@forest_plotter @IM_Crit_ What opportunity cost? Placing an a line with us is a matter of 2 minutes max
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BlaulichtEnthusiast
2K posts
BlaulichtEnthusiast
@HerrVonUndZuZ
All about that FOAM. Akademiker im Gesundheitswesen, was mit Schlafen. #AINS
Katılım Haziran 2011
224 Takip Edilen80 Takipçiler
@nowakmr1 @eveverett64 @smithECGBlog It would only be fair of protesters were allowed to execute a few ice agents in turn. Or is this now a bad idea all of a sudden?
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@eveverett64 @smithECGBlog This is a good idea, ICE and CBP should have agents present just to harass protesters in the same way that they are harassed. Fair is fair
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We were following ICE a couple days ago. They took a photo of our license plate, then drove towards our house. We followed them right to our own house where they took a photo of our house. They think that that will intimidate us. It did not. We continued following them. And if they “arrest” us (illegally, because following and observing are completely legal), let them. Or maybe kill us as they have done to our neighbors. We Minnesotans will not be intimidated.
Morgan J. Freeman@mjfree
ICE agents caught on camera threatening to violently assault a U.S. citizen for exercising their First Amendment rights.
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@marie_ide80526 @smithECGBlog @jr_tnd I really advise yoz seek out a psychiatrist, that's full blown psychosis.
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That dude is stupid. He's going to be put on a no-fly list. He will be arrested if he continues to follow them with a felony. If you'd like to do that and test the waters out you'll find out yourself. Stay out of their way because they are rescuing children from slavery. Little do you know that Minneapolis is number three for child trafficking in the entire country.
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@smithECGBlog I always admired your work but you still managed to make me respect you even more. Kudos from over the sea!
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@MarylandOspreys @NEJM I couldn't read the article. So what are you referring to?
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When a man ends up in the ED after having severed the driveline of his left ventricular assist device, the medical student on his team learns that sometimes a life saved is not the life the patient wants to live. Read the Perspective essay “LVAD” by Anna Grace Chang, BA: nej.md/3MpACF7
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BlaulichtEnthusiast retweetledi
🚨HOLY FU*KING HELL: A physician’s sworn affidavit just destroyed the official narrative.
He says he ran to the scene, identified himself as a doctor, and BEGGED to help Alex Pretti.
ICE agents blocked him, demanded a physician’s license, and still weren’t performing CPR.
When he finally got through, he found Pretti on his side with multiple gunshot wounds in his back and started CPR himself.
That’s the story: they shot him… then wouldn’t let a doctor treat him.
Case 0:25-cv-04669 | Doc. 109 (filed 1/24/26)
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BlaulichtEnthusiast retweetledi
Mord in Minneapolis am 7. Jan. 2026.
Die NYT hat sämtliche Videos synchronisiert, die den ICE-Todesschützen und das Opfer Frau Renee Good zeigen. Es steht fest:
- der Agent wurde nicht angefahren
- er hat vorsätzlich ohne Grund geschossen
- Trump lügt.
nytimes.com/2026/01/15/vid…
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@IM_Crit_ No offense to all the great people living in the US doing great jobs but by now the US seems like a dystopy to me. Terrifying!
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@HerrVonUndZuZ the hospital would not have my back… Medical decisions are made by the lawyers 😊
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@BrandieWithABee @adamscochran How is this related? She did not do that, she drove away. Period.
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@adamscochran You don't try to run over a federal agent. End of story.
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Reminder he:
-Walked away
-Drove himself away
-Moved heavy boxes at his house to relocate his family
Images by the Daily Mail, showed Ross moving a large computer, wearing the same mask as when he shot Renee.
That was within 36 hours.
But yeah “internal bleeding” 🙄
CBS News@CBSNews
BREAKING: The ICE agent who fatally shot Renee Good on Jan. 7 in Minneapolis, Jonathan Ross, suffered internal bleeding to the torso following the incident, according to two U.S. officials briefed on his medical condition.
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@JessicaBlo52606 @AlphaPhilosoph @Vicious_90 @medimusicus Deswegen sollte so etwas im Vorhinein abgeklärt worden sein, zumindest mache ich das so. Bzw ist es auch Aufgabe der Leitstelle, entsprechend zu triagieren. Die Verantwortung liegt nicht bei der Angehörigen.
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@HerrVonUndZuZ @AlphaPhilosoph @Vicious_90 @medimusicus Ich denke, dass es auch für die Tochter eher eine extreme Ausnahmesituation ist. Ich wüsste in so einem Moment auch nicht, dass ich dann die 116117 statt der 112 wählen müsste.
