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Philippe Rola
@ThinkingCC
#zentensivist, EMCrit Teammate, Proud daddy and husband. BJJ🟪. ICU Santa Cabrini Hospital.
- Replying to @LeeMcdellCovid vaccine doesn’t prevent infection. No one claimed it would. It diminishes severity and saved/saves countless lives. I work at the edge of the cliff. Saw no one die of vax injury. Not one. What I saw? Sooo many covid deaths.
- Been teaching this for years. Never use a radial for marked hemodynamic instability. Fem/brach/ax.Replying to @JohsEnevoldsen @Jopo_dr and @load_dependentLow one is the radial arterial line and high one is the femoral. Patient was on huge doses of pressors which we rapidly titrated down!
- Best hemodynamic monitoring for inter-hospital transport? This is it for me. @ResusTEEproject, @FTeranMD @khaycock2 @msiuba @Thind888 @load_dependent @iceman_ex
00:00 - Essentially Magder’s curve of the RV here (blue line), but flip the axes
Replying to @icmteaching10/ Curve shifts ≠ flow changes The cardiac curve can shift up or down with changes in contractility, HR, or impedance — but that doesn’t mean the heart sets flow. Cardiac output depends on where the circulation meets the curve — the operating point — usually on the vertical - Anyone ever seen the pneumo part of a hydropneumothorax happening live? track the bubbles! Clip courtesy of Dr. Ian Ajmo of Santa Cabrini Hospital fame! #POCUS
00:00 - It really is mostly the western world, because this has provided a political spark with which to gain power. Tapping into the too-common selfishness in the current western culture has a huge political and financial payoff in the short term.
- Wow this is some carefully crafted, strategic garbage. How do these ppl sleep at night? @farid__jalali @Andy_Ekins @lisa_iannattone @RougeMatisse @GenDallaire
