Ashley Miller
@icmteaching
#zentensivist #FUSIC Haemodynamics National Lead. Ex ICS council. BSE level 2. BJJ ⬛️⬛️🟥⬛️. No politics, no pets, just #foamed #fluids #pocus #haemodynamics
Want to know how to perform lung ultrasound? @GEHealthcare @ICS_updates @I_C_N have collaborated to bring you this video. For more great content visit pocushub.net To find out how to accredit in #FUSIC lung visit bit.ly/3mznP0z ⭐️bit.ly/2JwRjhk⭐️

For whoever needs to hear this - 0.9% sodium chloride and Hartmanns/Ringers are not maintenance fluids. ⬇️
1/ IV fluids have two main purposes: 💧 To maintain daily needs 🔄 To replace losses (We’ll come back to whether we should even use the term 'resuscitation' fluid in a future thread). Let’s talk about maintenance fluids – when they’re needed, and when they’re not. 🧵 #MedX…
(0/x) Do you want to be the Obi-Wan of diuresis? (or Darth Vader if you tilt to darkness) Are you still starting diuresis with 40mg of 80mg of IV lasix? Below are the lessons I learned from @ArgaizR and @FH_Verbrugge on our most recent HCProunds as they show us how to wield…
(1/x) Septic shock is the leading cause of death in most ICUs worldwide. Unfortunately, the hemodynamics of sepsis are still often taught incorrectly in medical school. A 🧵
All solutes are related and interplay. You can’t just look at one without thinking about the others. This is a great little tutorial. Remember, osmolarity⧣tonicity.
🧵 Hypertonic hyponatraemia: when low sodium isn’t a sodium problem 1/ Not all hyponatraemia is created equal. Most cases are hypotonic – from too much ADH or too little solute (e.g. low protein states). But high glucose causes hypertonic hyponatraemia – a water shift, not…
🧵 Hypertonic hyponatraemia: when low sodium isn’t a sodium problem 1/ Not all hyponatraemia is created equal. Most cases are hypotonic – from too much ADH or too little solute (e.g. low protein states). But high glucose causes hypertonic hyponatraemia – a water shift, not…
#POCUS #EchoFirst #MedTwitter quiz. @ArgaizR @NephroP @KalagaraHari @mount_md @TomJelic @ACEP_EUS @alex1708ander @IM_Crit_ @pocusmeded @HoosierPocus @YubSedhai @jminardi21 @gokpocus @siddharth_dugar @msiuba @cianmcdermott @icmteaching @easypocus @curromir @TrackYourHeart
🫁 FUSIC Heart & Lung Course in Birmingham this Autumn 🍂 Essential cardiothoracic ultrasound for all healthcare professionals. Master cardiac and lung ultrasound with expert faculty. FUSIC & FAMUS approved 📅 20th Nov 2025 📍 Delta Hotels Birmingham 🔗 buff.ly/COHTyGB
New 📝 lead by 🌟 fellow @LamarcheRaquel, relevant to anyone who uses minimally/non-invasive CO monitors in patients with septic shock. Open access at @Crit_Care 🎤 drop in the conclusion paragraph!