Philippe Rola
@ThinkingCC
#zentensivist, EMCrit Teammate, Proud daddy and husband. ICU Santa Cabrini Hospital. @thinkingcc.bsky.social HR25 registration here: https://shorturl.at/4Ez84
Mark your calendars and please RT!!! #HR registration opens in a couple weeks!!!! thinkingcriticalcare.com/2024/06/05/hr2…
Happy to share our new article from CCM. We hope it could help to assess tissue perfusion bedside integrating some very interesting tools. Special thanks to Prof. Michael Pinsky and Prof. Glenn Hernandez. journals.lww.com/ccmjournal/abs…
A must read for anyone doing any sort of resus
🧵 "What really determines tissue perfusion?" – and why most explanations get it wrong. Let’s sort out MAP, CVP, CCP, autoregulation, vasopressors, and the flow that actually reaches your organs. 👇
🧵 "What really determines tissue perfusion?" – and why most explanations get it wrong. Let’s sort out MAP, CVP, CCP, autoregulation, vasopressors, and the flow that actually reaches your organs. 👇
@drdangayach and I are BACK!!! we are totally recommitting to a 4-5 part series of all the latest in greatest in #neuroEMCrit to get everyone up to speed. check it out!!! and please send us topics you'd want to see covered!!!
NeuroEMCrit - Neurocritical Care Year in Review 2023-2024 Part 1 - Acute Ischemic Stroke [Blog Post] emcrit.org/bjcd
These guys talking diuresis is gold. This is all you need to hear about it. Game changer.
What a great pleasure sparring with my great friend and awesome nephrologist @ArgaizR on multimodal diuretics… The force was strong in this one 😉 Led by class-act MC @ross_prager!
HCP rounds #DiuresisJedi with @ross_prager and @FH_Verbrugge is now live on YouTube 📺!! youtu.be/4bHIDXcLHek?si…
Kudos to this team for working with more complex algorithm which has been a huge barrier because it makes big trials and thus the existence of “career trialists” very difficult - hence the endless quest for a one size fits all approach.
Yes it is! @john_basmaji is leading our team and we are performing two phenotyped clinical trials this year (and in 2026) 1) VESPER - or venous congestion guided resuscitation in septic shock and EPIC-BETA - IV beta-blocker administration in septic shock based on clinical…
I've been on a manuscript editing streak recently... the biggest tip I have for writing a strong introduction is to use the problem-gap-hook approach 👇
This. Considering yourself an expert is akin to slamming the brakes on growth and progression.
A brilliant UCLA Hematologist, Dr. Gary Schiller, said something to me when I was a medical student that I didn't understand at the time, but in retrospect, turns out to have had a profound, long-lasting impact on me. Specifically, on how I view the concept of "expertise".
Il nous faut une table de citoyens (table du Gros Bon Sens) avec des mandats d’un an, non- renouvelables qui ait “oversight” sur ces decisions pour au moins eliminer ce theatre.
Dans son 1er Rapport annuel de 1966, la Caisse de dépôt et placement du Québec s’appelait elle-même La Caisse. Et là, 59 ans plus tard et une dépense de 370 000$, la haute direction trouve que c’est pertinent de s’appeler La Caisse. Lire @LarocqueSyl journaldemontreal.com/2025/07/18/la-…
Get this on your watchlist!
Back to basics! I am starting a new series of videos focusing on mastering basic #POCUS concepts. Starting off with honing your ability to obtain the 4 basic cardiac views and steps on how to obtain additional/advanced views. Please give it a watch: youtube.com/watch?v=kX2s_2…
Back to basics! I am starting a new series of videos focusing on mastering basic #POCUS concepts. Starting off with honing your ability to obtain the 4 basic cardiac views and steps on how to obtain additional/advanced views. Please give it a watch: youtube.com/watch?v=kX2s_2…
Right here. And that clinician is truly misled by the fact that there was a brief positive response to the fluids. “They really needed it, they just need a bit more and everything will be ok.” Its well-meaning but cam be fatal.
3/3 followed by a clinician brainstem reflex to continue a prescription of more fluids that temporarily improve MAP at the expense of further uncoupling of the circulation and worsening tissue perfusion. Rinse, repeat. Patient dies despite “we did everything we could”.
combine this video course with this workshop video course for next level reinforcement: x.com/thinkingcc/sta…
#HR25 was a blast! While it's not quite the experience as being there, for those who missed it, the lectures can be found here: vimeo.com/ondemand/hr25
Amazing!
Honored to have put together a full #VExUS curriculum. If you're into Venous Doppler, I think you’ll really enjoy it — especially the case studies! 👀 pocusfocused.com/course/emergen…
ICU Facts: A hemodynamic assessment of a critically ill patient that ignores the venous side of the circulation is similar to an echocardiographic exam that does not include/evaluate the right ventricle #foamed #foamcc #meded #MedTwitter #pocus
vimeo.com/ondemand/hr25
Don’t have it right now but @ThinkingCC might??
This was a total team effort, distilling what we all feel are the key circulatory elements. Its conceptual, not a recipe. Up to all of you to put it to the test using the different ways each interface can be assessed.
1/ Shock is complex. But our tools are often simplistic. This paper proposes a new model: 🩸 Four circulatory interfaces that must stay coupled to maintain perfusion. Uncouple any one — and shock worsens. #Shock #MedX #FOAMcc Here’s the framework. 🔗 doi.org/10.3390/jpm150…
1/ Shock is complex. But our tools are often simplistic. This paper proposes a new model: 🩸 Four circulatory interfaces that must stay coupled to maintain perfusion. Uncouple any one — and shock worsens. #Shock #MedX #FOAMcc Here’s the framework. 🔗 doi.org/10.3390/jpm150…
time to mention team #shortaxis ! 😉
team #shortaxis ! interesting how ppl can be laser focused regarding echo views and axes, but quite happy to rely on only one when it comes to the IVC… #POCUS #FUSIC