Controversial impact for steroids in #ARDS... In this 🇰🇷 analysis 💉 dexamethasone associated w ⬇️ 30 &180-day mortality among all patients with ARDS 💉 methylprednisolone associated w ⬆️ 180-day mortality in H1N1 or #COVID19 ARDS #FOAMcc on Intensive Care Medicine 🖇️ rdcu.be/cWJms

Be cautious using #POCUS as measure of volume status: lessons learnt from #LVAD. 🖥 bit.ly/3SC2mo3 & do not miss signs of chronic disease using LV dimensions to predict FR! 🖥 bit.ly/3V10wP0 Reply 🖥 bit.ly/3V54wOj Refer to 🖥 rdcu.be/cWWXB

Overview of continuous renal replacement therapy: ⬛ Modes: CVVH, CVVHDF, etc? 🟥Qb 🟦Qd 🟨dialysate 🟩replacement 🟧anticoagulant ⬜ dialyzer This OnePager is great intro for people learning about how CRRT works & what the settings mean. #FOAM onepagericu.com/rrt

#CHEST2022 ultrasound faculty plotting and scheming our agenda for the year to come. What an impressive group of thought leaders in the field! Keith Guevarra Navitha Ramesh MD FCCP Gul Zaidi Amiksodhi Kenneth Lyn-Kew PPat Andrew Weber Ariel Shiloh Taro Minami 南　太郎

#echofirst #POCUS image of the day: what's wrong with this mitral valve? Image from an ESRD patient on #dialysis Answer and link to source: 🔗cvcasejournal.com/article/S2468-… #MedEd #Nephpearls

An 84-year-old man 👉 fever, malaise, and discoloration and pain in his fingers and toes ongoing for 2 wks 👉 no history of smoking

Glossary and definitions of terms used in mechanical ventilation journalmechanicalventilation.com/glossary-and-d…

Diagnostic approach to patients with suspected vasculitis 👉 presents several diagnostic challenges 👉Firstly, patients could present with protean clinical manifestations with a wide spectrum 👉ranging from isolated cutaneous vasculitis to multisystem involvement.

#POCUS image of the day: Swinging 🫀 🔗commons.wikimedia.org/w/index.php?cu… #MedEd #IMPOCUS #Nephrology

Focal (Partial) Seizures #medtwitter #foamed #meded #Neurology #epilepsy

1/4 Patients w:h SLE can present with a staggering array of hematologic abnormalities. Virtually no component of the blood is spared... everything is fair game: 1. Blood cells - cytopenia and cytoses 2. Hemostasis - thrombosis, TMA 3. Lymphadenopathy/splenomegaly 4. Lymphoma

Septuagenarian with cardiac arrest, bystander CPR with shock ROSC AOx3. EKG post ROSC. What’s the culprit? What’d you do? #CardioTwitter #MedStudentTwitter

A 23-year-old man presented with rapidly progressive left arm pain and erythema. His left third finger was injured during a hockey game. Overnight, the finger became increasingly painful, with erythema spreading to the wrist. What is the likely diagnosis? #Medtwitter

Predicting fluid responsiveness in #ICU to avoid administration to patients who do not need & give when needed, allowing for truly personalized treatment 💧fluids could be harmful 💧fluids could be inconstantly effective #FOAMcc free to read on Intensive Care Medicine 🖇️ rdcu.be/cYS0J

Review Article: “Immune Modulation in Sepsis, ARDS, and Covid-19 — The Road Traveled and the Road Ahead,” by Aleks Leligdowicz, Michael Harhay, and Carolyn S. Calfee, MD, MAS. eviden.cc/3gzcks0 #ARDS #CritCare #Immunotherapy Schulich WesternU Western University Penn Medicine UCSF Critical Care Medicine

This ENORMOUS coronary aneurysm looks bigger than the heart 🤯 Via carlos GrepMed #MedTwitter

🧫Friendly PSA that zosyn (while good for many things) does not penetrate the CNS. 💉Use a cephalosporin + metronidazole if you need GNR/anaerobic coverage. (State of twitter is saddening, but as long as there is the ability to do good through this platform, i will be here)

A 58-year-old woman with a new diagnosis of acute myeloid leukaemia 👉 underwent CTof the chest 👉 received 80 mL of intravenous radiocontrast medium (iohexol).

Researchers present an overview Type I interferonopathies in children in order increase the awareness and knowledge of this group of pathologies. Read and download the study in Frontiers - Pediatrics ⬇️

Watch this mind-blowing dynamic MRI and look what happens to the airway with various head and neck positions This is why basic airway maneuvers save lives! #FOAMed