Best #FOAMed Finds Feb 2023 (2)!

The #ultrasound #POCUS #weeklywrap is out now

Get the latest in #FOAMed from@MH_EMultrasound@exoeffect@BlockIt_Hot_Pod@coreultrasound @jminardi21 @mskultrasound @MDKrunalP @Crit_Care @pulmtoilet @AnnalsofEM

👇For this & morehttps://t.co/43wg3z0fS2 pic.twitter.com/sQEYIQBFwt

— Zedu Ultrasound Training @zedunow@med-mastodon.com (@zedunow) February 23, 2023

#POCUS image of the day:
Police siren 🚨IJ: alternating red-blue colors in a case of severe tricuspid regurgitation corresponding to flow towards and away from the transducer. Pulsed wave Doppler image shown on the right demonstrating systolic flow reversal.#MedEd #VExUS pic.twitter.com/9eUyZFxwOI

— NephroPOCUS (@NephroP) February 20, 2023

66 F with saddle PE s/p mechanical thrombectomy, no right heart strain. On vent. Started having gradual decline in hourly UO (100->50->20).

On PE-no pedal edema/crackles
On bedside echo-No RV volume overload/diastolic septal flattening on PSAX

But, this is what VExUS showed:

— Neev Patel (@nephneev) February 19, 2023

What do you see in this #echofirst video? 🫀 After giving your answer, find out in our @CASEfromASE article: https://t.co/E3IFNP5ZGW pic.twitter.com/dDbFqeehla

— American Society of Echocardiography (@ASE360) February 17, 2023

♂ 50 y. With pulsatile femoral mass. history of femoral puncture 💉.

1/4#vasculardoppler #ultrasound #MedEd #FOAMed #POCUS #radiology @ButterflyNetInc pic.twitter.com/gLO6xAmbK6

— Jona (@JonahSerranoMD) February 18, 2023

#POCUS image of the day:
Wash out of rouleaux formation after distal compression, ruling out thrombosis at the site of insonation.
Source 🔗 https://t.co/tG8yp5dONt#MedEd #FOAMcc #Nephpearls

While rouleaux is a common finding and usually does not have a clinical impact, this… https://t.co/40LVrHdKOr pic.twitter.com/yGWMNgkNzs

— NephroPOCUS (@NephroP) February 18, 2023

LV apical thrombus, heart failure, reduced ejection fraction.
Young patient cocaine abuse. #echofirst pic.twitter.com/elexf84ICK

— Alejandro Mascorro (@a_mascorro) February 17, 2023

Good discussions about SAM and LVOT gradients at #EchoWeek2023! Also mention of suicide LV which I have not encountered clinically. Has anyone seen this post AVR or TAVR? HT @EvelynSongMD for the infographic. @WomenInCTAnes pic.twitter.com/KGujIFwNhk

— Emily Methangkool MD, MPH (@dremilym) February 18, 2023

A time and a place for everything. Usually do superficial serratus when supine. Today had a lovely lateral deep catheter. Pt did wonderfully. Fingers crossed. pic.twitter.com/rvalmfEtBh

— michael kerr (@mick_kerr) February 18, 2023

@AAOS1 guidelines for elderly hip fracture recommends regional anesthesia with strong evidence. Excited to work with @JosephHsuMD and @fraga_rock on this initiative for our hip fracture patients. This is just the beginning! pic.twitter.com/1Sl8yoyH6l

— Melody Herman, MD (@anesthesiadocmd) February 16, 2023

Basic cardiac #POCUS views@FOAMecmo @Wilkinsonjonny #MedEd #IMPOCUS #Nephpearls pic.twitter.com/8XvRGMhqNL

— NephroPOCUS (@NephroP) February 18, 2023

4 #POCUS Questions of the week?
1. What view is this?
2. How is the view made? #howdoimakethatview
3. Can you name the structures?
4. What can be recorded from this view?#IUPCCM,#PulmonaryPOCUS #howdoImakethatview,#ECHOfirst,#RDCS,,#FOAMed,#IMPOCUS pic.twitter.com/4snFvFzmUt

