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ECG From Scratch #29: Axis Deviation in Seconds You don't always need to calculate the exact QRS axis. For beginners, start with one simple question: (Is the QRS axis normal, leftward, or rightward?) ➡️ You can often answer this by looking at just Lead I and Lead II. The...

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CardiovascularCorner

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19,633 Aufrufe • vor 12 Tagen •via X (Twitter)

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👇VT vs SVT (Part 1): Heart Axis👇 •A tachycardia with northwest axis is highly suggestive of VT, as ventricular excitation moves from distal to basal. This pattern is identified by positive QRS in aVR and negative QRS in leads I, II, and aVF. •A normal heart axis during tachycardia is more indicative of SVT, where excitation travels from basal to distal. In this case, QRS negative in aVR and positive in leads I, II, and aVF. #EPeeps Note: Certain types of VT, such as septal VT or fascicular VT, may present with a normal axis despite their ventricular origin. This post was created in collaboration with Nadica Trajkovska Philipp Sommer Christian Sohns Moneeb Khalaph Martin Braun Maxim Didenko, MD PhD FESC FEHRA Vanessa Sciacca Gregor Nageler Oren Gottfried, MD Stephan H. Winnik Vera Maslova ECG.Hacks Arnel Carmona ECGs 色々自粛中(ガラス細工の様な繊細なハートを持つ貴公子🤴)こちらを本稿に戻しました🌟 JMC Dr. Andreas Roeschl Johnson & Johnson MedTech | Electrophysiology Abbott BostonSci Cardiology Medtronic #CardioTwitter
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👇VT vs SVT (Part 1): Heart Axis👇 •A tachycardia with northwest axis is highly suggestive of VT, as ventricular excitation moves from distal to basal. This pattern is identified by positive QRS in aVR and negative QRS in leads I, II, and aVF. •A normal heart axis during tachycardia is more indicative of SVT, where excitation travels from basal to distal. In this case, QRS negative in aVR and positive in leads I, II, and aVF. #EPeeps Note: Certain types of VT, such as septal VT or fascicular VT, may present with a normal axis despite their ventricular origin. This post was created in collaboration with Nadica Trajkovska Philipp Sommer Christian Sohns Moneeb Khalaph Martin Braun Maxim Didenko, MD PhD FESC FEHRA Vanessa Sciacca Gregor Nageler Oren Gottfried, MD Stephan H. Winnik Vera Maslova ECG.Hacks Arnel Carmona ECGs 色々自粛中(ガラス細工の様な繊細なハートを持つ貴公子🤴)こちらを本稿に戻しました🌟 JMC Dr. Andreas Roeschl Johnson & Johnson MedTech | Electrophysiology Abbott BostonSci Cardiology Medtronic #CardioTwitter

El Hamriti Mustapha

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MAKING AXIS TASKS FEEL EASY 👀🤖 I made a quick video showing how to complete an Axis Robotics task step by step. The task gives you a clear goal, steps, controls and camera views to guide you. In this one, the goal is simple, Open the trash bin, pick up the onion, and place it inside. 🧅 Just follow the instructions, control the robot arm and complete the task. What I like is that even beginners can understand what they need to do. But the interesting part is what happens with these interactions after we complete them. Each completed task can contribute valuable robot training data, helping Physical Ai systems learn how to handle different objects and environments. Small tasks from the community can become useful data for teaching robots how to interact with the real world. That’s what makes Axis interesting to me.
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MAKING AXIS TASKS FEEL EASY 👀🤖 I made a quick video showing how to complete an Axis Robotics task step by step. The task gives you a clear goal, steps, controls and camera views to guide you. In this one, the goal is simple, Open the trash bin, pick up the onion, and place it inside. 🧅 Just follow the instructions, control the robot arm and complete the task. What I like is that even beginners can understand what they need to do. But the interesting part is what happens with these interactions after we complete them. Each completed task can contribute valuable robot training data, helping Physical Ai systems learn how to handle different objects and environments. Small tasks from the community can become useful data for teaching robots how to interact with the real world. That’s what makes Axis interesting to me.

SufianXFN

14,419 Aufrufe • vor 25 Tagen

PLAX- PARASTERNAL long axis. One of my favs . . . Here’s a great animation of the anatomy we can assess in the parasternal long axis view (PLAX). This is one of my favorite views (because it’s pretty easy to get) and can help you assess multiple structures in a pinch. . . To obtain this view put your probe on the 3rd-4th rib space with the probe marker facing the right shoulder. From there you can make a quick adjustment (turning the probe marker to the left shoulder) to get the parasternal short axis view (PSAX). Both of these views are great for assessment of wall thickness, the mitral valve, as well as for effusions (among many other things). . . . Even though I’m an interventional cardiologist echo remains one of my most favorite things about cardiology. It’s amazing to me that I can get all of these images myself with a probe and my phone. I encourage all cardiology fellows out there to embrace echo because once you start enjoying it many parts of cardiology become easy! . . . What’s your favorite echo view? . . Video: florina_stanley #cardiology #cardiologia #medical #medicine #med #doctor #cardiotwitter #nurse #medstudent #heart #echocardiography #echocardiogram #echo #pa #echofirst #md #do #foamed Echofirst Bot
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PLAX- PARASTERNAL long axis. One of my favs . . . Here’s a great animation of the anatomy we can assess in the parasternal long axis view (PLAX). This is one of my favorite views (because it’s pretty easy to get) and can help you assess multiple structures in a pinch. . . To obtain this view put your probe on the 3rd-4th rib space with the probe marker facing the right shoulder. From there you can make a quick adjustment (turning the probe marker to the left shoulder) to get the parasternal short axis view (PSAX). Both of these views are great for assessment of wall thickness, the mitral valve, as well as for effusions (among many other things). . . . Even though I’m an interventional cardiologist echo remains one of my most favorite things about cardiology. It’s amazing to me that I can get all of these images myself with a probe and my phone. I encourage all cardiology fellows out there to embrace echo because once you start enjoying it many parts of cardiology become easy! . . . What’s your favorite echo view? . . Video: florina_stanley #cardiology #cardiologia #medical #medicine #med #doctor #cardiotwitter #nurse #medstudent #heart #echocardiography #echocardiogram #echo #pa #echofirst #md #do #foamed Echofirst Bot

Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI

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I'm launching an urgent fundraiser to support engineering equipment for our frontline efforts, and I need your help. Please donate, like, share, and comment—every bit of support is crucial. You can find the donation link at the end of this message. The situation on the front lines is incredibly challenging. Errors by political and military leaders, combined with slow support from the West, have led to significant losses in both territory and lives in the Pokrovsk axis. While we can't always change the decisions made by our leaders, we can make a real difference by providing our soldiers with essential engineering equipment. For instance, I personally have reservations about the operation in Kursk for my own reasons. However, I am fully committed to doing everything I can to save Ukrainian lives during this operation. That’s why one of Liberty Ukraine Foundation 🇺🇸🇺🇦’s excavators is already at work at the new positions on that axis. Our efforts to save soldiers' lives should remain focused regardless of individual opinions on tactical or strategic decisions made by our Ukrainian leadership. Thanks to the fundraising efforts of Liberty Ukraine Foundation 🇺🇸🇺🇦, we have already transferred or are in the process of transferring over 8 excavators. The feedback has been overwhelmingly positive, with engineering, infantry, and artillery units reporting that this equipment is saving many lives. On both the Kursk and Pokrovsk axes, the front lines are constantly shifting, which makes the need for excavating equipment even more critical. This equipment allows our forces to adapt quickly and operate more effectively. Our goal is to raise 🎯 $110,000. I know this is a substantial amount, but we've successfully raised even more in the past, and this equipment is making a significant impact right now. donation link 🔗 Thank you for your support.
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I'm launching an urgent fundraiser to support engineering equipment for our frontline efforts, and I need your help. Please donate, like, share, and comment—every bit of support is crucial. You can find the donation link at the end of this message. The situation on the front lines is incredibly challenging. Errors by political and military leaders, combined with slow support from the West, have led to significant losses in both territory and lives in the Pokrovsk axis. While we can't always change the decisions made by our leaders, we can make a real difference by providing our soldiers with essential engineering equipment. For instance, I personally have reservations about the operation in Kursk for my own reasons. However, I am fully committed to doing everything I can to save Ukrainian lives during this operation. That’s why one of Liberty Ukraine Foundation 🇺🇸🇺🇦’s excavators is already at work at the new positions on that axis. Our efforts to save soldiers' lives should remain focused regardless of individual opinions on tactical or strategic decisions made by our Ukrainian leadership. Thanks to the fundraising efforts of Liberty Ukraine Foundation 🇺🇸🇺🇦, we have already transferred or are in the process of transferring over 8 excavators. The feedback has been overwhelmingly positive, with engineering, infantry, and artillery units reporting that this equipment is saving many lives. On both the Kursk and Pokrovsk axes, the front lines are constantly shifting, which makes the need for excavating equipment even more critical. This equipment allows our forces to adapt quickly and operate more effectively. Our goal is to raise 🎯 $110,000. I know this is a substantial amount, but we've successfully raised even more in the past, and this equipment is making a significant impact right now. donation link 🔗 Thank you for your support.

✙ Constantine ✙

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Here is a drill to help you learn what it feels like to use the ground and start to sequence effectively. Notice how the club is setup in the video between my feet. Get to your back swing and jump favoring your lead foot left and laterally like I am. With that feeling step in and hit one. Not where you are pushing off from when you swing and try and get that into a feeling that makes sense to you. This is how power is created in the golf swing. This is also where physical limitations can show up.
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Here is a drill to help you learn what it feels like to use the ground and start to sequence effectively. Notice how the club is setup in the video between my feet. Get to your back swing and jump favoring your lead foot left and laterally like I am. With that feeling step in and hit one. Not where you are pushing off from when you swing and try and get that into a feeling that makes sense to you. This is how power is created in the golf swing. This is also where physical limitations can show up.

