Grand Rounds Salim R. Rezaie, MD: PrePARE II Trial bit.ly/3TxBipN Does a 500 cc bolus w/ intubation ⬇️chance of HD collapse in ICU? Result: No difference

I am now living proof that anal beads work to treat COVID, for reasons that I will not get into publicly

Here’s another pulmonary physiology question that *everyone* who gives O2 to patients ought to know: What is the primary mechanism by which supplemental oxygen can increase PaCO2 in someone with severe COPD? 1/

💢The difficult airway does not exist …-publications.onlinelibrary.wiley.com/doi/10.1111/an…

🔑 normal mentation doesn’t exclude shock cardiogenic shock patients can mentate well despite insanely low cardiac output some patients can start mentating during CPR… with no cardiac rhythm 🤯

I think my answer would be… “please don’t do that” Paramedic Practice #EMS #Toxicology #Antidote #emergencymedicine #PHEM

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/

Nik Theyyunni Joshua Ryan Radecki, MD MS Jonathan Edlow SAEM EBM IG Jesse M. Pines, MD, MBA Steve Carroll DO MEd Lucas Oliveira J. e Silva (Lucas Silva) SAEM @mfbellolio Sameer Sharif Suneel Upadhye Dr. Danya Khoujah r Seth Trueger Anand Swaminathan MD MPH 🏳️‍🌈🇺🇦 Casey Parker Simon Carley Rob Cooney, MD, MEd Mayo Clinic jeffrey kline Peter Johns M.D. Who sad the practice of medicine would be easy? We choose to do the HINTS exam and other things in medicine not because they are easy but because it can help patients get better care. #SGEMHOP

This has been a difficult lesson for me to learn.

Contrast induced nephropathy

Caio Sangirardi, MD Stephen W. Smith Robert Herman, MD, PhD

Caio Sangirardi, MD Stephen W. Smith Pendell Meyers Yet another victim of “STEMI Criteria”. Insane capture on the Defibrillator. Thank you for preventing those Tombstones from becoming the actual patient’s!

Watch this incredible video of a defibrillator capturing Tombstones devolving into V-FIB This is why I put the pads on ALL patients with Coronary Occlusion! Courtesy: Caio Sangirardi, MD #FOAMed

Sam Ghali, M.D. Caio Sangirardi, MD

The EM mindset

Good to know that my practice can stay the same. One of my favourites on ALS special circs stations is appending the phrase “… will do f*** all.” to the often recited “10 ml of 10% calcium gluconate…”