Amar Mittapalli, MD

Chicagoland born Emergency Medicine doc based in Orlando. Workout. Travel. Gaming. Foodie.

[Amar Mittapalli, MD @Amarestud93]

Finally a whole ass EM doctor.
Each of my ordered contrasted CT studies will be ABEM certified

[Nick Mark MD @nickmmark]

Ah a chiropractor take. Remind me what was the name of the ghost who invented your highly scientific curriculum..?

Nm I googled it. 😂

[Starting Strength @SS_strength]

Olympians when athletes able to take every PED under the sun can't break their records

[DiscussingFilm @DiscussingFilm]

The new trailer for Christopher Nolan's ‘THE ODYSSEY’ has been released.

In theaters on July 17.

[IMCrit @IM_Crit_]

@PulmCrit @nickmmark Venn diagram of people worried about rocuronium masking seizures for 30 minutes AND people who took them 20 years to accept that waiting 30 minutes to declare “status epilepticus” is stupid and dangerous

[John Krasinski @johnkrasinski]

Here. We. GO!
#JackRyanGhostWar
May 20th
On @primevideo !

[DiscussingFilm @DiscussingFilm]

The first trailer for ‘THE PUNISHER: ONE LAST KILL’ has been released.

Releasing May 12 on Disney+

[DiscussingFilm @DiscussingFilm]

The first trailer for Kenji Tanigaki's ‘THE FURIOUS’ has been released.

The action thriller follows a tradesman who must fight through a criminal empire to save his kidnapped daughter.

In theaters on May 29.

[Marvel Entertainment @Marvel]

A Brand New Day starts now.

Watch the official trailer for Spider-Man: Brand New Day - exclusively in theatres July 31.

[Star Wars @starwars]

Star Wars returns to the big screen with The Mandalorian and Grogu.

Watch the trailer now and experience the film, starring Pedro Pascal, only in theaters and IMAX May 22.

[DiscussingFilm @DiscussingFilm]

The first trailer for the ‘SPIDER-NOIR’ series has been released.

Releasing May 27 on Prime Video.

[Nick Mark MD @nickmmark]

Unsurprisingly dude who got kicked out of med school for being a creep thinks another dude shouldn’t get in trouble for being a creep.

[Josh Trebach, MD @jtrebach]

Hi, medical toxicologist/ER doctor here 👋

here’s what you need to know about medetomidine in the illicit opioid supply

[Ross Prager @ross_prager]

(1/x) When you trying to decongest patients in the ICU, there are lots of drugs available... not just lasix

Here are some tips for diuresing patients🧵

Furosemide - backbone of diuresis. Start at a higher than you think and back off if diuresis achieved.

Metolazone (or other thiazides). Use when Na on the higher side as helps prevent distal Na resorption. You get more naturesis.

Acetazolamide. Use to prevent metabolic alkalosis. Aids in decongestion.

Spironolactone. Use to prevent K+ wasting and to achieve more natriuresis.

3% saline. Consider in diuretic resistant heart failure with hypochloremia.

[Sam Ghali, M.D. @EM_RESUS]

Hi, ER Doc here.

I don’t know who needs to hear this
but do NOT even think about it.

[Science girl @sciencegirl]

Canon unveiling next-gen CT technology for advanced medical imaging

[Nick Mark MD @nickmmark]

You asked, we answered! We excited for an episode of @CritCareTime all about ventilators basics:
🌬️ goals
🧠 concepts
⚙️ modes/settings

This is mostly a foundation for beginners, but there are some great pearls for experts too. (Like why I still use SIMV sometimes...)

1/2

[IMCrit @IM_Crit_]

Ten things that -for no good reason- we don't do in the ICU:

OK, in general a "less is more" approach is reasonable & there is a "rationale" behind many of the following but the truth is that they don't make sense if scrutinized

Here it begins:

1. Holding tube feeds or

[Nick Mark MD @nickmmark]

Fun physics fact:

Firm pressure (20-30 lbs) over 1-2 finger tips area (0.15-0.3 in²) applies ~100-130 psi of pressure.

That’s slightly more than a semi trucks tires apply to the road: 90-120 psi.

This is why direct pressure works! You can literally push harder than a truck!

[Sam Ghali, M.D. @EM_RESUS]

Everyone should know that one of the most effective ways to prevent someone from bleeding out is by simply applying DIRECT PRESSURE. Hold firm pressure as directly onto the wound as possible. Do NOT use excess gauze or towels as this just distributes the pressure over a larger surface area. If you do this right, you can literally save someone’s life with just one finger!

[Josh Trebach, MD @jtrebach]

when I was a resident, a mysterious ER nurse used to leave a cookie on my desk after I did a good job with a sick patient. Years later, no cookies appear…but after every resuscitation I still crave one….a Pavlovian echo of a kindness that never quite left me 🍪