Drake Smith

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I think I've stumbled onto the future of building startups. It wasn't supposed to happen this way. It's 2 AM. I'm editing a podcast, questioning every life decision that led me here. I've already burned through hundreds of thousands on this thing since 2021. Zero monetization. Just burning cash. My business partner's probably thinking I've lost it. We're juggling 6 businesses, and here I am, playing wannabe Joe Rogan. Then it hit me. Not during the podcast. In the darn comments section. I start sorting comments by "contains question" using this AI creator tool called VidIQ. "How do you validate ideas?" "What tools do you use?" "Can you dive deeper on XYZ topic?" These questions keep popping up. Over and over. That's when the lightbulb went off. What if I could turn this into a lead magnet machine? Find questions. Answer them with free stuff. Rinse. Repeat. I team up with Design Scientist to crank out 2 lead magnets a month. (Tried doing it myself first. But it was hard lol) We start pumping out things like "6 Tools I Use to Find Startup Ideas." Suddenly, I'm drowning in subscribers. 10,000 to 20,000 a month. On autopilot. Now, you're probably thinking, "Cool story, bro. But how's this a big idea?" Clarity of what to build is probably one of the most valuable ways to build products people want. You have to understand a niche's problem better than they even know them. Problem: what's the roadblock keeping founders stuck? Segment: group these founders by their specific obstacles. Product: build the bridge that gets them over their hurdle. I use ConvertKit like a scalpel, dissecting these segments. Not by age or location. By the problems they're desperate to solve. Suddenly, I'm staring at a treasure map of founder pain points. And that's when you can build startups to solve their problems. Instead of being a lead factory, you become a startup factory. You use tools like v0/replit/cursor to prototype like a madman. And it makes your life less stressful as a founder. Because you know people are lined up to buy the products. I'm so convinced this is the future of startup building, I've bet $1M+ of my own cash on it. Building startups to solve people's problems. And cool part is this blueprint can be replicated in any niche. The best SaaS ideas aren't in some Silicon Valley incubator. They're hiding in your "free" content. Think of it like this (Isenberg's formula?): (Engaged Audience) x (Targeted Lead Magnets) x (Problem-Centric Segmentation) = Product-Market Fit on Demand Here's the step-by-step: 1. Use AI/software to categorize every single audience interaction by problem type. Build a heat map of pain points. 2. Create ultra-specific lead magnets for each major problem cluster. Think "5-Step Framework for Validating SaaS Ideas" not "Generic Startup Guide". I also use free communities as lead magnets. 3. Forget demographics. Segment by the problem they're trying to solve. Use ConvertKit to build dynamic segments that would make Zuck jealous. 4. Use AI to build rapid prototypes for top problem clusters. Test with your segmented lists for instant feedback. Your next cash-flowing business is probably stuck in a comment somewhere, just waiting for you to notice it. I accidentally built a startup factory at 2am. Happy I did. Sharing in case this is useful to anyone out there. The future of startups: 1. Be a content factory 2. Be a lead factory 3. Be a startup factory
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I think I've stumbled onto the future of building startups. It wasn't supposed to happen this way. It's 2 AM. I'm editing a podcast, questioning every life decision that led me here. I've already burned through hundreds of thousands on this thing since 2021. Zero monetization. Just burning cash. My business partner's probably thinking I've lost it. We're juggling 6 businesses, and here I am, playing wannabe Joe Rogan. Then it hit me. Not during the podcast. In the darn comments section. I start sorting comments by "contains question" using this AI creator tool called VidIQ. "How do you validate ideas?" "What tools do you use?" "Can you dive deeper on XYZ topic?" These questions keep popping up. Over and over. That's when the lightbulb went off. What if I could turn this into a lead magnet machine? Find questions. Answer them with free stuff. Rinse. Repeat. I team up with Design Scientist to crank out 2 lead magnets a month. (Tried doing it myself first. But it was hard lol) We start pumping out things like "6 Tools I Use to Find Startup Ideas." Suddenly, I'm drowning in subscribers. 10,000 to 20,000 a month. On autopilot. Now, you're probably thinking, "Cool story, bro. But how's this a big idea?" Clarity of what to build is probably one of the most valuable ways to build products people want. You have to understand a niche's problem better than they even know them. Problem: what's the roadblock keeping founders stuck? Segment: group these founders by their specific obstacles. Product: build the bridge that gets them over their hurdle. I use ConvertKit like a scalpel, dissecting these segments. Not by age or location. By the problems they're desperate to solve. Suddenly, I'm staring at a treasure map of founder pain points. And that's when you can build startups to solve their problems. Instead of being a lead factory, you become a startup factory. You use tools like v0/replit/cursor to prototype like a madman. And it makes your life less stressful as a founder. Because you know people are lined up to buy the products. I'm so convinced this is the future of startup building, I've bet $1M+ of my own cash on it. Building startups to solve people's problems. And cool part is this blueprint can be replicated in any niche. The best SaaS ideas aren't in some Silicon Valley incubator. They're hiding in your "free" content. Think of it like this (Isenberg's formula?): (Engaged Audience) x (Targeted Lead Magnets) x (Problem-Centric Segmentation) = Product-Market Fit on Demand Here's the step-by-step: 1. Use AI/software to categorize every single audience interaction by problem type. Build a heat map of pain points. 2. Create ultra-specific lead magnets for each major problem cluster. Think "5-Step Framework for Validating SaaS Ideas" not "Generic Startup Guide". I also use free communities as lead magnets. 3. Forget demographics. Segment by the problem they're trying to solve. Use ConvertKit to build dynamic segments that would make Zuck jealous. 4. Use AI to build rapid prototypes for top problem clusters. Test with your segmented lists for instant feedback. Your next cash-flowing business is probably stuck in a comment somewhere, just waiting for you to notice it. I accidentally built a startup factory at 2am. Happy I did. Sharing in case this is useful to anyone out there. The future of startups: 1. Be a content factory 2. Be a lead factory 3. Be a startup factory

GREG ISENBERG

128,620 Aufrufe • vor 2 Jahren

I love time alone in the gym. Just me and the bag, the ring, or the hoop... Alone with the work. All the small details, all the little things. I film it then go back and analyze all the areas that need improvement. Here I'm measuring distance, working on blinding or disrupting with the lead hand, feinting a little then precision and power off the same hand. Trying to keep my right hand responsible (not good) but also ready to deliver the bomb. Which I never do here because I'm not at the right range. Royce White for U.S. Senate MN 2026 America 1st, Just Right™️
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I love time alone in the gym. Just me and the bag, the ring, or the hoop... Alone with the work. All the small details, all the little things. I film it then go back and analyze all the areas that need improvement. Here I'm measuring distance, working on blinding or disrupting with the lead hand, feinting a little then precision and power off the same hand. Trying to keep my right hand responsible (not good) but also ready to deliver the bomb. Which I never do here because I'm not at the right range. Royce White for U.S. Senate MN 2026 America 1st, Just Right™️

