The Great Communicator @hikenwoodwork@social.cleverlibre.org

The best (and fastest) way to evaluate for 2️⃣ & 3️⃣ is with point of care ultrasound.

Looking for bubbles in the LA after agitated saline can help spot a PFO. Measuring LVOT VTI at different PEEPs can be very helpful in titrating.

It's also worth remembering that anyone who worsens on mechanical ventilation, could have developed a pneumothorax. Yet another good reason to use POCUS in your workup of someone with worsening hypoxemia!

15/

This climate pattern in the tropical Pacific has a big impact on global temperature. We've had 2 years of La Niña now, which kept the global average down, but..

Kilchurn Castle, Loch Awe. It's done to death these days but you can't beat a little sunrise with conditions like this. #Scotland #castle #landscape #photography #reflection

I'm watching a Gardeners World from earlier in the year and saw this fence. It looks like it's made out of branches. I wonder what would be ideal to use for a project like that?

The United States owes a deep debt of gratitude to Dr. Anthony #Fauci. The states that made the best attempts to follow Fauci's advice in relation to the pandemic have a much lower COVID death rate than those states that did not. #TheDataDoNotLie, but the owner of the #BirdSite does.

Day 10 of #ArtAdventCalendar: I call this one "The Count"

#wildlife #owls

So much nature in people's homes: shells, cones, dried flowers, images, wood, houseplants... It's as though we yearn to reconnect; to bring closer what we detached ourselves from and destroyed. It's time to go home now.
#BiodiversityCrisis #extinction #reforestation #rewilding

Seabirds. #iceland #photography #animal #bird #sea #mountain #cold

Since you guys like this tree as much as I do, here it is in Summer, the gnarly trunk leading us up to a canopy of leaves that are shrouded in mist.

#Trees #Woodland #Beech #Nature #iPhonePhotography #Photography

Brilliant walk through of revascularisatiob/cath for MI: in stable disease no improvement in outcomes over medical therapy// revasc may have role in severely symptomatic ischaemia but must exclude resp cause of dyspnoea // severe multi vessel disease does benefit in cardiovascular endpoint from revasc https://www.medscape.com/viewarticle/983644?src=WNL_infocu1_221210_MSCPEDIT&uac=179603MT&impID=4968755&faf=1

"The world is a beautiful place, full of endless possibilities and endless beauty. Cherish each moment and be grateful for the opportunity to experience life's wonders."

I spotted this rose frozen in bloom yesterday in my in-laws' garden and had to take a photo. Isn't it beautiful?

Early this morning #monday #ceredigion minus 7 brrrrrrrrrr
Sky a beauty, however red in the morning!

#nature #photography #today #still #white #snowy

EP and basic scientist passionate about #arrhythmia mechanisms. Underwater photographer and mom of 2.

Hello! Joining #MedMastodon today and here’s my #introduction !

I’m a physician practicing #internalmedicine #geriatrics in #academia in the US - however, I’m leaving #AcademicMedicine to practice in #NewZealand in a few months!

I have experience in #hiv & #aging , medical entrepreneurship. I often tweet about #geriatrics #medtwitter

Look forward to connecting with everyone!

I am historian of Black Europe. I focus on the African diaspora in Germany as well as Black internationalism, gender and women's studies, queer studies. I am working on an intellectual biography of a Black German activist. I also share about mental health!

You can tell that you're a medievalist at heart if, when called upon to teach modern U.S. history, your can't help referring to the 41st and 43rd Presidents as "Bush I" and "Bush II" as if they were medieval kings. #medievodons #historodons #teachers

Thinking about northern Arizona forests today. Some good work gets done out there taking advantage of snow coming in tonight.

My happy place: ocean, sand wind, sunset and a handsome dog. On leash because of nesting hooded plovers #endangeredspecies #hoodedplovers #beachwalks #dogsofmastodon

Study reveals Native peoples were able to buffer the landscape from climate-related conflagrations.

“This is what Indigenous people have been telling us for a long time, but I don’t think Western science has always listened.”

#Wildfire #ClimateChange #Resilience #IndigenousKnowledge

https://www.science.org/content/article/indigenous-americans-broke-cycle-destructive-wildfires-here-s-how-they-did-it