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pdsalinas.bsky.social
CICU&CTICU intensivist, husband, dad. IM, CC and neuroCC boarded. NBE CC echo diplomate. CICU&POCUS director. Opinions=me.
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Prolific Poster

POCUS in MCS by Dr Jose Diaz-Gomez at SWAAC ELSO.

Diuresis argument: Increased O2 req&resp distress, #POCUS -diffuse B-lines in all lung fields w/ smooth pleural line, LVEF 40%, E/e' 30, RIJ @mandible at 45 degrees, IVC greater than 2 cm, PV 100%, phasicity, intrarenal veins monophasic; however, the mouth is dry as a killer counterargument 🤦‍♂️🤷‍♂️

So many examples of lives saved by TEE in cardiac arrest @Jose_Diaz_Gomez . PEA arrest for 20 minutes before ROSC. Called for TEE. Refractory shock. Quick identification of RV failure and clot in RPA. Received 50 mg tPA. Extubated 24 hrs later.

Surely I misheard. There’s no way Dr. Oz, the OG grifter, president of grift university, has been tapped to lead the largest and most influential US healthcare entity.

I am thrilled to direct and host the #SCCM #POCUS workshop for internal medicine residents and our critical care fellows on November 19 and 20 here at AAH St. Luke's Milwaukee.

Highly stimulating Critical Care Ground Rounds at AAH St. Luke's Milwaukee by Dr. Glenn Hernandez. Fascinating discussion on hemodynamic coherence in septic shock and the dynamics of parameters in the evolution of septic shock. Perfusion without congestion. Don't have to swell to get well.

Migrated over from the other place 🐣 to check out these blue skies 🦋 In the meantime - registration for the Hospitalist and the Resuscitationist #HR25 is open!! May 22-23 in Montreal 🇨🇦 There’s no better gathering of hemodynamic and physiology enthusiasts 🩺 thinkingcriticalcare.com/2024/06/05/h...

Are all patients with hypotension in shock, and are all patients in shock experiencing hypotension, sir? If it were that simple.

Critical Care Echocardiography—A Driven Approach to Undifferentiated Shock https://meridian.allenpress.com/thij/article/50/5/e228075/496330/Critical-Care-Echocardiography-A-Driven-Approach @Jose_Diaz_Gomez

More parameters need to be evaluated and researched regarding venous congestion. Always staying ahead @argaiz @nephropocus. Femoral Vein Doppler for Guiding Ultrafiltration in End-Stage Renal Disease: A Novel Addition to Bedside Ultrasound - CASE...

We are excited to have world expert Dr. Eduardo Mireles-Cabodevila @emireles_c for grand rounds and a mechanical ventilation workshop 10/22/24. Our critical care fellows and faculty are eager to learn SEVA - Standardized Education for Ventilatory Assistance. @vladdieiev

Thrill to present some interesting findings on myocardial work&septic cardiomyopathy at #ESCCongress2024

So thrilled, on my way to the first #SCCM ultrasound workshop in Mexico City! Yes, we are doing it all in Spanish.

So many examples of lives saved by TEE in cardiac arrest @Jose_Diaz_Gomez . PEA arrest for 20 minutes before ROSC. Called for TEE. Refractory shock. Quick identification of RV failure and clot in RPA. Received 50 mg tPA. Extubated 24 hrs later.

Septic Cardiomyopathy and Myocardial Work #ESCCongress - can't wait to present it! https://escol.escardio.org/MyESC/modules/congress/Abstract/default.aspx

Ultrasound Course in Mexico City 🇲🇽

New Generation of Critical Care Fellows learning resuscitation TEE @mdmdtyler

#IMPOCUS Hosting SCCM ultrasound workshop for ASLMC residents with ⁦@vladdieiev⁩ ⁦⁦@mdmdtyler⁩. Looking at #AI vs expert guidance.

Cardiovascular ICU care in 2024! ASLMC Grand Rounds by @Jose_Diaz_Gomez. Thank you! ⁦@vladdieiev⁩

There is TEE, TELUS and is this TEGUS? Evaluation of shock, found active gastric bleeding. OGT no return. We saw SVC getting more &more collapsible. Trans gastric view 🤯 See near field swirl.

