Alistair Murray

Emergency Physician with an unhealthy interest in critical care ultrasound & echo , motorcycling, #FOAMed and making beer (not all at once)

[Alistair Murray @sononerd]

@KangarooBeach No “printable” words

[Alistair Murray @sononerd]

@EAFischer @NephroP @askpocus Appears to be hydro point but difficult to be certain on small screen

[Alistair Murray @sononerd]

@DrNickB_ObAnaes Use the wrapping that the syringe that will be used to draw up the drug to wrap the tip of the vial. That way, when glass breaks it is in wrapper, not fingers

[Alistair Murray @sononerd]

@TheSGEM @First10EM @OrthopodReg @RugbyMD @SAEMonline @AcademicEmerMed Personal experience over professional practice. Entonox sucks. “Just relax” is THE most useless phrase and liable to trigger unfavorable response. No case identical. Modify to suit each case

[Alistair Murray @sononerd]

@amit_pawa It will take a change to infection control guidelines/ regulations in Australia. HLD required (based on poor evidence IMHO). Similar guidelines in UK/Ireland

[Alistair Murray @sononerd]

@grahamwalker @ResaELewiss As a doctor working in Aus l, I would be interested in what process efficiencies and support staff you love and find helpful

[Alistair Murray @sononerd]

@kyliebaker888 @jrobi09 @Wilkinsonjonny I’ve seen it on a Venue in SA. The key remains on a good B mode image. Fundamentals first. I guess demos remain a challenge to arrange in the current climate

[Alistair Murray @sononerd]

A very nice, concise description of some regional analgesia options

[Dr Amit Pawa💉🎙️ @amit_pawa]

Links
1. Interscalene
https://t.co/hVM6Oz2d6C
2.Axillary
https://t.co/B8Nj4YI4H6
3.ESP
https://t.co/SyAO9NnwQ6
4.Rectus Sheath
https://t.co/uBq3uEsrDA
5.Femoral
https://t.co/1R3Ij1Zv1R
6.Adductor Canal
https://t.co/oiVdHK3C0C
7.Popliteal
https://t.co/hy79V0Fh60

[Trinity College Dublin @tcddublin]

We were saddened to hear of the passing of Prof John Harbison, Ireland's first State forensic pathologist with over 30 years of service. Prof Harbison graduated from @tcddublin in medicine in 1960 and lectured in medical jurisprudence for many years with us. #RIP

[Alistair Murray @sononerd]

Remember - heart failure is about more than the EF.

[Sanjiv J. Shah, MD @HFpEF]

#HFpEF pearl of the day: Evaluation of motion of the interventricular septum can be helpful to determine etiology/pathophys in HFpEF pts. Case: 58 yo man w/SOB, ascites, 2+ LE edema. EF 50%. Initially referred to hepatology for poss. liver failure. What did liver biopsy show?

[Laura Sanchis @lsanchisruiz]

Lucky day for Dr. @rafaja14 . Look what he found. #echofirst

[Omid Kiamanesh, MD, FRCPC @OKiamanesh]

⚡️EFFUSIVE-CONSTRICTIVE PERICARDITIS ⚡️
** MONTHLY ILLUSTRATIVE CASE **

A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness (half-marathon time increased by 30 m).

https://t.co/jb7mmERNN1

w/ @BadiwalaMD @MakLab_
Consent given.

👌

[TPA @thepocusatlas]

We have an awesome library of colorized anatomy! Great for lectures and demos, especially when in-person teaching is not an option! Check out these echo images and more at https://t.co/tU7r9DDYu0. #FOAMed #FOAMus #POCUS #MedEd #ultrasound #MedTwitter

[Alistair Murray @sononerd]

@NephroP Generally would suggest to consider gravity. Fluid induced B lines tend to be more pronounced at bases with effusions. Apical lung assessment ok for sliding screen but inadequate for lung exam

[Alistair Murray @sononerd]

@NephroP @cianmcdermott All Sonosite machines automatically focus to the middle of the screen. This is usually ok but means that I do not like them for lung scanning.

[Alistair Murray @sononerd]

@drevanyates @Pocus101 @NephroP @RJonesSonoEM @RubbleEM You can see features of liver disease both clinically and on u/s that takes closer to ascites. May see clot or the organ injured but beyond EFAST. Harder when drunks fall over and have both

[Alistair Murray @sononerd]

@DogICUma You might be able to come visit us in South Australia when you get to zero. 🙂. We have had almost no new cases in weeks. Borders closed

[Alistair Murray @sononerd]

Excellent overview of why a limitedDVT exam gives limited answers in a potentially life threatening disease.

[Robert Jones, DO @RJonesSonoEM]

Pt-Bilat LE pain/swelling 5 days.Prior hx of unprovoked DVT/PE years ago but off meds due to insurance. See thread. POCUS DVT #POCUS #IMPOCUS #FOAMed #FOAMus #MedEd #FOAMcc @ACEP_EUS @medpedshosp @cianmcdermott @jminardi21 @grepmeded @siddharth_dugar @msiuba @NephroP @SonoStache

[Alistair Murray @sononerd]

@richardbody @NIHR_NCL_MIC Networked images may be preferable but far away in many systems, therefore not generalizable. Use lung u/s as enhanced clinical exam in interim. Still far outstrips CXR for sensitivities, poorer specificities. If include clinical findings you can include u/s