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Dec 3 • 4 tweets • 4 min read
First session post lunch - reseach and #POCUS.

And Prof Atkinson of SHOC-ED - a landmark #POCUS trial

pubmed.ncbi.nlm.nih.gov/29866583/

#WINFOCUS22
A summary from @WICSBottomLine #SHOCED
Does Point-of-Care Ultrasonography Improve Clinical Outcomes in Emergency Department Patients With Undifferentiated Hypotension?

thebottomline.org.uk/summaries/em/s…
#WINFOCUS22
@WICSBottomLine Do combined ultrasound and electrocardiogram-rhythm findings predict survival in emergency department cardiac arrest patients? The Second Sonography in Hypotension and Cardiac Arrest in the Emergency Department (SHoC-ED2) study

pubmed.ncbi.nlm.nih.gov/31566175/
#WINFOCUS22 #EACEM22
SHoC-5Fs approach #POCUS #WINFOCUS22

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More from @avkwong

Adrian Wong Profile picture
Dec 3
Teleproctoring - mentoring with @POCUSClub

#WINFOCUS22
A very poignant question - with so much online learning/recordings/presentations, do we invest in the TIME and tech for these? Or do we just try to replicate the face-to-face version?

lighting, mics, etc

#WINFOCUS22
Your mobile phone probably has a better camera than your intergrated laptop #WINFOCUS22
Read 7 tweets
Adrian Wong Profile picture
Dec 3
AI and ultrasound - @arntfield
Are you AI bilingual? I am definitely not.

ping @teddyhla @AriErcole @drPaulElbers @tomlincr

#WINFOCUS22 #EACEM22
A recurring theme for this session is could machines do it better?

#WINFOCUS22
Read 6 tweets
Adrian Wong Profile picture
Dec 3
Next up @heart_lung talking about wearable technology and ultrasound #WINFOCUS22 #EACEM22
Wearable ultrasound and provocative hemodynamics: a view of the future
#WINFOCUS22 #EACEM22
ccforum.biomedcentral.com/articles/10.11…
I must admit, it is rather clever device

#WINFOCUS22 #EACEM22
Read 8 tweets
Adrian Wong Profile picture
Dec 3
Next - optic nerve sheath diameter - AUTOMATED #WINFOCUS22 #EACEM22

ping @LauretaPereta @chiara_robba
A summary of the sensitivity and specificity of ONSD
BUT.....
#WINFOCUS22
There is the issue of heterogeneity in operator measurement #WINFOCUS22

@icmteaching has an excelleng video on how to do this properly
Read 5 tweets
Adrian Wong Profile picture
Dec 3
Technology changing the ultrasound game #WINFOCUS22 #EACEM22
First up - machine learning and artificial intelligence - the use of automation
There are a number of manufacturers now with automated tools
- B lines
- VTI
- IVC

Do colleagues use them routinely??

#WINFOCUS22 #EACEM22
It is not just measurements though - can the software/machine help make POCUS more accessible. Act as a teacher?

I think so.

#WINFOCUS22 #EACEM22
Read 7 tweets
Adrian Wong Profile picture
Oct 24
So MAP targetting ..... a panel discussion
#LIVES2022
The discussion is around personalising MAP to the patient - 60, 65, 70 #LIVES2022

But should we be discussing perfusion pressure instead?

@Manu_Malbrain
Great point from the panel - whats downstream pressure to use when calculating the perfusion pressure - at organ level, CVP, abdominal pressure, microcirculation?? #LIVES2022
Read 7 tweets

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