Adrian Wong Profile picture
Consultant ICM/Anaes @KingsCritCare PhD candidate @KCLDocStudies @KingsCollegeLon Editor @WICSBottomLine Views my own.
Dec 3, 2022 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
Dec 3, 2022 7 tweets 5 min read
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
Dec 3, 2022 6 tweets 5 min read
AI and ultrasound - @arntfield Are you AI bilingual? I am definitely not.

ping @teddyhla @AriErcole @drPaulElbers @tomlincr

#WINFOCUS22 #EACEM22
Dec 3, 2022 8 tweets 6 min read
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…
Dec 3, 2022 5 tweets 4 min read
Next - optic nerve sheath diameter - AUTOMATED #WINFOCUS22 #EACEM22

ping @LauretaPereta @chiara_robba A summary of the sensitivity and specificity of ONSD
BUT.....
#WINFOCUS22
Dec 3, 2022 7 tweets 5 min read
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
Oct 24, 2022 7 tweets 5 min read
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
Oct 24, 2022 6 tweets 5 min read
TBI SAH - diagnosis and management #LIVES2022 Pathophysiology of t-SAH and grading system #LIVES2022
Oct 24, 2022 7 tweets 6 min read
An unusual subject area for me this am... extubation in #nicu #lives2022
The ENIO study -
link.springer.com/article/10.100… So this is an international, multicentre study #LIVES2022 #ENIO
Apr 8, 2021 14 tweets 7 min read
Afternoon learning #esicmtv Revisiting some basic physiology on vasoactive drugs...

Vasopressor and Inotrope Therapy in Cardiac Critical Care
journals.sagepub.com/doi/abs/10.117…
Dec 7, 2020 7 tweets 4 min read
Armed with a fish finger sandwich, its time for the lunchtime symposiums.

All cats are still gray in the dark: how to select and use inodilators in the ICU and acute cardiac care unit for the best efficacy and safety - an imaginative title

#LIVES2020 👓👓👓 #LIVES2020
Dec 7, 2020 7 tweets 3 min read
Armed with coffee, Im at the case-based fundamental sessions. Discussing real cases and management strategies.

Would you do what the experts would do?

#LIVES2020 The classic case vignette of a septic patient being resuscitated - the audience is split between 30mls/kg of fluids or start a vasopressor. #LIVES2020

i suspect @Manu_Malbrain @khaycock2 et al have a view on the 30mls/kg option.
Dec 6, 2020 5 tweets 3 min read
Is the PCO2 gap a surrogate for assessing microcirculation? #LIVES2020
Perennially, it’s a technique that I would like to have more experience with.

lives2020.e-lives.org/session/pco2-g… Can venous-to-arterial carbon dioxide differences reflect microcirculatory alterations in patients with septic shock? #LIVES2020
ncbi.nlm.nih.gov/pmc/articles/P…
Dec 6, 2020 9 tweets 6 min read
Next up - Beigel on REMDESIVIR #COVID19 #LIVES2020 The trials available on #REMDESIVIR for #covid19 #LIVES2020
Dec 6, 2020 8 tweets 6 min read
The RECOVERY trial from @kennethbaillie himself #LIVES2020 What #RECOVERY did - pragmatic and adaptable in the face of the #COVID19 pandemic #LIVES2020
Dec 6, 2020 4 tweets 2 min read
The opening plenary at #LIVES2020 is on language and how it affects the way we think
Prof Boroditsky So I can speak 3 languages - English, Mandarin and Malay. So where do I fit? #LIVES2020
Dec 6, 2020 5 tweets 4 min read
. @JKesecioglu remembering and acknowledging the contribution of colleagues across the world. The sacrifices that were made. The fear. #lives2020 @JKesecioglu It was a crisis. THings had to change but @esicm returned to its values as a community - @DrMCecconi #lives2020