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Adrian Wong

@avkwong.bsky.social

Consultant ICM and Anaesthesia at King's College Hospital, London

207 Followers  |  65 Following  |  25 Posts  |  Joined: 05.10.2023
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Posts by Adrian Wong (@avkwong.bsky.social)

COUNTERPOINT: Should Pulmonary and Critical Care Medicine Fellowship Training Programs Require Advanced Cardiac Point-of-Care Ultrasound Competency? No In a welcome update, the Accreditation Council on Graduate Medical Education (ACGME) revised program requirements for both pulmonary and critical care medicine (PCCM) and critical care medicine fellow...

Interesting editorial piece. Its useful - yes. But we can't train colleagues properly (time, resources) so.....

Should Pulmonary and Critical Care Medicine Fellowship Training Programs Require Advanced Cardiac #POCUS Competency? No -
#pocus #fusic journal.chestnet.org/article/S001...

01.02.2026 02:01 β€” πŸ‘ 2    πŸ” 1    πŸ’¬ 1    πŸ“Œ 0
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BSE launches groundbreaking emergency echo educational resource Level 1 Library now available

@bsecho.bsky.social have launched a new Level 1 libraryπŸš€

Can't wait to explore these real-world Level 1 echo cases developed by a team including @EchoFoundations, which will support practitioners of emergency echo

The first 30 cases are FREE!

Find out more: bsecho.org/Public/News/...

29.11.2025 22:47 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Mostly workshop duties this year

29.10.2025 06:19 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Trials coming up at #esicm #lives2025

I am by far most interested in #andromedashock2.

The usual yearly sweepstakes apply ping @avkwong.bsky.social @redneeraj.bsky.social

I think all of those trials will be β€œpositive”.

Your thoughts?

19.10.2025 21:20 β€” πŸ‘ 12    πŸ” 6    πŸ’¬ 5    πŸ“Œ 1

hottest game in town for volume management:

1995: wedge pressure

2005: CVP (surviving sepsis!)

2012: IVC

2020: VEXUS

2025: wedge pressure again!

07.07.2025 16:01 β€” πŸ‘ 21    πŸ” 3    πŸ’¬ 9    πŸ“Œ 0
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The challenges of using ultrasound to measure the trachea: a brief report - Critical Care Background Tracheostomy is a common procedure in intensive care medicine, involving the insertion of an artificial airway through the front of the neck into the trachea. The size of tracheostomy tube ...

The challenges of using ultrasound to measure the trachea: a brief report
#pocus #airway
ccforum.biomedcentral.com/articles/10....

07.07.2025 10:49 β€” πŸ‘ 14    πŸ” 7    πŸ’¬ 2    πŸ“Œ 0
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Effectiveness of VExUS scores for predicting mortality among patients followed up in the emergency department due to congestive heart failure: a prospective cross-sectional study - BMC Emergency Medic... Congestive Heart Failure (CHF) is a major contributor to emergency department (ED) visits and mortality. Traditional diagnostic tools may not fully capture systemic venous congestion, which is a criti...

Effectiveness of VExUS scores for predicting mortality among patients followed up in the emergency department due to congestive heart failure: a prospective cross-sectional study

#VEXUS #POCUS #Echofirst

bmcemergmed.biomedcentral.com/articles/10....

06.07.2025 19:53 β€” πŸ‘ 9    πŸ” 3    πŸ’¬ 0    πŸ“Œ 0
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Clinical obstacles to machine-learning POCUS adoption and system-wide AI implementation (The COMPASS-AI survey) - The Ultrasound Journal Background Point-of-care ultrasound (POCUS) has become indispensable in various medical specialties. The integration of artificial intelligence (AI) and machine learning (ML) holds significant promise...