Royce White 🇺🇸

15,659 Aufrufe • vor 7 Monaten

🚨 ITALY IS ABOUT TO GENERATE ELECTRICITY FROM A FULL-SCALE NUCLEAR REACTOR THAT HAS ZERO NUCLEAR FUEL INSIDE IT. At the ENEA Brasimone research center, Newcleo has installed a 155-ton reactor vessel filled with molten lead. Instead of uranium, it uses electric heaters to simulate the heat from fission. The lead will circulate, transfer heat to a steam generator, and spin a real turbine to produce electricity. This is not a small lab experiment. The vessel is nearly the same size as the commercial 200 MW lead-cooled reactor Newcleo eventually wants to sell. Why this matters: • It’s one of the most complete non-nuclear demonstrations of a next-generation reactor ever attempted • By proving the molten lead cooling system, heat exchangers, and power conversion loop work at scale before introducing nuclear fuel, Newcleo is trying to de-risk the hardest and most expensive parts of advanced nuclear development • Lead-cooled fast reactors can operate at atmospheric pressure with high thermal margins and natural circulation decay heat removal • The company has ambitious plans, including partnerships in the US (with Oklo) to use surplus weapons plutonium as fuel The deeper implication: Traditional nuclear development is extremely slow and expensive because you have to deal with radiation, fuel, and regulatory scrutiny from day one. Newcleo’s approach flips this: prove the entire non-nuclear “machine” works first at near-commercial scale, then add the nuclear part later. If successful, this could meaningfully shorten development timelines and reduce technical risk for lead-cooled reactors. It’s still early the real fueled reactor isn’t expected until the early 2030s but this is one of the more serious and well-funded attempts to make a new type of advanced nuclear a commercial reality. How important do you think non-nuclear full-scale testing like this will be for accelerating advanced reactor deployment? Follow for more frontier nuclear technology and next-generation reactor development.
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🚨 ITALY IS ABOUT TO GENERATE ELECTRICITY FROM A FULL-SCALE NUCLEAR REACTOR THAT HAS ZERO NUCLEAR FUEL INSIDE IT. At the ENEA Brasimone research center, Newcleo has installed a 155-ton reactor vessel filled with molten lead. Instead of uranium, it uses electric heaters to simulate the heat from fission. The lead will circulate, transfer heat to a steam generator, and spin a real turbine to produce electricity. This is not a small lab experiment. The vessel is nearly the same size as the commercial 200 MW lead-cooled reactor Newcleo eventually wants to sell. Why this matters: • It’s one of the most complete non-nuclear demonstrations of a next-generation reactor ever attempted • By proving the molten lead cooling system, heat exchangers, and power conversion loop work at scale before introducing nuclear fuel, Newcleo is trying to de-risk the hardest and most expensive parts of advanced nuclear development • Lead-cooled fast reactors can operate at atmospheric pressure with high thermal margins and natural circulation decay heat removal • The company has ambitious plans, including partnerships in the US (with Oklo) to use surplus weapons plutonium as fuel The deeper implication: Traditional nuclear development is extremely slow and expensive because you have to deal with radiation, fuel, and regulatory scrutiny from day one. Newcleo’s approach flips this: prove the entire non-nuclear “machine” works first at near-commercial scale, then add the nuclear part later. If successful, this could meaningfully shorten development timelines and reduce technical risk for lead-cooled reactors. It’s still early the real fueled reactor isn’t expected until the early 2030s but this is one of the more serious and well-funded attempts to make a new type of advanced nuclear a commercial reality. How important do you think non-nuclear full-scale testing like this will be for accelerating advanced reactor deployment? Follow for more frontier nuclear technology and next-generation reactor development.

TheNewPhysics

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When I get the opportunity to work with a hitter, inevitably the first thing to clean up is how they interact with the ground. Usually, when they land their lead foot, they’ve already begun to swing. I’ll ask them “I want you to do your stride, then when you land, stop” I then ask, while they hold their strike position: “could you do a squat from there?” It’s usually an obvious “no” I like to use this image and clip I made of Cal via Craig Hyatt ‘s timeline (his timeline is a treasure trove of video) Cal could easily do a squat or jump up in the air from here. Can you?
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When I get the opportunity to work with a hitter, inevitably the first thing to clean up is how they interact with the ground. Usually, when they land their lead foot, they’ve already begun to swing. I’ll ask them “I want you to do your stride, then when you land, stop” I then ask, while they hold their strike position: “could you do a squat from there?” It’s usually an obvious “no” I like to use this image and clip I made of Cal via Craig Hyatt ‘s timeline (his timeline is a treasure trove of video) Cal could easily do a squat or jump up in the air from here. Can you?

