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Ross Prager

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@ross_prager

Intensivist ⚕️ POCUS | Hemodynamics | Chief Medical Officer of Deep Breathe AI
Canada deepbreathe.ai Joined February 2015
1.1K Following 20K Followers 4.9K Posts

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Ross Prager Verified account @ross_prager
Ironic that JAMAs hashtag is @JAMA_current when their breaking pocus video is a technique from 20 years ago that has multiple superior contemporary approaches (to asses for left or right sided congestion at least).
JAMA Verified account @JAMA_current Oct 31
#POCUS, or point-of-care ultrasound, can assess the internal jugular vein to estimate #JugularVenousPressure as an approximation of right atrial pressure. Jugular venous pressure can help identify volume overload using ultrasound assessment of the neck vessels.

To assess #JugularVenousPressure with #POCUS, the patient is positioned with the head of bed elevated and the linear probe is placed above the clavicle between the bellies of the sternocleidomastoid muscle. The vertical height from the sternal angle to the point where the internal jugular vein tapers is measured to calculate jugular venous pressure.

📌 Learn more: ja.ma/47DyMYr
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Ross Prager Verified account @ross_prager
The swan vs. echo debate is such a false dichotomy, great article/post below 👇

Swan complements echo assessment. Now, if I only have 1 option, I would choose echo as you can get anatomy + some hemodynamic measurements, but for sick deteriorating shock patients, having both is valuable.

Much easier to try a hemodynamic intervention and repeat thermodilution on swan to get a new CI than it is to repeat a VTI on echo. So depends on how many sick patients you are managing at once!
Eddy J. Gutierrez, MD Verified account @eddyjoemd Oct 28
Echo tells you the heart is struggling. The PAC tells you why: pump failure, vasoplegia, low preload, or a failing RV. Don’t fly blind. 🎩 tip to the authors.
eddyjoemd.com/foamed
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Ross Prager Verified account @ross_prager
The top clinical educators like @cliffreid now can create interactive education tools in hours that previously would have taken months to build.
Cliff Reid Verified account @cliffreid Oct 26
Ever wondered why a coronary occlusion gives the ECG it does?

Block any part of the coronary circulation on a 3D heart and watch the 12-lead (and the echo!) evolve.

Free for learning and teaching. Have fun!

cliffreid.com/culprit

#FOAMed #ECG #OMI #MedEd #Cardiology
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