Ryan Paulus, DO
@DocPaulusClinical Reasoning | Diagnosis | Advocacy | POCUS | Family Medicine | Rural Medicine | Outdoorsman | University of North Carolina
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@medcramUS
@NinaNeill1
Cardiac #POCUS parameters in the assessment of pulmonary hypertension #FOAMed #Nephpearls Click 'ALT' for abbreviations Courtesy: 2022 ESC/ERS pulm HTN Guidelines
Bedside #POCUS during ward emergencies is associated with improved diagnosis and outcome. #FOAMed #FOAMcc 🔗 ccforum.biomedcentral.com/articles/10.11… (*lung point should correspond to abolished lung sliding arm of the figure)
I really like this checklist as a framework to introducing #POCUS to a department or clinical group, as well as tracking how your program is doing "A Clinician's Guide to Implementation of POCUS in the Outpatient Practice" @OvergaardJosh @BThilagarMD 🔗doi.org/10.1177/215013…
🔴 ECG Interpretation Basics Quick Reference 🔹 Rhythm and Rate 🔹 QRS / Blocks 🔹 Intervals 🔹 Axis 🔹 Chambers 🔹 ST/T/Q (Ischemia) By Dr. Zaven Sargsyan @sargsyanz #CardioEd #CardioTwitter #medtwitter #cvd #ecg #Medtwitter
July series for new #ICU #Nephrology fellows: Cardiac #POCUS parameters in the assessment of pulmonary hypertension #echofirst #FOAMed #Nephpearls Click 'ALT' for abbreviations Courtesy: 2022 ESC/ERS pulm HTN Guidelines
🚀 New Review Alert: POCUS for Diagnosis & Management in Heart Failure!🩺 👨⚕️Authors: Sabina Yampolsky; Alan Kwan; Susan Cheng; Ilan Kedan Read more: 👇🔗pocusjournal.com/article/16795/ #Cardiology #HeartFailure #POCUS #POCUSJournal #FOAMed #MedEd #ultrasound
Good old #VExUS card #POCUS #FOAMed #Nephpearls
Multiorgan Congestion Assessment by #VExUS in Acute #HeartFailure. A VExUS score of 3 was significantly associated with in-hospital mortality (OR 8.03) outperforming IVC #POCUS #FOAMed #Nephpearls 🔗onlinejase.com/article/S0894-…
Nice little #VEXUS case illustrating the use of Portal Vein Doppler to track decongestion in patients with severe TR, as beautifully demonstrated in @ArgaizR's latest paper. 🧵 Patient with a Hx of HFpEF and moderate group 2 pHTN gets admitted with AKI and volume overload.
#ultrasound transducer movements, standard #POCUS terminology. #FOAMed #Nephpearls #MedEd
Thank you to this fantastic crew who led a POCUS workshop at #STFM2024. What a great start to the new @STFM_FM POCUS certificate program stfm.org/pocus @uncfammed @myncafp
1) More #POCUS training desired in those previously trained (🤔benefits of POCUS realized once you start using it?) 2) Lack of training = top barrier to #POCUS use 3) Majority groups have ≥1 rheumatologist already using POCUS. #OpenAccess link.springer.com/article/10.100…
🏥69% of @DeptVetAffairs rheumatology chiefs of staff say they want more point-of-care #ultrasound training for their team @nilamjsoni et al. surveyed all VA medical centers to learn more about the barriers. Check Healio for the details 👇 healio.com/news/rheumatol…
Diuretics in #ICU 🫘 what the indications? 🫘 how to monitor? 🫘 continuous infusion more effective vs intermittent dosing? 🫘 combining w albumin to improve effectiveness? 🫘 furosemide stress test 🫘 how to manage diuretic resistance #FOAMcc @yourICM 🔓 rdcu.be/dG6xx
1/14 How does fever help us fight infections? For millennia, fever has been recognized as a beneficial response to invading pathogens. If this is so, why don't we have a resting temperature of 102°F (38.9°C)? Wouldn't that protect us even better? Let's have a look.
5 Essentials #POCUS Skills for Any Clinician: LV function & volume status, pleural effusion, pericardial effusion, ascites, & LE DVT. Concise open access review. #FOAMed. @JHospMedicine @Ariadna22 @trevorjensen14 …mpublications.onlinelibrary.wiley.com/doi/epdf/10.10…
Congratulations to Dr. Adriana Perez Sanchez and Dr. Nilam Soni @nilamjsoni have published paper on POCUS for hospitalists in JHM: …mpublications.onlinelibrary.wiley.com/doi/10.1002/jh…
“Not all that leaks troponin is an MI” 🔑 concept: troponin elevation, ischemic and nonischemic causes 📚
Chest pain, good story, but nonspecific ECG? Do a bedside echo: regional WMAs support your case for angiography. #FOAMed #FOAMus
Please share this widely! I couldn't be more terrified of our country's healthcare crisis and @ONThealth can do better! Ontario healthcare is broken and we've long known it. It's been like this my entire lifetime, and I'm not exactly young. This is my daughter's IV line, which…
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