Nirdosh Rassani

“Critical Conversations: Emergency Medicine Unfiltered” is a virtual podcast where we break down complex, often controversial, topics in emergency and critical care. Each episode features experts delving into real-world challenges and cutting-edge practices. In our upcoming episode, we’ll focus on environmental emergencies, particularly heat-related crises. If you’re an expert with field experience or research in this area, we’d love to have your perspective on the show! Let’s connect: nirdosh.suther@gmail.com

@nickmmark @jarrodmosier 3. No plan B = plan to fail.

Excellent first lecture in the Difficult Airway Course by @jarrodmosier The difference between complicated and complex; a watch is complicated but airways are complex! Human factors are underestimated: the three foot world view can predominate leading to people trying to “plan a harder” Two cardinal rules: 1. Do not wander into failure 2. Intubate with a team, not an audience

Sodium Channel–Mediated Ventricular Arrhythmia After Delphinium denudatum Ingestion Managed Conservatively in a Resource-Limited Setting | JACC: Case Reports jacc.org/doi/10.1016/j.… Published in JACC! A rare toxin leading to PMVT, managed with Lidocaine.

In the Literature by Stephanie M. Hu: Understanding Estimated GFR bit.ly/3JdrUIH (FREE)

25 yo male k/c of ESRD Presented to ED with acute SOB PoCUS

@TheSGEM Happy birthday to her

Help me wish my mom a happy birthday. She’s 85 & I’m 58.

@CritCareReviews “Stay with me”

In memory of professor Rinaldo Bellomo: A giant of intensive care medicine CCR Journal Watch - tracking the critical care literature daily doi.org/10.1016/j.ccrj…

@smithECGBlog Thank you for sharing this @smithECGBlog He shared this ECG with me and I told him that it’s OMI until proven otherwise.

The Queen always asks (if she sees OMI) "Is there a clinical suspicion of acute coronary syndrome" hqmeded-ecg.blogspot.com/2025/05/the-qu…

It was a difficult airway in terms of anatomy as well as physiology. The patient was a middle-aged female with an anterior neck mass, short neck, morbidly obese, and obtunded. BP was 88/40mmHg with tachycardia of 120bpm. The anatomical aspect is very important here as the laryngeal complex was pushed to the left by the huge thyroid which made the laryngoscopy difficult.

@emdoc_nirdosh What were the airway complexity factors in this interesting case? And how did you modify/mitigate these factors to reduce risk at complications?

A lady in her 60s, presented to ED with SOB for a few days and drowsiness for 1 day. No history of fever. ABGs showed TIIRF with a CO2 of 91mmHg. I intubated her using C-MAC and Eschmann tracheal tube introducer in the ED. P.S. - When she arrived in the Resus Room, I did the PoCUS Neck which showed an enlarged thyroid with increased vascularity. @EM_RESUS @srrezaie @AirwayMxAcademy @JohnCSakles @dastrainees @cliffreid @precordialthump

@cliffreid Ketamine + Rocuronium

@emdoc_nirdosh What anaesthesia? Local +/ sedation or muscle relaxant?

@cliffreid Wow! The important part of this intubation was the position of the laryngeal complex as it was pushed towards the left due to huge thyroid. On the 1st laryngoscopy by a PGY5, she couldn't locate the epiglottis as she was going straight like in a normal patient.

@emdoc_nirdosh Yes easy to forget! We had to put it in our checklist

@cliffreid Unfortunately, I forgot to record it due to ED chaos!

@emdoc_nirdosh Would be interested to see the CMAC video recording

@TheSGEM @SAEMEBM @SAEMonline Belated Happy Birthday Ken.

Thanks to my BBF @SAEMEBM for taking me out for a birthday-eve dinner last night while attending #SAEM24 @SAEMonline

@smithECGBlog @willyhfrick If this is an EKG of a young adult with exertional symptoms, then it's most likely HCM. It fulfills the voltage criteria for LVH + Qs in lateral leads.

Crushing Chest Pain and Can't see OMI on the ECG? Just give morphine, right? hqmeded-ecg.blogspot.com/2024/05/crushi… @willyhfrick

A young male with severe epigastric pain, not resolving with nalbuphine, morphine, and GTN. What do you think about this EKG? "To cath or not to cath?" @EM_RESUS @srrezaie @smithECGBlog @ECGWeekly @EcgsOnly @ekgpress

@smithECGBlog @EM_RESUS @ekgpress @TheSGEM @amalmattu @EcgsOnly @ECGWeekly @ecgguru @srrezaie The cardiologist wasn't convinced that it was STEMI/OMI, the patient wasn't moved to cath. He died of electrical instability. He went into V.Fib 2 more times. I don't know when they will agree with ER physicians.

@EM_RESUS @emdoc_nirdosh @ekgpress @TheSGEM @amalmattu @EcgsOnly @ECGWeekly @ecgguru @srrezaie Agree. RBBB with Obvious proximalLAD occlusion. Very bad.

48 yo male with OHCA was brought to the ED within 10 minutes of cardiac arrest. Post ROSC ECG is shown here. Answer the following: 1. STEMI or No STEMI? 2. Cath or No Cath? @ekgpress @TheSGEM @amalmattu @smithECGBlog @EcgsOnly @ECGWeekly @ecgguru @EM_RESUS @srrezaie @TheEKGGuy

Thanks for the props🙏. 20th anniversary edition of volume 1 just published!

@TheSGEM @CanadianKayMD @Matt_Dillahunty Dear Ken, You're looking amazing.

I volunteer to work the Easter ER shift so my colleagues who celebrate the holiday can have time off with their family. It also is a good reason to wear my purple sparkle lab coat :)