). Analogue of Carvallo’s sign?

[NephroPOCUS @NephroP]

Tricuspid regurgitation, right ventricular function, and renal congestion: a #cardiorenal triangle.
#POCUS #VExUS #FOAMed
🔗https://t.co/6vRsBANSeY

[Segun Olusanya (He/Him) [email protected] @iceman_ex]

Ok. Holy smokes this #winfocus2023 talk on central lin micro skills from Ola Borgquist is absolutely superb.

Check out their central line academy here

https://t.co/JRmjhfjB4c

#foamed #foamcc #pocus

[Nick Mark MD @nickmmark]

A case everyone needs to know:

A man admitted for CHF exacerbation is normoxic on ambient air. POCUS shows bilateral pleural effusions.

He develops Afib w/ RVR (HR 150s). A med is given. Suddenly he develops hypoxemia (SpO2 84% on NC, 94% on NRB).

What med & what happened?
1/

[Avraham Z. Cooper, MD 🩺 @AvrahamCooperMD]

1/THREAD
Why would adenosine, a purine nucleoside, be able to treat supraventricular tachycardias (SVT)?

And why are its effects so short lived (e.g. <2 seconds)?

The answers will change the way you think about this drug.

#tweetorial #medtwitter

[Edgar Argulian @argulian]

A patient is admitted to ICU with respiratory failure. The parasternal long axis view is shown. What is the finding?

[Journal of Brown Hospital Medicine @BrownJHM]

Hemorrhagic tamponade at autopsy #FOAMed

[Jon Barratt @EMDocJB]

Another nail in the coffin for empirical bolus based dosing strategies in OHCA.

We can (and do) place invasive monitoring/central access and use titrate dosing to a physiological endpoint using controlled infusions.

But still no mention in any guidelines!

#SPEAR

[Segun Olusanya (He/Him) [email protected] @iceman_ex]

It’s always nice when a study comes out that confirms your biases 😄

https://t.co/nnjiUGERdq

#foamed #foamcc #pocus

TLDR: curvilinear > phased array for LUS

[Matt Sztajnkrycer @NoobieMatt]

Jen Carnell on below the belt POCUS views for cardiac arrest at #MEMC23

Can guide procedures, do pulse check, diagnose DVT as a proxy for PE.

US-guided lines are both faster and with fewer complications.

Peak systolic velocity on Doppler > 20 equates to SBP > 60.

[Jakob Ratz Endler @JakobEndler]

Jag medverkar i kvällens Fråga doktorn och pratar om och visar upp ultraljud. Det är ett så fantastiskt verktyg för läkare och sjuksköterskor och används nu i en stor mängd vårdsituationer. https://t.co/PqfrqANf6D

[Segun Olusanya (He/Him) [email protected] @iceman_ex]

A consensus statement on lung ultrasound from cardiologists.

We’ve come a long way.

[Peter Sherren @PBSherren]

Still one of my favourite algorithms for assessing diastolic function during cardiac surgery. Focusing on e' and E/e' ratios only https://t.co/JVPoxkUzNK…

[Dan Kim @dan___kim]

New ocular #POCUS study in WestJEM confirms what I've always thought
Specificity is better with lower gain, whereas sensitivity improves with higher gain

"Optimal Image Gain Intensity of POCUS ... for Ocular Abnormalities in the ED" @jchristianfox 🔗https://t.co/i75BUeDFG8

[NephroPOCUS @NephroP]

#POCUS quiz:
Identify 1, 2 and 3 + what view is this?
#Nephpearls #FOAMed #MedEd

[ABCDEcografía @ABCDEcografia]

Lung condensation. Pneumonia or atelectasis ?