Katie Wiskar
@katiewiskar.bsky.social
Academic General Internist 👩🏼⚕️ | GIM #POCUS fellowship lead www.ubcimpocus.com 🩺| SonoNerd 🤓| Obsessed with volume status 💦| #MedSky #POCUSky 🦋| Boy mom ❤️
Pinned
Katie Wiskar
@katiewiskar.bsky.social
· Nov 10
H&R2025 – The Hospitalist & The Resuscitationist, Montreal, May 21-24, 2025. #HR25 – REGISTRATION is OPEN !!!
A few words about it… HR2025 is about putting it all together. We’ve been talking about the venous side for a long time and it has been fantastic seeing how much it has taken off – at l…
thinkingcriticalcare.com
Migrated over from the other place 🐣 to check out these blue skies 🦋
In the meantime - registration for the Hospitalist and the Resuscitationist #HR25 is open!! May 22-23 in Montreal 🇨🇦
There’s no better gathering of hemodynamic and physiology enthusiasts 🩺
thinkingcriticalcare.com/2024/06/05/h...
In the meantime - registration for the Hospitalist and the Resuscitationist #HR25 is open!! May 22-23 in Montreal 🇨🇦
There’s no better gathering of hemodynamic and physiology enthusiasts 🩺
thinkingcriticalcare.com/2024/06/05/h...
March 27, 2025 at 3:45 PM
I had the pleasure of teaching lung #pocus at a “train the trainers” course, with the ever excellent @avkwong.bsky.social and Cian McDermott as faculty
Some reflections from the day:
(1/n)
Some reflections from the day:
(1/n)
February 27, 2025 at 8:11 PM
Non-invasive positive pressure ventilation - BiPAP and CPAP, for example - can be a bit of a black box to most of us ⬛️
Once it's started, the nuances of how to adjust it to optimize each patient's physiology takes skill, experience, and often, a bit of trial and error 🔎
#emimcc
Once it's started, the nuances of how to adjust it to optimize each patient's physiology takes skill, experience, and often, a bit of trial and error 🔎
#emimcc
February 19, 2025 at 7:53 PM
Non-invasive positive pressure ventilation - BiPAP and CPAP, for example - can be a bit of a black box to most of us ⬛️
Once it's started, the nuances of how to adjust it to optimize each patient's physiology takes skill, experience, and often, a bit of trial and error 🔎
#emimcc
Once it's started, the nuances of how to adjust it to optimize each patient's physiology takes skill, experience, and often, a bit of trial and error 🔎
#emimcc
We've all been there: a Saturday on call in the hospital, with a list of 30 patients to round on 😵💫
Ward rounding can seem like an endless task - but it doesn't have to be! ⏰
Here are my top 10 tips for ward rounding efficiency 🧵-
#emimcc
Ward rounding can seem like an endless task - but it doesn't have to be! ⏰
Here are my top 10 tips for ward rounding efficiency 🧵-
#emimcc
February 14, 2025 at 4:32 PM
We've all been there: a Saturday on call in the hospital, with a list of 30 patients to round on 😵💫
Ward rounding can seem like an endless task - but it doesn't have to be! ⏰
Here are my top 10 tips for ward rounding efficiency 🧵-
#emimcc
Ward rounding can seem like an endless task - but it doesn't have to be! ⏰
Here are my top 10 tips for ward rounding efficiency 🧵-
#emimcc
Reposted by Katie Wiskar
Love;y thread with take-home top tips
Honestly, learn lung US. It is *such* a useful skill in the assessment of the critically ill!
Honestly, learn lung US. It is *such* a useful skill in the assessment of the critically ill!
1/
One of the BIGGEST #POCUS misconceptions is that B lines 🟰 pulmonary edema 🤦♀️
Did you know that there is actually a wide DDx for B lines?
Check out my latest video about #LungUltrasound for interstitial syndromes 👀; or read on for the highlights 👇 🧵
#emimcc
www.youtube.com/watch?v=eSuA...
One of the BIGGEST #POCUS misconceptions is that B lines 🟰 pulmonary edema 🤦♀️
Did you know that there is actually a wide DDx for B lines?
Check out my latest video about #LungUltrasound for interstitial syndromes 👀; or read on for the highlights 👇 🧵
#emimcc
www.youtube.com/watch?v=eSuA...
