This 🧵 on bicarb from Nick Mark MD popped up in my feed today. Recent Am J Emerg Med article looked at bicarb in humans: ↗️ avg 20 mmHg (2.6 kPa) rise in EtCO2 🕐 onset within seconds (avg 17 sec) 🏔️ peak 30-60 sec ⌛ increase lasted 7-10 min doi.org/10.1016/j.ajem…

Kudos to Mads Astvad, MD and the scanFOAM team for broadcasting a world class conference for free. This team dedicates weeks of prep to provide high quality broadcasts of TBS Zermatt because of their commitment to sharing knowledge regardless of ability to pay.

Happy #CriticalCareTransportNursesDay! Check out the new ASTNA podcast, Runways & Roadways - just dropped today! Bringing awesome #FOAMed from the world of air & surface transport to your favorite #podcast platform at least once a month. Details in the linked post.

Learning Jedi mind tricks to optimize team dynamics during high-stress situations from Kate Connelly at UC Health Air Care conference

.Michael Sharma, PA-C ⚕️🎙️ on ECGs: In addition to Sgarbossa's criteria for LBBB (and other #OMI equivalents), don't sleep on concordant STE in RBBB either! AAENP #EmergNP24

#Coffee still flowing at 4pm at #EmergNP24 This should be standard of care for all medical and nursing conferences Kudos to AAENP ☕

US maternal death rate higher than gun violence or traffic accidents! Anat/phys changes can last up to 1 YEAR post-partum; 65% of maternal deaths are post-partum. Ask: "Are you pregnant now or have you been in past 12 months?" CDC.gov/hearher AAENP ACOG #EmergNP24

>25% maternal deaths 2° CV disease Consider ACS, Aortic Synd, Heart Failure in DDx, although mom may look otherwise "young & healthy," and CV sx may be attributed to "normal pregnancy sx" Resources from ACOG ACOG Pregnancy: acog.org/obemergencies AAENP #EmergNP24

Hypertensive #emergencies in #pregnancy: SBP ≥160 **or** DBP ≥110 Management per ACOG ACOG Pregnancy guidelines: acog.org/obemergencies AAENP #EmergNP24

Discussing #hemorrhage (and other #obstetric emergencies) in early #pregnancy at AAENP #EmergNP24 Great resources available from CMQCC cmqcc.org (in addition, of course, to ACOG ACOG Pregnancy acog.org/obemergencies) #FOAMed

.Susan Wilcox, MD dispelling the myths of "too sick to transport" at CCTMC #CCTMC24

Representing SCCMohio on the UC Health Mobile Intensive Care Unit during Blue ICU day to recognize #CritCareMonth! SCCMohio SCCM Nursing Section SCCM Emergency Medicine Section American Association of Critical-Care Nurses ASTNA #SCCMSoMe

Premeditatio malorum: (a good) premeditation with failure; Seek not to simply succeed, but to predict and avoid failure. Scott D. Weingart, MD FCCM FlightBridgeED #FAST24

Relentlessly pursue excellence. Seek out opportunities to improve every case, every patient encounter. Seek out new knowledge & skills. Push yourself to grow every day as a clinician- Scott D. Weingart, MD FCCM #FAST24

THIS is a great message from Scott D. Weingart, MD FCCM - while we might get in to the business to save lives, more importantly, what we more commonly do is relieve suffering, enhance dignity, and provide comfort & warmth to our patients. Never forget that. #FAST24 FlightBridgeED

Trauma arrest ≠ medical arrest. Chest compressions won't fix hemorrhage, tension PTx, or tamponade. Fix those FIRST, then *maybe* compressions. ACLS meds probably unhelpful too, but DO consider vasopressin +/- calcium. @ResusOne #FAST24 FlightBridgeED

Thank you to the FlightBridgeED team for the opportunity to speak at #FAST24 today! An amazing conference packed with top-notch speakers and cutting-edge topics! Looking forward to #FAST25!

As they say... new year, new social platform? Catch me on #Bluesky: bsky.app/profile/jacobm… #BlueskySocial