Discover and read the best of Twitter Threads about #HR2022

Most recents (3)

1/
A 59 year old woman presents with acute onset 10/10 headache (⛈️) and radiating occipital pain.

Non-con head CT is performed and reveals this👇

#problem

But the CTA shows no aneurysm.

So... now what?

A #ContinuumCase.
2/
The most feared cause of subarachnoid hemorrhage is aneurysm rupture, but it’s super important to remember that not all SAH is aneurysmal.

Before jumping to any conclusion. It’s critical to assess the pattern of SAH:
3/
Cortical SAH is rarely related to aneurysm unless it’s a mycotic aneurysm. Cortical SAH is much more likely to fall into one of these diagnoses:
Read 12 tweets
It's December, already. The time of the year when I am trying to spend every last cent of the annual allowance given to us for continuing medical education (CME) by our employer. In essence, this is money that we have worked for and, since it won't carry over to next year, I hate
leaving it on the table. The problem is that if you buy a conference or a study course now, you have to watch everything - and submit proof of attendance/completion - before the end of the year. So, it's a very busy month dedicated to studying/reviewing educational material!
For example, I just finished watching the last one of the 93 lectures from The Hospitalist & Resuscitationist 2022 conference #HR2022. If you are an intensivist/internist/family medicine/EM physician, I have no doubt that u will find several pearls to bring back to your practice
Read 5 tweets
1/ We want to improve haemodynamic management and fluid stewardship at my place (Honvédkórház ICU, Budapest, Hungary).
See examples of study metrials below and please tear them apart as we want to improve them further.
The first one was made to avoid reflex fluids in oliguria.
2/ Inspired by #HR2022 @AndromedaShock @khaycock2 @ThinkingCC @msiuba
@PulmCrit @iceman_ex @icmteaching and many more. Thank you all!

The rest of the pages are about haemodynamic profiling.
3/ Notes
- The target population is an ICU doc with a few years of experience with variable US skills.
- implementation will be with hands-on training
- This is an excerpt from a 12-page long document but did not have the time to translate all
Read 4 tweets

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