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@BenTritle presenting an Update on IR-guided central line access! #meded #foamed @CleClinicMD
Different central line access:
Dialysis catheters and Port catheters:
Terminology in central catheters - POWER
- TIP
Questions to ask when ordering a central line!
Decision algorithm in Central Lines - IVF and chemo
Decision access in central line placement - TPN and dialysis
No need to give prophylactic antibiotic prior to central line placement.
How to address coagulopathy? What are the requirements for safe line placement.
How to manage AIR EMBOLISM??? @CCF_IMCHIEFS @thecurbsiders @COREIMpodcast @MD_Impacto
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#meded #foamed

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Med Peds Hospitalist
@medpedshosp
@tavrkapadia delivering @CleClinicMD Grand Rounds. On #TAVR. Starts by showing how morbid and complex the open surgery is. Many elderly patients are not candidate. Hence #TAVR was developed. #meded
The team that ensures ZERO percent mortality in #TAVR for any patient coming to @ClevelandClinic with Aortic stenosis. #meded
Heart is NOT stopped! After #tavr can see immediate hemodynamics improvement!
Read 10 tweets
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Med Peds Hospitalist
@medpedshosp
Dr. Prabhakaran, vice-chair of Hospital Medicine, ⁦@ClevelandClinic⁩ - speaking on CV Perioperative Evaluation and Optimization #ccfhm19 #meded
Perioperative care - key fact and eoidemiology #ccfhm19
Pathophysiology of MINS #meded #ccfhm19
Read 9 tweets
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Med Peds Hospitalist
@medpedshosp
Dr. Kaatz speaking on anticoagulation reversal. This is a @MediaTJC National Patient Safety goal!
Idarucizumab - monoclonal antibody to reverse dabigatran.
If unavailable, then use 4 factors prothrombin complex concentrates. #ccfhm19
Andexanet alfa - factor Xa decoy used as reversal agent for anti-Xa agents. If not available use 4PCC.
Read 7 tweets

Related threads

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NephroPOCUS
@NephroP
Did my fellows' curriculum lecture today, "Images in #Nephrology"
Thought of sharing the slides as a tweetorial. Goal is to present some 'classic' images that aid in kidney-related diagnoses. Not exhaustive; plan to make 2nd part as well.
#MedEd #FOAMed Not much POCUS involved!
1st question. Classic image but rarely encountered. Note the super high blood urea nitrogen and serum creatinine.
Here is the answer.....
Read 61 tweets
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Dr Bec Szabo
@inquisitiveGyn
Not every day you get to speak to the Medical Deans of Australia and NZ on disruption and #MedEd #FOAMed & #SoMe in a plenary chaired by the indomitable @forrest_kirsty together with @LSchuwirth and Dr Joe Kolars from @umichmedicine 🙏🏽@forrest_kirsty for this opportunity.
Shout out my @MedEdStuffnN partners in disruption @GongGasGirl @hypoxicchicken including @char_durand @drlauraduggan & @MedEdUnicorn for their input. Plus thank you @aoglasserfor sharing & 🙏🏽@NEJM @tony_breu for impeccable timing ... why is a cow indeed?! Let’s embrace curiosity.
@MedEdStuffnN @GongGasGirl @hypoxicchicken @char_durand @drlauraduggan @MedEdUnicorn @NEJM @tony_breu A few people have asked for the talk so here you go a thread on disruption in #MedEd. Challenges facing medical education: medicine, social media and the digital age. Session moderated by @forrest_kirsty Prof KForrest Dean of Medicine @BondUniversity #MDANZ19 @MedicalDeans
Read 33 tweets
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Sean Lena
@seanlena
Question: Why do we worry about giving Ondansetron to patients with prolonged QT? What is the risk of cardiac arrhythmias in the average patient with long QT? Follow me down the rabbit hole of my first tweetorial! @tony_breu @thecurbsiders #MedEd #FOAMed
Case: You are the night float resident, and get called by the nurse for an 84 y/o patient with gastritis, having intractable vomiting. She asks you for an antiemetic. You go to order ondansetron, but stop b/c you notice the patient's EKG--the QTc is 495! What do you do?!!
Before we answer this question, lets review some cardiac physiology. Cardiac myoctes have a negatively charged resting membrane potential that is maintained by the active movement of charged ions, primarily via Na+/K+ ATPase, and Na+/Ca2+ exchange, across the cellular membrane.
Read 25 tweets
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Prof Darrel Francis ☺ Mk CardioFellows Great Again
@ProfDFrancis
How to make your
correlations correlate.
Even if they don't.
==============

A practical tweetorial for aspiring research fraudsters, cardiology fellows doing research, and others in need of a strong association when there isn't one.

#meded #foamed

Please retweet to fellows.
Thank you to @rallamee for loaning me the use of her garden and boating lake to do a few demonstrations in this weekend's tweetorial.
Thank you also to a colleague, for sending me this just now. It is enlightening and I am genuinely sorry.
Read 58 tweets
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Prof Darrel Francis ☺ Mk CardioFellows Great Again
@ProfDFrancis
HOW TO LIE WITHOUT LYING!
====================

Weekend tweetorial #MedEd #Foamed
See how to use the 3 most wickedly evil Aces up our clinical research sleeves.

Learn by doing!

CME credits from the Institute of Fake Science

Click this link to begin -> menti.com/dc1a1ee7
Once you have answered the last question on that, try out tinyurl.com/lying-removal

If you are too lazy, these videos show you what you would learn:

Video #1. Basics of the Fraudorama toolkit.
Video #2. How to use the REMOVAL tool to plan your frauds.
Read 9 tweets
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Prof Darrel Francis ☺ Mk CardioFellows Great Again
@ProfDFrancis
Risk Ratio, Odds Ratio, Hazard Ratio
========================

2nd and final part of the tweetorial, from ORBITA-HQ!

Fun, easy and informative [*]

#MedEd #FOAMed #cardiology #cardiotwitter
[*] Results may vary and are not guaranteed. See small print.

Not all fears are alike.

* Some fears are one-and-done:
I get a cold which progresses to pneumonia. Will I die, or recover?

* Other things hang over us for much longer, perhaps all your life.
Will you get hit by a bus?
Get a heart attack?
There's no "sell by" date on the fear.
Practice Qs

You are walking through Hyde park, minding your own business.
Hardly causing any trouble at all.
Perhaps the odd humorous tweet.

You get a Direct Message:
"Enough of ur abuse!
You will be hearing form my agent shortly.
kthxbai
AJ Kirtane"

You see the agent:
Read 89 tweets

Trending hashtags

#FOAMed #rheumtwitter #Iran #medthread #tweetorial #theme #dermatology #cardiotwitter #FOAMEd #guidelines #medtwitter #dermatologia #RuralMed #dermatologists #dermtwitter #FOAMtox #dermpath #netflix #MooreTips #belonging #residency #medicine #airway #medschool #nephpearls
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