𝙠𝙝𝙖𝙡𝙞𝙙 𝙖𝙡𝙨𝙖𝙡𝙀𝙈, 𝙈.𝘿

Emergency Medicine | AI in Healthcare | #FOAMed Advocate | Dr. Khalid AlSalem | AlWalah | AlYami

[سلمان بن عبدالعزيز @KingSalman]

نشكر المولى عز وجل أن شرّفنا بخدمة الحرمين الشريفين، ورعاية حجاج بيته الحرام، سائلين الله أن يتقبل من الحجاج حجهم ونسكهم وطاعاتهم.
ومع حلول عيد الأضحى المبارك، نهنئ شعبنا في هذا الوطن المبارك وأمتنا الإسلامية بهذه المناسبة، وندعوه سبحانه أن يجعله عيد خير وسلام واستقرار على أمتنا والعالم أجمع.
وكل عام وأنتم بخير.

[سلمان بن عبدالعزيز @KingSalman]

نهنئكم بشهر رمضان المبارك، ونسأل الله تعالى أن يبارك لنا ولكم وللمسلمين في هذا الشهر الفضيل، وأن يتقبل منا ومنكم صالح الأعمال، وأن يديم على بلادنا الأمن والرخاء.

[EHCEM | Residency @Ehcem_rtp]

An energetic EM academic day at KFSH, moderated by Dr. Mohammed Alealiwi 🚨

The session featured:
📋 Warm-up case with Ammer Alenezi, R3
🤿 Diving injuries — Dr. Khaled Alyami
📝 Absolute vs Relative Effects — Mohammed Alameer, R1
🦷 Dental injuries — Abdullah Alotaibi, R1

[𝙠𝙝𝙖𝙡𝙞𝙙 𝙖𝙡𝙨𝙖𝙡𝙀𝙈, 𝙈.𝘿 @EM2MD]

@drAbdullhadi @J4_Sos @Drkhenaizan Chest pain is an emergency until it is proven not to be

[𝙠𝙝𝙖𝙡𝙞𝙙 𝙖𝙡𝙨𝙖𝙡𝙀𝙈, 𝙈.𝘿 @EM2MD]

@Bin_Sweed1 😂😂😂😂😂😂💔
هالمرة بس ما نطقطق على بعض

[𝙠𝙝𝙖𝙡𝙞𝙙 𝙖𝙡𝙨𝙖𝙡𝙀𝙈, 𝙈.𝘿 @EM2MD]

He’s 48. Diaphoretic. Lightheaded. Crushing chest pain.
You grab the ECG.

Your eyes: “No ST elevation.”
Your gut: “This isn’t right.”

Anterior leads are whispering trouble.

Does this patient need the cath lab now, doc?

#FOAMed #EMCases #ECG

[𝙠𝙝𝙖𝙡𝙞𝙙 𝙖𝙡𝙨𝙖𝙡𝙀𝙈, 𝙈.𝘿 @EM2MD]

في يومنا الوطني الـ95، نفتخر جميعًا بوطن العز والمجد، وطن تتجدد فيه الطموحات وتكبر معه الأحلام.
اللهم احفظ السعودية وقيادتها وشعبها.💚🇸🇦

#اليوم_الوطني_95
#عزنا_بطبعنا 🇸🇦

[𝙠𝙝𝙖𝙡𝙞𝙙 𝙖𝙡𝙨𝙖𝙡𝙀𝙈, 𝙈.𝘿 @EM2MD]

طلعت من R4 .. و R4 لها ثلاث سنوات ما طلعت مني

[𝙠𝙝𝙖𝙡𝙞𝙙 𝙖𝙡𝙨𝙖𝙡𝙀𝙈, 𝙈.𝘿 @EM2MD]

90 min post-cardioversion:
Patient start to complain of retro-sternal chest pain associated with SOB and lightheadedness

Two ECGs 20 min apart as follow

Would you activate CATH for this patient?

#FOAMed #ECG #EMCases

[𝙠𝙝𝙖𝙡𝙞𝙙 𝙖𝙡𝙨𝙖𝙡𝙀𝙈, 𝙈.𝘿 @EM2MD]

He’s 56. No known medical issues.
Presents with palpitations and dyspnea. Hypoperfused and looks sick upon evaluation.
HR: 156. BP: 72/18

⬇️ Sedated cardioversion performed

Post-conversion: HR 80, BP 109/82, NSR. Stable

Initial and Post-cardioversion ECG
#FOAMed #ECG #EMCases

[𝙠𝙝𝙖𝙡𝙞𝙙 𝙖𝙡𝙨𝙖𝙡𝙀𝙈, 𝙈.𝘿 @EM2MD]

Patient received rate-control meds.
Here’s the repeat ECG 👇

Did you think it was atrial flutter from the start?

#FOAMed #ECG #EMCases

[𝙠𝙝𝙖𝙡𝙞𝙙 𝙖𝙡𝙨𝙖𝙡𝙀𝙈, 𝙈.𝘿 @EM2MD]

He’s 66. M
Sudden palpitations and chest pain. Dizzy on arrival.
You grab the ECG

Your eyes: “This is VT until proven otherwise”
Your gut: “But something feels off…”

Monomorphic
Regular
No P waves
VT? SVT? Atrial flutter? AFib?

What do you think, doc?

#FOAMed #ECG #EMCases

[𝙠𝙝𝙖𝙡𝙞𝙙 𝙖𝙡𝙨𝙖𝙡𝙀𝙈, 𝙈.𝘿 @EM2MD]

We’re taught CO poisoning = metabolic acidosis + high lactate.
But in real-life practice… I rarely see it.

