Suchitha Kuntla

PGY3 MD Anaesthesiology RMLH Delhi l MBBS AIIMS Bhopal l Feminist l Nerd #MedReadsAnesthesia

[Suchitha Kuntla @DocPeriop]

I have attended the 5th ATLS student provider course at @sgrhindia as a faculty for 3 days (19/11/25-21/11/25) and I'm afraid I have absolutely killed it.

#ATLS
#Trauma

[Suchitha Kuntla @DocPeriop]

Certified ATLS Instructor (for doctors)

December'24 , I took an ATLS provider course curated by the American College of Surgeons- Committee On Trauma, solely for the love of Trauma management and Trauma Anaesthesiology. At the end of the course, I was identified as a candidate with instructor potential (IP).

Last weekend, I took the instructor course. After two and half days of amazing guidance and feedback on being an interactive educator for adults , I was certified as an ATLS instructor.

During such sessions, the course director asked "Do you think there is room for any improvement?"
I wanted to scream at the top of my lungs, "I see a whole freaking villa for improvement 😭".

I was initially glad for being identified as someone with instructor potential, but only later realised how big of a responsibility it is to be one. As I wait for years of experience to contribute to my confidence, I take a deep breath and teach.

See you at your ATLS course!

(I also turned 25 that weekend, so you know who not to ask how to celebrate birthdays🥂)

#ATLS
#Trauma
#anesthesia

[Suchitha Kuntla @DocPeriop]

@KabraVrinda I packed mine real well🐥

[Suchitha Kuntla @DocPeriop]

Esmolol bolus n infusion for rate control in caffeine induced myocardial irritability.
Theophylline and Caffeine induced arrythmias require you to think out of ACLS guidelines.

https://t.co/RMwzeoKwEa

(I'm finding it weirdly uncomfortable sharing substack links on X lol, that's some crossover)

[Suchitha Kuntla @DocPeriop]

Esmolol, a short acting cardio-selective Beta-1 adrenergic antagonist, is one the common drugs used for:

-rate control in SVTs
-hypertensive emergencies
-aortic dissection
-thyrotoxicosis
and in the Perioperative period as a hypotensive agent.

It is given as boluses/ continuous infusions, at well defined rates of 150-1000mcg/kg/min.

One needs to understand that Esmolol is hydrolysed by RBC and Plasma non-specific esterases, into acid metabolites (1/1500 times potent as esmolol) and METHANOL. Both the products are excreted by renal routes.

The methanol produced is barely closer to toxicity thresholds. But, on prolonged continuous infusions, accumulation of methanol can result in toxidrome of it's own.

It isn't very common occurrence and only anecdotes are all we have now, but, unexplained metabolic acidosis with High anion and Osmolal gaps in a patient on continuous infusion of ESMOLOL should probe you to think of its metabolite: METHANOL.

Sources:

1.https://t.co/gMuusvIcJ2

2.https://t.co/1oLxnvKkPo

[Suchitha Kuntla @DocPeriop]

@phenstruation 😂🤝🏻

[Suchitha Kuntla @DocPeriop]

@limeboba Calling them heroine is corny too. They write barely significant and plot altering roles for these female leads. I can bet most telugu movies add nothing heroic to their acts if not for the overtly objectified screen presence :/

[化身 @keshin_No9]

教科書で見た時、模式図だからこうなんかと思ってたらガチでこの形らしくて震えた

[Suchitha Kuntla @DocPeriop]

@ybglychee Kuch kuch hota hai plot being recycled now?

[Suchitha Kuntla @DocPeriop]

@KabraVrinda That's going to kid's therapist. Hey Vrinda, you'll probably see a surge of traumatized ig kid star-now adult cohort in your patient population 🫂

[Suchitha Kuntla @DocPeriop]

@moraleDmaestro Now imagine being first born female medic. It's a raging circus in my head sometimes

[Suchitha Kuntla @DocPeriop]

@pratichi That's such a fucked up thing to say. Limiting a female's significance solely to her future reproductive potential.

[Jonathan @jabberwock951]

Adult hospital: Regularly re-orient patients and provide a calm environment to help prevent delirium.

Children's hospital: HORSE PIANO BITCHES

[Suchitha Kuntla @DocPeriop]

Oh wait, lungs can sing that too.
That and this,
"cause baby now we got bad blood
You know it used to be mad love
So take a look what you've done
Cause baby, now we got bad blood💃

[Suchitha Kuntla @DocPeriop]

Membrane oxygenators in the Extracorporeal circuits arterialising venous blood sounds like something Taylor Swift would sing.
"I can make the bad guys good for a weekend" 💃

[☔ @Whotfismick]

when you're 3 hours into doing absolutely nothing and God adds rain for aesthetic

[Suchitha Kuntla @DocPeriop]

Reading someone else's notes to save time is the near equivalent of Kevin Malone using less words.

There is no association between the words on the page, a less likely chance of proper mental algorithm formation and even less likely chance at thinking out of the box.

Read. Read longer texts. Read from day one. Work on your attention span. Let the synapses form in your brain. Put that neuroplasticity to use.

Few words do no trick. No time save :)