Pt admitted with sups sepsis from infected diabetic foot ulcer. Increasingly hypotensive and hypoxic through night. Put on NA, HFNC. SA in blood culture and systolic heart murmur, routinely performed TEE #Echofirst #FOAMed #FOAMcc #FOAMus

McConnell's sign is not specific for PE, nor for acute pressure overload. This patient had a persistent McConnell's sign secondary to extensive perimyocarditis. Estimated SPAP 25mmHg, collapsing IVC. #FOAMed #FOAMcc #FOAMed #FOAMus #Echo

Here's a little visual #POCUS trick: When the mitral valve is opening a lot (low EPSS) and the LV is hyperdynamic, but the aortic valve is not opening that much, something is wrong (loop at 50% speed). #FOAMus #FOAMed #FOAMcc

A wee bit of circulation simulation with #Circadapt (http://circadapt.org/) of severe acute AR. Purple: aortic root, red LV, green aortic valve. Reference: no AR, HR 70, MAP 92. Snapshot: 25% area AV deficit (1cm2 "ROA"), HR70. Current: HR increased to 120 #FOAMed #FOAMcc 1/7

A tiny tip: you can measure RR with M-mode if breathing is regular! #foamus #FOAMed https://cloud.butterflynetwork.com/-/shared/3B4gR72yQTCTNdmxlN9Kvg?utm_source=image_share_sheet #FOAMcc

#echofirst views of the right ventricle.
#POCUS #FOAMcc #Nephpearls
Courtesy: Bulwer, B.E. (2022) doi 10.1007/978-3-030-83864-5_21

🕊️ PEACE Pediatric Extracorporeal Membrane Oxygenation Anticoagulation CollaborativE Consensus Conference
⚙️ influence of #ECLS circuit & components
💉 anticoagulant medications
🎯 monitoring & targets
🧪 monitoring & replacement of AT, fibrinogen, vWF
💉 antifibrinolytic & adjunct hemostatic agents
🔪 perioperative period
🩸 bleeding & thrombotic complications
🔍 priorities for clinical Research
#FOAMcc #FOAMecmo #PedsICU
Summary 🔓 https://bit.ly/3RU7l5c
& special issue 🔓 https://bit.ly/3XVOqL7