Spotted at the gym! Whose truck is this @NephroP @ThinkingCC @ArgaizR @khaycock2 ?

Critical Care Echocardiography: Assessing Left and Right Ventricular F... @vladdieiev https://www.sciencedirect.com/science/article/pii/S088721712300104X

Vote Today #SCCM. I fully support @Jose_Diaz_Gomez & have great confidence in him. He is a forward-thinking leader who possesses a wealth of experience & I am genuinely inspired by his efforts to elevate us all! La comunidad de POCUS tenemos suerte de tener a un gran aliado!

⁦@CICU_ECHO⁩ 💯

⬆️RV Es max slope w/ dobutamine 2 mcg/kg/min (+ IV diuretics) in subacute RV failure & functional TR. Chemo induced LV CMP. From anuria to > 8 l UO in 48 hrs. ⬇️RAP ⬆️ RV S' ⬆️ RVOT VTI from 7 to 14 cm! Upper-before, below on dobutamine

SCCM advanced ultrasound course in Texas Valley with @vladdieiev

Critical Care Echocardiography—A Driven Approach to Undifferentiated Shock https://meridian.allenpress.com/thij/article/50/5/e228075/496330/Critical-Care-Echocardiography-A-Driven-Approach Started as a discussion with @Jose_Diaz_Gomez & Jackie Sohn at the airport. Thanks!

Such a treat, teaching #WINFOCUS in Mexico City. Un gran placer estar con mis compatriotas.

Ready to discuss RV physiology in circulation and shock!

So honored, fellow of the American College of Critical Care Medicine!

Associate Program Director Dr @vladdieiev teaching VTI and stroke volume calculation by PW doppler. Bringing shock evaluation & management to a new level! @AuroraCCFellows @SCCM

Thrilled! Licensed SCCM Ultrasound Course at Aurora St. Lukes July 6 & 7. A bootcamp for incoming critical care fellows, IM residents, APCs and experienced intensivists @SCCM @AuroraCCFellows @vladdieiev @raj_karnatak

Thanks for the great DIY session ⁦@RubbleEM ⁦@Jose_Diaz_Gomez⁩ ⁦@DRsonosRD⁩ ⁦@PennUltrasound⁩ ASE2023 @ASE360

Another excellent session #ASE2023 Pros and Cons. POCUS is an awesome tool, but don’t forget. Three pillars and increasing complexity 1) Image acquisition 2) image interpretation 3) medical management ⁦@RubbleEM⁩ ⁦@NikraDoc⁩ ⁦@VLSorrellImages⁩

PERT in high risk and massive PE by ⁦@NikraDoc⁩ #ASE2023

Dr ⁦@Jose_Diaz_Gomez⁩ discussing RV function #ASE2023 in Pulmonary Embolism

Recipient of #ASE2023 critical care echocardiography travel grant Dr @ANCHITBHARAT @AuroraCCFellows @vladdieiev @raj_karnatak

#POCUS Severe hypoxemia, elusive no more!

See you at ASE 2023! Scientific Sessions on Chalk Talk: Practical and Reliable Echo Evaluation of Right Heart Function in Distinct Hospital Settings. #ASE2023 @ASE260 - via #Whova event app

Program Facts | Critical Care Fellowship | Aurora Health Care https://www.aurorahealthcare.org/education/gme/critical-care-fellowship/program-facts

Join the #POCUS track!

https://youtu.be/sWfvVDhcxPI It has been a pleasure and honor to train >150 clinicians in Ukraine, from basic to advanced ultrasound. 🙏SCCM&staff, leader @Jose_Diaz_Gomez, & amazing colleagues @DrVadimG, Lisa Rapoport, Aliaksei Pustavoitau, Rom Stevens, Susana Rudy.

Why RV strain matters in stratifying RV dysfunction. Eyeball with severe RV dysfunction from PE, BOVA 5. TAPSE 19 mm and RV s’ 14 cm/s, aka normal. We need RV strain in our POCUS evaluation!

Critical Care Transesophageal Echocardiography for the Resuscitation of Shock https://journal.chestnet.org/article/S0012-3692(22)03710-2/fulltext#.Y_JDNuVqQ0s.twitter