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Ventriculoarterial coupling (#VAC) determines the harms and benefits of hemodynamic therapies.
VAC describes cardiac efficiency, and offers a complementary perspective to CO, MAP and tissue perfusion.
Let’s try to understand it🧵
#FOAMcc#FOAMed#MedTwitter#CardioTwitter
@MStott88 There are several uses:
1 - makes the diagnosis, gets consult / transfer started. Exam not always a slam dunk
2 - allows cognitive offload
3 - dx recurrent obstruction w benign exam and labs, avoid inferior KUB or n+1 CT
POCUS happens quickly during hx
1,2,3 improve pt flow
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@ThinkingCC@imgrund@petrosoniak Well said. The original thread is a thoughtful analysis that reflects experiences shared w many colleagues in EM.
It deserves a thoughtful reply.
Have to wonder about conflicts of interest - both financial and in perpetuating attention.
@ResaELewiss @EmteeUs@FMaeWestMD@A_Lex_00 I think TEE in arrest will be standard in academic EDs in US/Can within the next decade. Uptake in community will be slower for the usual reasons + you need 2 people - one to run code, one for TEE.
Don’t know enough about EMS w doc on board model to know if it makes sense.
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#POCUS for Temporal Arteritis!?!? It's true!
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Elderly male presents with right sided headache and blurry vision. He had tenderness with light palpation on the right temporal area. His story is concerning for Temporal Arteritis. labs are drawn. Could #POCUS clinch diagnosis?