TheBatDoctor

31,910 Aufrufe • vor 9 Monaten

Bachelors in Graphic/Web Design Masters in IT 5 streams of income, making 6 figures. This ain’t no brag or flex. Sometimes i just look out the window and thank GOD! Because quite frankly, I never imagined I’d be in this position. Been through a lot of bullshit. But he always made sure I made it to the other side. My God is an awesome GOD! And this isn’t a post to make me seem better than anybody else, because quiet as it’s kept, i struggled for a long time. I put unrealistic expectations on myself, and said I needed certain things by a certain age. BUT GOD! When I relinquished control and just let him guide me, things began to happen. I’ll never forget after the army, I started college at 27, and people clowned me for being the oldest in the classroom. I knew I had a late start. I gave 10 years to the military. I got my 4 year degree in 3, taking extra classes and summer school. Trying to obtain the success I felt I needed before 30. It led to panic attacks. 2 full time jobs and a full time student. Moral of the story, you can obtain whatever u want. It’ll come in time. Everybody’s standards are not yours. Live by your rules and let God lead the way.
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Bachelors in Graphic/Web Design Masters in IT 5 streams of income, making 6 figures. This ain’t no brag or flex. Sometimes i just look out the window and thank GOD! Because quite frankly, I never imagined I’d be in this position. Been through a lot of bullshit. But he always made sure I made it to the other side. My God is an awesome GOD! And this isn’t a post to make me seem better than anybody else, because quiet as it’s kept, i struggled for a long time. I put unrealistic expectations on myself, and said I needed certain things by a certain age. BUT GOD! When I relinquished control and just let him guide me, things began to happen. I’ll never forget after the army, I started college at 27, and people clowned me for being the oldest in the classroom. I knew I had a late start. I gave 10 years to the military. I got my 4 year degree in 3, taking extra classes and summer school. Trying to obtain the success I felt I needed before 30. It led to panic attacks. 2 full time jobs and a full time student. Moral of the story, you can obtain whatever u want. It’ll come in time. Everybody’s standards are not yours. Live by your rules and let God lead the way.

Tye the TYRANT

26,640 Aufrufe • vor 1 Jahr

I turned $120 into $5,700 on copy trading just in 5 day Wallet that I copied I will send below Btw this Polymarket CLAUDE BOT turned $13 into $60,000 But first before starting to copy trading it read the whole post it is important The main rules of successful copytrading: - speed - correct setup - wallets you follow Fast transactions lead to better results I spent 2 weeks testing different copy trading strategies and spent a lot of money And found the best solution for you. ARES is faster, more secure, and easier to use than any other TG bot. Only with the help of this tool was I able to start earning If you’re interested in the settings I used to copy this bot, just leave a comment and like. I’ll send them to you in DM The wallet I copied:
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I turned $120 into $5,700 on copy trading just in 5 day Wallet that I copied I will send below Btw this Polymarket CLAUDE BOT turned $13 into $60,000 But first before starting to copy trading it read the whole post it is important The main rules of successful copytrading: - speed - correct setup - wallets you follow Fast transactions lead to better results I spent 2 weeks testing different copy trading strategies and spent a lot of money And found the best solution for you. ARES is faster, more secure, and easier to use than any other TG bot. Only with the help of this tool was I able to start earning If you’re interested in the settings I used to copy this bot, just leave a comment and like. I’ll send them to you in DM The wallet I copied:

AdiiX

15,196 Aufrufe • vor 6 Monaten

It’s so crazy how Nikita could: - prove that he’s design-minded - lead the grindset culture by example … simply by fixing this in the next hour starting right now. If he can get it through App Store review and in my hand by tomorrow morning people might start talking about whether he deserves the top job. If he can’t – and especially if he doesn’t acknowledge this post at all – I would have to start questioning whether he is a culture fit for an Elon company.
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It’s so crazy how Nikita could: - prove that he’s design-minded - lead the grindset culture by example … simply by fixing this in the next hour starting right now. If he can get it through App Store review and in my hand by tomorrow morning people might start talking about whether he deserves the top job. If he can’t – and especially if he doesn’t acknowledge this post at all – I would have to start questioning whether he is a culture fit for an Elon company.

