patient with refractory hypoxemia? Here's what we know about proning post-COVID ARDS influx: - 16% reduction in mortality - P/F ratio not be the best indicator of when to prone - Decreased VILI - Dont stop proning right when p/f > 150 Haney Mallemat #Resusx2022

hypotensive after first pressor? Pause and ask Hickam: - Acidosis => isotonic bicarb? - Hypothyroid = > T4 + T3 - anaphylaxis => epi - adrenal insuff => roids - Ca => milk (...just Ca) - occult bleed =>☝️ - 2nd cause => RUSH exam Haney Mallemat #Resusx2022 Anand Swaminathan MD MPH 🏳️‍🌈🇺🇦

Why do we start vasopressors? you checked their blood pressure, didn't you? Check their perfusion! hypotension =/ hypoperfusion 🤯 Sara Crager Haney Mallemat #Resusx2022

It's 2022, if you aren't learning vasopressors via emojis, you're doing it wrong. #Resusx2022 Sara Crager Haney Mallemat

Huge thanks to the whole team! Richard K. Leuchter, MD David Geffen School of Medicine at UCLA Eric Esrailian UCLA_GIMHSR Department of Medicine at UCLA Health John Mafi Jake Quinton Michael Ong @AustinKilaru Ateev Mehrotra

Get ready to watch me try and figure out how to use twitter

If you aren’t using lung ultrasound in your dyspneic patients, you’re missing out on an incredibly sensitive, specific, and user friendly tool that can drastically change management. B-lines >>>> CXR + BNP (in setting of HF) Thank you Matthew Riscinti MD! Haney Mallemat #Resusx2022

Mind the microcirculation: Microcirculatory dysfunction is associated with worse patient outcomes independent of macrocirculation parameters Sara Crager Haney Mallemat #Resusx2022

Another day of being an intern = learning what you were taught in med school may be wrong. Thanks, Sara Crager for reframing how we think about shock outside the 4 main pillars. Haney Mallemat #Resusx2022

Thank you again to all who attended my talk on wall motion abnormalities in #OMI at #ResusX2022 and to Haney Mallemat and ResusX for the opportunity!

Back with some #Resusx2022 learning pearls: Not all ICP is created equal, but here are the universal first steps: - Head up - Analgesia (fentanyll drip 🙃) - Sedation (dex) - Osmotic agents - Control fevers @EvieMarcolini Haney Mallemat

Wait...did you say decompressive laparotomy for increased ICP? pubmed.ncbi.nlm.nih.gov/15514520/ @EvieMarcolini Haney Mallemat #Resusx2022