vishal sheth @sheth_vishal
SHO Doctor . Gold Coast, Queensland Joined July 2011-
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Friday night shift @UMEmergencyMed #foamed #WhiteBoardTeaching
Once of the most deadly conditions that is routinely missed in the icu
Once of the most deadly conditions that is routinely missed in the icu
ICU Practice: The conventional teaching is to perform spontaneous breathing trials (SBT) only once daily when we try to wean a patient from mechanical ventilation. The rationale is to prevent precipitating respiratory muscle fatigue. It has been shown that SBT failures are often
What’s something about a medical condition that’s often misunderstood?
I am reading another Powerpoint presentation about "fluid responsiveness" and I have so many questions:
What’s the worst physical pain you’ve ever experienced?
(1/x) Alright, given the amount of 'passionate' disagreement people have had with this post, let me give my more nuanced approach👇
(1/x) Alright, given the amount of 'passionate' disagreement people have had with this post, let me give my more nuanced approach👇
ICU/ED Pharmacology/ID Secrets: Have you ever managed a septic patient & ordered antibiotics to be given stat only to discover hours later that they were still infusing? If yes, stay tuned Among several controversies in sepsis management, the early administration of antibiotics
Meet the 71-year-old woman who can cure any disease: Barbara O'Neill. She’s the world's #1 holistic doctor. Here are her 7 controversial rules for superior health & longevity: 1) Carbs make you fat, not fats:
ICU Stories: Elderly patient with multiple medical problems (HFpEF / A fib / HTN / PE / obesity etc) was admitted w CHF exacerbation. Improved w diuresis but developed left upper extremity edema; diagnosed with extensive DVT for which Interventional Radiology (IR) was consulted
The deadliest killer isn’t cancer or heart disease. It’s chronic stress. It's the reason why you're depressed, anxious, and your nervous system is in chaos. Here’s the shocking truth about stress—and exactly how to break free (for good):
Periodic reminder that for most people with vasodilatory shock we should be targeting a MAP > 60 mmHg (not 65). A lower MAP goal was associated with a shortened duration of vasopressors & possibly reduced mortality. With vasopressors, less is truly more. jamanetwork.com/journals/jama/…
Excellent Step-By-Step Guide for Ocular Ultrasound by @Pocus101 at pocus101.com/ocular-ultraso… #radres #MedTwitter #foamrad #Ophthalmology
Emergency medicine is a lifestyle, not just a job. You’ll see the sickest patients, the worst luck, and the darkest corners of humanity—& still be expected to smile, move fast, and get it right every time. A thread on what they don’t tell you about EM. 🧵
💧 Understanding Fluid Accumulation Syndrome in Sepsis and Septic Shock 💧 🚨 Fluid Accumulation is a condition characterized by fluid overload leading to organ dysfunction—and provides insights into its pathophysiology, relevance, and management linkedin.com/posts/manu-mal…
You can’t win in life if you’re losing the battle in your mind. Master your thoughts, and the rest will follow.
(1/x) Here are the 10 biggest errors I see clinicians make while trying to learn #POCUS (aka: how to avoid common POCUS pitfalls) A 🧵
Night shifts can be brutal 😫 Here are five tips to surviving the night shift based on my experience as a paramedic, medical student, resident, and now attending ICU physician. 🚑 Number 4 could save your life ☠️ #meded #residents #foamed
If you have anxiety, depression, or fatigue, you can cure them naturally. Most mainstream fixes are temporary. But, if you find the root cause—permanent healing is inevitable. Here is the absolute best way to heal yourself without pills: 🧵
Biggest medical discoveries of the week (🧵) 1/10 Why does caloric restriction boost lifespan? This study of ~1,000 mice finds (surprisingly) it's less to do with lowering fat mass, and more to do with boosting immune function and stress resilience nature.com/articles/s4158…

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