Rishi Kumar, MD | RK.MD

Cardiac Anesthesiologist · CVICU Intensivist · iOS App Developer ( · #POCUS/TEE · #FOAMed · Techie ·

[Rishi Kumar, MD | RK.MD @rishikumarmd]

Made this free perioperative/ICU reference sheet a while ago. Click the link to download/share! Hopefully many of you all find it helpful! https://t.co/VjNW1LyezQ #foamed #criticalcare #anesthesia #icu

[Rishi Kumar, MD | RK.MD @rishikumarmd]

@YangGuMD Right here! 🏎️

[Rishi Kumar, MD | RK.MD @rishikumarmd]

@MariaSheikhMD @KalagaraHari @Siva6faces @dr_melissabyrne @shaskinsMD @JanBoublikMDPhD Haven’t upgraded from the iQ+. Been playing more with 3D TTE! ☺️

[Rishi Kumar, MD | RK.MD @rishikumarmd]

@MSharifpourMD Could not agree more.

[Rishi Kumar, MD | RK.MD @rishikumarmd]

@trpender @waronbae1992 @SCCM_Anesth @SCCM This.

[Rishi Kumar, MD | RK.MD @rishikumarmd]

@trpender Why not both? 😃

[Rishi Kumar, MD | RK.MD @rishikumarmd]

@HoosierPocus @NephroP @ross_prager @IUPCCM Love the same view to look at PA catheters from an IJ/subclavian approach. You see the distal port... and then the catheter about 40 cm back... in the same view! 🤓

[Rishi Kumar, MD | RK.MD @rishikumarmd]

@thau_matturgist How many calories are burned being stuck in a Jones elevator for an hour? 😃

[Rishi Kumar, MD | RK.MD @rishikumarmd]

Pulm. velocity accel time (PVAT) estimates the severity of PA pressure elevation when TR jets are difficult to analyze. PVAT = time from flow onset to peak velocity. PWD at the PV in this PSAX #TTE shows a PVAT ~ 150 ms (normal is > 130 ms). #echofirst #medtwitter

[Rishi Kumar, MD | RK.MD @rishikumarmd]

@KimanthiGicovi Appreciate the kind words! It’s been something I’ve been working on since my fellowship days.

[Rishi Kumar, MD | RK.MD @rishikumarmd]

One last update for my free EchoTools iOS app before 2024! As always, I appreciate your continued support for this project! https://t.co/P8EkFzisAG #pocus #ultrasound #medtwitter

[Rishi Kumar, MD | RK.MD @rishikumarmd]

Happy New Year to all! #MedTwitter, what things do you all do at the beginning of every year? Here are a few things I do:
- Subscription renewals
- Backdoor Roth IRA contribution
- Look for competitive rates on utilities

[Rishi Kumar, MD | RK.MD @rishikumarmd]

@reverendofdoubt Really appreciate your support, man! Happy NYE!

[Rishi Kumar, MD | RK.MD @rishikumarmd]

@trpender A future intensivist?! 🤞

[Rishi Kumar, MD | RK.MD @rishikumarmd]

@McGovernPulmCC @ABIMcert @MariaAzhar73 @galka9198 @orianasalamo @bilalzafar2002 @McGovernMed @UTHealthHouston @accpchest @atscommunity @APCCMPD @lilitdoc @sfaiz212 @thau_matturgist @mkwarn @ScottEvansMD @akkanti @LaraBashoura @DiwakarB1988 @ajaysheshadri @sujith_cherian So proud of you all!!

[Rishi Kumar, MD | RK.MD @rishikumarmd]

@MSharifpourMD @pacman8it @tmnaseem @armin_kiankhooy @CedarsCTSurgery This is amazing! 😂

[Rishi Kumar, MD | RK.MD @rishikumarmd]

The transhepatic (TH) IVC view (phased array in RUQUS, tilt beam cranio-posteriorly, pan around). Poor agreement in measurements b/w TH and SC IVC views, and outside of extremes, IVC measurements don't guide my clinical practice in the CVICU. #echofirst #medtwitter #pocus

[Rishi Kumar, MD | RK.MD @rishikumarmd]

@YangGuMD I love showing this to my CV anesthesia fellows!

[Rishi Kumar, MD | RK.MD @rishikumarmd]

@docpav11 Excellent point - my caption length was too long to explain that this was during a thoracentesis (about a liter had already been removed) with some residual effusion (in the video) still present.

[Rishi Kumar, MD | RK.MD @rishikumarmd]

Lung #POCUS with air bronchograms (yellow arrows) - patent airways amid consolidated lung tissue signaling atelectasis, PNA, etc. Dynamic bronchograms move with respiration while static suggest trapped air (RLL atelectasis seen here caused by a pleural effusion) #medtwitter #ICU

[Rishi Kumar, MD | RK.MD @rishikumarmd]

Cause we're spreading holiday cheer with... mortality benefits! #MedTwitter

[Rishi Kumar, MD | RK.MD @rishikumarmd]

@dickandtinasson I expect humility and work ethic from trainees. If they’re willing to work hard, I’m motivated to teach. If they rather be doing something else, they can go home. Hard to graduate when you haven’t completed required rotations. Fortunately, haven’t had this issue.

[Rishi Kumar, MD | RK.MD @rishikumarmd]

Academic attendings who constantly complain about their trainees' weaknesses should spend less time ridiculing and more time actually teaching/mentoring. We were ALL in their shoes at one point. Take pride in nurturing your trainees' success! #medtwitter