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23.10.2025 20:16
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It's a great substance. Off-label to help resolve bronchospasm - works like a charm in adults as well as in children. Some even use it preemptively in 'sniffly ENT toddlers' but I'm not so sure about that.
Nitro s.l. für instab Pat mit hypertensivem Lungenödem als sofort verfügbarer first strike (während NIV u PVK etabliert werden) = 🥇+ gehört potentiell schon zu den lebensrettenden Maßnahmen
True, but the nightmare was the fact that no cath lab accepted the pt ;)
The concept of RSI is the anesthetists equivalent of being a boomer. 😂We should care more about managing every aspect of a physiologically deranged pt prior to intubation+ avoid FORCED BVM ventil. Focusing too much on the RSI shams & voodoo to prevent a 1:5.000-1:10.000 event is just bollocks. #mRSI
Ich würde Aufklärungsgespräch wiederholen. + versuchen ob d Pat vl eine Vertrauensperson mit einbeziehen möchte. Seine Ausdrucksweise könnte ein Hinweis sein, dass er die Situation nicht vollständig erfassen kann. Aber: Das Recht auf Unvernunft u Selbstbestimmung über den eigenen Körper bleiben.
Nope :(
Mein Alt-Chef hat bei Oligurie gerne mal 1g Furosemid reingeballert wenn ihm die CiCa schon zu lange lief...😭 Aber da gab's keine Diskussion. Das war noch eminence-based/paternalistische Medizin.
C (enddiastolic collapse) + some very frightening LV hypertrophy
Two ABGs. Left one reads pO2=100mmHg, pCO2=41 (prior to proning). Right one reads pO2=220mmHg, pCO2=40
Another win for #PRONING 🏆 ABGs are ~60min apart w/ exactly the same BIPAP 12PEEP/28Pmax/0.8FiO2. Indication for prone positioning: signs of basal atelectasis on CXR + Horowitz 120 on the left ABG
Very nice and educative thread as usual. I'd have an objective but still very serious discussion w/ your radiology dept on an institutional level. Sounds bonkers to me.
*will properly reference you from now on!
Whoah!!! I just realized you're the celeb I'm quoting all the time (comparison of kidney->homeostasis/factory->pollution) when I talk to my colleagues...this sentence really underscored my own perspective and encouraged me to up my kidney game in the ICU 👍
Cheez I frigging love it. Thank you for sharing this gold nugget 🪙😂😂😂
Stunning
Absolutely brilliant. Thank you so much.
😂 absolutely love it
Don't be too harsh on it. Has its flaws of course. But if you acknowledge the limitations (like you do) I think it's really useful. I learned it measures MAP (peak oscill) and calculates the rest but now I'm confused 🤔
Comedy gold 😂😂
I'm still gasping for air every single time I read something like this 😤 (born& living in EU. Just can't get my head around the whole 'healthcare as capitalistic asset' thing)
I think we have to accept the hard truth that angioedema is a 'watchful waiting + AFOI readiness' kind of situation (for now) 😅
Working on some basic notes for new learners. #vascularaccess #piv #cannula feedback most welcome! Free to use/re-post
A cute little stuffed turtle behind an ambulance wheel
Hey there little fella, going on a mission? (My 7yo son instructed me to take 'turtle' w/ me on my emergency doc shift and let the stuffed friend have some adventures 😄) #ambulance #emergency
😄 guilty as charged - viel abholen!
Das is ja ned mal ein NAH/Tag 😄 da gabs ja im gefühlten Mickey Maus Haus meiner Ausbildung mehr schwirrende Rotorblätter 🚁
Bad day? 😔
Nice pointing out that patent SGA is an airway 👍
🚨 Emergent c-section under GA: when to cut?
🅰️ airway first - then GO to OBGYN
🅱️ airway & skin incision in parallel
(I was taught A, but srsly questioning it bc wwyd if CICO-I'd tell OBGYN to deliver child asap while we're trying to establish airway)
The hashtag crime 'STOPPERS' sounds kinda weird to me in this context...you can't stop a crime that's already been committed, can you?
