Kevin

@FLTDOC1 @jducanto @NicholasChrimes @cliffreid @AirwayMxAcademy @airwayGladiator @dasairway @AS_Kochi @ProtectedAirway @SafeAirway @UniversalAirway @dastrainees There were, but yet, here we are in PA with the Bureau of EMS plugging their ears with their fingers and saying “lalala I can’t hear you, Ketamine only is fine lalala”

@jducanto @NicholasChrimes @cliffreid @AirwayMxAcademy @airwayGladiator @dasairway @AS_Kochi @ProtectedAirway @SafeAirway @UniversalAirway @dastrainees Werent there several studies back in the 1990s that showed "sedation only" intubations were clearly inferior ( ie more dangerous) compared to RSI?

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

@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.”

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

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!

@swoonganz Don’t you dare disparage the hat man!

@BrooksWalsh Both should be dosed based on vibes alone.

I love talking about NTG paste. x.com/BrooksWalsh/st…

@lbctimes6 Obviously moved on from transvestigations to Haitian hijinks.

@FanSince09 He gets the hotel room chair every time.

cuck posture

@clairezagorski Literally the whole ass mood.

@medicboogie ¿Por qué no los dos?

@KBscrubs Bro, I’m on your/dopamines side. BUY IT.

@swoonganz Boots are boots!

@swoonganz This reads like the ultimate bootlicker response.

@clairezagorski But we DO need more of the collectible felt birds. Or “birbs” as they are known in my household.

@clairezagorski JK Rowlings house?

@pediatricnursey Let er rip!

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? 🫠

@lbctimes6 Oh my goodness! That was only minimally on my radar.

@lbctimes6 DID YOU QUIT

@NoobieMatt More we will rock you arrhythmias?

Ugh

@lbctimes6 I don’t know what this deed is, but I hope the emotional support potatoes help.

@lbctimes6 I choose action. Inaction and waiting for unknown result would not bode well for my mental wellbeing.

@lbctimes6 I need more information.