Walid Malki 🍉
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wanderinger.bsky.social
Walid Malki 🍉
@wanderinger.bsky.social
EM & CCM physician splitting time between a low resource safety net ED and a CV ICU in a tertiary care center

🤓Interests: MedEd, POCUS and refugee health

📍Chicago

Insta: @wandering_er
Diuresis and fluid status comes up on almost every single ICU patient (especially in a cardiac ICU🫀)

It’s very important to understand how each diuretic works, how they can be combined to augment urine output & their limitations

Check out my starter guide for diuresis in the ICU

#MedSky #Nephsky
March 29, 2025 at 2:05 PM
Rule #1 always check with your surgical team regarding anticoagulation. They know every single suture placed in their patient, their anatomy, their bleeding risk etc

I personally like this suggested algorithm published in the Cleveland Clinic J of Medicine for anticoagulation post cardiac surgery👇🏼
November 22, 2024 at 10:43 PM
Intubating patients with elevated ICP can be very tricky.

Your goal: protect cerebral perfusion & avoid big swings in blood pressure

Check out my infographic summarizing some pearls to performing a “neuro protective” intubation🧠

🔗 www.emdocs.net/visual-wedne...
November 21, 2024 at 11:12 PM
One of my favorite reviews to share with learners

Cardiogenic shock can be difficult to diagnose, specially if patient has normal-ish vitals

🫀Know the stages cardiogenic shock with the corresponding physical exam and lab findings

🔗 www.jacc.org/doi/10.1016/...
November 18, 2024 at 8:18 PM
One of my favorite review articles on management of cardiogenic shock published in JACC in 2020.

They go over diagnosis, early management and advanced hemodynamic monitoring.

I especially like the table summarizing different MCS options.

🔗 www.jacc.org/doi/abs/10.1...
November 17, 2024 at 5:50 PM