Lung Ultrasound for Interstitial Syndromes
YouTube video by UBC IM POCUS
www.youtube.com
February 8, 2025 at 10:12 AM
Love;y thread with take-home top tips
Honestly, learn lung US. It is *such* a useful skill in the assessment of the critically ill!
Honestly, learn lung US. It is *such* a useful skill in the assessment of the critically ill!
1/
One of the BIGGEST #POCUS misconceptions is that B lines 🟰 pulmonary edema 🤦♀️
Did you know that there is actually a wide DDx for B lines?
Check out my latest video about #LungUltrasound for interstitial syndromes 👀; or read on for the highlights 👇 🧵
#emimcc
www.youtube.com/watch?v=eSuA...
One of the BIGGEST #POCUS misconceptions is that B lines 🟰 pulmonary edema 🤦♀️
Did you know that there is actually a wide DDx for B lines?
Check out my latest video about #LungUltrasound for interstitial syndromes 👀; or read on for the highlights 👇 🧵
#emimcc
www.youtube.com/watch?v=eSuA...
Lung Ultrasound for Interstitial Syndromes
YouTube video by UBC IM POCUS
www.youtube.com
February 6, 2025 at 6:33 PM
1/
One of the BIGGEST #POCUS misconceptions is that B lines 🟰 pulmonary edema 🤦♀️
Did you know that there is actually a wide DDx for B lines?
Check out my latest video about #LungUltrasound for interstitial syndromes 👀; or read on for the highlights 👇 🧵
#emimcc
www.youtube.com/watch?v=eSuA...
One of the BIGGEST #POCUS misconceptions is that B lines 🟰 pulmonary edema 🤦♀️
Did you know that there is actually a wide DDx for B lines?
Check out my latest video about #LungUltrasound for interstitial syndromes 👀; or read on for the highlights 👇 🧵
#emimcc
www.youtube.com/watch?v=eSuA...
Sometimes, being a good doc isn't about knowing EVERYTHING about a disease; it's about knowing when to involve experts 🤓
Prime example? Staph aureus bacteremia 🦠 ☠️
Did you know that involving your ID colleagues early actually ⬇️ mortality?? 🤯
#emimcc
www.sciencedirect.com/science/arti...
Prime example? Staph aureus bacteremia 🦠 ☠️
Did you know that involving your ID colleagues early actually ⬇️ mortality?? 🤯
#emimcc
www.sciencedirect.com/science/arti...
Infectious disease consultation for Staphylococcus aureus bacteremia – A systematic review and meta-analysis
Mortality and morbidity of Staphylococcus aureus bacteremia (SAB) still remains considerably high. We aimed to evaluate the impact of infectious disea…
www.sciencedirect.com
January 31, 2025 at 5:27 PM
Sometimes, being a good doc isn't about knowing EVERYTHING about a disease; it's about knowing when to involve experts 🤓
Prime example? Staph aureus bacteremia 🦠 ☠️
Did you know that involving your ID colleagues early actually ⬇️ mortality?? 🤯
#emimcc
www.sciencedirect.com/science/arti...
Prime example? Staph aureus bacteremia 🦠 ☠️
Did you know that involving your ID colleagues early actually ⬇️ mortality?? 🤯
#emimcc
www.sciencedirect.com/science/arti...
Reposted by Katie Wiskar
January 29, 2025 at 6:18 PM
The elusive volume status has got to be one of the most ubiquitous questions in medicine - and the most widely misunderstood 😕
It's my favourite soapbox 🎙️ - so much so, that I've made a 20-min video highlighting the 5 key rules of volume status
Video link ⬇️, but here's the TLDR: 🧵
#emimcc
It's my favourite soapbox 🎙️ - so much so, that I've made a 20-min video highlighting the 5 key rules of volume status
Video link ⬇️, but here's the TLDR: 🧵
#emimcc
January 29, 2025 at 2:53 PM
The elusive volume status has got to be one of the most ubiquitous questions in medicine - and the most widely misunderstood 😕
It's my favourite soapbox 🎙️ - so much so, that I've made a 20-min video highlighting the 5 key rules of volume status
Video link ⬇️, but here's the TLDR: 🧵
#emimcc
It's my favourite soapbox 🎙️ - so much so, that I've made a 20-min video highlighting the 5 key rules of volume status
Video link ⬇️, but here's the TLDR: 🧵
#emimcc
The explosion of immunotherapy in the oncology world means that we’re increasingly seeing patients with associated toxicities: pretty much every “-itis” you can think of 🤕
#emimcc
#emimcc
January 27, 2025 at 8:10 PM
The explosion of immunotherapy in the oncology world means that we’re increasingly seeing patients with associated toxicities: pretty much every “-itis” you can think of 🤕
#emimcc
#emimcc
Reposted by Katie Wiskar
Confession: I LOVE hyponatremia 🤓
(I know, I know. What can I say, I'm a true internist!)
