Rishi Kumar, MD | RK.MD

Made this free perioperative/ICU reference sheet a while ago. Click the link to download/share! Hopefully many of you all find it helpful! rk.md/2020/rk-periop… #foamed #criticalcare #anesthesia #icu

@YangGuMD Right here! 🏎️

So many critical care anesthesiologists are fans of F1. Something about the interaction between machines and humans.

@MariaSheikhMD @KalagaraHari @Siva6faces @dr_melissabyrne @shaskinsMD @JanBoublikMDPhD Haven’t upgraded from the iQ+. Been playing more with 3D TTE! ☺️

@MSharifpourMD Could not agree more.

My biggest advice to anesthesia residents and CCM fellows is to learn physiology. Once you learn how to apply/optimize physiology, you can take care of any patient

@trpender @waronbae1992 @SCCM_Anesth @SCCM This.

@waronbae1992 @SCCM_Anesth @SCCM That was basically the consensus. Airway experts need to be able to DL

What happens when you get a bunch of anesthesiologists in a room? We start talking about airway management… The classic “should video laryngoscopy be first line in the ICU and in the OR” debate 🫁

@trpender Why not both? 😃

“what type of fellowship are you thinking of doing” oh I don’t know, I’ll probably go on a quest with my friend Sam that eventually unites all the free peoples of middle earth against Sauron’s army in order to destroy the One Ring… either that or critical care

@HoosierPocus @NephroP @ross_prager @IUPCCM Love the same view to look at PA catheters from an IJ/subclavian approach. You see the distal port... and then the catheter about 40 cm back... in the same view! 🤓

We're zooming in on a unique view – but what exactly are we seeing? 🤔 Notice the echogenic structure inside the vessel at the 9 o'clock position. 🕘 Can you guess what it is? What 3 vessels are we seeing? @NephroP @ross_prager @IUPCCM

@thau_matturgist How many calories are burned being stuck in a Jones elevator for an hour? 😃

I’m sorry but this is the least motivating sign to climb **10 flights** of stairs imagineable

Pulm. velocity accel time (PVAT) estimates the severity of PA pressure elevation when TR jets are difficult to analyze. PVAT = time from flow onset to peak velocity. PWD at the PV in this PSAX #TTE shows a PVAT ~ 150 ms (normal is > 130 ms). #echofirst #medtwitter

@KimanthiGicovi Appreciate the kind words! It’s been something I’ve been working on since my fellowship days.

@rishikumarmd Just downloaded and took a quick look through the app. This is great work. Adding to my intern tool kit. Especially on Cardiac Surgery ICU in a month.

One last update for my free EchoTools iOS app before 2024! As always, I appreciate your continued support for this project! echotools.app #pocus #ultrasound #medtwitter

Happy New Year to all! #MedTwitter, what things do you all do at the beginning of every year? Here are a few things I do: - Subscription renewals - Backdoor Roth IRA contribution - Look for competitive rates on utilities

@reverendofdoubt Really appreciate your support, man! Happy NYE!

@rishikumarmd Love your app

@trpender A future intensivist?! 🤞

it’s Friday ☺️ it’s the end of my CVICU rotation ☹️

@McGovernPulmCC @ABIMcert @MariaAzhar73 @galka9198 @orianasalamo @bilalzafar2002 @McGovernMed @UTHealthHouston @accpchest @atscommunity @APCCMPD @lilitdoc @sfaiz212 @thau_matturgist @mkwarn @ScottEvansMD @akkanti @LaraBashoura @DiwakarB1988 @ajaysheshadri @sujith_cherian So proud of you all!!

Check out our @ABIMcert pulmonologists 🎉🎊🎈💥 So very proud of our #PCCM #MedEd senior fellows @MariaAzhar73 @galka9198 @orianasalamo Dr Walder @bilalzafar2002 💯 @McGovernMed @UTHealthHouston #CHESTTrainees @accpchest @atscommunity @APCCMPD @lilitdoc

@MSharifpourMD @pacman8it @tmnaseem @armin_kiankhooy @CedarsCTSurgery This is amazing! 😂

One of us is not like the rest of us 🤦🏻‍♂️@pacman8it @tmnaseem @armin_kiankhooy @CedarsCTSurgery

The transhepatic (TH) IVC view (phased array in RUQUS, tilt beam cranio-posteriorly, pan around). Poor agreement in measurements b/w TH and SC IVC views, and outside of extremes, IVC measurements don't guide my clinical practice in the CVICU. #echofirst #medtwitter #pocus

@YangGuMD I love showing this to my CV anesthesia fellows!

Sometimes you find really cool things like the spinal cord and vertebra on a #TEE #EchoTwitter #CardioTwitter

@docpav11 Excellent point - my caption length was too long to explain that this was during a thoracentesis (about a liter had already been removed) with some residual effusion (in the video) still present.

@rishikumarmd I wonder if the consolidation is atelectasis or pneumonia. The pleural effusion doesn't seem to be abundant enough to cause atelectasis; could it be a parapneumonic effusion instead? The dynamic air bronchogram also aligns with pneumonia.Nice case, congrats and thx for sharing

Lung #POCUS with air bronchograms (yellow arrows) - patent airways amid consolidated lung tissue signaling atelectasis, PNA, etc. Dynamic bronchograms move with respiration while static suggest trapped air (RLL atelectasis seen here caused by a pleural effusion) #medtwitter #ICU

Cause we're spreading holiday cheer with... mortality benefits! #MedTwitter

@dickandtinasson I expect humility and work ethic from trainees. If they’re willing to work hard, I’m motivated to teach. If they rather be doing something else, they can go home. Hard to graduate when you haven’t completed required rotations. Fortunately, haven’t had this issue.

@rishikumarmd This is a tough one. I tried teaching but became frustrated to todays students. I realized that my training was to different than today. In my day we were quiet and listened unless we were asked a question we were supposed to know. Now at rounds they IM each other staring at 📱

Academic attendings who constantly complain about their trainees' weaknesses should spend less time ridiculing and more time actually teaching/mentoring. We were ALL in their shoes at one point. Take pride in nurturing your trainees' success! #medtwitter