Raffi

10,920 Aufrufe • vor 1 Jahr

Why Resuscitate Before Intubation? Optimizing Physiology The principle of "resuscitate before you intubate" is a critical aspect of patient management in pre hospital, intensive care unit (ICU) or emergency department (ED). Let's delve into why this practice is so integral to the process of patient care. 1️⃣ Mitigating Peri-intubation Hypoxia: During the process of intubation, patients typically experience a period of apnea, where they do not breathe. This interruption in oxygen flow can cause a rapid decrease in oxygen levels (desaturation), particularly in critically ill patients who have low oxygen reserves to begin with. Pre-oxygenation, typically done with high-flow nasal cannula (HFNC) or non-invasive ventilation (NIV), can create an oxygen reservoir in the lungs and increase the time to desaturation during apnea. Additionally, some clinicians use apneic oxygenation techniques during intubation to maintain oxygenation. These strategies together help to prevent significant hypoxia during the intubation process. 2️⃣ Addressing Hemodynamic Instability: The switch from spontaneous breathing to positive pressure ventilation during intubation can dramatically impact a patient's cardiovascular dynamics. Positive pressure ventilation increases intrathoracic pressure, which can decrease venous return to the heart, and consequently, lower cardiac output. This can lead to hypotension, a situation particularly dangerous in patients who are already hypovolemic or have pre-existing cardiac conditions. Furthermore, positive pressure can also increase systemic vascular resistance, which acts as the afterload on the left ventricle, potentially worsening left ventricular failure. Prior to intubation, it's crucial to optimize the patient's volume status and use vasopressors or inotropes if needed to stabilize hemodynamics. 3️⃣ Correcting Acid-Base Disturbances: In conditions of severe metabolic acidosis, patients often hyperventilate to 'blow off' carbon dioxide and compensate for the acidosis, thus maintaining a relatively normal pH. During intubation, however, the use of paralytics and the transition to mechanical ventilation can result in a period of hypoventilation. This can lead to an acute rise in carbon dioxide levels, worsening the acidosis and potentially causing hemodynamic instability. Prior to intubation, it's vital to correct the metabolic disturbances as much as possible to stabilize the patient's pH and bicarbonate levels. 4️⃣ Maximizing Physiologic Reserve: Critically ill patients often have a significantly reduced physiologic reserve, making them more susceptible to brief periods of hypoxia or hypotension, which can lead to end-organ damage. Ensuring adequate oxygenation, hemodynamic stability, and correction of metabolic disturbances before intubation enhances their resilience to the process, reducing the risk of further harm. In summary, the purpose of the "resuscitate before you intubate" approach is to place the patient in the best possible physiological condition to withstand the stresses of intubation and mechanical ventilation. It emphasizes the need to anticipate potential complications and to take steps to prevent them, thereby providing the safest and most effective care for our patients.
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Why Resuscitate Before Intubation? Optimizing Physiology The principle of "resuscitate before you intubate" is a critical aspect of patient management in pre hospital, intensive care unit (ICU) or emergency department (ED). Let's delve into why this practice is so integral to the process of patient care. 1️⃣ Mitigating Peri-intubation Hypoxia: During the process of intubation, patients typically experience a period of apnea, where they do not breathe. This interruption in oxygen flow can cause a rapid decrease in oxygen levels (desaturation), particularly in critically ill patients who have low oxygen reserves to begin with. Pre-oxygenation, typically done with high-flow nasal cannula (HFNC) or non-invasive ventilation (NIV), can create an oxygen reservoir in the lungs and increase the time to desaturation during apnea. Additionally, some clinicians use apneic oxygenation techniques during intubation to maintain oxygenation. These strategies together help to prevent significant hypoxia during the intubation process. 2️⃣ Addressing Hemodynamic Instability: The switch from spontaneous breathing to positive pressure ventilation during intubation can dramatically impact a patient's cardiovascular dynamics. Positive pressure ventilation increases intrathoracic pressure, which can decrease venous return to the heart, and consequently, lower cardiac output. This can lead to hypotension, a situation particularly dangerous in patients who are already hypovolemic or have pre-existing cardiac conditions. Furthermore, positive pressure can also increase systemic vascular resistance, which acts as the afterload on the left ventricle, potentially worsening left ventricular failure. Prior to intubation, it's crucial to optimize the patient's volume status and use vasopressors or inotropes if needed to stabilize hemodynamics. 3️⃣ Correcting Acid-Base Disturbances: In conditions of severe metabolic acidosis, patients often hyperventilate to 'blow off' carbon dioxide and compensate for the acidosis, thus maintaining a relatively normal pH. During intubation, however, the use of paralytics and the transition to mechanical ventilation can result in a period of hypoventilation. This can lead to an acute rise in carbon dioxide levels, worsening the acidosis and potentially causing hemodynamic instability. Prior to intubation, it's vital to correct the metabolic disturbances as much as possible to stabilize the patient's pH and bicarbonate levels. 4️⃣ Maximizing Physiologic Reserve: Critically ill patients often have a significantly reduced physiologic reserve, making them more susceptible to brief periods of hypoxia or hypotension, which can lead to end-organ damage. Ensuring adequate oxygenation, hemodynamic stability, and correction of metabolic disturbances before intubation enhances their resilience to the process, reducing the risk of further harm. In summary, the purpose of the "resuscitate before you intubate" approach is to place the patient in the best possible physiological condition to withstand the stresses of intubation and mechanical ventilation. It emphasizes the need to anticipate potential complications and to take steps to prevent them, thereby providing the safest and most effective care for our patients.

𝗥𝗲𝘀𝘂𝘀𝗠𝗲𝗱

46,051 Aufrufe • vor 3 Jahren

Grip a club in your lead hand. Observe how twisting your forearm changes the angle of the face. This is largely what controls where your ball flies. Small differences in this angle lead to huge changes in shot direction. This precision is not being trained in the gym with “golf exercises”. Poor control of this face angle is what leads to a whole host of swing issues. More so than physical limitations. For example, it is far more likely you come over the top in an effort to stop the ball going right because your face is wide open and you’ve seen the ball go right the last 5000 times than it is you lack hip or shoulder mobility. It would be beneficial for me as a trainer to say otherwise, but I just don’t believe it to be true. Use the gym to work on your physical capabilities. Improve your mobility, strength, and power. These are the things you are losing as you age. Leave the swing mechanics for your practice and golf lessons. If you try to “fix your swing in the gym” you will likely do a poor job of training your swing and your body.
0:13

Grip a club in your lead hand. Observe how twisting your forearm changes the angle of the face. This is largely what controls where your ball flies. Small differences in this angle lead to huge changes in shot direction. This precision is not being trained in the gym with “golf exercises”. Poor control of this face angle is what leads to a whole host of swing issues. More so than physical limitations. For example, it is far more likely you come over the top in an effort to stop the ball going right because your face is wide open and you’ve seen the ball go right the last 5000 times than it is you lack hip or shoulder mobility. It would be beneficial for me as a trainer to say otherwise, but I just don’t believe it to be true. Use the gym to work on your physical capabilities. Improve your mobility, strength, and power. These are the things you are losing as you age. Leave the swing mechanics for your practice and golf lessons. If you try to “fix your swing in the gym” you will likely do a poor job of training your swing and your body.