HypoNa is often feared, maligned, and misunderstood - but I promise it doesn't have to be scary!
Here are my top 10 hyponatremia tips and tricks - a 🧵
#emimcc
(I know, I know. What can I say, I'm a true internist!)
HypoNa is often feared, maligned, and misunderstood - but I promise it doesn't have to be scary!
Here are my top 10 hyponatremia tips and tricks - a 🧵
#emimcc
January 24, 2025 at 10:24 PM
Reposted by Katie Wiskar
Thanks so much for this Katie! ☺️
Wanted to add another concept to your list of great tips!! Something I learned & keep in mind.
bsky.app/profile/alau...
Wanted to add another concept to your list of great tips!! Something I learned & keep in mind.
bsky.app/profile/alau...
1/ Day 16 of Pharmacy Advent: Let’s talk hyponatremia—seeing it more frequently in ED. Why is hypokalemia risk factor for Na overcorrection & risk of ODS? We’ll briefly review recent SRMA on slow vs fast Na correction too. Here we go, let’s dive in!👇 #medsky #pharmsky #EMsky #HMsky #nursesky #emimcc
January 24, 2025 at 8:34 PM
Thanks so much for this Katie! ☺️
Wanted to add another concept to your list of great tips!! Something I learned & keep in mind.
bsky.app/profile/alau...
Wanted to add another concept to your list of great tips!! Something I learned & keep in mind.
bsky.app/profile/alau...
Reposted by Katie Wiskar
confession: i LOVE my upstairs colleagues who manage hypona
my ED mgt:
3%? (ie sz, coma; ie: no)
resist the urge to give fluid (can make Na go up too fast or go down; obscures labs)
order ALL of the labs so the very smart and hardworking upstairs experts ie @katiewiskar.bsky.social can fix it
my ED mgt:
3%? (ie sz, coma; ie: no)
resist the urge to give fluid (can make Na go up too fast or go down; obscures labs)
order ALL of the labs so the very smart and hardworking upstairs experts ie @katiewiskar.bsky.social can fix it
Confession: I LOVE hyponatremia 🤓
(I know, I know. What can I say, I'm a true internist!)
HypoNa is often feared, maligned, and misunderstood - but I promise it doesn't have to be scary!
Here are my top 10 hyponatremia tips and tricks - a 🧵
#emimcc
(I know, I know. What can I say, I'm a true internist!)
HypoNa is often feared, maligned, and misunderstood - but I promise it doesn't have to be scary!
Here are my top 10 hyponatremia tips and tricks - a 🧵
#emimcc
January 24, 2025 at 8:37 PM
confession: i LOVE my upstairs colleagues who manage hypona
my ED mgt:
3%? (ie sz, coma; ie: no)
resist the urge to give fluid (can make Na go up too fast or go down; obscures labs)
order ALL of the labs so the very smart and hardworking upstairs experts ie @katiewiskar.bsky.social can fix it
my ED mgt:
3%? (ie sz, coma; ie: no)
resist the urge to give fluid (can make Na go up too fast or go down; obscures labs)
order ALL of the labs so the very smart and hardworking upstairs experts ie @katiewiskar.bsky.social can fix it
Confession: I LOVE hyponatremia 🤓
(I know, I know. What can I say, I'm a true internist!)
HypoNa is often feared, maligned, and misunderstood - but I promise it doesn't have to be scary!
Here are my top 10 hyponatremia tips and tricks - a 🧵
#emimcc
(I know, I know. What can I say, I'm a true internist!)
HypoNa is often feared, maligned, and misunderstood - but I promise it doesn't have to be scary!
Here are my top 10 hyponatremia tips and tricks - a 🧵
#emimcc
January 24, 2025 at 2:04 PM
Confession: I LOVE hyponatremia 🤓
(I know, I know. What can I say, I'm a true internist!)
