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Philippe Rola
23.6K posts
Philippe Rola
@ThinkingCC
#zentensivist, EMCrit Teammate, Proud daddy and husband. BJJ🟪. ICU Santa Cabrini Hospital.
- Replying to @LeeMcdellCovid vaccine doesn’t prevent infection. No one claimed it would. It diminishes severity and saved/saves countless lives. I work at the edge of the cliff. Saw no one die of vax injury. Not one. What I saw? Sooo many covid deaths.
- Been teaching this for years. Never use a radial for marked hemodynamic instability. Fem/brach/ax.Replying to @JohsEnevoldsen @Jopo_dr and @load_dependentLow one is the radial arterial line and high one is the femoral. Patient was on huge doses of pressors which we rapidly titrated down!
- Best hemodynamic monitoring for inter-hospital transport? This is it for me. @ResusTEEproject, @FTeranMD @khaycock2 @msiuba @Thind888 @load_dependent @iceman_ex
00:00 - Essentially Magder’s curve of the RV here (blue line), but flip the axes
Replying to @icmteaching10/ Curve shifts ≠ flow changes The cardiac curve can shift up or down with changes in contractility, HR, or impedance — but that doesn’t mean the heart sets flow. Cardiac output depends on where the circulation meets the curve — the operating point — usually on the vertical - Repeat after me: pressure is not flow.
This post is unavailable. - Anyone ever seen the pneumo part of a hydropneumothorax happening live? track the bubbles! Clip courtesy of Dr. Ian Ajmo of Santa Cabrini Hospital fame! #POCUS
00:00 - Replying to @maosbotIt really is mostly the western world, because this has provided a political spark with which to gain power. Tapping into the too-common selfishness in the current western culture has a huge political and financial payoff in the short term.
- Wow this is some carefully crafted, strategic garbage. How do these ppl sleep at night? @farid__jalali @Andy_Ekins @lisa_iannattone @RougeMatisse @GenDallaire
- Avoid radial art lines for shock management. Go femoral. Our fellow put it in and look at the difference. Levo “requirements” dropping now.
- Let’s get one thing straight, it was not the medical field, this was orchestrated by the ones pulling the strings of the CDC/WHO. And I think that is mostly businessmen who have little to do with the medical field. We (in the field) all knew it was airborne and behaved as such.When COVID-19 surfaced in 2020, the medical field missed something, and it cost lives. Airborne viruses can travel much further than originally thought. To curb infection, we should have focused on indoor air systems. @DrLaPook reports, Sunday. 60Minutes.com
00:00 - Tentatively...@EMNerd_ @emcrit @PulmCrit @drmarcogarrone @cameronks @adamdavidthomas will be teaching me - and anyone interested - #COVID Respiratory Management #FOAMed webinar, register here: ccusinstitute.wixsite.com/ccus Date & Time Subject to change re COVIDisasters.
