Pulm. velocity accel time (PVAT) estimates the severity of PA pressure elevation when TR jets are difficult to analyze. PVAT = time from flow onset to peak velocity. PWD at the PV in this PSAX #TTE shows a PVAT ~ 150 ms (normal is > 130 ms). #echofirst #medtwitter

Happy New Year to all! #MedTwitter , what things do you all do at the beginning of every year? Here are a few things I do:
- Subscription renewals
- Backdoor Roth IRA contribution
- Look for competitive rates on utilities

One last update for my free EchoTools iOS app before 2024! As always, I appreciate your continued support for this project! echotools.app #pocus #ultrasound #medtwitter

The transhepatic (TH) IVC view (phased array in RUQUS, tilt beam cranio-posteriorly, pan around). Poor agreement in measurements b/w TH and SC IVC views, and outside of extremes, IVC measurements don't guide my clinical practice in the CVICU. #echofirst #medtwitter #pocus

Cause we're spreading holiday cheer with... mortality benefits! #MedTwitter

Academic attendings who constantly complain about their trainees' weaknesses should spend less time ridiculing and more time actually teaching/mentoring. We were ALL in their shoes at one point. Take pride in nurturing your trainees' success! #medtwitter

Love GE Healthcare's Auto-VTI tool! Applying it here to an apical 3-chamber ('long-axis') TTE view to assess volume responsiveness. Hoping to see more tools like this expand across manufacturers. #echofirst #pocus #ICU #medtwitter

Identify tasks that you regularly perform and learn how to automate them.

ME-LAX TEE view showing pre-and-post surgical IVS myectomy for HOCM. Note DIASTOLIC flow across the IVS - an expected finding caused by unroofed septal perforators (systolic flow would be concerning for VSD). #medtwitter #echofirst #cvsurgery #anesthesiology

Lung #POCUS with air bronchograms (yellow arrows) - patent airways amid consolidated lung tissue signaling atelectasis, PNA, etc. Dynamic bronchograms move with respiration while static suggest trapped air (RLL atelectasis seen here caused by a pleural effusion) #medtwitter #ICU

Where are my fellow cardiac anesthesiologists taking the first #ABA cardiac anesthesia board exam tomorrow? #anesthesia #medtwitter

Thanks for sharing my post!

Or the famed MAC with 100% immobility… AKA general anesthesia without an airway. I really think every proceduralist should have to provide a (supervised) anesthetic for every procedure they’re going to do as part of their training.

I’ve had several direct discussions with attending cardiologists about issues writing “recommend CV anesthesia” or “recommend MAC” in the chart without actually talking to an anesthesiologist beforehand. 😬

What single app helps you the MOST with organizing tasks? Things? Tick Tick? Notion? Notes/Reminders? Bear? Fantastical? Something else? #apple #appstore #macos #ios

An overview of axis deviation on the blog: rk.md/2017/ekg-axis-… #medtwitter #foamed

RV-PA coupling utilizes the effective PA elastance (Ea) and the RV end-systolic elastance (Ees). Learn more on the blog! #meded #medtwitter rk.md/2023/right-ven…

What's the a.) imaging modality, b.) view, c.) pathology, d.) likely causes? #POCUS #EchoFirst #MedEd #MedTwitter

3D TEE imaging of the tricuspid valve (TV) is beautiful! 🤩 Important spatial relationships to understand are the SLTV-PLTV commissure for the coronary sinus, ALTV-SLTV commissure for the RCC-NCC of the AoV, and RCA coursing along the lateral aspect. #pocus #tee #echofirst

That means so much! I really do appreciate the kind words! 🙏