HypoNa is often feared, maligned, and misunderstood - but I promise it doesn't have to be scary!
Here are my top 10 hyponatremia tips and tricks - a 🧵
#emimcc
(I know, I know. What can I say, I'm a true internist!)
HypoNa is often feared, maligned, and misunderstood - but I promise it doesn't have to be scary!
Here are my top 10 hyponatremia tips and tricks - a 🧵
#emimcc
Reposted by Katie Wiskar
Want to learn about VA coupling? (I promise only mild-mod use of calculus.) Do you like Montreal, specifically on May 22-23, 2025? Check out the H&R Conference!
ccusinstitute.wixsite.com/ccus/events/...
@thinkingcc.bsky.social, @katiewiskar.bsky.social
ccusinstitute.wixsite.com/ccus/events/...
@thinkingcc.bsky.social, @katiewiskar.bsky.social
HR2025 - Fluid Tolerance, all Things VExUS & Shock Hemodynamics | CCUS.meducate
For more info and for the preliminary schedule, please click here or copy/paste: https://thinkingcriticalcare.com/2024/06/05/hr2025-the-hospitalist-the-resuscitationist-montreal-may-21-24-2025-hr25/
ccusinstitute.wixsite.com
January 19, 2025 at 5:45 PM
Want to learn about VA coupling? (I promise only mild-mod use of calculus.) Do you like Montreal, specifically on May 22-23, 2025? Check out the H&R Conference!
ccusinstitute.wixsite.com/ccus/events/...
@thinkingcc.bsky.social, @katiewiskar.bsky.social
ccusinstitute.wixsite.com/ccus/events/...
@thinkingcc.bsky.social, @katiewiskar.bsky.social
Next to fluids, IV diuretics are some of the most commonly mis-prescribed medications in acute medicine 💉🩸
Let's unpack 5 common diuretic prescribing mistakes, and how to correct these 🧵
#emimcc
Let's unpack 5 common diuretic prescribing mistakes, and how to correct these 🧵
#emimcc
January 17, 2025 at 6:19 PM
Next to fluids, IV diuretics are some of the most commonly mis-prescribed medications in acute medicine 💉🩸
Let's unpack 5 common diuretic prescribing mistakes, and how to correct these 🧵
#emimcc
Let's unpack 5 common diuretic prescribing mistakes, and how to correct these 🧵
#emimcc
I am SO thrilled to share this paper, which has truly been a labour of love on a topic I care about deeply.
"Demystifying Volume Status: An Ultrasound-Guided Physiologic Framework," now published online in @accpchest
Let us know what you think!
#emimcc
journal.chestnet.org/article/S001...
"Demystifying Volume Status: An Ultrasound-Guided Physiologic Framework," now published online in @accpchest
Let us know what you think!
#emimcc
journal.chestnet.org/article/S001...
Demystifying Volume Status: An Ultrasound-Guided Physiologic Framework
Accurate assessment of a patient’s volume status is crucial in many conditions, informing
decisions on fluid prescribing, vasoactive agents, and decongestive therapies. Determining
a patient’s volume ...
journal.chestnet.org
January 13, 2025 at 4:47 PM
I am SO thrilled to share this paper, which has truly been a labour of love on a topic I care about deeply.
"Demystifying Volume Status: An Ultrasound-Guided Physiologic Framework," now published online in @accpchest
Let us know what you think!
#emimcc
journal.chestnet.org/article/S001...
"Demystifying Volume Status: An Ultrasound-Guided Physiologic Framework," now published online in @accpchest
Let us know what you think!
#emimcc
journal.chestnet.org/article/S001...
#FluidTolerance is one of the hottest topics in acute medicine going into 2025 🔥
In the words of @marcogarrone.bsky.social - an EM doc with a self-professed case of #POCUSmania -
"You want to know when to assess for fluid tolerance? The sooner the better! Come check it out at #HR25!"
In the words of @marcogarrone.bsky.social - an EM doc with a self-professed case of #POCUSmania -
"You want to know when to assess for fluid tolerance? The sooner the better! Come check it out at #HR25!"
January 12, 2025 at 5:24 PM
#FluidTolerance is one of the hottest topics in acute medicine going into 2025 🔥
In the words of @marcogarrone.bsky.social - an EM doc with a self-professed case of #POCUSmania -
"You want to know when to assess for fluid tolerance? The sooner the better! Come check it out at #HR25!"
