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I started my Paramedic course in 2021, I thought it was all about cannulation & morphine. Today, Im 2 weeks from finishing & I’ve learnt that Paramedicine is all about understanding Why! Why is this happening? Why am I doing this? Why I shouldn’t do this? Justification & EBP.

Maybe someday this map will have “Board Certified #EMS Physician “ as an option. What state will it be first?

Here’s another interesting one: 40 y/o M, admitted through ER due to N&V after eating seafood and this EKG. Thoughts? #epeeps #epfellows #Cardiology #CardioTwitter

The eye is mightier than the algorithm…

Amazing day with an amazing team!!

Bougie Crew 💙 We love you Natalie Zink, M.D. and we are so happy, proud, and excited for you

I got married to Mark Jedrzejczak yesterday and the #Medic2MD crew showed out! Thank you for getting me through medical school and life. I love y’all so much!

Thank you #MedTwitter for giving me the best friends and mentors s girl could ask for. Someone photoshop Jace Mullen in…we tragically couldn’t find him for this pic.

I'm often asked about how stressful it is to work in the emergency dept. I answer yes, but not for the reason ppl think Patients near death when minutes matter...that's not stressful...it's what we do A system that inadvertently makes work more difficult is why it's stressful

So fun discussing the “basics” of prehospital ventilation as well as digging into our research on bag size in OHCA.Thanks so much for having me on Zach!

ICU Infectious Disease Secrets: This is another random collection from cases I took care of the last couple of months. As always, I may be wrong... And so it begins: 1. The best time to draw blood cultures from a patient, who has just been transferred from the ward to the ICU

Fever patterns to know

Really fantastic Highyield round up of the articles/guidelines from 2023 that may change how you practice after 2023. Available here: sciencedirect.com/science/articl… Awesome group of people to work with as well!

this is what I'm settling on for now. bottom line: olanzapine 🏆 is the meropenem of antiemetics. (unfortunately there are almost no head-to-head RCTs, so it's impossible to be sure)

If you intubate you need to read the #PREOXI trial! -n=1301 people requiring intubation in ED/ ICU were randomized to preoxygenation with oxygen mask vs non-invasive ventilation (NIV) -NIV HALVED the risk of hypoxemia: 9 vs 18% -NIV reduced mortality: 0.2% vs 1.1% #CCR24 🧵 1/

Clinical Paper: A retrospective comparison of mechanical cardio-pulmonary ventilation and manual bag valve ventilation in non-traumatic out-of-hospital cardiac arrests: A study from the Belgian cardiac arrest registry resuscitationjournal.com/article/S0300-… #Resuscitation

Another deadly triage ECG missed, and the waiting patient leaves before being seen. What is this nearly pathognomonic ECG? hqmeded-ecg.blogspot.com/2024/06/anothe…

Temperature Control After Cardiac Arrest Infographic - so happy to work with Dan Harrison, MD jamanetwork.com/journals/jaman…

💥AMIODARONE is a class III antiarrhythmic drug which is widely used in ER for treating arrhythmias. A 🧵 on situations where blind use of amiodarone in emergency can be counterproductive ⚠️⚠️⚠️ With alternate therapeutic options Read on...👇 #MedTwitter #MedEd #MedX

ICU Airway/Ventilation Secrets: Friendly reminder that "life-like" end-tidal CO2 production & waveforms have been reported in frozen & non-frozen cadaveric models during intubation training: