Manrique Umana McDermott

“We do not rise to the level of our expectations, we fall to the level of our training” Had to do an emergency cricothyroidotomy... #Airway

"ARISE FLUIDS trial summarized into a paper in a pic by Dr. Challen. https://uploads.disquscdn.c..." — Ken Milne disq.us/p/365ge0n @KirstyChallen

Most consults go sideways before medicine is even discussed. Three tips: Don't apologize for calling. Start with the question—not the past medical history. Clear communication makes everyone's job easier. What's your best consulting tip?

New Procedure Video! Tiny target, big precision — see how ultrasound guidance turns a tricky wrist tap into a clean, one-poke procedure. #WristArthrocentesis #Ultrasound #US #Procedure #EM #EMRAP #EmergencyMedicine

Truth @docib @ffolliet

Today we remember Dr John Hinds #Delta7 - 11 years since his passing. John was more than a colleague. He was a much-loved friend, an exceptional doctor, and an inspiration to so many across pre-hospital care and motorsport medicine. His passion, skill, humour, and unwavering commitment to helping others left a mark that will never fade. The legacy he created continues to influence, motivate, and guide those who follow in his footsteps. Thinking of John, his family, friends, colleagues, and everyone who had the privilege of knowing him. Always remembered. Never forgotten. #Delta7 #DrJohnHinds #AlwaysRemembered

EMCrit 428 - A Few Things 🔹 ARISE Fluids: Does the 30 mL/kg sepsis mandate finally crumble? 🔹 BIHCA & SODABIC 🔹 Traumatic Tamponade: Can a 12Fr catheter prevent a thoracotomy in austere settings? 🔹 DKA Guidelines: Why the ADA has it completely backward when it comes to the anion gap. emcrit.org/428

📚✨CorePendium Media Highlight The Blakemore tube is a high-risk, high-acuity intervention used for temporary control of massive esophageal variceal hemorrhage when other measures fail. 🚨 This EM:RAP Smart Card walks through the setup and early placement steps for a Sengstaken-Blakemore tube: • Gather and prepare all necessary equipment before the procedure • Test both balloons for leaks prior to insertion • Label gastric and esophageal balloon ports clearly to avoid inflation errors • Insert the lubricated tube carefully after airway protection and resuscitation Because balloon tamponade carries significant risks (including aspiration, esophageal rupture, and airway compromise) meticulous preparation and stepwise execution are essential. A lifesaving procedure every emergency clinician should recognize and review. 🩺 Save this CorePendium graphic for your next shift! #EmergencyMedicine #GIbleed #VaricealBleed #BlakemoreTube #CriticalCare #MedEd #CorePendium #EMRAP

Personal challenge completed! #MountainBikingThroughCostaRica #Wellness #AvoidBurnout #PuraVida

#MountainBikingThroughCostaRica #Wellness #AvoidBurnout

Platelets are critically low and you're at the bedside — ITP, TTP, or DIC? Mark Ramzy, DO (@mramzydo) from ResusX:ReUnion: One of these makes platelet transfusion dangerous. Do you know which one before you act? Drop your approach in the comments.

Save the Date for the Debate: Thrombolysis in Stroke us06web.zoom.us/meeting/regist… @TheStrokeAssoc @strokefm @UofTNeurology @ACEPNation @CAEP_Docs @RCEMLearning

Herpes simplex keratitis and varicella zoster keratitis can look similar at first glance, but their corneal lesions have key differences that help guide diagnosis and treatment. 🔍 This graphic compares classic HSV dendrites with VZV pseudodendrites: • HSV lesions are larger, ulcerative, stain centrally with fluorescein, and feature terminal bulbs • VZV lesions are smaller, raised, lack terminal bulbs, and usually do not show central staining • HSV is typically treated with topical antivirals, while VZV requires systemic antiviral therapy Recognizing these subtle exam findings can help you quickly distinguish between two important causes of infectious keratitis in the ED and clinic setting. 👁️🩺 #EmergencyMedicine #Ophthalmology #Keratitis #HSV #VaricellaZoster #MedEd #CorePendium #EMRAP

What happened at IncrEMentuM 2026. youtu.be/cLlSGYKuNXA?si… via @YouTube @IncrEMentuMconf Honored and humbled to have been a small part of this

EMCrit 426 - Dave Carr - Tips & Tricks from his career in Emergency Medicine @davidcarr333 [#FOAMed for a bit] emcrit.org/426

Where do you land on the spectrum of observation vs antibiotics in kiddos with suspected or diagnosed otitis media? 👂🏽 Comment below. The pediatric dream team is back and this discussion of AOM is a must listen if your patient population includes children, and of course it does. Ilene, Al and Jeff provide their expert opinions and there own practice insights so you have a full range of options to use on your next shift. These are never cookie cutter presentations and having this depth of knowledge at your fingertips can make your decision making easier and your patients, and importantly, their parents' lives a bit better. #Otitismedia #PedsEM #antibiotics #emergencymedicine #EMRAP #MedEd #watchandsee

Remember why you chose EM? ¿Recuerdas por qué escogiste ME? #EmergencyMedicineDay

Feliz #DíaDeLaMedicinaDeEmergencias a todos los colegas que comparten esta pasión.

Happy #EmergencyMedicineDay to all my #FOAMed friends who share this passion. You’re amazing!