im 小可爱

Nothing just try to be positive

[im 小可爱 @tkadewo]

✂️Hot Korean msbreewc huge tits girl-girl shows click now
https://t.co/HQ8PsWK1mG
#巨乳肥臀 #中出 #白虎 #反差 #BBW💧🌟🙄

[im 小可爱 @tkadewo]

礼貌 愤青 综艺 @grok

[CardiovascularCorner @TrackYourHeart]

Mastering M-Mode in the PLAX View
This annotated image breaks down how M-mode reflects real-time motion of the heart through three key planes in the parasternal long axis (PLAX) view:

1️⃣ Aortic Valve (AV) M-mode:
▶️ Captures movement of RCC and NCC across the aortic root.
▶️ Systole = AV opens (valve leaflets move apart)
▶️ Diastole = AV closes (leaflets come together)
▶️ Useful for assessing AV motion symmetry, cusp separation, and aortic root dimensions.
2️⃣ Mitral Valve (MV) M-mode:
⬜ Shows anterior and posterior leaflets opening/closing through the cardiac cycle.
⬜ E and A waves represent early diastolic filling and atrial contraction.
⬜ EPSS (E-point septal separation): Increased distance suggests LV systolic dysfunction.
⬜ Abnormal patterns can indicate mitral stenosis, regurgitation, or LV dysfunction.
3️⃣ Left Ventricle (LV) M-mode:
🟦 Measures LV internal diameters at end-diastole (EDD) and end-systole (ESD).
🟦 Also shows septal and posterior wall motion.
🟦 Enables calculation of ejection fraction and wall motion abnormalities.

An excellent visual reference by Dr. BE Bulwer.

[Critical Care Reviews @CritCareReviews]

Venous excess ultrasound: A mini-review and practical guide for its application in critically ill patients

CCR Journal Watch - tracking the critical care literature daily
https://t.co/Sp06oA6IDG

[Buitengebieden @buitengebieden]

His first day on the job.. 👊

[无羁😎 @heijix86]

GI Siriraj 2025 💗 ถ้ามองไม่เห็นให้ open in browser นะครับ
https://t.co/KbvzOxCVnR

[Fluid Academy @Fluid_Academy]

💧 Fluid Management in Cardiogenic Shock 🔬

Cardiogenic shock is a life-threatening medical condition where the heart fails to pump enough blood to meet the metabolic demands of tissues. Managing fluids in patients with cardiogenic shock can be challenging, as even small volumes of intravenous fluids can lead to worsening symptoms. Classification of subtypes of cardiogenic shock can aid in determining the underlying pathophysiology and initial management approach.

🔹 Fluid Management of Left-Ventricular Failure

Cardiogenic shock may arise de novo, manifesting as acute heart failure, or it may arise on a background of chronic heart failure. Conventionally, most patients with chronic heart failure are believed to be fluid overloaded with little scope for further fluid resuscitation. They belong to Forrester subgroup IV (Fig. 15.1), have a low cardiac index, high systemic vascular resistance and would benefit from vasopressor and inotropic support. Some of these patients, especially those presenting with acute-on-chronic cardiac failure, may be volume overloaded and conversely may be better treated with diuresis. This situation is common in the ICU.

The achievement of an adequate circulating volume is a vital part of the management for most patients with chronic heart failure (Fig. 15.1). Many of these patients will be volume deficient and will therefore respond to a fluid challenge.

📊 All details on the Fluid Academy!
➡️ https://t.co/x4hPOHNAZW

Table 15.1 Important structural and functional differences between right and left ventricles

#CardiogenicShock #FluidManagement #CriticalCare #ICU #HeartFailure #Hemodynamics #MedicalEducation

[ช่างแม่ง🐰🏳️‍🌈 @psmark1821]

ใครเป็นบ้าง5555555555555555555555555555555555555

[Marina Pieri @MarinaPieri5]

Hemodynamic improvement after VV ECMO implantation is simply a ... MATTER OF FACT!

> Now we show it with DATA
> read our latest manuscript if you wanna know WHY

https://t.co/KeupT3ZFny

[NephroPOCUS @NephroP]

Transcranial #POCUS Doppler for intensivists.
🔗 https://t.co/GgOGodkdTs
#FOAMed #FOAMcc

[Jed Barash @JedBarash]

From Sweden 🇸🇪: new open access systematic review of meds assoc w cog impairment, incl opioids (incl ref to OAS)

@lunduniversity

https://t.co/YEUJ9PO0vw (🔓)

[The Heart @ZHeart11768530]

🔴Point-Of-Care Ultrasound Screening for Proximal Lower Extremity DVT⤵️

🔹Lower limb venous #anatomy for #DVT #POCUS

🔹https://t.co/tK6Jcb3BIb
#Cardiology #FOAMed #MedEd #medstudent #paramedic #Cardiology #CardioEd #medtwitter #meded

[CHEST @accpchest]

Which noninvasive bedside method to estimate central venous pressure (CVP) has the best accuracy to detect elevated CVP?

Read the full research in the December issue of CHEST® Critical Care: https://t.co/ovgg9QfLtM
#MedEd #journal_CHESTCritCare

[ช่างแม่ง🐰🏳️‍🌈 @psmark1821]

แปะไว้ค่ะ ความรู้ใหม่มาก

[Mohan Sai Gudela, DM @drmohansai]

Similar to CRASH trials,
1) INTERACT 1 - Intensive Blood Pressure Reduction in Acute Cerebral Hemorrhage (Pilot Phase study)
2) INTERACT 2 - Intensive Blood Pressure Reduction in Acute Cerebral Hemorrhage (Main Phase study)
3) INTERACT 3 - Intensive Care Bundle with Blood Pressure Reduction in Acute Cerebral Hemorrhage Trial
In INTERACT 1&2 - SBP less than 140 mm Hg was targeted within 1 hour.
In INTERACT 3 - Along with SBP target < 140 mm Hg, a bundled approach with rapid reversal of warfarin related anticoagulation, strict glucose and temperature control was tested.
All these trials led to the development of CODE ICH with a goal of reducing mortality and morbidity of patients suffering from ICH.
https://t.co/Oejt1Itp8N

[无羁😎 @heijix86]

11th ECG workshop CU ดีมากๆๆๆ คือยากมากๆแหละ แต่มีเก็บไว้ดีกว่าไม่มี อาจารย์สรุปทุกอย่างไว้ดีเยี่ยมทั้งเรื่อง bradycardia, tachycardia, STEMI and DDx สุดยอดเลย 🙏🏻
https://t.co/drLeFLjuBG

[Critical Care Reviews @CritCareReviews]

RENOVATE trial

HFNC therapy versus non-invasive positive pressure ventilation in acute respiratory failure 

Prof Israel Maia presents the results from CCR Down Under in Melbourne. 

#CCRdownunder

[แม่หมอจูดี้ シ ft.โพสไปเรื่อย @judyfortune_]

น่าจะเจอเยอะอยู่

[The Heart @ZHeart11768530]

🔴Emperic Management of Hospital-Acquired Pneumonia (HAP) in Non-Pregnant Adults🫁⤵️

🔹@PyrlsApp
#Cardiology #FOAMed #MedEd #medstudent #paramedic #Cardiology #CardioEd #medtwitter #meded #CardioTwitter #cardiotwiteros #MedX #cardiovascular #MedTwitter

[无羁😎 @heijix86]

Pronator drift แปลผลได้ 4 แบบเลย ในผู้ป่วยที่เป็น UMN lesion กล้ามเนื้อ suprinator จะอ่อนแรงมากกว่า ทำให้แขนดริฟลงแบบคว่ำแขน