Abdulali Shatshat, M.D

EM & Critical Care Physician.

[IMCrit @IM_Crit_]

Our reaction to any new study is either “I don’t believe it” or “I knew it”...
A NEJM trial in ICU pts w acute resp failure found that mucolytics (carbocisteine & hypertonic saline) don’t help. My ICU rounds line “mucolytics are useless” may need an update: “and possibly harmful”

[Abdulali Shatshat, M.D @Shatshatmd]

@IM_Crit_ Yes sir! We need more people talking about this!

[Abdulali Shatshat, M.D @Shatshatmd]

Our elderly patient who came in with recurrent UTIs was difficult to catheterize.. his POCUS showed a BPH the size of a tennis ball and it was managed accordingly.

Safe to say he's now in a better shape and recovering gracefully.

#emergencymedicine
#criticalcare
#resus
#POCUS

[Abdulali Shatshat, M.D @Shatshatmd]

Happy Emergency Medicine day everyone!

#emergencymedicine
#emergencymedicineday

[Abdulali Shatshat, M.D @Shatshatmd]

Always happy to teach the fresh residents and doctors the know-hows of CPR and approaching unresponsive victims and patients.

Training others and believing in them is what makes the profession a beautiful thing.

#emergencymedicine
#resustraining
#medicaltraining
#CPR
#BLS
#ACLS

[Abdulali Shatshat, M.D @Shatshatmd]

@panagis21 Signing a coffee cup is such a flex few get to experience.. way to go Dr. G

[Abdulali Shatshat, M.D @Shatshatmd]

He was fighting me over my cherry danish.. I swear he sometimes forgets he's a carnivore.

[Abdulali Shatshat, M.D @Shatshatmd]

I bumped my leg coming outta the CT room & now I have a swelling the size of a football on my tibial shin.. it's so bad the ortho bro on call was actually concerned and felt bad for me 😭

[Abdulali Shatshat, M.D @Shatshatmd]

@panagis21 I sometimes believe your 8yo is the one running the account and pretending to be you dr. P 😁

[Abdulali Shatshat, M.D @Shatshatmd]

Amen to that!

[Glen O'Humeral @HumeralO]

There comes a time in every emergency medicine doctor’s life when they would rather run a resuscitation than do long division.

[Abdulali Shatshat, M.D @Shatshatmd]

Do not go gentle into that good night!

[Abdulali Shatshat, M.D @Shatshatmd]

@panagis21 Utilizing circumstances to her advantage.. that's a pretty neat skill

[Abdulali Shatshat, M.D @Shatshatmd]

...

[Abdulali Shatshat, M.D @Shatshatmd]

So we admitted this psych patient into the ICU and they kept growling & speaking in a different tongue, & it was some kinda conjuring or the exorcist horror show that it scared the charge nurse into an MI & she had to be rushed to the cath lab..

I'm not even making this up 😭

[Abdulali Shatshat, M.D @Shatshatmd]

@IM_Crit_ I like the fact that the patient stayed a week on the vent. I can see by the vignette that his physiological burden needed that.. usually early extubating such patients is what messes them up even more.

Keep those nice ICU stories coming please 😁

[Abdulali Shatshat, M.D @Shatshatmd]

I had a feeling it was an esophageal opening impersonating a glottic opening and following the thread my suspicion was confirmed.

[IMCrit @IM_Crit_]

ICU/ED/OR Airway "Secrets":

#foamed #foamcc #meded #medtwitter #airways

While you attempt direct laryngoscopy in a hypoxemic patient, you get this view:

[Abdulali Shatshat, M.D @Shatshatmd]

One of the best skills to learn in life is to say no without having to explain it.

[Abdulali Shatshat, M.D @Shatshatmd]

@idobadtakes Grifting in its finest form!

[Abdulali Shatshat, M.D @Shatshatmd]

@GamerEMDoc A well deserved win! Congratulations

[Abdulali Shatshat, M.D @Shatshatmd]

@NotoriousS1Q3T3 The kinda TED talk I like.