No thank you!
Confirming tracheal intubation: should airway ultrasound become the third check?
#anaesthesia #MedTwitter #airway
doi.org/10.1111/anae.70316
I know my preference for nightshifts will ultimately catch up to me.. but it is what it is!
Me enjoying them precious 2 minutes of quietness after a nerve-racking trauma resus!
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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/…
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"
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)
"resuscitate the hemorrhage not the compensation" 👌
Abdulali Shatshat, M.D retweeted
The older I get in EM the more I relate to Jack Nicholson in a few good men.
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!
Sodium Bicarbonate for In-Hospital Cardiac Arrest jamanetwork.com/journals/jam…
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”
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



















