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POCUS 101 Profile picture
@Pocus101
Apr 20, 2020 • 7 tweets • 7 min read • Read on X
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#COVID19 Damages So Many Organs at 3 Different Stages/Time Points!

New Post on Multiorgan #POCUS Approach with ED/Outpatient and Inpatient Algorithms. #tweetorial #medtweetorial👇 (1/6)

pocus101.com/multiorgan-poc…

#POCUSforCOVID #cardiotwitter ImageImageImage
1) Knowing the 3 Stages #COVID19 can help figure out when to look for specific diseases during the admission process

Stage 1: Constitutional symptoms
Stage 2: Pulmonary Complications
Stage 3: Cardiac/Thromboembolic Complications

Figure by Akhmerov 2020
pocus101.com/multiorgan-poc… Image
2) ED/Outpatient Setting should initially focus on Stage 2 (Pulmonary Complications) on #POCUS but still screen for Stage 3 Cardiovascular Complications Using Cardiac/DVT ultrasound.
pocus101.com/multiorgan-poc… Image
3) Inpatient Setting should focus on reevaluation to look for life-threatening Stage 3 #COVID19 pathology that can happen 5-10 days into disease course. Don’t miss significant Cardiac and Thromboembolic disease!
pocus101.com/multiorgan-poc… Image
4) Excellent Figure by @sonophysio showing lung US progression.
pocus101.com/multiorgan-poc… Image
5) Cardiac Pathology usually starts presenting around day 5-10 of #COVID19 illness.
pocus101.com/multiorgan-poc…
6) Don’t forget Thromboembolic disease is prevalent in #COVID19! Below are some ultrasound findings for DVT.
pocus101.com/multiorgan-poc…

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More from @Pocus101

POCUS 101 Profile picture
Sep 26
Thanks to the AMAZING @TheSonoGraphics team for these Advanced Echo Cards! Available to download FREE on POCUS 101!
👉🔗

✅TEE
✅Cardiac Output
✅Tamponade
✅Diastology
✅EF Calcs
✅Right 💔 Failure
✅Wall Motion Abnl
✅And MORE!

See 👀 Cards 👇 #POCUS pocus101.com/pocket-cards/



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Special Thanks to ALL these @TheSonoGraphics Contributors! Please Follow them!

@TheSonoGraphics
@EDechographer
@lataylor1218
@NataliaTruong4
@ywolfe
@POCUSaurusRex
@Salerhand
@khaycock2
@GoffiAlberto Image
Advanced Right Heart Failure Assessment!

Download Here👉🔗 pocus101.com/pocket-cards/

Image
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Read 14 tweets
POCUS 101 Profile picture
Nov 10, 2021
Hypotensive Patient Got you Stumped 🙄? Learn the RUSH Exam 🚀 to Solve the Problem! #POCUS

Learn:
1⃣What the RUSH Exam is
2⃣The HI MAP Mnemonic
3⃣Ultrasound pathology that causes Hypotension

✅ New Post
🔗👉pocus101.com/RUSH

#medtweetorial 👇 (1/n) Image
The RUSH (Rapid Ultrasound for Shock and Hypotension) Exam was first described in 2006 by Weingart et al using the "HI MAP" Mnemonic.
HI MAP Stands for

Heart
IVC
Morison's Pouch (eFAST exam)
Aorta
Pulmonary

Attached is a table that summarizes the pathology you may find in each system. Check out the full blog post for more details!

🔗👉pocus101.com/RUSH Image
Read 22 tweets
POCUS 101 Profile picture
Jan 26, 2021
Does Measuring Cardiac Output ❤️ with #POCUS seem confusing 😕? Let's Demystify that today 😀!

1⃣Measure LVOT Diameter
2⃣Measure LVOT VTI
3⃣Measure HR
4⃣Calculate SV and CO
5⃣FREE Pocket Guide PDF!

✅New Blog Post & PDF
🔗👉pocus101.com/CardiacOutput

#medtweetorial 👇(1/n)
Here is the link to the FREE Downloadable Cardiac Output PDF

🔗👉pocus101.com/CardiacOutput
Cardiac output (CO) is the total volume of blood moved by the heart per minute. It is a product of the left ventricular stroke volume (SV) and the heart rate (HR).

Cardiac output (mL/min) = Stroke Volume (mL/cycle) x Heart Rate (bpm)

🔗👉pocus101.com/CardiacOutput
Read 16 tweets
POCUS 101 Profile picture
Jan 4, 2021
Learn how to assess LV Ejection Fraction Qualitatively 👀and Quantitatively 🧮

1⃣Qualitative Assessment
2⃣EPSS
3⃣Fractional Shortening
4⃣Fractional Area Change
5⃣Simpson Method

✅ New #POCUS Blog Post!
🔗👉pocus101.com/EF

#medtweetorial 👇(1/n)
Personally, I use the Qualitative assessment of LVEF the most using the PSLA and PSSA views.

The two main things you can look for:
1)LV muscle contraction (how close are walls coming in)
2)How close is anterior MV getting to the septum

🔗👉pocus101.com/EF
Here is an example of Normal EF.
1. Notice how the septum and posterior wall of LV are contracting nicely and coming together.
2. Notice the anterior mitral valve leaflet moves well and comes close to the septum during early diastole.

🔗👉pocus101.com/EF
Read 11 tweets
POCUS 101 Profile picture
Dec 1, 2020
Having Problems Getting all those Cardiac (Echo)🫀Views on your Shock⚡️Patients?

1⃣Learn The Common Echo Views
2⃣Learn the IVC View
3⃣Estimate EF and CVP
4⃣Dx Massive PE
5⃣Dx Cardiac Tamponade

✅New #POCUS Blog Post!
🔗👉pocus101.com/Cardiac

#medtweetorial 👇(1/n)
Have your patient in the supine or left lateral decubitus position.

🔗👉pocus101.com/Cardiac
Use the phased array (Cardiac/echo) probe and make sure you are in the cardiac preset with the indicator orientation marker to the right of the screen.

🔗👉pocus101.com/Cardiac
Read 31 tweets
POCUS 101 Profile picture
Nov 10, 2020
Want to figure out why your 🚑🩸Trauma Patient is so Hypotensive? Master the #POCUS eFAST Exam TODAY!

1⃣Learn the eFAST Exam in 5 Easy Steps
2⃣Abdominal/Thoracic Free Fluid
3⃣Cardiac Tamponade
4⃣Pneumothorax

✅New Blog Post
🔗👉pocus101.com/eFAST

#medtweetorial 👇(1/23) ImageImageImage
(2/) Using a Phased Array or Curvilinear probe. Position the patient supine (or Trendelenburg).

🔗👉pocus101.com/eFAST Image
(3/) Here are the 5 steps we recommend for the eFAST:

1 Right Upper Quadrant View (RUQ)
2 Left Upper Quadrant View (LUQ)
3 Pelvic View
4 Cardiac View (Parasternal Long Axis or Subxiphoid)
5 Lungs (Right and Left)

🔗👉pocus101.com/eFAST Image
Read 23 tweets

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