Vivek Shah @vivek_shah405

PGY3 Emergency Medicine @harborUCLAEM | all views/opinions are my own Joined July 2015

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Alexander Bracey @BraceyA

3 years ago

Thank you again to all who attended my talk on wall motion abnormalities in #OMI at #ResusX2022 and to @CriticalCareNow and @resus_x for the opportunity!

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Vivek Shah @vivek_shah405

3 years ago

Wait...did you say decompressive laparotomy for increased ICP? pubmed.ncbi.nlm.nih.gov/15514520/ @EvieMarcolini @CriticalCareNow #Resusx2022

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Back with some #Resusx2022 learning pearls: Not all ICP is created equal, but here are the universal first steps: - Head up - Analgesia (fentanyll drip 🙃) - Sedation (dex) - Osmotic agents - Control fevers @EvieMarcolini @CriticalCareNow

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Vivek Shah @vivek_shah405

3 years ago

Another day of being an intern = learning what you were taught in med school may be wrong. Thanks, @SaraCrager for reframing how we think about shock outside the 4 main pillars. @CriticalCareNow #Resusx2022

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Vivek Shah @vivek_shah405

3 years ago

Mind the microcirculation: Microcirculatory dysfunction is associated with worse patient outcomes independent of macrocirculation parameters @SaraCrager @CriticalCareNow #Resusx2022

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Vivek Shah @vivek_shah405

3 years ago

If you aren’t using lung ultrasound in your dyspneic patients, you’re missing out on an incredibly sensitive, specific, and user friendly tool that can drastically change management. B-lines >>>> CXR + BNP (in setting of HF) Thank you @mriscinti! @CriticalCareNow #Resusx2022

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Vivek Shah @vivek_shah405

3 years ago

Get ready to watch me try and figure out how to use twitter

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Vivek Shah @vivek_shah405

3 years ago

Huge thanks to the whole team! @LeuchterRich @dgsomucla @esrailian @UCLA_GIMHSR @DOM_UCLA @jnmafi @jakequintonMD @michael_ong @AustinKilaru @Ateevm

Catherine Sarkisian @CathSark17

3 years ago

Huge thanks to the whole team! @LeuchterRich @dgsomucla @esrailian @UCLA_GIMHSR @DOM_UCLA @jnmafi @jakequintonMD @michael_ong @AustinKilaru @Ateevm

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Vivek Shah @vivek_shah405

3 years ago

It's 2022, if you aren't learning vasopressors via emojis, you're doing it wrong. #Resusx2022 @SaraCrager @CriticalCareNow

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Vivek Shah @vivek_shah405

3 years ago

Why do we start vasopressors? you checked their blood pressure, didn't you? Check their perfusion! hypotension =/ hypoperfusion 🤯 @SaraCrager @CriticalCareNow #Resusx2022

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Vivek Shah @vivek_shah405

3 years ago

hypotensive after first pressor? Pause and ask Hickam: - Acidosis => isotonic bicarb? - Hypothyroid = > T4 + T3 - anaphylaxis => epi - adrenal insuff => roids - Ca => milk (...just Ca) - occult bleed =>☝️ - 2nd cause => RUSH exam @CriticalCareNow #Resusx2022 @EMSwami

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Vivek Shah @vivek_shah405

3 years ago

patient with refractory hypoxemia? Here's what we know about proning post-COVID ARDS influx: - 16% reduction in mortality - P/F ratio not be the best indicator of when to prone - Decreased VILI - Dont stop proning right when p/f > 150 @CriticalCareNow #Resusx2022