Fit For Golf - Mike Carroll

227,270 Aufrufe • vor 8 Monaten

My contribution to this conversation is simple: the CFA program will humble you. You will cry. You will lament. You will question your life choices. You will bargain with God and start planning the thanksgiving service you intend to hold if you somehow make it to the other side. All these videos were taken during my Level II preparation, but the third one stands out. I remember being in a hotel room during an engagement. We had spent the entire day with the client, from about 8 a.m. until almost 10 p.m. By the time I got back, I was completely exhausted. Any reasonable person would have gone straight to bed. Instead, I took a shower, opened my CFA materials, and continued studying because the exam was approaching and CFA does not care that you’ve already worked a full day. There were days I was running on pure stubbornness. The kind of period where your prayer points become very specific: “God, if I pass this exam, the thanksgiving will be massive.” Level II showed me real pepper. You will read a concept today, understand it perfectly, solve questions on it, and feel on top of the world. By next week, you have forgotten everything and you’re starting from scratch again. You keep reading. You keep forgetting. You read it again. You forget it again. The cycle continues. CFA Level II will have you asking yourself if your brain is still functioning properly, jare. 😂 As for Level III, I am currently in the stage of fear and mental preparation. I know what it represents, so I am respectfully giving myself time to breathe before I enter that arena. For now, the books and I are just looking at each other from a safe distance. 😭 P.S. don’t mind my reading style. I almost always have music playing in the background while studying. It’s basically my coping mechanism.
1:32

My contribution to this conversation is simple: the CFA program will humble you. You will cry. You will lament. You will question your life choices. You will bargain with God and start planning the thanksgiving service you intend to hold if you somehow make it to the other side. All these videos were taken during my Level II preparation, but the third one stands out. I remember being in a hotel room during an engagement. We had spent the entire day with the client, from about 8 a.m. until almost 10 p.m. By the time I got back, I was completely exhausted. Any reasonable person would have gone straight to bed. Instead, I took a shower, opened my CFA materials, and continued studying because the exam was approaching and CFA does not care that you’ve already worked a full day. There were days I was running on pure stubbornness. The kind of period where your prayer points become very specific: “God, if I pass this exam, the thanksgiving will be massive.” Level II showed me real pepper. You will read a concept today, understand it perfectly, solve questions on it, and feel on top of the world. By next week, you have forgotten everything and you’re starting from scratch again. You keep reading. You keep forgetting. You read it again. You forget it again. The cycle continues. CFA Level II will have you asking yourself if your brain is still functioning properly, jare. 😂 As for Level III, I am currently in the stage of fear and mental preparation. I know what it represents, so I am respectfully giving myself time to breathe before I enter that arena. For now, the books and I are just looking at each other from a safe distance. 😭 P.S. don’t mind my reading style. I almost always have music playing in the background while studying. It’s basically my coping mechanism.

Teacher Cee

12,345 Aufrufe • vor 4 Monaten

ELLA’S VOICE Getting in line this morning with my family, I never imagined where the day would lead. Now I’m sitting in the front row at President Donald J. Trump President Trump’s event in Chippewa Falls, and honestly, it’s hard to put into words what this moment feels like. As I waited in line, I kept thinking about how much has changed over the past year. I was just a girl in New Richmond who believed girls deserved privacy in their bathrooms, fairness in their sports, and the protections Title IX was meant to guarantee. When I spoke up, I wasn’t trying to become an activist. I wasn’t looking for attention. I simply knew that what was happening wasn’t right, and I couldn’t stay silent. There were difficult moments along the way, but I never stopped believing that girls deserve a voice.
0:16

ELLA’S VOICE Getting in line this morning with my family, I never imagined where the day would lead. Now I’m sitting in the front row at President Donald J. Trump President Trump’s event in Chippewa Falls, and honestly, it’s hard to put into words what this moment feels like. As I waited in line, I kept thinking about how much has changed over the past year. I was just a girl in New Richmond who believed girls deserved privacy in their bathrooms, fairness in their sports, and the protections Title IX was meant to guarantee. When I spoke up, I wasn’t trying to become an activist. I wasn’t looking for attention. I simply knew that what was happening wasn’t right, and I couldn’t stay silent. There were difficult moments along the way, but I never stopped believing that girls deserve a voice.

Ella Frei

635,331 Aufrufe • vor 3 Monaten

Deep cut nerdy baseball thought: Runner on first. Chandler Simpson hits a grounder. Could you argue that it's better to get Simpson out at first than to get the lead runner? Essentially that Simpson being on base at all is more threatening than the other runner advancing to scoring position? Probably not in this spot, but I think it becomes an interesting discussion if for example there's no outs and a weak-armed catcher. When the Yankees faced the Rays in April, Simpson basically was instantly on third base every time he got on
0:11

Deep cut nerdy baseball thought: Runner on first. Chandler Simpson hits a grounder. Could you argue that it's better to get Simpson out at first than to get the lead runner? Essentially that Simpson being on base at all is more threatening than the other runner advancing to scoring position? Probably not in this spot, but I think it becomes an interesting discussion if for example there's no outs and a weak-armed catcher. When the Yankees faced the Rays in April, Simpson basically was instantly on third base every time he got on

