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I’m now sitting at back, like a teenager,
so pics of the slides won’t do, just listening attentively 🙄😇

@MarcVandeVelde6 is keeping us awake with his team of Belgians!

13e Refresher course Obstetrische anesthesie 🇧🇪🇳🇱
#SOA22
@euklaas @OBsleepmerchant

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13e Refresher course Obstetrische anesthesie 🇧🇪🇳🇱
#SOA22
@euklaas @MarcVandeVelde6 @OBsleepmerchant

First up: prof. Pierre-Yves Dewandre from @UniversiteLiege (with charming French accent 💙) on epilepsy, MS, Spinal cord injury and raised intracranial pressure. Excellent talk!

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Looking forward to this!
13e Refresher course Obstetrische anesthesie 🇧🇪🇳🇱 with @euklaas @MarcVandeVelde6 et al.
#SOA22
apologies to @OBsleepmerchant : my live tweeting is not up to scratch 🫣

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#SOA22” by @ICS_updates
https://x.com/i/events/1544259681098600450 a fabulous conference. Bring on Birmingham 2023!!

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Could electronic prescribing be the key to IV fluid safety? #SOA22 #FOAMed #FOAMcc

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Very interesting stuff from @MarciaMcDougall on variation in practice in anaesthesia! Look at IV fluids!!! It’s down to the prescriber!! #SOA22 #FOAMed #FOAMcc

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🎶Why don’t you fill me up🎶

Intro to the fluids session!! Brilliant 👏👏👏 #SOA22

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Resuscitation isn’t a clean situation..normally bedlam and very degrading. Often the public think a life saved like this is going to remain a good one. But the fact is, we get some rendered nursing home resident. Awful! This is important to tell people. #SOA22 #FOAMed #FOAMcc

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Gavin Perkins talking about adrenaline doses in paeds population. Successful ROSC etc. Paeds surely aren’t transferable to most adult outcomes though. So they aren’t the right population to compare🤷‍♂️ #SOA22 #FOAMed #FOAMcc

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The summary. When it works, it’s very powerful and it’s easy to get excited about….but what are the TRUE large scale outcome data? Should we promote more ECMO centres? Was the patient dead anyway and we are re-animating🤷‍♂️🤷‍♂️🤷‍♂️ (not said by the speaker) #SOA22 #FOAMed #FOAMcc

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London is NOT Minnesota! You can’t get to these people as quickly in many places and it varies! So it’s dependent on how hectic the area etc Already bias being introduced. So….. #SOA22 #FOAMed #FOAMcc

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In France, eCPR is being done EARLY at only 3 sets of shocks. Should we wait for more shocks and a chance of spont ROSC without the inherent complications of very invasive interventions 🤷‍♂️🤷‍♂️ Think I’d prefer to wait! #SOA22 #FOAMed #FOAMcc

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So it’s powerful data…but again, 30 patients and taken to high end centres. In the Prague study, they were whisked off even quicker and randomised at scene! BUT…ECMO group better outcomes at 30 days. #SOA22 #FOAMed #FOAMcc COC definitions are broad though🤷‍♂️🤔

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Really nice talk about ECMO going on at the moment. Includes a nice graphic on VA ECMO #SOA22 #FOAMed #FOAMcc ARREST trial stopped after interims as deemed such an advantage to ECPR Vs standard (30 pts). Better cerebral performance too🤷‍♂️🤔

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Protocol for fTOE in cardiac arrest #SOA22 #FOAMed #POCUS #FOAMcc

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The role of fTOE in cardiac arrest #SOA22 #FOAMed #POCUS #FOAMcc

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A pretty good reason NOT to pop the patient on ECMO. The TTE showed nothing, the TOE shows this huge myxoma, causing critical mitral stenosis! Surgery and cure in this 19 year old! #FOAMed #POCUS #FOAMcc #SOA22 @AEA_rubino

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What are the complications of TOE. Most are not to common! #SOA22 #FOAMed #POCUS #FOAMcc

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Where fTOE sits #FUSIC @ICS_updates #SOA22 #FOAMed #POCUS #FOAMcc

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My great friend @cianmcdermott shows is a beautiful diagram of the blood supply to the liver #SOA22 #FOAMed #POCUS #FOAMcc

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Let’s correlate TCD with decongestion👍🤔🤔🤔 See if we get an improvement. There’s a trial there if ever I saw it #SOA22 #FOAMed #POCUS #FOAMcc @aartisarwal

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So VExUS may have a role..even in brain injured patients! 👏 #SOA22 #FOAMed #POCUS #FOAMcc @aartisarwal

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Brain lung interactions in neuro critical care. #FOAMed #POCUS #FOAMcc #SOA22 @aartisarwal

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The brain, and disorders thereof, can cause MOF!! @aartisarwal tells us #SOA22 #FOAMed #POCUS #FOAMcc

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Loads of fantastic activity… only Day 2!! #SOA22 #FOAMed #POCUS #FOAMcc

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“Would you use venesection for heart failure”

Cardiologist’s answer:

“You still need haemoglobin to transport oxygen” - that’s a no then🤣🤣🤣🤷‍♂️👏

#SOA22 #FOAMed #POCUS #FOAMcc

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What a CS network should look like #FOAMed #POCUS #FOAMcc #SOA22

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CS centres are a vital resource. Needs support and education. #SOA22 #FOAMed #POCUS #FOAMcc

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It is vital to have a MDT approach to CS. #SOA22 #FOAMed #POCUS #FOAMcc

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Echocardiography is KEY to management of CS patients #SOA22 #FOAMed #POCUS #FOAMcc

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