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Dear Medics, You're Awesome and we all Depend on you! edwinleap.substack.com/p/dear-medics-…

Organic Chemistry, Tariffs and Nazis. Thoughts on expertise. Edwin Leap open.substack.com/pub/edwinleap/…

Hi, ER Doc here. Repost if you’ve ever done CPR on someone and they survived. Share your story in the thread.

For tension pneumo and needle decompression, NEW consensus recommendations published last week... Right-side = 7cm needle, 5th ICS mid-axillary or 2nd ICS mid-clavicular Left-side = same needle, 2nd ICS mid-clavicular only ***ERROR IN PREVIOUS POST*** In this systematic

It’s not just education… Two broken systems. One common disease. Healthcare and education—different missions, same diagnosis: Administrative bloat. Over the past 30 years: •Physicians didn’t multiply. Administrators did. •Teachers didn’t double. Bureaucrats did. •Both got

#Writers: "All good ideas start out as bad ideas. That's why it takes so long." — Steven Spielberg

#Writers: "There is nothing that makes someone a writer and someone else not a writer other than the act of writing. So please, sit yourself down and write if you want to write." – Sarah Olson

This is really fascinating since we often think of ketamine as being hemodynamically neutral, however, ketamine itself is a direct myocardial depressant. This is usually offset by the adrenaline release it stimulates. -Overall, when compared to etomidate, there was a strong

Information on safety in large crowds, now that it's 'riot season.' ymaa.com/articles/savin…

It’s weird that English doesn’t have a plural for “you.” Old English even had a form just for two people, as in “you both” or “you two.” It was ġit, which today would be “yit.”

Interesting piece on global fertility. open.substack.com/pub/rogerpielk…

Notes on the danger of falls, from your friendly, neighborhood gravitologist. edwinleap.substack.com/p/the-danger-o…

To write well, express yourself like the common people, but think like a wise man. Great writing is grounded in clarity but guided by deep thought. ARISTOTLE

How often are we using airway adjuncts in the setting of ETI for trauma? The short answer is that we are (a) almost never using them, (b) almost never documenting them, or (c) a combination of both. We analyzed over 236,000 ED intubations for trauma and found: -NPAs were used

Weed, spider bites and a couple of other rants from your friendly ER Doctor dad. edwinleap.substack.com/p/a-short-er-d…

The New Residents Start Today! God Bless 'em all! edwinleap.substack.com/p/the-new-resi…

This week in Quantum Medicine— 7 breakthroughs that quietly reset the edges of biology, diagnostics, and design. Signals, not noise.🧵

God, the Texas floods and human cruelty. edwinleap.substack.com/p/god-the-floo…