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60 yo with chest pain: why the abnormal QRS and abnormal repolarization? (some of you have seen this before!) hqmeded-ecg.blogspot.com/2024/08/60-yo-… Pendell Meyers

EDECMO 91 - Should the medics leave the scene sooner in an ECPR capable system? I say yes for certain patients. Shock, Shock, Go. 91 – Stay and Play to Shock, Shock, Go!! (edecmo.org) Zack Shinar M Velia Antonini ELSOed

Intubation for hypoxaemia and septic shock Emergency medicine specialists in black scrubs One on haemodynamics, one on oxygenation Art line in, Peripheral norepi, epi 1:100000 ready to push Ramped, preox via NIV-ST mode on Hamilton, allowing supported ventilation during induction

nice reminder that epinephrine is a banger for patients on the verge of dying norepi: improve the Bp epi: improve the Bp, improve cardiac output, treat anaphylaxis, treat status asthmaticus, treat bradycardia look at this list of pts who survived with a dirty epinephrine gtt:

ICU Stories: Elderly male pt w multiple co-morbidities was intubated for respiratory failure (pneumonia). Hospital course was complicated by AKI w peak creatinine 6.4 mg/dl but renal function improved & urine output increased to >2 l/day. On ICU day 5, sedation was stopped and

This was one of the most intense airway cases of my career. Because the airway narrows below the cords, this push pin would have been lodged had any other method been used. It took a team, one at the airway and one ready for tracheostomy, to save this 4 year old life. Hennepin County EM

Five reasons why a restrictive fluid strategy in sepsis might be more rational criticalcarescience.org/wp-content/upl… Via the amazing Critical Care Reviews

1/ The #POCUS was not what it seemed A strong 3rd year resident presented me this case. A 47f p/w with a complaint of 1 month of abdominal distention and bloating. She has a history of alcohol use disorder and fibroids but no other medical history. Her exam showed distention

Early 40s male with chest pain and collapse, looks horrible, SBP 80, lactate 7. Previous large PE with pulmonary hypertension on echo 2 months ago, discharged on apixaban POCUS on arrival shows:

How terrible can it be to fail to recognize OMI? To whom is OMI Obvious or Not Obvious? hqmeded-ecg.blogspot.com/2024/10/how-te… PMcardio—AI that reads ECGs

If you’re interested in elevating your airway practice check out PAC 25! An incredibly unique, high-quality two days of airway education including anatomy lab in NYC. I’m looking forward to it. theprotectedairway.com/pacliveconfere…

Cath Lab occupied. Which patient should go now (or does only one need it? Or neither?) hqmeded-ecg.blogspot.com/2024/10/cath-l…

Hard to believe the end of residency is in sight but I’m so stoked to be joining Hennepin EMS Medical Directors for EMS Fellowship and staying Hennepin County EM for another year!

Tomorrow. IWillVote.com

Really excited to attest the notes while my resident does all the work today in the trauma bay.

1/ Sometimes it just BAFFLES me that this procedure used to be done blind 🙈 😵‍💫 I mean, kudos to the docs who used to have the skills to do this...but in 2024, we can be better! #POCUS Here's a quick #tweetorial on using ultrasound for #paracentesis 🧵

Prehospital Cath Lab Activation. What happened when the medics and patient arrived at this Academic ED? hqmeded-ecg.blogspot.com/2024/11/prehos…

Cervical spine motion during videolaryngoscopic intubation using a Macintosh-style blade with and without the anterior piece of a cervical collar: a randomized controlled trial - Canadian Journal of Anesthesia #Anesthesia #Anesthesiology buff.ly/3NuTek8

Full text here of "The No False Negative Paradox" heart.bmj.com/content/110/21…

(1/x) The term 'pre-renal' acute kidney injury is dated and should stop being taught in medical schools. Why? The term pre-renal is inextricably linked to the idea that the treatment of pre-renal AKI is IV fluids. Here's the paradigm of hemodynamic AKI and why it is helpful. A