Adan R Atriham

@IFEM2 Felicitaciones por este logro #España

Congratulations to Spain for the official recognition of the Emergency Medicine specialty in Spain, granted earlier this month. We extend our congratulations to our colleagues in Spain and the Spanish Society of Emergency Medicine for achieving this remarkable milestone.

@FoxNews Haley was a better candidate against JB. Don’t think I can support #Trump2024

BREAKING NEWS: Trump defeats Haley in Missouri's Republican caucuses trib.al/XoCkyW2

@FoxNews #Trump is compromised. #Putin is going to bail him out in exchange of pulling out of #Nato. Someone who owes nearly a billion in bank loans, fines and penalties can't be president. Not to mentioned a self-declared pu$$y grabber dictator.

BREAKING: The former president's move comes after he was was barred from operating his business and charged over $350 million. Developing details on this story. trib.al/fNNVunW

I like the conclusion of this article, simple and practical. #Trauma #EmergencyMedicine #EuSEM epmonthly.com/article/collar…

@NorburySof83048 With a post like this... you are bound to find a dude who is going to make you mother of 4 and double divorced.

@TaniaFernandaG6 Lastima me das...

@AirwayMxAcademy Rural EM = NO anesthesia. Who will come to the rescue? I agree w the advice be prepared, learn tricks, etc. But when 💩 happens, we just do it. Let me present to you the EM airway algorithm: 1st look » 2nd look (add something) » LMA » Cut neck. But can NOT cancel the case!

Hey #emergencyphysicians It is NOT a competition who will manage the airway, Even if you intubate 2 or 3 patients a day in your busy emergency room, thats a lot less of experience than an anesthesiologist who manages 10-15 cases a day including emergencies and critical care and all kinds of anatomy and physiology. Most of you will maybe intubate 1 patient a week? I know how it works, its a universal problem. Not your fault, but a bit of a worry it is… So, just acknowledge the fact that you will need to train very very hard or ask for help early to manage patients with advanced airways with high complexity. Not every airway can be managed with a videolaryngoscope. Its not the silver bullet. And try to improve your first pass success. So team up with your collaegues of anaesthesia, headneck and ICU to make it a TEAM effort and learn together. Find your friends. You are not alone. And if you are really alone at that rural center, get out of there or improve your airway skills to win time for life until the retrieval team arrives. Its better for your stress levels. I know, not easy, but just telling others “its just me and I can’t do it because I never learned it” is no longer accepted in 2023. If you are not skilled, IMO you should not work at that place. Its better for the patient. Its not about egos and its not a competition. Its a real challenge, every time and every day. Serious business, airway management. Learn rescue tricks. Just saying…😷

@_chatterboxmama @FoxNews Agree, just as creepy as the confessed pu$$y grabber

@FoxNews He literally gives me a visceral reaction! PUKE! 🤢🤢🤢🤢 The creepiest dude on the planet! I can't stand to look at him! Listen to him! Everything about him makes me sick!!!!

The president claimed Republicans will have to "to find something else to criticize" him for because "Bidenomics" is fixing inflation. trib.al/lvcsU1T

@karimbrohi This my 😯💩 moment of the year !

UK-REBOA results: REBOA increased mortality at 90 days and at all interim time points. REBOA increased deaths due to bleeding at 3 hours and 90 days. REBOA substantially delayed time to definitive haemorrhage control. 💢🎈💢 #ccr23

Most read... Stop what you are doing. Really! Great case. Thanks Dr Smith @smithECGBlog

@CNN He needs 5 kilos of Fffflavavavinols 🤣

Adding 500 milligrams of flavanols to your daily diet can help boost memory, according to a new study cnn.it/3OMWc5p

@AbdoKhoury00 @EuropSocEM @EusemY @jiconnoly ChatGPT got it on target! Greetings to everyone 👋🏼😁

Kick off of new frontiers in #emergencymedicine conference in #budapest by @EuropSocEM @EusemY president @jiconnoly eusem.org/education/cour…

“It is not our job to diagnose every single condition at the first presentation every time; because if we were doing that, we would be over-testing/over-scanning every patient, our EDs would be paralyzed and we would never want our family members treated like that” – Amit Shah

@docskalski Did the patient get a CT. It would be nice to the axial cuts

Sneaky SBO at C2. Saved another life.

@DocWillisMD @CriticalCareNow Thank you for the explanation. Dr W. 🙂👍🏼

@GoodCPR @CriticalCareNow The ROMK channel in the kidney secretes potassium into the urine. Magnesium inhibits the ROMK channel. So a hypomagnesemic state contributes to renal secretion and causes any potassium supplementation to go right into the urine. So we should replete mag and potassium.

Excited to discuss DKA on @CriticalCareNow ‘s ResusX Grand Rounds! It’s completely free to join us. Feb 23 at 6pm EST. Here’s the link to join resusx.com/resusx-rounds

@OrlandoRPN This a systematic review & meta-analysis (SRMA), NOT a randomized controlled trial (RCT). Let's remember that SRMA generate hypothesis, and RCT will confirm or refute them. The total number of subjects is small (190) & only from one country. Results cannot be practice-changing

Para pediatras en Urgencias, Intensivistas y Endócrinos, un Estudio para cambiar conductas! En Cetoacidosis Diabética en Px <18a, la Infusión de Insulina a 0.05 u/kg/h ✅ resultó en menos eventos de hipoglicemia e hipokalemia que a 0.1 ❌ journals.lww.com/ccejournal/ful…

@OrlandoRPN The tx for DKA is NOT about the glucose, it's about the acidosis. The tx is insulin, dose varies depending on insulin resistance & acidosis severity. Glucose should decrease ~50mg/kg/hr. If not, the tx is NOT reduce insulin, but add glucose to the IVF & ck lytes often

@911EDiaz The tx for DKA isn't about the glucose, it's about the acidosis. The tx is insulin, dose varies depending on insulin resistance & acidosis severity. Glucose should decrease ~50mg/kg/hr. If not, the tx is NOT reduce insulin, but add glucose to the IVF & ck lytes often

Bendito sea el señor!! #YaEraHora Estoy convencido que pronto también será así en estado hiperosmolar. La prioridad NO es bajar la glucosa en chinga. Es: - Corregir volemia (de manera correcta, evitando complicaciones) - Identificar factor desencadenante Continúa…

@MidlevelCare Unless she started seeing patients when she was 12, I will not allow an unexperienced "provider" get near close to me or anyone I love.

#NPsLead?

23 year old direct entry ICU nurse practitioner with Full Practice Authority has no regrets! #NPsLead #StopScopeCreep