And that's a wrap! Pleasure as always! CHEST

Refresher on the use of iv albumin:

I’ve been a relationship counsellor for three years now, and here are 15 wholesome traits I’ve noticed amongst successful couples. It gets better as you slide.

Rapid atrial fibrillation is common in the ICU. How do you decide whether Afib is driving hypotension or simply an innocent bystander? A 🧵 (1/x)

...🧵This is a thread about 8.4% sodium bicarbonate (aka bicarb amp) in critical care. This the first part in a series of three about sodium bicarbonate 🧂in critical care: 🧐I will get in deep to complexities, benefits, risks and clinical implications of this (overused) drug.

🎬 2nd chapter ...🧵This a thread about 1.3% sodium bicarbonate🧂 (aka isotonic bicarb drip) in critical care. ☝🏻 If you missed the first part about 8.4% bicarb, I would strongly recommend you to read it before moving on 🏃🏻. x.com/jackdeliuc/sta…

The highest I have ever seen ! #echofirst #CardioTwitter Dr G Rajesh (Gopalan Nair Rajesh) Ritu Thamman MD Edgar Argulian Alexander Mladenow MD Benoy Shah MD Dr Jason Dungu PhD FRCP FESC Tuğba Kemaloğlu Öz, A/Prof Batman-Echo Dr.Patricia Pellikka

Congratulations to Dr. Amy Fraser and the POCUS_CERC team on the introduction of the DIVOT protocol in the latest POCUS Journal! This innovative approach uses Doppler to visualize and avoid intercostal arteries prior to thoracentesis—advancing procedural safety. IU Pulmonary and Critical Care Fellowship

ICU #Airways Secrets: This is a must-know skill if you use hyperangulated VL blade: if the bevel of the endotracheal tube (ETT) hits the anterior tracheal wall/rings, rotate the ETT to the right. This will overcome the obstruction and the ETT can be easily advanced

🧵 Rheumatology Emergencies You Should Never Miss! Rheum isn’t slow and benign always. Some cases need ICU, not OPD. Here are the top life-threatening rheumatologic emergencies clinicians must recognize early 👇 #MedTwitter #Rheumatology #ICUMedicine Dr Ihab Suliman Dr. Akhil 🇮🇳

(1/x) Alright, given the amount of 'passionate' disagreement people have had with this post, let me give my more nuanced approach👇

🔴 Erythema Nodosum – Most common panniculitis ✔️ Painful red nodules (usually shins) 🧬 Triggered by strep, TB, IBD, sarcoid, OCPs 🔍 Clinical diagnosis ± biopsy 💊 NSAIDs, steroids if needed 📉 Resolves in weeks 📌 Infographic👇 #DermRheum #Rheumatology #MedTwitter

🧵 CRP vs Procalcitonin – Inflammation vs Infection? Both rise in systemic illness. But they don’t speak the same language. Let’s break down when to use CRP, when to trust Procalcitonin—and when both lie. 👇 Dr Ihab Suliman Dr. Akhil 🇮🇳 Janet Pope the EMCrit Crew Dr Andrew Suleh MD