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💡 Blood gas electrolytes closely match serum values & can guide care in most ED cases. 🧪 K+ (r=0.82), Na+ (r=0.85) ⚡ Faster results = faster decisions, fewer delays. 🔗 wp.me/pdrP8b-5kk Marco E. Propersi, DO Anand Swaminathan MD MPH 🏳️‍🌈🇺🇦 Salim R. Rezaie, MD Mark Ramzy, DO, EMT-P #FOAMed #EmergencyMedicine #REBELEM

😱 1 in 38 ED patients on a vent may experience awareness while paralyzed. 🧠 Associated with Rocuronium 💉 Higher perceived threat & PTSD risk 🔐 Sedation must match duration of paralysis 🔗 wp.me/pdrP8b-5kJ Marco E. Propersi, DO Anand Swaminathan MD MPH 🏳️‍🌈🇺🇦 Salim R. Rezaie, MD Mark Ramzy, DO, EMT-P #FOAMed

🫁 Crashing SCAPE? High-dose nitro works fast. 💉 Bolus hard (up to 2mg IV) 💨 Add BiPAP 🕒 Peak in 5 min ⚠️ Taper when SBP <140 or MAP <65 Infographic via REBEL EM 🔥 Marco E. Propersi, DO @emswami Salim R. Rezaie, MD @mramzydo ❤️ Like 🔁 Repost 🔔 Follow #FOAMed

dok yang sudah kerja, kalian biasanya update ilmu dari pantengin guideline terbaru secara mandiri/aktif atau gimana dok? kan terlalu banyak hal yg harus diikuti.. atau berjalan dengan sendirinya di tempat kerja?

💉When would you use a sub-dissociative dose of Ketamine? For acute pain! ❤️Here's a REBEL REVIEW discussing the studies by @PainfreeED from Maimonides EM 📽️Salim R. Rezaie, MD goes into further detail here: loom.ly/vXK6v0Q #FOAMed Anand Swaminathan MD MPH 🏳️‍🌈🇺🇦 Mark Ramzy, DO, EMT-P @Marco_propersi

🦠 Sepsis antibiotics: Is 7 days enough? The BALANCE Trial says yes… but watch for spectrum & selection bias ⚠️ 💡 7d may work for most, but not all 📖Read full post here: loom.ly/rnrHxg8 by @Marco_Propersi #FOAMed Anand Swaminathan MD MPH 🏳️‍🌈🇺🇦 Mark Ramzy, DO, EMT-P @Srrezaie

Choosing the right cannula size when aiming for a predicted flow of about 3.5 L/min in a 70 kg male: 💧Aim for Venous Drop Pressure < 40mmHg 🩸Aim for Arterial Drop Pressure < 100 mmHg #FOAMed #FOAMcc #ECMO #Cardiac #CardioX #CardioTwitter Justyna Swol MD • ECMOdaily FOAMcc Ioannis Loumiotis MD

🎧 New REBEL Cast: Acetaminophen Toxicity 🧪 When to start NAC 📈 Use the Rumack-Matthew Nomogram 🧠 King's College Criteria 💊 Fomepizole—future role? 🎙️ By @emswami 🎧 listen: wp.me/pdrP8b-5lZ Marco E. Propersi, DO @mramzydo Salim R. Rezaie, MD #FOAMed #Toxicology #EmergencyMedicine

💡 Blood gas electrolytes closely match serum values & can guide care in most ED cases. 🧪 K+ (r=0.82), Na+ (r=0.85) ⚡ Faster results = faster decisions, fewer delays. 🔗 wp.me/pdrP8b-5kk Marco E. Propersi, DO Anand Swaminathan MD MPH 🏳️‍🌈🇺🇦 Salim R. Rezaie, MD Mark Ramzy, DO, EMT-P #FOAMed #REBELEM

🚨 Experts in resuscitation, trauma, air ambulance, ultrasound, malpractice... Did you think it was just people coming to give talks? These people are here to blow your mind. 🔗  incrementum-conference.com/en/ #incrementumconference #healthemergencies

