Waleed Sneij

Micah 6:8

[Waleed Sneij @kastlegacy]

@PulmCrit @IM_Crit_ should DL be taught?

[Waleed Sneij @kastlegacy]

@ThinkingCC @franciscojlk @marceloramalho Maybe this can enter the realm of US techs who can learn the nuances, similar to echo techs? I'll do the POCUS at bedside, and order a "formal lung US" to get the marginal details or to obtain confirmation of my findings

[Waleed Sneij @kastlegacy]

@AnastasiaMCD BTI?

[Waleed Sneij @kastlegacy]

@nickmmark @PulmCrit Good point about POC EEG monitoring. But how about the data that succinylcholine is dangerous in status? What is that based on? (This is coming from a person who uses roc almost exclusively)

[Waleed Sneij @kastlegacy]

@PulmCrit @nickmmark What's your data about hyperkalemia and status epilepticus / eclampsia? Roccuronium reversal is often not available, and EEG monitoring setup takes a lot of time no matter where you are.

[Waleed Sneij @kastlegacy]

@BiogentsAG New version of the BG-Protector?

[Waleed Sneij @kastlegacy]

@budfraziershat @ThinkingCC what's the big deal about this block?

[Waleed Sneij @kastlegacy]

@KernalGobz @ross_prager @NTFabiano @katiewiskar @NephroP @ThinkingCC @ArgaizR @kwadwo777 @KwadCast Interesting you broke it up into segements of 4 hrs pre and post. I've come to learn (from experience) that 4hrs (minimum) is the magic cutoff in terms of being able to function on your shift.

[Waleed Sneij @kastlegacy]

@ross_prager anaphylactic shock as ddx under narrow pulse pressure?

[Waleed Sneij @kastlegacy]

@IM_Crit_ Going by this algorithm, if no sustained CO2 waveform, you'd reintubate the cadaver (despite proper placement), sounds like? To me your (excellent) post reinforces the point that an important ddx to non-sustained CO2 capnography should include non-circulation or cardiac arrest.

[Waleed Sneij @kastlegacy]

@EM_RESUS Great line- though I don't think we should call them "blind" lines. They are landmark based.

[Waleed Sneij @kastlegacy]

@WApplefeld @IM_Crit_ Nice breakdown. But with the calculated fick being so high, sounds like no r->l shunt?

[Ross Prager @ross_prager]

Ten cognitive check points (general rules or heuristics to help guide my practice) I use in the ICU to help make sure I don't get too far off track. A thread🧵👇

1/10: Shock with a narrow pulse pressure (<30mmHg) needs an urgent #POCUS (or echo) to identify occult RV/LV failure, obstructive shock, or severe hypovolemia.

#medtwitter #foamed #echofirst #pocus #MedEd #medicine #FOAMcc

[Waleed Sneij @kastlegacy]

@ShahrourWalid @ranjithramamd Good questions. Probably can be a routine question put in writing for any man who gets deployed during war or even prior to such. Whether he consents to this in the event of death. Can be extended to other high risk professions, perhaps even further.

[Waleed Sneij @kastlegacy]

@IOHK_Charles Charles I think you should try out this amazing pizza joint!! Cardano's Pizza and Wings, in Syracuse, NY :D

[Intensive Care Medicine @yourICM]

💉 Vancomycin + pip–tazo associated with ⬆️risk of creatinine-defined #AKI in critically ill: pseudotoxicity?? No changes in alternative kidney function biomarkers, nor downstream clinical outcomes associated with true AKI.
#FOAMcc
📎 https://t.co/xMJSZGA7mL
⬇️ Visual Abstract

[Waleed Sneij @kastlegacy]

@gregoryeholt @VISN8LPOP Happy Birthday!!!

[Society of Mechanical Ventilation @OfVentilation]

Can you alter the Mechanical Power in Volume Controlled Ventilation without changing the TV and RR?

[Waleed Sneij @kastlegacy]

@HalohempUSA @JacksonHealth It's just a tweet. 🤦‍♂️