Abdulali Shatshat, M.D (@Shatshatmd) header
Abdulali Shatshat, M.D (@Shatshatmd) profile picture

EM & Critical Care Physician.

Joined June 2020
Photo by Abdulali Shatshat, M.D (@Shatshatmd)Photo by Abdulali Shatshat, M.D (@Shatshatmd)Photo by Abdulali Shatshat, M.D (@Shatshatmd)Photo by Abdulali Shatshat, M.D (@Shatshatmd)Photo by Abdulali Shatshat, M.D (@Shatshatmd)Photo by Abdulali Shatshat, M.D (@Shatshatmd)Photo by Abdulali Shatshat, M.D (@Shatshatmd)Photo by Abdulali Shatshat, M.D (@Shatshatmd)Photo by Abdulali Shatshat, M.D (@Shatshatmd)Photo by Abdulali Shatshat, M.D (@Shatshatmd)
October.. The month of busy ED shifts and my signature chocolate chips cookies.
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I know my preference for nightshifts will ultimately catch up to me.. but it is what it is!
I get why some of my ICU colleagues prefer working nights; fewer rounds, less bureaucracy, and a tighter-knit team. But no matter how you justify it, the biological reality catches up to you: we’re dying one night shift at a time
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Me enjoying them precious 2 minutes of quietness after a nerve-racking trauma resus!
This quoted post is unavailable.
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Abdulali Shatshat, M.D retweeted
Student loans, bones, groans and psychiatric overtones
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Can we please go back to practicing medicine without this overwhelming damn complexity!
Get rid of the term "provider" in health care! The need and steps for action. @AnnalsofIM acpjournals.org/doi/10.7326/…
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"mornin' hooman.. no crazy shift in the ER today?"
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*me stepping at the ED for my nightshift at exactly 8 pm* *also me 2 minutes later*
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Director: "I see you have experience as a hospitalist, is that okay for you or you mainly want the ED?" Me: "if it's not bloody, full of vomit, urine & people screaming, involves CPRs and resus or absolute chaos, then I don't want it!" HR: "wooow! We should totally hire him"
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ICU Facts: In the ICU, nothing good ever happens at 3 in the morning
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I cannot stress enough how important an early venous access is. I've seen patients go into unwanted scenarios just because that access WAS NOT established early enough!
One of my ICU rules: Venous access saves lives. Arterial line gives data I have never seen a patient die because an arterial catheter wasn't placed promptly. I have seen plenty of patients getting hurt (or die) because reliable venous access came too late (or never) Place the venous catheter first. Sweat about the arterial line later And yes. I place a lot of arterial lines and I was not pleased with how many people interpreted the EVERDAC trial (NEJM 2025; 393: 1875-88 - DOI: 10.1056/NEJMoa2502136)
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"resuscitate the hemorrhage not the compensation" 👌
ICU Stories (live coverage) - Massive GI Bleeding: The monitor is baiting you. Massive GI bleed.
Heart rate 150-170.
Hypotension. If your first instinct is to reach for metoprolol or adenosine instead of blood, you've identified the wrong problem. Resuscitate the hemorrhage, not the compensation.
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“He got bit by an animal and then became that animal”
I love this goddamned show so much
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You don't burn out because something's hard, you burn out because something's wrong!
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Abdulali Shatshat, M.D retweeted
The older I get in EM the more I relate to Jack Nicholson in a few good men.
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Abdulali Shatshat, M.D retweeted
Schrodinger's arrhythmia: atrial fibrillation/flutter (A. Fib/flutter)
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If you have to intubate then you have to intubate whether that was achieved by a direct laryngoscopy or a surgical approach. Always a pleasure listening to @drpeterkas making EM the beautiful specialty it is!
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Abdulali Shatshat, M.D retweeted
Our reaction to any new study is either “I don’t believe it” or “I knew it”... A NEJM trial in ICU pts w acute resp failure found that mucolytics (carbocisteine & hypertonic saline) don’t help. My ICU rounds line “mucolytics are useless” may need an update: “and possibly harmful”
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Our elderly patient who came in with recurrent UTIs was difficult to catheterize.. his POCUS showed a BPH the size of a tennis ball and it was managed accordingly. Safe to say he's now in a better shape and recovering gracefully. #emergencymedicine #criticalcare #resus #POCUS
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