Exciting news! Our global survey on AI in POCUS, 'COMPASS-AI,' is officially published in The Ultrasound Journal! πŸŽ‰ Discover key insights into perceptions/obstacles for AI adoption. Read it here: πŸ‘‡
theultrasoundjournal.springeropen.com/articles/10....
#POCUS #AIinMedicine #HealthcareAI #echofirst

03.07.2025 10:13 β€” πŸ‘ 4    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
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Traditional Chinese medicine for sepsis: advancing from evidence to innovative drug discovery - Critical Care The global health burden of sepsis is immense, characterized by significant loss of life and high healthcare costs. Traditional Chinese medicine (TCM), with its over two millennia of clinical practice...

Traditional Chinese medicine for sepsis: advancing from evidence to innovative drug discovery

ccforum.biomedcentral.com/articles/10....

20.05.2025 07:06 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Weaning failure from mechanical ventilation: a scoping review of the utility of ultrasonography in the weaning process Weaning failure has been associated with increased hospital stay and higher mortality. Identification of the risk factors that may affect weaning outcome is paramount. Ultrasonography is an excellent ...

Weaning failure from mechanical ventilation: a scoping review of the utility of ultrasonography in the weaning process - British Journal of Anaesthesia #pocus www.bjanaesthesia.org/article/S000...

18.05.2025 16:12 β€” πŸ‘ 2    πŸ” 2    πŸ’¬ 0    πŸ“Œ 0
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Our 2nd @KingsCritCare #neuro #pocus course is now open for registration. Places are limited. Covers 2D, TCD, ONSD,

drive.google.com/file/d/1VOBf...

03.05.2025 07:53 β€” πŸ‘ 2    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
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Regional barriers in POCUS training - Critical Care

A message from colleagues in Greece on #pocus and ultrasound on training, legislation and implementation by non-radiologist. I suspect some of the issues raised are not isolated to just Greece.

ccforum.biomedcentral.com/articles/10....

30.04.2025 09:14 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Waste and cost assessment of total intravenous anaesthesia... : European Journal of Anaesthesiology | EJA An abstract is unavailable.

Waste and cost assessment of total intravenous anaesthesia in the context of environmental sustainability

journals.lww.com/ejanaesthesi...

14.04.2025 16:07 β€” πŸ‘ 4    πŸ” 5    πŸ’¬ 0    πŸ“Œ 1
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GenIUS - ESICM ESICM certification for practitioners to gain basic competence in critical care ultrasound

It's been a decade since we started this journey

#echofirst #pocus

www.esicm.org/education/ed...

31.03.2025 17:18 β€” πŸ‘ 9    πŸ” 4    πŸ’¬ 1    πŸ“Œ 0
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#ISICEM25
Paul Mayo on VExUS score
@drfreeze.bsky.social @thinkingcc.bsky.social @argaiz.bsky.social

19.03.2025 10:09 β€” πŸ‘ 5    πŸ” 2    πŸ’¬ 0    πŸ“Œ 1
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So a group of us are looking at barriers to AI/ML in #pocus and would be grateful if you could fill in and share this survey. Thank you.
#echofirst

COMPASS-AI (Clinical Obstacles to Machine-learning POCUS Adoption and System-wide AI Implementation)
redcap.link/lllc6fqw

08.03.2025 06:48 β€” πŸ‘ 5    πŸ” 2    πŸ’¬ 1    πŸ“Œ 0

I had the pleasure of teaching lung #pocus at a β€œtrain the trainers” course, with the ever excellent @avkwong.bsky.social and Cian McDermott as faculty

Some reflections from the day:

(1/n)

27.02.2025 09:45 β€” πŸ‘ 30    πŸ” 15    πŸ’¬ 1    πŸ“Œ 3
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Saturday night live - podcast editing.

@drfreeze.bsky.social
#winfocus #podcast #pocus #echo

08.02.2025 20:44 β€” πŸ‘ 2    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
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Share your videos with friends, family, and the world YouTube

So my colleague @foundationsofecho (not on Bluesky yet) has finished his latest video…

It’s very comprehensive

#echo #pocus

youtube.com/watch?v=iN1E...

