Dr.fahad

الميلان ليس نادي كرة قدم فقط هو مدرسه في الإنسانيه و الخدمه الاجتماعيه لهذا الميلان مختلف شكرا من القلب شكرا لإدخالكم البهجه في قلوب المرضى @acmilan @acmilanar twitter.com/acmilanar/stat…

@YouITLY شكرا د.يوسف ميلان نادي استثنائي

مشهد إستثنائي و نادر للغاية ، لن تشاهده في أي دوري أو مع أي فريق أو نادي آخر ✅ بعد منعهم من السفر إلى نابولي لأسباب أمنية "كورفا سود ميلانو" حضرت تدريبات الفريق اليوم لدعم الاعبين قبل القمة المرتقبة أمام نابولي ✅

Great to have you back, Rubes! 👏

IVAN DEMIDOV, WHAT A GOAL 💥

🎧 Il 24 Marzo di Silvio 🎧 Ascolta l'episodio speciale che celebra l'inizio dell'era Berlusconi 🔴⚫

The gold is everything ✨

Feliz aniversário, @10Ronaldinho! 🇧🇷🎂

❤️‍🔥🖤

🫣🇫🇷

Worldies from a centre-back, such an underrated genre of goal 😮‍💨

My big Serbian at the back. 🇷🇸

🫀ACVC 2026: Pulmonary Hypertension in the CICU: beyond definitions A highly practical and clinically grounded session by Els Vandecasteele focusing on what really matters at the bedside: 👉 Pulmonary hypertension (PH) in the ICU is not a single disease – it is a spectrum of hemodynamic phenotypes. 🔍 Key hemodynamic definition: mPAP > 20 mmHg (RHC gold standard) 📊 Hemodynamic classification: Pre-capillary PH → PAWP ≤15 mmHg, PVR >2 WU Post-capillary PH (isolated) → PAWP >15 mmHg, PVR ≤2 WU Combined post + pre-capillary PH → PAWP >15 mmHg, PVR >2 WU 🧠 Clinical classification (ESC/ERS): Group 1: PAH Group 2: PH due to left heart disease (most common in ICU) Group 3: Lung disease / hypoxia Group 4: CTEPH Group 5: Multifactorial ⚠️ Critical care reality: 👉 Most ICU patients = Group 2 or mixed physiology 👉 Progression leads to right ventricular (RV) failure, not just elevated pressures 🫀 Pathophysiology highlights (PAH): Vasoconstriction + endothelial dysfunction Vascular remodeling (intima/media/adventitia) In situ thrombosis ➡️ Final pathway: pulmonary vasculopathy → RV failure 🛠️ Diagnosis in ICU: RHC = gold standard Echocardiography = rapid, essential tool Estimate sPAP Assess RV size/function Look for indirect signs (TAPSE, septal flattening, IVC, etc.) 📌 Take-home message: 👉 In the ICU, PH is not about numbers alone 👉 It is about understanding the underlying phenotype and RV response 💡 Treat the patient, not just the pressure. #ACVC26 #PulmonaryHypertension #CriticalCare #CardioICU #Hemodynamics #RightVentricle

🚨 Emergency Drugs & Doses 1. Adrenaline 🔹Use: Anaphylaxis 🔹Dose: 0.3–0.5 mg IM 🔹Concentration: 1:1000 2. Atropine 🔹Use: Bradycardia 🔹Dose: 1 mg IV 🔹Repeat: Every 3–5 minutes 🔹Max dose: 3 mg 3. Adenosine 🔹Use: SVT 🔹Initial dose: 6 mg rapid IV 🔹Then: 12 mg if needed 4. Amiodarone 🔹Use: Ventricular Tachycardia 🔹Dose: 150 mg IV 🔹Infusion time: Over 10 minutes 5. Calcium Gluconate 🔹Use: Hyperkalemia 🔹Dose: 10 mL of 10% IV 🔹Infusion time: Over 2–5 minutes 6. tPA 🔹Use: Ischemic Stroke 🔹Dose: 0.9 mg/kg IV 🔹Max dose: 90 mg 🔹Administration: 10% bolus, rest over 60 minutes 7. Insulin 🔹Use: DKA 🔹Dose: 0.1 U/kg/hr IV infusion 8. Labetalol 🔹Use: Hypertensive Emergency 🔹Dose: 20 mg IV bolus 🔹Note: May repeat / escalate 9. Lorazepam 🔹Use: Seizure 🔹Dose: 4 mg IV 🔹Repeat: May repeat once 10. Furosemide 🔹Use: Pulmonary Edema 🔹Dose: 20–40 mg IV

Eid Mubarak 🐐

عيدكم مبارك 🌙 وكل عام وأنتم بخير مبروك الفوز، ومستمرين بإذن الله في سلسلة الانتصارات 💛❤️ Eid Mubarak 🌙 Wishing you all the best Great win, and we keep the momentum going 💛❤️ Eid Moubarak 🌙 Meilleurs vœux à tous Belle victoire, on continue sur cette lancée 💛❤️ @RCLens

🤲عيد مبارك كل عام وانتم بخير #machallah #nordinamrabat

🗣️ Luka Modrić: "I’ve loved AC Milan since day one: I’m truly grateful, it’s a dream come true."

Auguri di cuore di Eid Mubarak a tutti i tifosi rossoneri di fede islamica 🖤❤️ Che questa giornata porti pace, gioia e serenità a voi e alle vostre famiglie. Forza @acmilan ✨⚽

الأمير مودريتش في ضيافة متحف "موندو ميلان" اليوم 😍 سُعدنا بزيارتِك يا لوكا! ❤️🖤

أهلًا أهلًا يا عيد أهلًا 😍 من عائلة ميلان إلى عائلاتكم، عيد فطر مبارك يا أحباب ❤️🖤

Eid Mubarak ❤️🖤 Wishing you joy, togetherness, and beautiful moments ✨