Max Mannis

117,539 Aufrufe • vor 2 Monaten

The agents that run my LinkedIn outreach are currently getting a 55% reply rate on cold outreach and are generating hundreds of signups for me completely on autopilot. I packaged the exact system into a skill that works for any harness so you can copy it for yourself. Heres why this system prints qualified replies: most outbound starts with a list out of apollo, zoominfo or clay. firmographics. who could buy. that list is cold on arrival because "could buy" and "is thinking about this right now" are two different lists. so mine starts from linkedin posts my buyers are already reacting to. that also means every person on the list actually uses linkedin, since they just reacted to a post on it. most people don't, so a message to a normal list mostly sits unread. across the client accounts i've worked on, an apollo-style list usually gets about 1/10th the reply rate of one built this way. the posts come from three places: buyers posting about the problem themselves (hiring for it, breaking under it, shopping for a fix), a watchlist of my competitors and the creators my buyers follow, and the topic itself. when a buyer writes the post, the author is the best lead on it. anyone reacting to a competitor's product post is already shopping. every search is written in the words buyers actually post in, because vendor jargon only finds other vendors. it pulls everyone who reacted or commented, drops anyone i've already contacted plus competitors and their staff, and scores each person 0 to 100 against my ICP with the reason written on the row. anyone under the bar is gone before i've paid for their email. this is the part everyone skips. for every lead that clears the bar, it reads their website, their LinkedIn profile & anything else it can find about them on the internet, works out what agent would actually help their operation, and builds it. a real one, sitting there, with a claim link. so i am not sending "quick question about your outbound." i am sending "i built you an agent that does X for your company, want me to send over the link?" it sequences that into heyreach for linkedin and instantly for email, then runs the inbox. anyone who has done outbound knows reply speed is most of the game, and also the exact thing you quit doing by week three. every reply fires a webhook. it re-reads the whole thread, tags it interested, not interested or auto-reply, pings me in slack the second someone's interested, and sends them their claim link. i don't touch it. and every reply feeds the next run. it writes more searches like the ones that got answers, so week four sources better than week one. the general rule, and it has nothing to do with my software: use AI to build a personalized, genuinely useful asset and give it away in the first message. you're not hard selling anyone. you are handing them a thing. and because it's built off their actual company, nobody can mistake it for a template. reply rates go up for both reasons at once. it doesn't have to be an agent. the skill builds whatever your business is already good at making: - sell lead gen? a sample list of 10 to 25 of their own buyers - sell SEO? the 3 to 5 searches their competitors win and they don't - build websites? a teardown of their homepage with three fixes - consult? a one-page plan for the exact problem they commented about the playbook behind the messages is the best outbound advice on the internet in one place. it's built from 25 full-length videos and 60 posts from operators who do this at scale, plus 3 production systems running this exact play. scraped the videos and posts with superagnt's data MCP btw. run it once in claude code or codex and look at what it staged. once you like it, it turns the whole thing into a small agent team on a schedule. the sourcing side runs about 8 cents per qualified lead in production. grab it here, paste the install prompt into your agent and let it cook:
0:14

The agents that run my LinkedIn outreach are currently getting a 55% reply rate on cold outreach and are generating hundreds of signups for me completely on autopilot. I packaged the exact system into a skill that works for any harness so you can copy it for yourself. Heres why this system prints qualified replies: most outbound starts with a list out of apollo, zoominfo or clay. firmographics. who could buy. that list is cold on arrival because "could buy" and "is thinking about this right now" are two different lists. so mine starts from linkedin posts my buyers are already reacting to. that also means every person on the list actually uses linkedin, since they just reacted to a post on it. most people don't, so a message to a normal list mostly sits unread. across the client accounts i've worked on, an apollo-style list usually gets about 1/10th the reply rate of one built this way. the posts come from three places: buyers posting about the problem themselves (hiring for it, breaking under it, shopping for a fix), a watchlist of my competitors and the creators my buyers follow, and the topic itself. when a buyer writes the post, the author is the best lead on it. anyone reacting to a competitor's product post is already shopping. every search is written in the words buyers actually post in, because vendor jargon only finds other vendors. it pulls everyone who reacted or commented, drops anyone i've already contacted plus competitors and their staff, and scores each person 0 to 100 against my ICP with the reason written on the row. anyone under the bar is gone before i've paid for their email. this is the part everyone skips. for every lead that clears the bar, it reads their website, their LinkedIn profile & anything else it can find about them on the internet, works out what agent would actually help their operation, and builds it. a real one, sitting there, with a claim link. so i am not sending "quick question about your outbound." i am sending "i built you an agent that does X for your company, want me to send over the link?" it sequences that into heyreach for linkedin and instantly for email, then runs the inbox. anyone who has done outbound knows reply speed is most of the game, and also the exact thing you quit doing by week three. every reply fires a webhook. it re-reads the whole thread, tags it interested, not interested or auto-reply, pings me in slack the second someone's interested, and sends them their claim link. i don't touch it. and every reply feeds the next run. it writes more searches like the ones that got answers, so week four sources better than week one. the general rule, and it has nothing to do with my software: use AI to build a personalized, genuinely useful asset and give it away in the first message. you're not hard selling anyone. you are handing them a thing. and because it's built off their actual company, nobody can mistake it for a template. reply rates go up for both reasons at once. it doesn't have to be an agent. the skill builds whatever your business is already good at making: - sell lead gen? a sample list of 10 to 25 of their own buyers - sell SEO? the 3 to 5 searches their competitors win and they don't - build websites? a teardown of their homepage with three fixes - consult? a one-page plan for the exact problem they commented about the playbook behind the messages is the best outbound advice on the internet in one place. it's built from 25 full-length videos and 60 posts from operators who do this at scale, plus 3 production systems running this exact play. scraped the videos and posts with superagnt's data MCP btw. run it once in claude code or codex and look at what it staged. once you like it, it turns the whole thing into a small agent team on a schedule. the sourcing side runs about 8 cents per qualified lead in production. grab it here, paste the install prompt into your agent and let it cook:

Jáen

188,676 Aufrufe • vor 7 Tagen