27.01.2025 16:54 β€” πŸ‘ 6    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
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What if we do, but what if we don’t? The opportunity cost of artificial intelligence hesitancy in the intensive care unit - Intensive Care Medicine Intensive Care Medicine -

What if we do, but what if we don’t? The opportunity cost of artificial intelligence hesitancy in the intensive care unit

link.springer.com/article/10.1...

22.01.2025 21:33 β€” πŸ‘ 1    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
Transcranial sonography: practical use in theΒ intensive care unit Brain ultrasonography has emerged as a valuable diagnostic and monitoring tool in intensive care, complementing other point-of-care techniques. Transcranial colour-coded duplex (TCCD) offers a rapid, ...

Transcranial sonography: practical use in the intensive care unit

#pocus #neuro

www.termedia.pl/Transcranial...

22.01.2025 13:48 β€” πŸ‘ 7    πŸ” 3    πŸ’¬ 0    πŸ“Œ 0
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Differences in anaesthesiologist–surgeon seniority and patient safety: a single-centre mixed-methods study Junior anaesthesiologists often find it difficult to gain the trust of surgeons, possibly because of their limited experience and unfamiliarity with surgeons. Therefore, they can face pressure when na...

Differences in anaesthesiologist–surgeon seniority and patient safety: a single-centre mixed-methods study - British Journal of Anaesthesia www.bjanaesthesia.org/article/S000...

15.01.2025 14:31 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Infographic - National State of Patient Safety 2024 by IGHI Comms - Infogram

Finally found sometime to read this....

Infographic: Infographic - National State of Patient Safety 2024 - infogram.com/infographic-...

08.01.2025 20:15 β€” πŸ‘ 1    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
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Just completed the @esicm #patientsafety fellowship at @HumanitasMilano.

I've participated in lots of @esicm educational/training events through the years and this has been THE best.
A whole week working with the team here examining the multifaceted approach to safety!

08.12.2024 08:40 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Central venous catheter-related infections: a systematic review, meta-analysis, trial sequential analysis and meta-regression comparing ultrasound guidance and landmark technique for insertion - Criti... Background During central venous catheterization (CVC), ultrasound (US) guidance has been shown to reduce mechanical complications and increase success rates compared to the anatomical landmark (AL) t...

Central venous catheter-related infections: a systematic review, meta-analysis, trial sequential analysis and meta-regression comparing ultrasound guidance and landmark technique for insertion

ccforum.biomedcentral.com/articles/10....

25.11.2024 17:29 β€” πŸ‘ 3    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
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As we approach the lunch break at #winfocus #pocus conference, perhaps a listen to this very nice talk by Gabrielle

www.winfocus.org/winfocus-lib...

23.11.2024 12:03 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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This session #winfocus #POCUS caught my eye. I think it could apply to lots of things in #pocus #nhs #healthcare

πŸ˜‚πŸ˜‘πŸ˜–

23.11.2024 11:44 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Here's a prospective study in paeds using a standardised #pocus protocol to check

onlinelibrary.wiley.com/share/MUXJPI...

23.11.2024 09:34 β€” πŸ‘ 5    πŸ” 3    πŸ’¬ 0    πŸ“Œ 0
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So the weekend is about #WINFOCUS conference #POCUS

Armed with coffee - #POCUS only for checking position of CVC... WOuld be difficult to operationalise in my hospital.

Thoughts @drfreeze.bsky.social ?

23.11.2024 09:07 β€” πŸ‘ 4    πŸ” 1    πŸ’¬ 1    πŸ“Œ 1
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UBC IM POCUS This site is dedicated to promoting Point-of-Care Ultrasound education within Internal Medicine and other disciplines. You’ll find scanning tutorials, interactive cases, an image bank, and more.

For more #POCUS resources, check out ubcimpocus.com
#FOAMed #MedTwitter

10.11.2024 02:53 β€” πŸ‘ 8    πŸ” 5    πŸ’¬ 0    πŸ“Œ 0