Shad Ruby

Pulm/crit nurse practitioner @SOMC_Health 🫁 Formally Flight-Retrievalist @UC_Health 🚁. Retired Firefighter/NRP @UTlocal3412 👩🏻‍🚒. Fisherman 🎣. #FOAMed

[Shad Ruby @Sruby345]

Almost 1 year ago to the day, I flew a husband and wife involved in a crash with their 16 year old granddaughter who was driving. The granddaughter didn’t make it. But she left behind her wisdom.

[Eric Daugherty @EricLDaugh]

🚨 BREAKING: The Chief of Chicago Police is being praised nationwide for the moment he STOOD WITH ICE instead of the Left

"Let me make this CLEAR! Federal agents, ICE, HSI, are officers. They are agents of law enforcement."

"If you box them in...plow a VEHICLE, you're using DEADLY FORCE. And THEY can use deadly force in response to stop YOU!"

"We need to be clear about these laws. We cannot become a society where we just decide to take everything in our own hands and start to commit crimes against law enforcement!"

"It is a crime. You may not like what they're doing. I can understand that there's a lot of emotions out there, but that does NOT mean that you get to commit a crime, especially one that could lead to deadly force."

"We need to keep everyone safe. Our responsibilities when it comes to federal agents, and I've been asked these questions, we do not interfere with the duties and responsibilities of federal agents."

This is literally just common sense.

Every single police chief should be saying this. This is DEEP BLUE CHICAGO!

[Shad Ruby @Sruby345]

@Stark_axie @FightBell Yeah she mauling everybody

[Shad Ruby @Sruby345]

Dr Ghali is smart and gives good advice. Listen to Dr Ghali this holiday season.

[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.

[Pulm PEEPs @PulmPEEPs]

New Pulm PEEPS Pearls episode out today about the use of methylene blue in septic shock!

Listen here: https://t.co/TMqPq8w8LK

[Shad Ruby @Sruby345]

@ansonmount you ever gonna be in any more westerns? Watching Hell on Wheels for the second time. Fantastic.

[Keith Siau @drkeithsiau]

CT scan of a 25F with abdominal pain and feeling full after a meal. What’s the diagnosis?

[Shad Ruby @Sruby345]

Day 2: Starting with ICU management of PE @accpchest @pulmAPP

[Shad Ruby @Sruby345]

Running into old work colleagues is the best! @pulmAPP @accpchest

[Shad Ruby @Sruby345]

#CHEST2025 is here in Chicago.

[Shad Ruby @Sruby345]

When @amalmattu speaks, I listen.

#ResusX

[Shad Ruby @Sruby345]

Amal Mattu: Hyper K is the syphilis of cardiac arrhythmias.

#ResusX

[Shad Ruby @Sruby345]

Reuben Strayer at ResusX.

[Shad Ruby @Sruby345]

Opening lectures from Philly @resus_x.

https://t.co/s9FqPUUF8s

[Shad Ruby @Sruby345]

@thatdayin1992 Look who you worship in your background photo and you want to lecture? Believe it or not, there are plenty of Americans that are sad for both.

[Shad Ruby @Sruby345]

Who plans on @resus_x in Philadelphia? Shout out!

[Keith Siau @drkeithsiau]

Which condition is typified by this triad?

[Shad Ruby @Sruby345]

Stop cookbook medicine!

[Mohammed Megri. MD @MegriMohammed]

IV crystalloid is medicine—and like any medicine, it can harm if misused. Before reflexively giving 30 mL/kg to every hypotensive patient, think critically. If the clinical picture doesn’t scream hypovolemic or distributive shock, grab the probe first 🧐
#POCUS #Shock

[Cliff Reid @cliffreid]

Ever heard someone say ‘too sick to be intubated’

No one is

Here’s a ‘physiologically challenging airway’

Intubation for hypoxaemia & septic shock

2 emergency medicine specialists -1 on hemodynamics & oversight, 1 on oxygenation & supervising registrar intubation

Art line in, Peripheral norepi, epi 1:100000 ready to push

POCUS excluded RV failure

Ramped, preox via NIV-ST mode, allowing supported ventilation during induction

Intubated 1st pass over bougie using VL

No desat, no hypotension

Resus nurses all over it

Calm, smooth, safe. Just like we train

A shared mental model in a cohesive trained team leads to effective resuscitation

Resuscitate Before You Intubate!

[Keith Siau @drkeithsiau]

Giving furosemide 20mg for ascites

[NephroPOCUS @NephroP]

Finally found a great #POCUS #anatomy correlation figure to go with this quiz!
#FOAMed #echofirst