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1/🧵 Ivermectin & Masks: A #COVID doctor’s opinion… It’s not political. This is medical. I’m a dad to 3 daughters w a brother who has Down syndrome. I validate parents who want kids to play freely in school & interact w/out a mask as if times were normal. But they aren’t…
Cardiac arrest-> asystole or v fib? Watch the case youtu.be/LyRphJQwmd4 #POCUS #FOAMed
If you want ivermectin because of the science that says it works, oh boy pull up a chair and lemme talk about this other thing we have called vaccines.
Need to improve your ultrasound guided IV skills? Click the link for an in-depth how-to video reviewing the skill from start to finish. #POCUS youtu.be/jziY0amDCrg
Patient transferred in for specialist, who doesn't think there is a drainable collection. Location: dorsal digit between MCP and PIP. Water bath for the win. Subsequent I&D with purulence. #POCUS
1/4 Arrives with chief complaint of dyspnea, vitals with profound tachycardia and tachypnea. Pericardial or pleural? #POCUS
Sudden onset flank pain. When it feels like his previous kidney stone, but it’s not. “January 2021 US Case” by @IUEM_ultrasound on #Vimeo vimeo.com/503226104?ref=…
COVID Lung ultrasound?? vimeo.com/406021531 #FOAMed #POCUS #POCUSforCOVID
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Vimeo
April 2020 US Case
Check out our November Ultrasound Case of the Month. vimeo.com/374558361 #FOAMed #FOAMus #POCUS
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Vimeo
November 2019 US Case
Something big is happening at IUEM Ultrasound. Come see the monumental change. eusfellowships.com/program-extra/… #POCUS #FOAMus #Ultrasound
Sometimes you get lucky ... what's gonna happen the next time? Especially if you don't know how lucky you were! The more redundancy the better! Devil and God are in the details. Late suction, soiled obscured VL optics, too close, but great rapid styletted tube delivery. Worked!
Echo Superior to Manual Pulse Check in CA: 1. Pseudo-PEA = Pressors/Inotropes to improve CPP 2. PEA = CPR to improve CPP #FOAMed
Lactate elevation doesn't = Sepsis Sepsis doesn't = lactate elevation That is all
D-dimer can rule out PE in patients taking #apixaban or #rivaroxaban just fine. Neither of these drugs affects fibrinolysis.
In this study of 76 pts with normotensive PE, TAPSE predicted mortality better than RV:LV ratio. ncbi.nlm.nih.gov/pubmed/27695491 #FOAMed #FOAMus
Otherwise healthy patients should not be treated. Oseltamivir evidence is weak, and is probably of low (zero) value in outpatient settings.
Most "anti-flu" meds have to be started within the first 3 days of sxs. #NIVW2016
Everything I know goes against a finding of a prevalence of PE being 20% in undiff syncope. Interpret with caution. nejm.org/doi/full/10.10…
THIS IS HOW ELM IMPROVES LARYNGOSCOPY. IT ALSO KEEPS THE LARYNX FIXED TO ALLOW INTUBATION.@@airwaycam @jducanto @airwayGladiator @mmalito
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