— Pulmonary-POCUS (@HoosierPocus) February 12, 2023

Look at the interventricular septum! 🚨#echofirst #MedEd #POCUS #FOAMcc
🔗 to source and M-mode image in thread. pic.twitter.com/8lJR85NARh

— NephroPOCUS (@NephroP) February 14, 2023

Scary #POCUS #echofirst image of the day! 🚨#MedEd #FOAMcc
Source: Echo Res Pract. 2019 Jun; 6(2): R53–R63. pic.twitter.com/ZrkElNW4OO

— NephroPOCUS (@NephroP) February 14, 2023

#POCUS image of the day:
another celiac seagull captured during physical examination.
(celiac artery bifurcation)#MedEd #FOAMed #IMPOCUS pic.twitter.com/HCttShVQhF

— NephroPOCUS (@NephroP) February 12, 2023

Neuromonitoring in Critically Ill Patients@swarnarmd & I describe core neuromonitoring modalities @CritCareMed @SCCM

🧠Brain=Home🏠

⚡️Electric
🚰Plumbing
🧱Structure
🧪Air/Chemistry

Evaluating a neurological decline? Consider all four mechanisms 🩺https://t.co/q7JqTpONyJ pic.twitter.com/aAy9FHbc0d

— Aarti Sarwal, FNCS, FAAN, FCCM Professor (@aartisarwal) February 18, 2023

Systemic consequences of pulmonary hypertension and right-sided #HeartFailure
🔗https://t.co/dpnyq3dhtk….#MedEd #POCUS #FOAMed
CVP = central venous pressure; GI = gastrointestinal; LMCS = left main compression syndrome; PA = pulmonary artery, RAP = right atrial pressure pic.twitter.com/0JE45rrWEs

— NephroPOCUS (@NephroP) February 21, 2023

Saw it once, was sad😔

Diagnosis?
Treatment?#MedTwitter pic.twitter.com/R3oppQ8oYO

— Nico Gagelmann (@NicoGagelmann) February 21, 2023

What is the foreign body here? #meded #MedTwitter #kids #radtwitter #radiology (image: Cureus) pic.twitter.com/TDIwyBTqv1

— radRounds Radiology Network (@radRounds) February 18, 2023

Nice infographics!

Personally I like a longer 7 P’s:
🫁 Protection (LPV)
🎈 PEEP
🛌 Prone positioning
⏸️ Paralytics (NMB)
💊 Prednisone (corticosteroids)*
🚽 Peeing (diuresis)
💉 Pleural evacuation (thora)
🩸 Peripheral oxygenation (ECMO)

*really Dexamethasone but not a “P” pic.twitter.com/ZDUWU4D7P6

— Nick Mark MD (@nickmmark) February 18, 2023

ICYMI #FOAMed from @stemlyns JC: Blood Products in #Trauma – What’s the Best https://t.co/tjDAFBSpVl #clottting

— Saint Emlyn's (@stemlyns) February 14, 2023

folks….an amazing read; this review.. @NEJM https://t.co/i4K9fKYc8i
please read and share; an amazing #infographic
Role of Inflammation and Changes in the Circulation of Acute-Phase Proteins.#TipsForNewDocs #MedTwitter #IDTwitter #FOAMed pic.twitter.com/Huc3veyQOP

— Dr Vikram Sakaleshpur kumar 🇮🇳 (@vikkypaedia) February 13, 2023

Causes of bronchovascular spread of diseases in the lung. More visual radiology mnemonics: https://t.co/CpP1NLpAH9#radiogyan #radiology #radres #radiologia #FOAMrad #FOAMed pic.twitter.com/RKgXI7w7Xq

— Team RadioGyan (@TeamRadioGyan) February 12, 2023

This is an important EKG. The patient had longstanding palpitations since childhood.

Can you see it?#MedTwitter pic.twitter.com/Wh2eH6yzj1

— Avraham Z. Cooper, MD (@AvrahamCooperMD) February 12, 2023