🚨 NEW on REBEL EM 📉 The ADAPT-Sepsis Trial: PCT-based protocols ↓ Abx by 1 day but ↑ mortality (5%) CRP didn’t meet non-inferiority ⚠️ Biomarkers ≠ clinical judgment 📖 hhttps://wp.me/pdrP8b-5mL ✍️ By Mark Ramzy, DO, EMT-P 🧠 Peer reviewed by Anand Swaminathan MD MPH 🏳️‍🌈🇺🇦 & @Marco_Propersi #FOAMed

🚑 Midline tenderness + one beer — CT or not? You're in the ED. Which rule guides your call: 🟦 NEXUS — simple, fast, validated 🇨🇦 CCR — more nuanced, validated 💬 Let’s hear your go-to and why. 🔗 loom.ly/_WUCTws #FOAMed

🚨 IV/IO Access Flow Rates 💉 14G = 250 mL/min 💉 18G = 100 🦴 Humeral IO > Tibial IO 🧵 Triple lumens = slowest 💡 Gauge Matters! 📊 REBEL EM image ❤️ Like | 🔁 Share | 👥 Tag your team By @Marco_Propersi Mark Ramzy, DO, EMT-P Anand Swaminathan MD MPH 🏳️‍🌈🇺🇦 Salim R. Rezaie, MD #FOAMed #Resus #EmergencyMedicine

🫁 Crashing SCAPE? High-dose nitro works fast. 💉 Bolus hard (up to 2mg IV) 💨 Add BiPAP 🕒 Peak in 5 min ⚠️ Taper when SBP <140 or MAP <65 Infographic via REBEL EM 🔥 Marco E. Propersi, DO @emswami Salim R. Rezaie, MD @mramzydo ❤️ Like 🔁 Repost 🔔 Follow #FOAMed

🎧 NEW CoreCast! 🫁 Confused about hypoxia vs hypoxemia? We’ve got a simple bedside approach‼️ 🚫 Shunt ≠ Dead space 💡 Know when FiO₂ fails & PPV saves 🎙️ @Marco_Propersi Mark Ramzy, DO, EMT-P Salim R. Rezaie, MD @emswami 🔗 loom.ly/hJFaydE #FOAMed #MedTwitter #PulmCrit

🫀Treatment of Ventricular Tachycardia starts with identifying the underlying cause! 4️⃣Here's a REBEL REVIEW describing four ways to manage this life-threatening arrythmia! 👀Check out more at loom.ly/LNw6HwY #FOAMed #MedED Anand Swaminathan MD MPH 🏳️‍🌈🇺🇦 Marco E. Propersi, DO @Srrezaie Mark Ramzy, DO, EMT-P

The EM band is getting back together Cliff Reid David Carr Ken Milne MD Manrique Umana McDermott the EMCrit Crew Salim R. Rezaie, MD REBEL EM Sara Gray Saint Emlyn's Iain Beardsell Christopher Hicks George Willis Haney Mallemat Natalie May PREHOSPITAL CRITICAL CARE Jailyn/Ben Be prepare for the unprepared incrementum-conference.com/en/speakers-20…

❤️REBEL REVIEW on Eclampsia Definition & Treatment 🫃🏽Prevent maternal hypoxia and trauma using measures below 🫀See treatment of hypertension w/meds below 👶🏽Treatment is delivery of fetus! 👀More at: loom.ly/LNw6HwY #FOAMed Mark Ramzy, DO, EMT-P @Marco_propersi Anand Swaminathan MD MPH 🏳️‍🌈🇺🇦 @Srrezaie

🎧 REBEL Cast: Acetaminophen Toxicity 🧪 When to start NAC 📈 Use the Rumack-Matthew Nomogram 🧠 King's College Criteria 💊 Fomepizole—future role? 🎙️ By @emswami 🎧 listen: wp.me/pdrP8b-5lZ Marco E. Propersi, DO @mramzydo Salim R. Rezaie, MD #FOAMed #Toxicology #EmergencyMedicine

🫁 What’s Behind the Breath? Shallow breaths? Think neuromuscular, bronchospasm, or poor compliance. Big breaths? Prob compensation. 👁 Observe ✋ Palpate 👂 Listen 🧠 Synthesize 🔗 wp.me/pdrP8b-5ng 🎙️ Frank Lodeserto MD Marco E. Propersi, DO @mramzydo #REBELEM #FOAMed #MedEd