Jedd Hart

@drsthanus I’d add some furosemide if that can be tolerated, to remove more K if you’re not going for dialysis. And drop the insulin dose to 5U in CKD patients - lower risk of hypoglycemia, same amount of K shift

Nice! Emergency Treatment of hyperkalaemia sciencedirect.com

(1/x) How did I get into #pocus and research? It starts (like most good stories) in an overheated medical tent at Pemberton Music Festival listening to Snoop Dog. A 🧵

@Edbuggie Go into politics and push the NHI?

How doth one motivate a junior Dr who within three years of meeting them,unemployment is a reality. How do I pique their interest in discipline that will spit them out?Do I get them Locum ready? Teach em perseverance? Have the immigration talk? 🥺

Interesting/scary image! #POCUS #FOAMed #FOAMcc Courtesy: doi 10.1093/eurheartj/ehac807

@FNBSA trying to get hold of international banking but the 27113713711 doesn’t work. Either the voice prompts don’t register when typing a number, or the phone doesn’t get answered. Had the annoying “on hold” song playing for 30 minutes tonight without anyone answering. Help?

Image of the day! #POCUS #FOAMed #FOAMcc 🔗 pubmed.ncbi.nlm.nih.gov/36045842/

@drlaragoldstein Only if you hold your hand on the traditional gun shape?

I was today years old when I learnt that “going in for the kill” is a euphemism for performing a rectal examination.

Cardiac #POCUS parameters in the assessment of pulmonary hypertension #FOAMed #Nephpearls Click 'ALT' for abbreviations Courtesy: 2022 ESC/ERS pulm HTN Guidelines

The Computer and Overreading Cardiologist call this completely normal. Is it? hqmeded-ecg.blogspot.com/2024/09/the-co…

Dang. @Edbuggie you were right. I’ll use PC more often… 😜

Pressure control + spontaneous ventilation vs volume assist-control ventilation in #ARDS, 🇫🇷 RCT 🔎PC-SV vs ACV, similar Vt/PEEP PC mode set to encourage spontaneous ventilation ⬇️ need for sedation/adjunctive therapies for hypoxemia but not ⬇️ mortality 🔓bit.ly/3TAfFI6

@DrMarcusK That it is! Might struggle to ventilate via a endocavitary probe though, even if it’s ultrasound confirmed to be sitting at the glottis

@HartJedd Well technically the ultrasound is extraglottic….

Which extraglottic device is the best?

Fabulous video and case report showing an intubation technique using hyperangulated video laryngoscopy and a DuCanto suction catheter preloaded with a bougie onlinelibrary.wiley.com/doi/full/10.10… @JACEPOpen @jducanto

@ButterflyNetInc if I purchased the iq3 in the states would it work when I move back to NZ?

@Edbuggie @chriscraigCCC Does that mean that the world of the ED would be classed as a “galaxy far far away”? (Where no one wants to visit)

@chriscraigCCC Add Emperor/Chancellor Supreme - Professor. This is the way

Pretty upset we didn’t go with: Youngling- med student Padawan - FY1-3 Jedi knight- CT1-2 Jedi master - ST 3-8 Grand Master - Consultant Can’t win’em all 😔

Another deadly triage ECG missed, and the waiting patient leaves before being seen. What is this nearly pathognomonic ECG? hqmeded-ecg.blogspot.com/2024/06/anothe…

79 year old gentleman presents with a few days' history of shortness of breath on exertion. T1RF on ABG. Team felt x-ray showed some haziness at the left base - treated with IV antibiotics and fluids. Debate about whether to get a CTPA in view of significant O2 requirement. (2/5)

@Dr_Leo_SA Congrats dude!

European Diploma of Intensive Care in the bag. 😀 🎉 🙌🏻 #EDIC

@Edbuggie @walinjom @threadreaderapp Tis a good list. I almost miss all the TB effusions…

@walinjom @threadreaderapp unroll

Causes of Pericardial effusion= Infectious: Viral: coxsackie A and B viruses, HIV (seen in 5-43% of HIV patients),  hepatitis viruses, parvovirus B19 Bacterial: Mycobacterium (tuberculosis), gram positive cocci (Streptococcus, Staphylococcus), Mycoplasma, Neisseria (meningitides, gonorrhea), Coxiella burnetii. Tuberculosis is the leading cause of pericardial effusion in the developing world, with the mortality rate ranging from 17 to 40%. Fungal: Histoplasma, Candida Protozoal: Echinococcus, Trichinosis, Toxoplasma Cardiac injury syndromes: Heart surgery (postpericardiotomy syndrome), post-myocardial infarction (Dressler's syndrome), coronary interventions such as drug eluting stents. Post-cardiac surgery pericardial effusions contribute to 54% of total effusions in the pediatric population. Cardiac inflammation: idiopathic pericarditis is the most common inflammatory cause of pericardial effusion in the United States.[8][9] Autoimmune: lupus, rheumatoid arthritis, Sjögren syndrome, scleroderma, Dressler's syndrome, sarcoidosis Drug hypersensitivity/ side effects: Chemotherapy drugs (doxorubicin and cyclophosphamide), Minoxidil Others: kidney failure, uremia Non-InflammatoryEdit Neoplastic: pericardial effusions may present as primary manifestations of underlying malignancy. Primary tumor: the most common primary pericardial tumor is mesothelioma. Various imaging appearances such as solid and cystic components could be encountered on CT scan on those with mesothelioma. Other less common primary tumors are sarcoma, lymphoma, and primitive neuroectodermal tumour. Secondary cancers: that have spread to the pericardium such as breast and lung cancer. Pericardial irregular thickening and/or nodularity, focal, or diffuse FDG uptake on PET scan and lack of preserved fat plane with an adjacent tumor are strongly suggestive of cancer spread from other parts of the body. Metabolic: hypothyroidism (myxedema coma), severe protein deficiency Traumatic: penetrating or blunt chest trauma, aortic dissection Reduced lymphatic drainage: congestive heart failure, nephrotic syndrome