Kevin

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Kevin

Kevin

@kevinchoke

Paramedic, coffee addict, PC gaming enthusiast. Some mistakes you never stop paying for.

South Philadelphia Katılım Ağustos 2009
504 Takip Edilen188 Takipçiler
Cliff Reid
Cliff Reid@cliffreid·
For the retrieval medicine & emergency medicine/critical care context, I no longer refer to 'awake intubation' techniques. The terminology I use is 'spontaneous breathing intubation' (SBI). Spontaneous breathing videolaryngoscopy Spontaneous breathing flexible intubation More precise terminology can clarify therapeutic goals, improve shared team mental models, & simplify components of treatment in the resuscitation setting
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Kevin
Kevin@kevinchoke·
@IM_Crit_ I’ve seen that dogma prevalent in prehospital as well. “If I just keep hammering them with NSS, I don’t have to mix up this epi for push dose.”
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IMCrit
IMCrit@IM_Crit_·
I still occasionally see patients with DKA who arrive to the ICU after 5 liters of normal saline have been given. Also, some septic patients keep getting saline boluses in hopes that the last bolus will do the trick and pressors will be avoided
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IMCrit
IMCrit@IM_Crit_·
ICU Secrets: We are moving away from massive fluid resuscitation & we become less familiar with its metabolic effects In this study, 2 groups of 12 pts each who underwent major gynecologic surgery were assigned randomly to receive 0.9% saline or lactated Ringer's @ 30 ml/kg/h!
IMCrit tweet media
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Kevin
Kevin@kevinchoke·
@swoonganz Don’t you dare disparage the hat man!
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Kevin
Kevin@kevinchoke·
@BrooksWalsh Both should be dosed based on vibes alone.
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Kevin
Kevin@kevinchoke·
@lbctimes6 Obviously moved on from transvestigations to Haitian hijinks.
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Kevin
Kevin@kevinchoke·
@FanSince09 He gets the hotel room chair every time.
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Kevin
Kevin@kevinchoke·
@KBscrubs Bro, I’m on your/dopamines side. BUY IT.
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Kevin
Kevin@kevinchoke·
@swoonganz This reads like the ultimate bootlicker response.
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Kevin
Kevin@kevinchoke·
@clairezagorski But we DO need more of the collectible felt birds. Or “birbs” as they are known in my household.
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Pediatric Nursey
Pediatric Nursey@pediatricnursey·
SOS I’m stuck in a car with my dad and he’s trying to argue politics with me. Is it too early for a drink? 🫠
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Kevin
Kevin@kevinchoke·
@lbctimes6 Oh my goodness! That was only minimally on my radar.
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Kevin
Kevin@kevinchoke·
@NoobieMatt More we will rock you arrhythmias?
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Kevin
Kevin@kevinchoke·
@lbctimes6 I don’t know what this deed is, but I hope the emotional support potatoes help.
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Kevin
Kevin@kevinchoke·
@lbctimes6 I choose action. Inaction and waiting for unknown result would not bode well for my mental wellbeing.
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