When intubating critically ill patients, please do the OPPOSITE to the things on this list

Thanks for the props🙏. 20th anniversary edition of volume 1 just published!

How to differentiate between incomplete Right bundle branch block(or other Brugada phenocopies) and type 2 Brugada syndrome?
1-Beta angel more than 58 indicates Brugada
syndrome
2-The base of the triangle 4 mm or more indicates Brugada syndrome

Another Pickelhaube sign but not on #echofirst but on #EKG

spiked-helmet sign (SHS):
elevation of isoelectric line precedes QRS, followed by a sharp R wave & then convex ST-segment elevation

mimics acute MI

Adrenergic excess/prolonged repolarization

bit.ly/3hVdkmw

أرض الخوف 'العظيم المثير للجدل'
لم ينل فيلم مصري كل هذا القدر من الحفاء والتقدير كما ناله فيلم 'أرض الخوف' يكفينا أن نعرف أنه ترشح للاوسكار كأفضل فيلم غير ناطق باللغة الإنجليزية وأجتاز مرحلتين ووصل لأفضل عشر أفلام لولا أن تم استعباده بسبب أنه مضى على عرضه أكثر من سنة

You've probably heard that Bicarbonate has to turn into CO2 to raise the pH. “Don’t give bicarb if you can’t increase ventilation.”

But how much CO2 is there in an amp of sodium bicarbonate?

A bicarb 🧵
1/

Right: posters up this week at QEH warning patients of 12 hour waits to be seen, referencing junior doctor strikes. Left: a photo I took in the same A&E department in December with no strikes and normal staffing. The NHS is in crisis every day. We have to hold on to our doctors.

Here’s a video I made breaking down this very important #ECG case of 40-year-old man who developed severe chest pain after using Crystal Meth

#FOAMed

#JADEL

This is one of the most important videos I have ever posted... so, don't be fooled (read CASE details, especially if you guessed it wrong)!

36-yr old man with cardiac arrest:

A. Thrombus post-STEMI
B. Loffler's
C. Tumor
D. Congenital finding

CV Case Journal American Society of Echocardiography

What do you see in this #echofirst video? 🫀 After giving your answer, find out in our CV Case Journal article: bit.ly/3xCBUkZ

Also delighted that we will have 10 (yes TEN) scholarships (50% fees) for students from LMIC countries across our TraumaMasters OrthoMasters Masters programmes this year (23/24). This is A BIG DEAL that we've been working towards for a long time. c4ts.qmul.ac.uk/education-outr…

Focussing on Level 1 modalities with added renal and DVT US.
Spaces available
Hassan Nassar athar yasin Josie Phiz Usama Basit 💙

If you phone an Emergency Department asking what the waiting time is:

The answer is meaningless as it’s dependant on how ill patients are, not how many there are

You take up staff time (who are reducing the waiting time)

If the waiting time will affect your decision➡️call 111

A great week of teaching Level 1 Ultrasound. Online lectures and plenty of hands on training for candidates.
New course format with DVT and Renal US.
Cambridgemededucation Rajeev Madan Rasheed Hassan Nassar Usama Basit 💙

Can’t complain. Had my share of claps already!

True and false lumen. Which one?
#echofirst

Some photos of the First Session of the RCEM Events PoCUS train the trainers workshop as part of #RCEMasc

More great work from Remedy RDH ED

346 cases, 2 biphasic reactions (one a couple of hours later in ED, one after 10 days 😳)

Lets get more patients home with adrenaline auto-injectors (more than one, with education, obvs)

#RCEMasc

45 YO, M, medically free, chest pain for 2 hr, ECG: LBBB.
Dr G Rajesh (Gopalan Nair Rajesh) Edison Skendo V.L.Sorrell, MD (@CASEfromASE EIC) Benoy Shah MD Alex Felix Vladyslav Kavalerchyk 🇺🇦 kazi ferdous

A very reassuring disclosure and great advice from Prof Ellen Weber Ellen Weber at #RCEMasc 2022