In the words of @marcogarrone.bsky.social - an EM doc with a self-professed case of #POCUSmania -
"You want to know when to assess for fluid tolerance? The sooner the better! Come check it out at #HR25!"
#hr2025 coming up May 22-23 in Montreal! Much as I've taught there, I've always got home feeling that I had learnt more. Not just a stellar faculty, a bunch of truly welcoming people who will talk us into loads of cutting edge concepts
@thinkingcc.bsky.social @katiewiskar.bsky.social
link below
@thinkingcc.bsky.social @katiewiskar.bsky.social
link below
January 12, 2025 at 4:01 AM
Reposted by Katie Wiskar
Suggested New Year's Resolution: more mindful prescribing of IV fluids 🫧
Far too often I see IV fluids thrown around with minimal consideration; meanwhile, we'll deliberate for hours about a dose of lasix 🤦♀️
Here are the 10 most common fluid prescription mistakes I see 🧵
#emimcc
Far too often I see IV fluids thrown around with minimal consideration; meanwhile, we'll deliberate for hours about a dose of lasix 🤦♀️
Here are the 10 most common fluid prescription mistakes I see 🧵
#emimcc
January 9, 2025 at 3:12 PM
Suggested New Year's Resolution: more mindful prescribing of IV fluids 🫧
Far too often I see IV fluids thrown around with minimal consideration; meanwhile, we'll deliberate for hours about a dose of lasix 🤦♀️
Here are the 10 most common fluid prescription mistakes I see 🧵
#emimcc
Far too often I see IV fluids thrown around with minimal consideration; meanwhile, we'll deliberate for hours about a dose of lasix 🤦♀️
Here are the 10 most common fluid prescription mistakes I see 🧵
#emimcc
Reposted by Katie Wiskar
#hr2025 will be an absolutely excellent event.
I’m looking forward to joining in and talking about ventilation, ECMO, and POCUS.
It would be great to see as many of you there as possible.
Register here: ccusinstitute.wixsite.com/ccus/events/hr…
@katiewiskar.bsky.social @thinkingcc.bsky.social
I’m looking forward to joining in and talking about ventilation, ECMO, and POCUS.
It would be great to see as many of you there as possible.
Register here: ccusinstitute.wixsite.com/ccus/events/hr…
@katiewiskar.bsky.social @thinkingcc.bsky.social
HR2025 - Fluid Tolerance, all Things VExUS & Shock Hemodynamics | CCUS.meducate
<p>HR2025 is about putting it all together. We’ve been talking about the venous side for a long time and it has been fantastic seeing how much it has taken off. There’s enough data out there to show a...
https://ccusinstitute.wixsite.com/ccus/events/hr…
January 8, 2025 at 8:13 PM
#hr2025 will be an absolutely excellent event.
I’m looking forward to joining in and talking about ventilation, ECMO, and POCUS.
It would be great to see as many of you there as possible.
Register here: ccusinstitute.wixsite.com/ccus/events/hr…
@katiewiskar.bsky.social @thinkingcc.bsky.social
I’m looking forward to joining in and talking about ventilation, ECMO, and POCUS.
It would be great to see as many of you there as possible.
Register here: ccusinstitute.wixsite.com/ccus/events/hr…
@katiewiskar.bsky.social @thinkingcc.bsky.social
All heart failure is NOT the same; and diuretics are NOT always the answer ‼️
In the very wise words of Dr. Frederik Verbrugge - "Elevated cardiac filling pressures and fluid overload are both important, yet grossly different features of acute decompensated heart failure."
#emimcc
In the very wise words of Dr. Frederik Verbrugge - "Elevated cardiac filling pressures and fluid overload are both important, yet grossly different features of acute decompensated heart failure."
#emimcc
January 8, 2025 at 9:31 PM
All heart failure is NOT the same; and diuretics are NOT always the answer ‼️
In the very wise words of Dr. Frederik Verbrugge - "Elevated cardiac filling pressures and fluid overload are both important, yet grossly different features of acute decompensated heart failure."
#emimcc
In the very wise words of Dr. Frederik Verbrugge - "Elevated cardiac filling pressures and fluid overload are both important, yet grossly different features of acute decompensated heart failure."
#emimcc