Memoona

Anaesthesiologist, strong pocus proponent and aspiring to master US guided blocks

[Memoona @TimidMemoona]

@simplify_drugs Hydroxychloroquin

[Memoona @TimidMemoona]

@TrackYourHeart A

[Memoona @TimidMemoona]

@openanesthesia Continue with the case after asking the mother to elaborate more. . Sometimes this kind of breathing pattern is common in newborns and is benign.

[Oren Gottfried, MD @OGdukeneurosurg]

How did this 44-year-old live eight years with this in his lung without any complaints?

[Simplify Rx 📱 @simplify_drugs]

Screenshot from Classify Rx 📱 https://t.co/CUswIphilT

[Jose Maria Palacin @jpalacinp]

Ya sabíamos que la #LUS es más precoz en la detección de neumonia por #Covid19, pero ahora hemos dado evidencia en que también es más rentable(coste efectiva)
https://t.co/LtU5FvlrSG
@NephroP @JMMR83 @ABCDEcografia @PierpaDiNick @dmiguelmolina @EcosemfyC @ecoapcat @grecocap

[Irina Akhmedova @Irina67790690]

Mitral Valve Prolapse.
16 y.o.

#echofirst
Images are inverted

[Dr. Andreas Roeschl @ecgandrhythmRoe]

Nice one! 65 yo woman with chest pain. What`s your take?

[Amal Mattu @amalmattu]

This patient is having midsternal chest pain...what's your honest diagnosis? #FOAMed

[Diego Segura-Rodríguez @SeguraCardio]

📌Redefining #obesity: beyond body mass index

#EHJ @escardio

[Sam Ghali, M.D. @EM_RESUS]

Answer:

[Giovanni Landoni, MD @giovannilandoni]

just a reminder that 1y cardiac mortality is significantly higher when using TIVA in cardiac surgery
40 of 2,668 [1.5%] vs 23 of 2,685 [0.9%] p = 0.03

link to the evidence
https://t.co/6T6mWGdDSm

[Sam Ghali, M.D. @EM_RESUS]

Here's a video I made breaking down this incredible case of a 60-year-old man who presented to the ER with a muffled voice, difficulty breathing, and coughing up blood

#FOAMed

[Oren Gottfried, MD @OGdukeneurosurg]

Artery Vs Vein

[Memoona @TimidMemoona]

@TheResusRoom @LeechCaroline @robfenwick @heli_med_james @zollemsfire Any online attending option for South Asia participants...?

[TheResusRoom @TheResusRoom]

Fancy joining us in London on 2nd October this year?

Free Roadside to Resus Live Event, courtesy of Zoll!

Apply for your free tickets via the link below 👇🏻
https://t.co/lL3cPcwubC

[armyemdoc @armyemdoc]

This is really fascinating since we often think of ketamine as being hemodynamically neutral, however, ketamine itself is a direct myocardial depressant. This is usually offset by the adrenaline release it stimulates.

-Overall, when compared to etomidate, there was a strong trend towards ketamine being associated with peri-intubation hypotension (OR 1.38, 0.99-1.94)
-Among prehospital studies there was a similar albeit pretty weak trend (1.76, 0.72-4.33)
-Among RCTs only another pretty weak trend (OR 1.43, 0.37-5.49)

However, it's worth noting a few things:
-The number of RCT's is relatively low on the topic. The RSI trial, which is underway now, will probably give us a much better answer.
-A lot of this was observational data, and based on other subanalyses it appears that this is much more pronounced among patients with pre-existing signs of hemodynamic instability (probably catecholamine depleted) before induction and less so among those without pre-existing hemodynamic instability.

I will continue to reach for ketamine for RSI, pending the results of the RSI trial.

https://t.co/fcK0EEdoOv

#emergency #emergencymedicine #criticalcare #icu #airway #science #data #research #army #armymedicine #armyemdoc #ems #ambulance #prehospital #medx #medtwitter

[The Heart @ZHeart11768530]

🔴Heart Failure With Improved Ejection Fraction: Definitions, Epidemiology, and Management⤵️ State-of-the-Art #2025Review @JACCJournals

🔹https://t.co/IijsAQ3eN8
#Cardiology #FOAMed #MedEd #medstudent #paramedic #Cardiology #CardioEd #medtwitter #meded

[MuvennKannan @MuvennK]

Chest pain at 9.
Arrived to our center 11.30
First Troponin negative.
Eventually go into cardiogenic shock.

[Dr sthanu subramanian @drsthanus]

https://t.co/nIcxTqhWvM

https://t.co/ni81UX3c2M