Interfacility transport has inherent risks. We should not be transferring in the middle of the night unless a critical intervention is happening shortly after arrival at the tertiary center #NAEMSP2024

22yr old primigravida, 28 wk, no other comorbidy presents with SOB and chest pain. 88%on RA TAPSE 13 , Bp 89/60 map 63 , High Trop, RR 30 and pulse 100. Right heart strain on echo. CTPA confirms near occlusive bilateral PE’s . To Thrombolyse or not?

Make sure you know how to position a patient properly for airway management- it’s the gift that keeps on giving

Communication as code leader during a cardiac arrest is hard. Here are 5 things you can do to improve your code communication right now. 👇 A 🧵 #medtwitter #foamed #meded

It takes guts to be an organ donor…

Check out this CDC study: when a pathogen was found, #1 cause? Rhinovirus. Flu was #2. Strep pneumo is #3, then 4 more viruses before you hit another bacteria. (This study is well pre-COVID, but rest assured it would be well represented now). #SHEASpring2024 3/

Similar to a prior 🧵regarding traumatic deaths in 'The Iliad': Here I will examine the deaths in the movie 'Braveheart' to estimate how many of these might have been prevented if modern level 1 trauma centers and surgical care were available in Scotland at the time. (1/)

Brain Injury Associated Shock (aka BIAS) - Haemodynamic compromise from isolated severe TBI is rare & in our services experience, indistinguishable from haemorrhagic shock in sick multi-trauma patients. tinyurl.com/r3umpbka

#POCUS guided subclavian venous catheter placement 🎥 🔗 youtu.be/_VYHj4sRlkc?si… #FOAMed #FOAMcc #MedEd

79 year old gentleman presents with a few days' history of shortness of breath on exertion. T1RF on ABG. Team felt x-ray showed some haziness at the left base - treated with IV antibiotics and fluids. Debate about whether to get a CTPA in view of significant O2 requirement. (2/5)

Another deadly triage ECG missed, and the waiting patient leaves before being seen. What is this nearly pathognomonic ECG? hqmeded-ecg.blogspot.com/2024/06/anothe…

Fabulous video and case report showing an intubation technique using hyperangulated video laryngoscopy and a DuCanto suction catheter preloaded with a bougie onlinelibrary.wiley.com/doi/full/10.10… JACEP Open James DuCanto, M.D.

Which extraglottic device is the best?

Pressure control + spontaneous ventilation vs volume assist-control ventilation in #ARDS, 🇫🇷 RCT 🔎PC-SV vs ACV, similar Vt/PEEP PC mode set to encourage spontaneous ventilation ⬇️ need for sedation/adjunctive therapies for hypoxemia but not ⬇️ mortality 🔓bit.ly/3TAfFI6

Dang. Edward Buga you were right. I’ll use PC more often… 😜

The Computer and Overreading Cardiologist call this completely normal. Is it? hqmeded-ecg.blogspot.com/2024/09/the-co…

Cardiac #POCUS parameters in the assessment of pulmonary hypertension #FOAMed #Nephpearls Click 'ALT' for abbreviations Courtesy: 2022 ESC/ERS pulm HTN Guidelines

Image of the day! #POCUS #FOAMed #FOAMcc 🔗 pubmed.ncbi.nlm.nih.gov/36045842/

Interesting/scary image! #POCUS #FOAMed #FOAMcc Courtesy: doi 10.1093/eurheartj/ehac807

(1/x) How did I get into #pocus and research? It starts (like most good stories) in an overheated medical tent at Pemberton Music Festival listening to Snoop Dog. A 🧵