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Posts with #ShockTeam

#ShockTeam

Public posts on X that use #ShockTeam.

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  9. Stavros George Drakos@StavrosDrakos
    Engaging with fellows/residents is probably the most enjoyable aspect of being in academic medicine! Thank you for the stimulating discussions at #CardiacRecovery Grand Rounds talk & later at #ShockTEAM talk! @UofUHealth @UtahIMCMRs @carolinemilneMD @taraloujones @TomVargheseJr
    Rola Khedraki, MD, FACC @RolaKhedrakiMD
    Thank you @StavrosDrakos for giving the fellows a special talk on the shock team approach @UUtah. “We need the ‘ST elevation’ of shock in our algorithms” @AmitabhCPandey @BethHillDO @728Sidhu @SandeepMehtaMD @ScrippsCVFellow @ajaysmd @RajeevCMohan @jtheywood @Joseph_Taleb
    0325
  12. Jordan Safirstein MD@CardiacConsult
    @ajaykirtane @DrAmirKaki @philgenereux @lblitzmd @CMichaelGibson @HeartOTXHeartMD @SripalBangalore @DocSavageTJU @jtsaxon @agtruesdell @BinitaShahMD @mmamas1973 @DrSheilaSahni @Drroxmehran @DrAnkitKPatel @chadialraies @aspergian1
    Jordan Safirstein MD @CardiacConsult
    69 yo m p/w syncope x2, HR 29 bpm, SBP 60-70s by a-line. ECG shows inf ST elevations. 1. TVP placed via rt CFV - SBP still in 70s. 2. Cath: LAD 90% prox- TIMI3 LCx - distal 80% - TIMI3 RCA - 100% occ TIMI0 (culprit) Next steps? @fischman_david @willsuh76 @SVRaoMD @JReinerMD
    400
  13. Jordan Safirstein MD@CardiacConsult
    69 yo m p/w syncope x2, HR 29 bpm, SBP 60-70s by a-line. ECG shows inf ST elevations. 1. TVP placed via rt CFV - SBP still in 70s. 2. Cath: LAD 90% prox- TIMI3 LCx - distal 80% - TIMI3 RCA - 100% occ TIMI0 (culprit) Next steps? @fischman_david @willsuh76 @SVRaoMD @JReinerMD
    191931
  14. Jordan Safirstein MD@CardiacConsult
    @agtruesdell
    @agtruesdell @ajaykirtane @DrAmirKaki @philgenereux @lblitzmd @CMichaelGibson @HeartOTXHeartMD @SripalBangalore @DocSavageTJU @jtsaxon @BinitaShahMD @mmamas1973 @DrSheilaSahni @Drroxmehran @DrAnkitKPatel @chadialraies @aspergian1 That is what was done! Exactly. And it worked perfectly. 20 mins after, TVP out and dopa off. There was a min b/n PCI & eventual recovery of BP that I thought abt MCS & decided to pause. 12 Fr sheaths Shd merit that. Taking a breath and assessing the situation is critical.
    4732
  15. Alex Truesdell@agtruesdell
    @CardiacConsult
    @CardiacConsult @ajaykirtane @DrAmirKaki @philgenereux @lblitzmd @CMichaelGibson @HeartOTXHeartMD @SripalBangalore @DocSavageTJU @jtsaxon @BinitaShahMD @mmamas1973 @DrSheilaSahni @Drroxmehran @DrAnkitKPatel @chadialraies @aspergian1 Caveat: if stability is not achieved...then IMO need to reassess BiV ftn/hemodynamics (before departing Cath lab), reconsider MCS, and...if you’re not a full-spectrum facility...phone a friend and xfer... #shockteam #shocknetwork
    103
  17. Scott Lundgren@swlundgren
    Exactly! #ShockTeam
    Shaun Thompson 🇺🇸😷 @slthomps12
    It should be a team decision always! ICU+CTS+Cardiology. All teams involved after cannulation and all have viewpoints in candidacy and possible outcomes.
    004480
  18. Shaun Thompson 🇺🇸😷@slthomps12
    It should be a team decision always! ICU+CTS+Cardiology. All teams involved after cannulation and all have viewpoints in candidacy and possible outcomes.
    0051.1K
  19. Antonio Sorropago@a_sorropago
    Ep. 4 of the Clinical Corner by #GISEYoung is out! IF 🚨STEMI + cardiogenic SHOCK🚨 THEN 🚑 MCS before PCI 🚑 check impella’s position with #echofirst 🚑 manage vascular access to minimize complications 🚑 have your #shockteam ready Will it impact your practice? 🫵
    Sici GISE @sicigise
    #GISEYoung Clinical Corner Ep. 4 is now available on YouTube! Thanks to @MarioIannaccon8 for the case presentation and to @alaide_chief for sharing her expertise and DangerShock insights📷 Stay tuned for the next episode!
    013277
  20. Sici GISE@sicigise
    #GISEYoung Clinical Corner Ep. 4 is now available on YouTube! Thanks to @MarioIannaccon8 for the case presentation and to @alaide_chief for sharing her expertise and DangerShock insights📷 Stay tuned for the next episode!
    2471.6K
  29. Phillip Freeman@phillipfreeman
    @pomyers
    @pomyers @lorenzo2509 @EduQuintanaCVS @mirvatalasnag @VictorDayan1 @PCRonline @APSIC6 @agtruesdell @sbrugaletta @ArasiMaran @DrAmirKaki @Allison_Dupont @atunuguntla1 @twj1974 @ZeroTLR @dimitri_zappi @tonyhvo @mathur_a @AnderRegueiro @freixa_xavier Honestly, this idea that a full heart team discussion occurs at 3am with a pre shocked patient is just silly. It is about timeline and balancing the risk of a large infarction and death in the short term (quite high) Vs small differences in long term outcome.
    207
  30. Alex Truesdell@agtruesdell
    @phillipfreeman
    @phillipfreeman @pomyers @lorenzo2509 @EduQuintanaCVS @mirvatalasnag @VictorDayan1 @PCRonline @APSIC6 @sbrugaletta @ArasiMaran @DrAmirKaki @Allison_Dupont @atunuguntla1 @twj1974 @ZeroTLR @dimitri_zappi @tonyhvo @mathur_a @AnderRegueiro @freixa_xavier 👍One (major) issue we addressed when standing-up our multi-disciplinary #ShockTeam a few years ago: expediting/protocolizing PCI, MCS, RHC, and Shock consultation (to end long consultation delays: which previously contributed to poor outcomes via “natural selection”)...
    003
  34. Alex Truesdell@agtruesdell
    1/6 #SpokeAndHub #Shock story: 50s Diabetes presents with acute chest discomfort/dyspnea. ECG global ischemia. HR 100s, BP 90s. Cath below at #Spoke Hospital. EF 45% by LV Gram...
    Download
    122577
  35. Alex Truesdell@agtruesdell
    @agtruesdell
    2/6 IVUS demonstrates heavy calcium. Femoral Swan and IABP placed. Heparin drip. Aggrastat drip. Low dose NorEpi drip. Stable. Pain-free. #ShockTeam consult. Xferred from #Spoke (me) to #Hub (also me) facility for CABG after #HeartTeam discussion...
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