korbinhaycockmd (@khaycock2) / X

korbinhaycockmd

8,782 posts

korbinhaycockmd

@khaycock2

POCUS, NBE CCE diplomat, Echo, Resuscitation, VExUS, Emergency Medicine, 🏴

Joined February 2019

korbinhaycockmd
@khaycock2
May 29, 2022
Trauma patient due to MVA. HR 50, sinus rhythm, BP 51/32 & confused. Due to hypotension & trauma, trauma team is activated prior to arrival. eFAST normal except for the image on the left. Epinephrine gtt started and HR & BP normalized. A complex situation is easy c #POCUS
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korbinhaycockmd
@khaycock2
Feb 6, 2022
1/ A patient with massive pulmonary embolism given tPA. After tPA, still severe RV dysfunction. RVOT Doppler:
korbinhaycockmd
@khaycock2
Mar 1, 2022
1/ 44 yo patient came to ED with SBP 70 mmHg, HR 150-160 atrial fib. Was s/p ablation for atrial fib 12 days ago and had sudden presyncope and palpitations. POCUS: plethoric IVC and reverse S on HV,diffuse B-lines, TRpv 35 mmHg (so sPAP about 55-60), & the following other images:
korbinhaycockmd
@khaycock2
Mar 20, 2021
Can anyone, in any situation, ever rationalize giving 24 L of fluid in 24 hours? This actually happens.
korbinhaycockmd
@khaycock2
Oct 18, 2021
1/ A case of increasing the cardiac output by manipulating the arterial elastance/afterload rather than using an inotrope:
korbinhaycockmd
@khaycock2
Jan 26, 2022
65 y/o patient. Brought in as trauma because of syncope with hypotension despite IVF by medics. eFAST is done right after arrival. While standing over the resident’s shoulder, RV is noted to be large with septal shift. Doppler of the TV and RVOT VTI is immediately done:
korbinhaycockmd
@khaycock2
Jan 2, 2024
Cardiogenic shock and how serious it is is under appreciated because often the BP is normal. A symptomatic patient with a CO only supported by tachycardia is a medical emergency. A MAP generated by CVP and SVR with a low SV and tachycardia to keep a CO just hanging in=danger.
IMCrit
@IM_Crit_
Jan 1, 2024
ICU Cheat Sheet for Management of Acute-on-Chronic Heart Failure Complicated by Cardiogenic Shock:
14K
korbinhaycockmd
@khaycock2
Aug 20, 2021
1/ TCAV as a ventilator strategy in the Emergency Department? Here’s a case: A patient with COVID intubated for hypoxemic respiratory failure. O2 sats were mid 70% on 100% CPAP prior to intubation with persistent & significant increased WOB. Here’s the CXR after intubation:
korbinhaycockmd
@khaycock2
Aug 22, 2021
1/ Massive PE patient with high clot burden and saddle embolism. RVOT VTI before milrinone/epoprostenol medneb:
korbinhaycockmd
@khaycock2
Aug 30, 2022
1/ A patient presents with encephalopathy and SOB. Edematous, cold and clammy. Initial bedside echo with SV 48 cc and CI 1.6 L/min/m2. Pre-ejection time 97 msec and total ejection time 290 msec.