This is an appreciation post. I recently held a talk about clinical reasoning to surgeons at our national meeting. Used knowledge from the following: 👇
@ffolliet who changed the way I think about aducation. (Ps - Iknow this is not the best slide, I promise I had better). I learned so much from ffolliet.com it's unreal. #htdap
@AndreMansoor and his frameworks. He made me, a surgeon, buy a book on internal medicine which is one of my most prized possessions. amazon.com/Frameworks-Int…
@traumakhan because of course I used trauma clinical cases that I learned from my friend with THE most amazing dinner table stories.
❤️
@BehindTheKnife My favourite podcast ever. You never forget your first love.
1/ Hi @Me4Trauma and @me4_so. First acute care surgery topic on #SoMe4Trauma. So I figured I'd start with an easy one😉
Let's go down the rabbit hole and talk about Abdominal Compartment Syndrome (ACS) in Severe Acute Pancreatitis (SAP) #SoMe4Surgery @MedTweetorials#MedEd
2/ First, a poll. What do you think is the mortality for patients that develop Abdominal Compartment Syndrome in Severe Acute Pancreatitis? #SoMe4Trauma #SoMe4Surgery
3/ Let's start with this gem from the past. Moshe Schein's group describing 3 cases of ACS in SAP back in 2002 with an invited commentary from Michael Sarr.
If that's not surgical history and greatness I don't know what is 🙂 #SoMe4Trauma#SoMe4Surgery
Hi @Me4Trauma and #SoME4Trauma people. Let's get started with our first tweetorial covering needle decompression of the chest for tension pneumothorax. #SoMe4Surgery
9th ed of ATLS recommended using a 5cm long cath in the 2nd IC space on the midclavicular line. The 10th ed recommends using an 8 cm cath in the 4th or 5th IC space anterior to the midaxillary line. What led to these changes? #SoMe4Surgery #SoMe4Trauma @Me4Trauma @MedTweetorials
Several papers looked at chest wall thickness(CWT) and found that the 2nd IC space led to high failure rates. Comparing CWT at the 2nd IC space MCL and 4/5th IC space AAL found decreased CWT at the 4/5th space meaning lower failure rates. Let's look at some of them #SoMe4Trauma