Jack LeDonne

@EM_RESUS Left tension pneumothorax

Here’s the Chest X-Ray of a young man who presented to the ER completely stable with totally normal vital signs What’s the diagnosis?

@NephroP In all likelihood, the presence of thrombosis would physically prevent the cannulation of this vein.

Is this finding an absolute contraindication to place a central venous catheter or a relative contraindication or none? #POCUS #IMPOCUS #FOAMed #FOAMcc (*Not from an active patient; a curious question)

@NephroP @jminardi21 Anatomically, the Axillary vein becomes the Subclavian at the lateral border of 1st rib. If you are puncturing the vein over the 2nd rib, by definition you are puncturing the Axillary vein.

#POCUS guided Subclavian/axillary vein cannulation: increased safety and reduced pneumothorax by directing the needle toward the #subclavian vein at a point where it traverses over the second rib providing a protective rib shield between the vessel and pleura. #MedEd #criticalcare From 🔗 journals.sagepub.com/doi/10.1177/08… - @msenussiMD and team

@ScghSimcentre @MedEdUnit @djsPerth @SonoMedED @antlet1 @jchakera @ANZCA @CICMANZ 1. Didactic (live or online) 2. Simulation training 3. Proctored Insertions. Consider requiring a “mandatory” number of procedures per annum per inserter. Consider appointing a Director Vascular Access

@ABCDEcografia @DraMariaSerna I believe that C is the Cephalic Vein

@DraMariaSerna A usted @DraMariaSerna 👍

Left infraclavicular image… Imagen infraclavicular izquierda…

@kmpanthagani @jminardi21 If that is true, the journal should retract the article with prejudice.

You may have heard the shocking headline that 250,000 people die every year in the US due to misdiagnosis in the ER. You may be even more shocked to know that this statistic is extrapolated from the death of... just one man. in a Canadian ER. over a decade ago.

@GloOrtizMiluy I luv the pic and and the explanation (and the author)

Comparto una foto de vaina fibroblástica extraida tras retirada de #PICCport. Es curioso xq siempre se crea en zonas de conexión entre catéter y cámara. Es como una bolsa con un nudo en la parte superior -parecido a esto:💰. Cdo cortas el nudo, la cámara se extrae sin dificultad

@JocelynAnneHill @LittleLeague @SouthVanLL Can Junior hit the curveball?

There IS a ⚾️Little League World Series⚾️ for kids after 12yrs old! My son+his team missed out to make it 2yrs ago - they are now 14 and are going to represent 🇨🇦 at the Junior League World Series in Taylor, MI Aug.14-21. #proudMama #GoBattalion @LittleLeague @SouthVanLL

@teachIM_org @vineet_chopra Quality videography. We teach the IJ access from a different perspective, i.e., the Relationship between Insertion (1%) and the Care & Maintenance (99%). vimeo.com/448618474/fe61…

We are thrilled to share our complete guide to competency-based training in CVC insertion. Check out our procedural video, pre-quiz, clinical checklist, and assessment rubric. #TeachIMProcedures #MedTwitter #FOAMed teachim.org/teaching_mater…

@amit_pawa @jminardi21 @GEHealthcare We note the Cephalic Vein entering the Axillary Vein right before it becomes the Subclavian Vein (the lateral border of the 1st rib is where AXV becomes SCV)

Still one of my fave blocks! #Infraclavicular - post-injection sliding medial to lateral with @GEHealthcare #LogiqE Note: -How vascular this is -Separate compartments for lateral & posterior/medial cords -How lateral cord splits -Something appears as approach axilla

@msenussiMD @Diaz_GomezJL @Phani_kc @bcmhouston @StLukesHealthMD @BCM_Lung Dr. Senussi, I was unable to attend your Axillary Vein Course. My org, CVC Healthcare is running a small CVC Insertion course, Dec. 14 at TMC Marriott. Please come and check it. Perhaps we could collaborate in the future.

The first ever workshop completely dedicated to the dynamic ultrasound guided subclavian/axillary central line. Stay tuned for the step by step video instructional. Tips, tricks, troubleshooting, and more! @Diaz_GomezJL @Phani_kc @bcmhouston @StLukesHealthMD @BCM_Lung

@Srivatsa34 @msenussiMD @Diaz_GomezJL @Phani_kc @bcmhouston @StLukesHealthMD @BCM_Lung I have some video content on LinkedIn and Vimeo. Jack LeDonne MD

@msenussiMD @Diaz_GomezJL @Phani_kc @bcmhouston @StLukesHealthMD @BCM_Lung Where could we watch the online video ?? YouTube or Vimeo ?

@msenussiMD @jminardi21 @Diaz_GomezJL @Phani_kc @bcmhouston @StLukesHealthMD @BCM_Lung Would you be able to send me info/application to: jackledonne@me.com?

@FuneralAdams Very sad. I had done some work with Jill. She saw the big picture.

Teresa Jill Nolte Obituary, gb774.app.goo.gl/y2gPX

@vineet_chopra Go get em

T minus 2 days. Looking forward!

Sometimes, improving practice is easy. If you're dressing IJ lines up by the ear and not down on the chest, you're setting the stage for the crumbled mess that we see all too often. Instead, fold the catheter down toward the chest where it has a much better chance of laying flat.

@DrSuperSalty @jminardi21 The key for me is loss of the aortic knob shadow

@pcarriv The short answer is yes. Of course, teaching allows you to leverage your knowledge to many more clinicians, a multiplier effect. Performing procedures and teaching is clearly the best. Don’t give up hope to get back in the game.

I have to type a bio for a webinar and have removed the sentence “clinically active”. I am coming to terms that the days with needle and probe are over 😢. Is it normal to feel inadequate/less substance...teaching a clinical skill you are not clinically active in?

@MusaIntensivist @jminardi21 @NephroP @ArgaizR Recanalized thrombus

While replacing an IJ, saw this after the old CVC was removed. Thoughts on what this is? #POCUS @NephroP @ArgaizR