Anatomical Heart Emoji

The "anatomical heart" was approved with Unicode 13.0 in 2020 and added to Emoji 13.0 the same year. Its appearance varies based on the platform (Apple, Google, Samsung, Facebook, etc), but below, I've labeled...

Breathing Patterns

A patient’s breathing pattern can help guide response to therapies and diagnostics. Normal breathing is regular and comfortable at a rate of 12-20 breaths per minute (bpm). Tachypnea and bradypnea have rates above and below...

ECMO Oxygenator Clots

Virchow's triad of stasis, vascular damage, and hypercoagulability contribute to thrombosis. Although patients on extracorporeal membrane oxygenation (ECMO) are usually on pharmacologic anticoagulation (i.e., heparin), it's still possible to form clots in areas of...

ECMO Hand Crank

Extracorporeal membrane oxygenation (ECMO) has a few basic parts: an inflow ("drainage") cannula, mechanical blood pump, membrane oxygenator, heat exchanger, and an outflow ("return") cannula. In a motor failure, pump flow can be maintained...

Right Upper Lobe Bronchoscopy

As an intensivist and cardiothoracic anesthesiologist, bronchoscopy is an incredibly common procedure I perform in the ICU (from in front of the patient) and OR (from behind the patient). A small camera on the...

S1-Q3-T3 EKG Pattern

S1-Q3-T3 refers to an EKG pattern first described in the 1930s suggestive of cor pulmonale in a case series of patients with pulmonary embolism (PE). This pattern has the following findings: Prominent S wave in...

POCUS – IVC Versus Aorta

The subcostal view of the inferior vena cava (IVC) assesses respirophasic variation and overall size as a way of gauging venous volume status. I obtain this view by palpating the xiphoid process, moving just...

Surgicel

Surgicel is an oxidized cellulose hemostatic agent used to control bleeding. It creates a physical barrier to blood loss while promoting localized vasoconstriction and platelet aggregation within the matrix of fibers. Furthermore, due to...

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