Had to return to twitter for this one... 2022 Spontaneous ICH Guidelines are making some bold (and questionable in my opinion) reversal recommendations in this chart... ahajournals.org/doi/10.1161/ST…

EMCrit 331 - Awareness after Resus RSI and ICU Paralysis - It is Unacceptable!!! People like my reuben strayer and I helped to create this problem--now we must fix it. [Should have been paid episode, but too important so whole episode is FOAM4ever] [1/x]: emcrit.org/emcrit/awarene…

Me headed to the trauma bay when I hear neurosurgery wants to reverse a patient paralyzed with rocuronium over an hour ago with 16 mg/kg of sugammadex

Hmmmmmm 🤔

Amen!! 🙌🏼

It’s a boarding crisis. And it only continues to spiral out of control more and more as patient safety gets put further at risk and depletes healthcare workers’ morale

“There is nothing truer in this world than the love of a good dog” -Mira Grant. Love all these adorable pups ❤️

Glad to have my EM pharmacy buds who understand

Soul crushing rage

“ER pharmacists think they’re too good to verify medication orders” (ER pharmacists at our institution verify more orders than any other pharmacists. This is an objectively provable fact.) What happened to teamwork in our patient care?

So hard when you’re constantly trying to communicate as well. Putting in the effort to try explaining things another way.

RANT: Stop lowering sedation dosing for unstable hemodynamics during mechanical ventilation POSSIBLE OPTIONS: -Start a vasopressor -Change up sedation/analgesia -Ensure no other etiologies to low BP -DO NOT USE SUBTHERAPEUTIC SEDATION #FOAMed #Sedation

More shortages…my favorite 😣

Succinlycholine can be safely used as an NMBA for an overwhelming majority of patients presenting to the ED without concerns of any adverse effects that are typically taught about