Let's review an intubation together - a 🧵

Major breakthrough🎊 China United Imaging Healthcare (UIH) have began to mass produce the world's ultra-high field 5.0T MRI. This will drastically increase the accuracy of diagnos...

CRRT filter down twice last night due to ⬆️⬆️TMP, same thing happening this am. Blood flow 150 mL/min, hct 30%, post-filter replacement 2500 mL/hr Diagnosis? https://t.co/ZyAnjr...

Before we get to that: It's customary to hit the button just *before* the Bovie tip hits the tissue (L picture). We usually *don't* put the Bovie tip on the tissue and then hit th...

Short 🧵(for people going into critical care) regarding when a tracheostomy tube is the same 'size' as its endotracheal tube counterpart, and when it is not. Warning: minutiae fol...

Hospitals🏥 They aim for two things: Maximum patient comfort and such that the patient doesn't have to stay for long (ALOS) while at the same time doing it profitably (ARPOB). Ther...

@BJegorovic @Ask_Renal @askrenal @captainchloride As our friends said, curvilinear is good for #VExUS As u asked about fluid status exam, let’s see what u can do using the probes...

#ثريد Ommaya reservoir https://t.co/Ah91fU14pw

🧵regarding some observations about the LigaSure device. In December 2022, I accidentally dropped this one on the ground when setting up for an (open) case. Rather than discard it,...

🧵regarding some technical aspects of the needle holder and where to grip surgical needles, something you may not know about the packages they come in, and a comment about the ratch...

Redoing one of my very first 🧵for followers that didn't see it the first time... Short🧵 about what it means when an instrument has a gold handle. The gold handles look cool but...

🧵of 🧵 In the past, we've covered most of the commonly used sutures...today we'll go over Ethibond (polyester) sutures, which you may or may not be accustomed to to. As with the oth...

🧵regarding what may be the most beautiful of all surgical instruments, which is of course the Castroviejo needle holder. Here we will take a closer look at some of its features, (...

🧵regarding the 'groove director': A weird little instrument we use during laparoscopic operations to widen the fascia a little bit. It also has a 300 year history behind it. We...

🧵regarding one of the most basic and commonly used instruments in surgery...the DeBakey forceps. DeBakey forceps were designed for vascular and cardiac surgery, but now are used b...

Here’s a fun ICU puzzle: what is causing this crazy spiking pattern on the ECG waveform of both an intra-aortic balloon pump & ICU monitor? A #MedEd 🧵 on an important clinical art...

🧵on the spoon as a surgical instrument. (inspired by a post by @SKhalilMD and its replies) By this I don't mean curettes or spoon-like instruments...I literally mean an actual kit...

CTO WIRES Step 1.Wires with Low Penetration Force (Sliding Techniques through Microchannels ) 1.Fielder FC.. Non Tappered (0.8G) 2Fielder XT.  Tappered (0.8) 3Fielder XTA.Tappe...

🧵regarding the Kittner dissector (actually it's Küttner) and its various forms. The Küttner is used in practically every surgical specialty, which is fitting since Hermann Küttner...

Short🧵regarding 'toeing in', which is an important concept to be aware of when using surgical retractors, but is rather difficult to show in written or picture form. I'll try anyw...

Short 🧵on the Shiley XLT ('extended length') tracheostomy tube (or as I like to call it, the 'extra long trach'), which comes in 2 different types, and in particular a small but im...

Different 🧵today... I looked at a large liver clamp that has been kept in our trauma OR since I got here in 2006. I've never used it, and neither has anyone else currently workin...

so Let us have a look at these Weck Hemolok clips you speak of. a 🧵 https://t.co/Z1O7XLIcKY

Short 🧵on the 'pointy' part of a chest tube and what happens when we don't cut it off. Note in the video that despite the ziptie, it's not very secure and is easily undone. (1/ )...