Tom Fisher
@tomfisher.bsky.social
CT1 anaesthetics, critical care echo-head
The literature is quite heterogenous and as with all cardiac arrest studies understanding the system (i.e. country) as well as setting (prehospital/ED/ICU) is crucial for interpreting outcome data - (i.e. can paramedics declare death? Is life-sustaining treatment ever withdrawn?)
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February 1, 2025 at 1:21 PM
The literature is quite heterogenous and as with all cardiac arrest studies understanding the system (i.e. country) as well as setting (prehospital/ED/ICU) is crucial for interpreting outcome data - (i.e. can paramedics declare death? Is life-sustaining treatment ever withdrawn?)
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➖Those with OHCA rarely have good functional outcomes
➖Those without OHCA frequently have good outcomes
➖Associated C spine/vascular/airway injuries are uncommon in those who survive to hospital
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➖Those without OHCA frequently have good outcomes
➖Associated C spine/vascular/airway injuries are uncommon in those who survive to hospital
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February 1, 2025 at 1:21 PM
➖Those with OHCA rarely have good functional outcomes
➖Those without OHCA frequently have good outcomes
➖Associated C spine/vascular/airway injuries are uncommon in those who survive to hospital
🧵2/6
➖Those without OHCA frequently have good outcomes
➖Associated C spine/vascular/airway injuries are uncommon in those who survive to hospital
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🔬 Pleased to share our new scoping review on cardiac arrest after hanging- sadly not an uncommon cause of cardiac arrest which has previously lacked a good quality synthesis of evidence
Link: authors.elsevier.com/a/1kXSi_6ryq...
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Link: authors.elsevier.com/a/1kXSi_6ryq...
🧵1/6
February 1, 2025 at 1:21 PM
🔬 Pleased to share our new scoping review on cardiac arrest after hanging- sadly not an uncommon cause of cardiac arrest which has previously lacked a good quality synthesis of evidence
Link: authors.elsevier.com/a/1kXSi_6ryq...
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Link: authors.elsevier.com/a/1kXSi_6ryq...
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When following a left atrial pressure algorithm that uses 2.8m/s as a binary cutoff, do people give a bit of leeway if it's *almost* 2.8 with severe TR/wide vena contracta?
January 2, 2025 at 10:19 PM
When following a left atrial pressure algorithm that uses 2.8m/s as a binary cutoff, do people give a bit of leeway if it's *almost* 2.8 with severe TR/wide vena contracta?
Does anyone know where I can find a manual/user guide for Phillips 5500CV or other similar Phillips device? Only get Phillips espresso machines when I Google for the manual and it's slow mastering the knobology incrementally just while scanning!
#cardiosky #echofirst
#echosky
#cardiosky #echofirst
#echosky
December 31, 2024 at 1:34 PM
Does anyone know where I can find a manual/user guide for Phillips 5500CV or other similar Phillips device? Only get Phillips espresso machines when I Google for the manual and it's slow mastering the knobology incrementally just while scanning!
#cardiosky #echofirst
#echosky
#cardiosky #echofirst
#echosky
I tried to get a few more mechanistic shots! unfortunately not great parasternal views (sorry cursor is in the way of this one)
December 25, 2024 at 2:36 PM
I tried to get a few more mechanistic shots! unfortunately not great parasternal views (sorry cursor is in the way of this one)
Instructive case in my ongoing FUSIC HD journey- pt with dyspnoea, leg/groin/abdo swelling
December 24, 2024 at 9:41 AM
Instructive case in my ongoing FUSIC HD journey- pt with dyspnoea, leg/groin/abdo swelling
Fortunately UK now has specific NICE guidance to refer to in these conversations in addition to a joint royal college of EM/radiology advisory statement - very helpful to refer to even though not all know about it!
December 3, 2024 at 8:24 AM
Fortunately UK now has specific NICE guidance to refer to in these conversations in addition to a joint royal college of EM/radiology advisory statement - very helpful to refer to even though not all know about it!
Maybe correlates with AKI at least? Though slightly less inter-observer agreement than peripheral. Can't find much to really compare the two, most studies seem to just do one or the other.
November 29, 2024 at 5:27 PM
Maybe correlates with AKI at least? Though slightly less inter-observer agreement than peripheral. Can't find much to really compare the two, most studies seem to just do one or the other.
Basic FICE training scan in a stable post-op elderly patient with no cardiac hx other than systolic murmur & pre-op echo demonstrating SAM of the MV, pending workup.
Have always thought it must be amyloid?
#cardiosky #emimcc #pocus
Have always thought it must be amyloid?
#cardiosky #emimcc #pocus
November 25, 2024 at 9:31 AM
Basic FICE training scan in a stable post-op elderly patient with no cardiac hx other than systolic murmur & pre-op echo demonstrating SAM of the MV, pending workup.
Have always thought it must be amyloid?
#cardiosky #emimcc #pocus
Have always thought it must be amyloid?
#cardiosky #emimcc #pocus
Never seen one, though I think I would get in trouble if I followed Lichtenstein's suggestion of using tofu to get around its shortcomings
November 25, 2024 at 8:33 AM
Never seen one, though I think I would get in trouble if I followed Lichtenstein's suggestion of using tofu to get around its shortcomings
As a hobbing pizza freak I think depends on pizza type - Neapolitan/NY style must be round (for slicing/folding reasons) but Detroit/Sicilian style MUST be rectangular (for crispy edges)
November 24, 2024 at 3:02 PM
As a hobbing pizza freak I think depends on pizza type - Neapolitan/NY style must be round (for slicing/folding reasons) but Detroit/Sicilian style MUST be rectangular (for crispy edges)
I like the acronym they put on all the ambulances, possibly the most contrived I've ever seen. Not a trial acronym but probably an ICU Ed &Toddcast (?on bluesky yet) 0/10
November 24, 2024 at 1:28 PM
I like the acronym they put on all the ambulances, possibly the most contrived I've ever seen. Not a trial acronym but probably an ICU Ed &Toddcast (?on bluesky yet) 0/10
A life-saving bargain for anyone with a NEWS of 5 who triggers sepsis! For a limited time only, buy one and get a free thinking cap!
November 24, 2024 at 1:00 PM
A life-saving bargain for anyone with a NEWS of 5 who triggers sepsis! For a limited time only, buy one and get a free thinking cap!
Would you include a high-dose hydroxocobalamin arm in such a trial too? I'm also not sure what inclusion & endpoints would be - surely would need a prohibitively expensive n to look for a mortality signal or even functional outcomes in refractory vasoplegia
37586951
36174744
37586951
36174744
November 23, 2024 at 12:50 PM
Would you include a high-dose hydroxocobalamin arm in such a trial too? I'm also not sure what inclusion & endpoints would be - surely would need a prohibitively expensive n to look for a mortality signal or even functional outcomes in refractory vasoplegia
37586951
36174744
37586951
36174744
Does anyone do and advocate for the oblique technique? Have never seen it done
November 23, 2024 at 10:08 AM
Does anyone do and advocate for the oblique technique? Have never seen it done
Seemed he described everything!!
November 22, 2024 at 1:16 PM
Seemed he described everything!!
R base wedge-shaped shred sign (sorry it's backwards). Rest of lungs clear.
November 15, 2024 at 3:40 PM
R base wedge-shaped shred sign (sorry it's backwards). Rest of lungs clear.