Joseph Zalkin #🟦 🇮🇱
30.2K posts

Joseph Zalkin #🟦 🇮🇱
@jzalkin
BSHS, FAEMS, OLLP Affiliate Faculty UNC SOM EMS Fellowship, Sr Manager (retired) Wake Co EMS, NC, USA, EARTH #itsNotOk @jzalkin.bsky.social

🧵regarding Lord of the Rings - related traumatic injuries, and whether access to modern Level 1 trauma centers could have decreased morbidity and mortality within the Fellowship. Here we will take a more evidence-based approach to some of the injuries in Middle Earth (1/ )








Almost 3 years ago, we were asked to come and teach the community bystander CPR & Stop the Bleed after an incident in a local neighborhood. And we are back where it began, at the Mack Lewis Boxing Gym: 125 sessions &. thousands in Baltimore taught! Invest in community!









🔍 Ultrasound-Guided Peripheral IV Cannulation → key POCUS skill for difficult venous access in ED/@acutemedicine /ICU patients with ↑BMI or dehydration, boosting first-pass success >90% to ↓ complications and delays 👇images from @Pocus101 Cannulation with @5MinSono 👉🔗youtube.com/watch?v=4Znd21… ⚡ Use linear probe in short/long axis; target superficial veins >3mm deep to avoid arteries/nerves 📏 Angle needle 30-45°; confirm tenting, flash, then advance catheter while withdrawing stylet 🚨 Sterile gel/cover essential; tourniquet boosts vein distention for >90% success in tough cases 🔍 Doppler differentiates vein (compressible) from artery; reduces tries in BMI>30 patients 🤝 Evidence shows fewer infiltrations/headaches vs blind; ideal for pediatrics/oncology. #POCUS #Cannulation #FOAMed #MedEd #EmergencyMedicine #CriticalCare #Ultrasound #POCUSenthusiast #MedTwitter #FOAMus #MedStudent #POCUSeducation #UltrasoundTips
















