Shailesh Shah

@[email protected]
46 Followers
74 Following
51 Posts
Critical Care and Acute Medicine Consultant.
Invested in Critical Care Outreach and early recognition of the deteriorating patient.
Teacher of POCUS and it’s integration into clinical assessment
Dad, husband and inconsistent hockey goalkeeper.
Shailesh ShahOct 18, 2023

Ongoing discussion re best approach to intermediate-high/high risk PE.

What options do we have?
Anti-coag
Systemic Thrombolysis 100%, 50%, 25%
IR guided (embolectomy/CDT)
Fluid
Furosemide

The evidence is certainly in favour of IR guided therapies

However, in the spiralling obstructive shock patient, would you reach for the diuretic??

https://academic.oup.com/ehjacc/article/11/1/2/6386419

https://www.jstage.jst.go.jp/article/circj/advpub/0/advpub_CJ-13-0404/_pdf/-char/ja

https://www.jacc.org/doi/10.1016/S0735-1097%2817%2935282-8

Diuretic vs. placebo in intermediate-risk acute pulmonary embolism: a randomized clinical trial

AbstractAims. The role of diuretics in patients with intermediate-risk pulmonary embolism (PE) is controversial. In this multicentre, double-blind trial, we ran

OUP Academic
Shailesh ShahNov 20, 2022
Show threadWillNov 20, 2022
@scottbarolo @bookstodon I love "lukewarm" for it's peculiarity in English. "Luke" used to be an adjective that was more broadly used, so you could call someone "luke-hearted," for example. But "luke" disappeared from usage, and we're just left with this one throwback word.
Shailesh ShahNov 14, 2022
Jens ClasenNov 14, 2022

Funny German insults to cheer you up:

- Warmduscher (warm showerer) = wimp
- Stinkstiefel (smelly boot) = grumpy person
- Lackaffe (varnish monkey) = flashy dude
- Trantüte (bag of whale oil) = slowpoke
- Schweinehund (pig dog) = skunk
- Arsch mit Ohren (butt with ears) = jerk
- Kotzbrocken (puke chunk) = jerk
- Arschgeige (butt violin) = jerk
- Nervensäge (nerve saw) = annoying jerk

Enjoy our language!

#TheGermanWord

Shailesh ShahNov 13, 2022

https://twitter.com/manoj_wickram/status/1591708439889207297?s=46&t=ej8bDgcZnHS-ohiljxEDwA

Link to an excellent #echo thread by Manoj Wickramasinge - ICU/Anaesthesua StR, and #POCUS guru.

Manoj Wickramasinghe on Twitter

“Echo is one of the more skilled ultrasound exams you can do. Having learnt it and now teaching it, I see the same mistakes being made over and over again. I have put together thread on beginner mistakes in echo. #tweetorial #POCUS #FUSIC #askpocus”

Twitter