Physician. Emergency Medicine, Intensive Care, and Trauma Team Leader. Point of Care ultrasound enthusiast.
Hamilton, Ontario
Joined April 2012
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Steven Skitch retweeted
Want to learn about #pocus and venous congestion in sepsis and septic shock?
Come join us in March 20th!
Thanks to @ISNkidneycare for the invite.
#vexus
𝗦𝗔𝗩𝗘 𝗧𝗛𝗘 𝗗𝗔𝗧𝗘 for the next ISN-@ASDINNews webinar: "POCUS Advances Worldwide"
🗣️ @ross_prager, @alanephro, Mujtaba AL-Saray, Lior Fuchs
👤 Daniel W Ross, Andrew Moses, Hilda Fernandez
🗓️ March 20
🕑 2 pm CET
🔗 Free registration: ow.ly/1iEW50QSuWA
Steven Skitch retweeted
For all resus and pocus peeps, keep an eye on @drvimalzenICU , a real vexus and pocus force, currently running an interventional vexus rct, and one of the pioneers in fem venous doppler! And of course part of the HR fam! pubmed.ncbi.nlm.nih.gov/3716… – at Montréal, Québec
Current and Emerging Approaches to Coma Prognostication After Acute Brain Injury jamanetwork.com/journals/jam…
Steven Skitch retweeted
LVOT VTI-based algorithm in hemodynamic #shock
#POCUS #FOAMed #Nephpearls
Click ‘ALT’ for abbreviations
Courtesy 🔗 theultrasoundjournal.springe…
ALT AR aortic regurgitation. AS, aortic stenosis, ARDS acute respiratory distress syndrome, CFD color flow Doppler. COPD chronic obstructive pulmonary disease, CRRT continuous renal replacement therapy, GI gastrointestinal, MI myocardial infarction, IABP intra-aortic balloon pump, IVC inferior vena cava, IVS intraventricular septum, LV left ventricle, LVEF left ventricle ejection fraction, LVOT left ventricle outflow obstruction. MS mitral stenosis, PE pulmonary embolism, PLRT passive leg raising test, PHTN pulmonary hypertension, RA right atrium, RBC red blood cells, RV right ventricle, RVOT right ventricle outflow tract, TAPSE tricuspid annular plane systolic excursion, VTI velocity–time integral
Steven Skitch retweeted
💉Do you sedate acutely ill patients in the ER or ICU?💉
🏥Check out our Network Meta-Analysis examining the safety and efficacy of all IV procedural sedation agents used in the ED and ICU!🏥
Link: authors.elsevier.com/a/1iNpR…
See Below for a Summary of What We Found 🧵 (1/N):
Steven Skitch retweeted
🔍 Now at @CCCForum: to intubate or not? 🤔 Exploring the impact of Noninvasive Airway Management in comatose patients with acute poisoning . @FreundYonathan published today on @JAMA_current
Steven Skitch retweeted
Thank you #EACEM2023 for the opportunity to speak on the management of the massively bleeding trauma patient.
While I could only join virtually, I hope to join you all in Turkey in the near future.
In case you missed it...here's some highlights:
1/
Steven Skitch retweeted
#JustPublished #SimPub #AHA23 #CIRCAHA23: Among nearly 2000 patients receiving #CPR, bag-valve-mask lung inflation occurred infrequently, but was associated with improved survival and favorable neurologic @henrywangmd @bettyy0
outcome.ahajrnls.org/3FX6Q3W
Steven Skitch retweeted
Manuscript is up about informal #POCUS training and false confidence! 👇
We found that among #IM residents:
⏺Informal training and confidence were ❌ associated with assessment scores
⏺FORMAL curriculum was ✅
Formal POCUS training is 🔑
academic.oup.com/milmed/arti…
If you’re just informally teaching #POCUS to residents during clinical practice, you may be causing POCUS overconfidence (A #meded thread and peek at some of my presentation at #MHSRS2022 today) 1/7
Check out this study we completed looking at one approach to QA for ED POCUS.
Quantifying Clinically Meaningful Point-of-Care Ultrasound Interpretation Discrepancies Using an Emergency Department Quality Assurance Program cureus.com/articles/173198-q…
Reconsidering the Language of Serious Illness jamanetwork.com/journals/jam…
Routine Versus On-Demand Blood Sampling in Critically Ill... : Critical Care Medicine journals.lww.com/ccmjournal/…
Association of an Emergency Critical Care Program With... : Critical Care Medicine journals.lww.com/ccmjournal/…
@JulianOwenEM_CC @SameerSharifMD
Steven Skitch retweeted
Our "Applied Hemodynamics" sessions are now available
vimeo.com/ondemand/appliedhe…
Content includes a series of 5 roundtable discussions facilitated by experts in hemodynamics-- highlights applications of key pathophysiological principles at the bedside when managing shock 1/n
Steven Skitch retweeted
Driving pressure at the bedside:
🛌 how to measure?
🛌 how to control driving pressure in spontaneously breathing patients?
🛌 limitations
One single Vt does not fit all: ΔP may help to titrate Vt according to lungs size, potentially improving outcomes.
🖇️ bit.ly/41F4cIs
Steven Skitch retweeted
Is #POCUS a waste of time?
I thought I’d convert my recent talk at #accs2023 @CC_Symposium into a Twitter thread.
#foamed #FOAMcc
Steven Skitch retweeted
Today's Paper of the Day is by @Alessan65903420 on external ventricular drainage: a practical guide for neuro-anesthesiologists
Steven Skitch retweeted
You’re called to a 78 yo who’s POD 2 after a Whipple for pancreatic Ca. She’s hypoxic & has a SBP in the 90s. Her family says they’re not sure if she would want to go to ICU because they’ve heard even those who survive end up debilitated. How do you respond to this statement? 🧵
Steven Skitch retweeted
Great study! Putting myself in the shoes of the scenario, my thoughts would likely be "if they were robust enough for curative surgery, they are a reasonable ICU candidate". Really shows the difference between a 78yo 'medical' ICU patient vs 'surgical' ICU patient
Steven Skitch retweeted
Two new surgical RCT's just released by @nejm @AANSNeuro
If you're caring for patients with stroke or traumatic brain injury, these trials might change your practice or help you understand what we surgeons do and why ...
Here comes an evidence based surgery megathread ...
