@jsemccm

Chief, Div. of Critical Care - TSP/CTS/ MCS. ☕️,🎾, Travel Calesthenics & Giant Schnauzers.

 Miami Beach, FL
Joined October 2014
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  • Followers1.1K
52Media
aselearninghub.org/topclass/…

Echo In Cardiac Mechanical Support

aselearninghub.org
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#ChiHemos2024 Wonderful meeting lots of learning, especially around Venus, congestion and right heart catheterization. Great to see some other Critical Care friends. Suggest Critical Care breakout next year.
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Your evaluating your postop, Heart Failure patient. Upper extremities on the side of surgery have a little bit of bluish color so you get ultrasound imaging and you see the following? – at Naples, FL
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CVICU patient from last week What is the yellow waveform? Don’t worry about the color. – at Orlando, FL
51%PA Catheter
21%CVP
8%ALine
21%Ventriculostomy
605 votes • Final results
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Monitor – at Orlando, FL
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You can nicely see the ICP waveform from the patients ( who was boarding ) ventriculostomy. Its very import to look and learn how to read all these different waveforms in the ICU, including doppler on echo and pocus. – at Miami Beach, FL
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MLS - Mechanical Life Support 1 st North American Course with participants from Asia, Europe, Canada and the US. Thanks to the Harefield team for an unbelievable day.
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Ready for the first North American Edition of the @MLSCourse !!! Amazing faculty @EfieG @jsemccm @gerlaOne ! Stay tuned ! #MLSgoestoCanada @HandRConference @ThinkingCC @ross_prager @DrWaqasAkhtar #MLSCourse
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What is going @ the IL Wall Hint: We are in the US – at Weston, FL
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What is the abnormal-finding associated with in adults?
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Hanging out with some friends talking about Ecmo & cardiogenic shock from cardiomyopathy of all etiologies, and look what I came upon. considering we do about 40 cases a year I was rather impressed.
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🆕 ICU OnePager on percutaneous axial pumps (a.k.a. Impella) which are essentially temporary LVADs physiologically. @TimBalthazar @jsemccm We cover: 🫀 physiology of LV unloading 🎛️ settings (P-level) 🌊 placement signals & waveforms ⚠️ complications onepagericu.com/impella
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Poll from EKG sent prior
0%LAD
0%Circumflex
100%RCA
0%Left Main
2 votes • Final results
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Patient is immediately postop CABG x4. TE > No RWMA. Weaning off Epi. Vent stable +5/35%. What might Ekg be a result of?
37%Active ischemia
27%Pericarditis
26%Incomplete De-airing
10%Tamponade
62 votes • Final results
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Which coronary artery is potentially involved? See poll below
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A wonderful person sent me this gift yesterday. Great to have friends who are so thoughtful.
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Atmospheric pressure plummeting now in Naples as Ian's extreme low pressure center nears southwest Florida. Before radar & satellite, many used a storm glass to tell of an approaching hurricane. By the time water was dripping out of the spout, it was almost too late to prepare.
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Currently Miami and Fort Lauderdale are dry 80° with a breeze. Looks challenging for Fort Myers through Tampa. No flooding locally here. Thank you for everyone reaching out.
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To all my friends looking at Florida and the incoming hurricane this is what our skies look like right now is the first bands of rain in Crossing Miami
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Discussion with fellow post long transplant: considerations for MV consider you are caring for the donors lungs (IBW), not recipient.
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