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Mal wieder als #Notarzt unterwegs. 93 jährige Pat., bis dato noch richtig fit, jetzt Übelkeit/Erbrechen, fühlt sich zwar elend, will aber keinesfalls ins Krankenhaus, sondern lieber zu Hause sterben. Habe ihr den Gefallen getan und sie zu Hause in Obhut ihrer Tochter gelassen. Schon 90 min später erneuter Einsatz an gleicher Stelle, die Dame hat das mit dem Sterben ernst gemeint und einfach die Augen für immer geschlossen. Bin sehr froh, dass wir uns so entschieden haben.
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@AlphaPhilosoph @Vicious_90 @medimusicus Der kassenärztliche Bereitschaftsdienst oder der Hausarzt. Wenn der Tod absehbar ist und inkaufgenommen wird hat der Notarzt außer evt bei starken Symptomen keinen Auftrag dort.
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@Vicious_90 @medimusicus Naja, wer soll denn den Tod feststellen umd notfalls Hilfe leisten wenn benötigt? Die Tochter?
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@GordonToms80887 @Rainmaker1973 Damn that's grounds for being disqualified from a medical profession forever.
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@Rainmaker1973 I roomed with a medical student. The story from one how they "pranked collegues" in their first cadaver dissections. The "joke" was cutting the genitals from male cadavers and putting in the handbags and jacket pockets in the locker rooms. Done by the female students.
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BlaulichtEnthusiast retweetledi
(1/x) Alright, given the amount of 'passionate' disagreement people have had with this post, let me give my more nuanced approach👇
Ross Prager@ross_prager
Fluids are not the treatment for sepsis. Fluids are not the treatment for sepsis. Fluids are not the treatment for sepsis. Fluids are not the treatment for sepsis. Fluids are not the treatment for sepsis. Fluids are not the treatment for sepsis. Fluids are not the treatment for sepsis. Fluids are not the treatment for sepsis. Fluids are not the treatment for sepsis. Fluids are not the treatment for sepsis.
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+++ EIL +++
Weißes Haus: Trump verlässt G7-Gipfel vorzeitig
zdfheute.de/politik/auslan…
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BlaulichtEnthusiast retweetledi
Friendly reminder that a LVEF 20-30% is not "moderately" reduced
CardiovascularCorner@TrackYourHeart
"Eyeball EF" Visual Estimation of Left Ventricular Ejection Fraction A quick, practical method used in echo labs and at the bedside to estimate LV systolic function using real-time 2D echocardiography. ▶️ Key visual clues: Assess the degree of inward movement and thickening of the LV endocardium during end-systole relative to its size at end-diastole. 🔸 Normal EF (~55–70%): – Good myocardial thickening – Vigorous inward motion of walls – Normal cavity obliteration 🔸 Mildly reduced (~35–45%): – Wall motion reduced – Endocardium thickens less – Cavity smaller but not normal 🔸 Moderately reduced (~20–30%): – Poor wall thickening – Sluggish endocardial motion – LV remains large in systole 🔸 Severely reduced (~10–15%): – Barely any thickening – Minimal cavity reduction – Nearly akinetic walls 🔸 Hyperdynamic (>70–75%): – Seen in volume depletion or stress states – Cavity nearly obliterates Tips for accurate visual estimation: ✅ Avoid LV foreshortening (elongate the chamber fully) ✅ Ensure clear visualization of endocardial borders (use tissue harmonic imaging ± contrast) ✅ Use multiple views: PLAX, A4C, PSAX-PML, A2C, ALAX Visual EF estimation remains an essential skill for every echocardiographer. Train your eyes and correlate with Simpson’s method when possible! 📖 Ref: Based on concepts from BE Buller, MD (Echo Core Visual Guide) #Echo #Cardiology #LVFunction #EjectionFraction #MedEd #POCUS #Ultrasound #PointOfCare
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Doctor with no brain here. Why shouldn't I draw labs from a central line? Or BCX while still sterile after placing it?
WinningHurts@cryflyers
@IM_Crit_ Anyone with a brain isn’t drawing cultures (or really any labs unless absolutely necessary but DEF NOT BCX) off a central line.
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BlaulichtEnthusiast retweetledi
No evidence..
That ATLS table !
Classes of Hemorrhage are
Useless
@estesonline @AbdulqayyumMD
Regions Trauma@RegionsTrauma
How To Remember Those “Classes of Hemorrhage”. #TraumaPro bit.ly/4bhzITn
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BlaulichtEnthusiast retweetledi
(1/x) How to decide when your patient is ready to be extubated in the ICU?
Here is my structured approach 👇
(note: its not just when they pass a spontaneous breathing trial 🫁)
A 🧵
#foamed #medtwitter #ventilation #foamcc
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I hope these figures will be helpful if your new ultrasound device ordered by @GEHealthCare takes FOREVER to be delivered and you have to place your central line in the IJv with a landmark technique... 😩
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