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For surgical history nerds: Here is the main figure from Seldinger's 1953 paper showing what later became known as the Seldinger technique. There seem to be 2 extra things that Seldinger did that most people probably don't do these days, as we'll see next: (1/ )

I love the inpatient pharmacists so much. Thank you all for tolerating us baby interns and letting us call you to ask questions like, “hi, is this dose of x safe for my patient? Just wanted to check 🥲” ❣️

Example #152,457 of: Technology is great. Don’t become completely dependent on it. Learn and remember the established, basic ways because you may need them when stuff like this happens. 👇

I’m one of the 27% that said Gen Surg the whole time and was lucky to make it ❣️❣️❣️

On #NationalLatinoPhysicianDay, we celebrate the strength and dedication of Latino doctors across the country. With only 6% of physicians in the U.S. being Latino, we must continue striving for greater representation in medicine. ¡Juntos Adelante! Let’s move forward together!

Pro-argument: - better pharmacokinetics (longer acting, self taper) & anti-NMDA effects make PHB superior to BZDs - less respiratory depression with PHB - (limited) studies suggest PHB results in fewer additive meds & restraints, as well a 40% reduction in LOS #CHEST2024

Con-argument: - BZDs are tried and true; proven benefit in large RCTs. No such data for PHB. - meta-analysis does not support reduced intubation risk or LOS - BZDs are likely better for seizures, a frequent complication of EtOH withdrawal #CHEST2024

I’m definitely alive and thriving and can’t believe I’m ONE THIRD done with intern year?!!!!!!!!!

This 🧵 will consider elements of the trauma resuscitation, hospital stay, and rehabilitation of the case of Vito Corleone. Also, since Don Vito was a geriatric patient, we will determine the Trauma Specific Frailty Index (TSFI) to validate it in the Corleone population. (1/ )

16. Spanish flu, 1918. Family portrait

One simple way to help treat your imposter syndrome is to spend some time watching your colleagues in the OR in real-time where you can see that they struggle in the same ways that you do. Remember that online videos tend to show a sanitized version that omits much of this.

Progress for historically minoritized populations has never taken place w/o those populations being in the room advocating for them. Health equity conversations began with doctors and med students of color speaking up about the problems they and their communities face. 3/

The looming physician shortage! The numbers are from the American Association of Medical Colleges or AAMC. • The number of active physicians is 1,010,892 • The number involved in direct patient care is 851,282 • 23.4% are 65 and older Almost 1/4 of all physicians are

1/14 🤔 Why do we use iodine as an intravenous contrast agent? The answer requires a review of the composition of the human body and a brief tour of one of my favorites, the Periodic Table of Elements.

Perioperative Management of DOACs

📊 Mirizzi's Syndrome Classification Types I-V: Progressive compression of biliary tract Type I: External compression Type II: Fistula <⅓ duct diameter Type III: Fistula >⅔ duct diameter Type IV: Complete wall destruction Type V: Complex with cholecystoenteric fistula

Many residents, when asked what they’re going to do after finishing, answer by saying ‘just’ general surgery. No one ever says ‘just’ pediatric or ‘just’ vascular surgery. General surgery seems to have an identity issue and it either needs to be legitimized or to disappear.