pocus is a problem - pro: maxime valois, con: john christian fox

29
@EGLS_JFandMAX

Upload: smacc-conference

Post on 23-Jan-2017

247 views

Category:

Health & Medicine


0 download

TRANSCRIPT

Page 1: POCUS is a Problem - PRO: Maxime Valois, CON: John Christian Fox

@EGLS_JFandMAX

Page 2: POCUS is a Problem - PRO: Maxime Valois, CON: John Christian Fox

@EGLS_JFandMAX

Page 3: POCUS is a Problem - PRO: Maxime Valois, CON: John Christian Fox

S C I E N T I F I C

REVOLUTION

@EGLS_JFandMAX

The GURU Effect1,2

___________________1:DanSperber, “TheGuruEffect”,ReviewofPhilosophy andPsychology,1(4),2010,p.538-592.

2:Mallin M,DawsonM,“Howgurusmakehorrible doctorsbetter”,ReviewofKentuckyPsychology1(1),2011,p.179-243.

Page 4: POCUS is a Problem - PRO: Maxime Valois, CON: John Christian Fox

The GURU Effect

ESOTERICISM

@ssrezaie #TTCNYC15 @EGLS_JFandMAX

Page 5: POCUS is a Problem - PRO: Maxime Valois, CON: John Christian Fox

The Erotics of Ultrasound

@EGLS_JFandMAX

Page 6: POCUS is a Problem - PRO: Maxime Valois, CON: John Christian Fox

@EGLS_JFandMAX

Page 7: POCUS is a Problem - PRO: Maxime Valois, CON: John Christian Fox

DATA

INFORMATION

@EGLS_JFandMAX

Page 8: POCUS is a Problem - PRO: Maxime Valois, CON: John Christian Fox

@EGLS_JFandMAX

Are we better ?better stronger

Thank you Dublin !

Page 9: POCUS is a Problem - PRO: Maxime Valois, CON: John Christian Fox

Buyit,useit,breakit,fixit,Trashit,changeit,mail,upgradeit,Chargeit,pointit,zoomit,pressit,Snapit,workit,quick,eraseit,Writeit,cutit,pasteit,saveit,Loadit,checkit,quick,rewriteitPlugit,playit,burnit,ripit,Draganddropit,zip,unzipit,Lockit,fillit,curlit,findit,

Viewit,codeit,jam,unlockitSurfit,scrollit,poseit,clickit

Crossit,crackit,twitch,updateit,Nameit,readit,tuneit,printit,Scanit,sendit,fax,renameit,Touchit,bringit,payit,watchit,Turnit,leaveit,stop,formatit.

Page 10: POCUS is a Problem - PRO: Maxime Valois, CON: John Christian Fox

UltrasoundisaProblem- Con

@jchristianfox Rated:PG-13

Page 11: POCUS is a Problem - PRO: Maxime Valois, CON: John Christian Fox
Page 12: POCUS is a Problem - PRO: Maxime Valois, CON: John Christian Fox
Page 13: POCUS is a Problem - PRO: Maxime Valois, CON: John Christian Fox
Page 14: POCUS is a Problem - PRO: Maxime Valois, CON: John Christian Fox
Page 15: POCUS is a Problem - PRO: Maxime Valois, CON: John Christian Fox

Dr.Fox:ParadigmofEducationalSeduction

Page 16: POCUS is a Problem - PRO: Maxime Valois, CON: John Christian Fox

Dr.Fox:ParadigmofEducationalSeduction

Page 17: POCUS is a Problem - PRO: Maxime Valois, CON: John Christian Fox

Workitharder,makeitbetterDoitfaster,makesusstrongerMorethanever,hourafterOurworkisneverover

20161986Source:TheHealthManagementAcademyResearch;HuronConsulting

HarderBetterFaster

Stronger

Page 18: POCUS is a Problem - PRO: Maxime Valois, CON: John Christian Fox

StrokeVolumevsPreloadWhoRespondstoFluid?

Page 19: POCUS is a Problem - PRO: Maxime Valois, CON: John Christian Fox

Fluid Responsive

Page 20: POCUS is a Problem - PRO: Maxime Valois, CON: John Christian Fox

(Vpeakmax - Vpeakmin)∆Vpeak (%)= ----------------------------------- x 100

(Vpeakmax + Vpeakmin) / 2

AORTICBLOODVELOCITYRESPIRATORYVARIATION

(Vpeakmax - Vpeakmin)∆Vpeak (%)= ----------------------------------- x 100

(Vpeakmax + Vpeakmin) / 2

Vpeakmax Vpeakmin

Page 21: POCUS is a Problem - PRO: Maxime Valois, CON: John Christian Fox

∆Vpeak = (0.63 - 0.46)/[(0.63+0.46)/2] x 100

∆Vpeak = 31.2%

Fluid Responsive

AORTICBLOODVELOCITYRESPIRATORYVARIATION

Page 22: POCUS is a Problem - PRO: Maxime Valois, CON: John Christian Fox

Critical Ultrasound Journal 2014, 6:5

CHEST2015;148(1):202-210

Page 23: POCUS is a Problem - PRO: Maxime Valois, CON: John Christian Fox

TelevisionRulestheNation(aroundtheworld)

Page 24: POCUS is a Problem - PRO: Maxime Valois, CON: John Christian Fox

16yofemaleSOBx4months

Page 25: POCUS is a Problem - PRO: Maxime Valois, CON: John Christian Fox

IVCClotin16yearoldfemale

Page 26: POCUS is a Problem - PRO: Maxime Valois, CON: John Christian Fox

80yearoldmale

• Syncopalepisode• Asymptomaticnow

Page 27: POCUS is a Problem - PRO: Maxime Valois, CON: John Christian Fox

BluntTraumaticFullArrest

Page 28: POCUS is a Problem - PRO: Maxime Valois, CON: John Christian Fox

Tamponade?

Page 29: POCUS is a Problem - PRO: Maxime Valois, CON: John Christian Fox

We’vecometoofartogiveupwhoweareSolet’sraisethebar

andourprobes tothestars