ABG: Often near normal, sometimes alkalotic
Lactate: Not always high.
So, is CO really associated with acidosis and high lactate?

#FOAMed #Toxicology #EMCases #MedTwitter

[𝙠𝙝𝙖𝙡𝙞𝙙 𝙖𝙡𝙨𝙖𝙡𝙀𝙈, 𝙈.𝘿 @EM2MD]

He’s 66. M
Sudden palpitations and chest pain. Dizzy on arrival.
You grab the ECG

Your eyes: “This is VT until proven otherwise”
Your gut: “But something feels off…”

Monomorphic
Regular
No P waves
VT? SVT? Atrial flutter? AFib?

What do you think, doc?

#FOAMed #ECG #EMCases

[𝙠𝙝𝙖𝙡𝙞𝙙 𝙖𝙡𝙨𝙖𝙡𝙀𝙈, 𝙈.𝘿 @EM2MD]

He’s 57. Diabetic.
Present with chest pain.
You grab the ECG.

Your eyes: “ST elevation? Not exactly.”
Your gut: “This isn’t benign.”

ST depression. Upright T waves.
Anterior leads are whispering trouble.

Does this patient need the cath lab now, doc?

#FOAMed #EMCases #ECG

[𝙠𝙝𝙖𝙡𝙞𝙙 𝙖𝙡𝙨𝙖𝙡𝙀𝙈, 𝙈.𝘿 @EM2MD]

“Proud moment! Congratulations to Dr. Khalid Al-Mukhlis on becoming the first Saudi researcher to present at the prestigious ESGAR World Conference 2025. A true milestone for Saudi medical research and a step forward in global collaboration.

embodying the spirit of Vision 2030!”

[أول سعوديـ/ـة @First1Saudi]

🇸🇦 د. خالد آل مخلص: أول مشاركة سعودية بحثية في مؤتمر ESGAR العالمي

بفخر واعتزاز، يمثل الدكتور خالد آل مخلص المملكة العربية السعودية في مؤتمر ESGAR العالمي للأشعة والجهاز الهضمي بنسخته القادمة 2025 في أمستردام، ليكون أول باحث سعودي يقدم بحثاً علمياً في هذا المحفل الدولي المرموق.

تأتي هذه المشاركة لتعكس تطور البحث العلمي السعودي في المجال الطبي، وتفتح المجال لتبادل الخبرات والمعارف مع نخبة من العلماء والباحثين العالميين في تخصص الأشعة والجهاز الهضمي.

نفخر بكفاءاتنا الوطنية التي تحمل اسم المملكة في المحافل العلمية الدولية، وتساهم في تعزيز مكانتها ضمن خارطة البحث العلمي العالمي بما يتماشى مع مستهدفات رؤية 2030.

#كفاءات_سعودية #البحث_العلمي #الطب_السعودي #رؤية_2030 🇸🇦💚

🇸🇦 Dr. Khalid Al-Mukhlis: First Saudi Research Participation at ESGAR World Conference

With pride, Dr. Khalid Al-Mukhlis represents the Kingdom of Saudi Arabia at the ESGAR World Conference for Radiology and Digestive System in its upcoming 2025 edition in Amsterdam, becoming the first Saudi researcher to present a scientific paper at this prestigious international forum.

This participation reflects the development of Saudi scientific research in the medical field and opens the door for exchanging expertise and knowledge with elite global scientists and researchers in the specialty of radiology and gastroenterology.

We take pride in our national talents who carry the Kingdom's name in international scientific forums and contribute to enhancing its position on the global scientific research map in line with Vision 2030 objectives.

#SaudiTalents #ScientificResearch #SaudiMedicine #Vision2030 🇸🇦💚

@KhaledMu5lis

[𝙠𝙝𝙖𝙡𝙞𝙙 𝙖𝙡𝙨𝙖𝙡𝙀𝙈, 𝙈.𝘿 @EM2MD]

الحمدلله على نعمة محمد بن سلمان 🇸🇦💚

[𝙠𝙝𝙖𝙡𝙞𝙙 𝙖𝙡𝙨𝙖𝙡𝙀𝙈, 𝙈.𝘿 @EM2MD]

Some days in the ED, you swear you’re done.
Burned out. Ready to quit.

Then your next shift hits—and you’re back, fully charged, like nothing happened.

You can’t even enjoy 2 days off without thinking about the chaos.

Are we addicted to Emergency Medicine?
#EMLife #FOAMed

[𝙠𝙝𝙖𝙡𝙞𝙙 𝙖𝙡𝙨𝙖𝙡𝙀𝙈, 𝙈.𝘿 @EM2MD]

Blood gas interpretation isn’t magic—it’s method.
Approach it like this every time, and you won’t miss a beat.

#EMTwitter #CriticalCare #FOAMed

[𝙠𝙝𝙖𝙡𝙞𝙙 𝙖𝙡𝙨𝙖𝙡𝙀𝙈, 𝙈.𝘿 @EM2MD]

Metabolic acidosis on a blood gas?
Let’s break it down in 5 quick steps.
Bookmark this—it’s a go-to clinical tool.

#FOAMed #EMCases #MedTwitter

[𝙠𝙝𝙖𝙡𝙞𝙙 𝙖𝙡𝙨𝙖𝙡𝙀𝙈, 𝙈.𝘿 @EM2MD]

Step 5: Is there something else?
Time for the Delta Gap:
(AG - 12) - (24 - HCO₃)

Interpretation:
• -6 to +6 → Pure HAGMA
• > +6 → HAGMA + Metabolic Alkalosis
• < -6 → HAGMA + NAGMA