Adan R Atriham

Int'l Emergency Physician, FOAM supporter, traveler, animal lover, environmentalist, peace maker, wine taster & coffee drinker. ✌🏼😉❤️🌍🏥

[Adan R Atriham @GoodCPR]

@IFEM2 Felicitaciones por este logro #España

[Adan R Atriham @GoodCPR]

@FoxNews Haley was a better candidate against JB. Don’t think I can support #Trump2024

[Adan R Atriham @GoodCPR]

@FoxNews #Trump is compromised. #Putin is going to bail him out in exchange of pulling out of #Nato. Someone who owes nearly a billion in bank loans, fines and penalties can't be president. Not to mentioned a self-declared pu$$y grabber dictator.

[Adan R Atriham @GoodCPR]

I like the conclusion of this article, simple and practical.
#Trauma #EmergencyMedicine #EuSEM

https://t.co/uh2PQQdIlv

[Adan R Atriham @GoodCPR]

@NorburySof83048 With a post like this... you are bound to find a dude who is going to make you mother of 4 and double divorced.

[Adan R Atriham @GoodCPR]

@TaniaFernandaG6 Lastima me das...

[Adan R Atriham @GoodCPR]

@AirwayMxAcademy Rural EM = NO anesthesia. Who will come to the rescue? I agree w the advice be prepared, learn tricks, etc. But when 💩 happens, we just do it.

Let me present to you the EM airway algorithm:

1st look » 2nd look (add something) » LMA » Cut neck.

But can NOT cancel the case!

[Adan R Atriham @GoodCPR]

@_chatterboxmama @FoxNews Agree, just as creepy as the confessed pu$$y grabber

[Adan R Atriham @GoodCPR]

@karimbrohi This my 😯💩 moment of the year !

[Adan R Atriham @GoodCPR]

Most read... Stop what you are doing. Really! Great case.

Thanks Dr Smith @smithECGBlog

[Stephen W. Smith @smithECGBlog]

A young lady with wide complex tachycardia. My first time actually making this diagnosis de novo in real life in the ED! @PendellM

https://t.co/K8QSCVbGso

[Adan R Atriham @GoodCPR]

@CNN He needs 5 kilos of Fffflavavavinols 🤣

[Adan R Atriham @GoodCPR]

@AbdoKhoury00 @EuropSocEM @EusemY @jiconnoly ChatGPT got it on target!
Greetings to everyone 👋🏼😁

[Adan R Atriham @GoodCPR]

“It is not our job to diagnose every single condition at the first presentation every time; because if we were doing that, we would be over-testing/over-scanning every patient, our EDs would be paralyzed and we would never want our family members treated like that” – Amit Shah

[Adan R Atriham @GoodCPR]

@docskalski Did the patient get a CT. It would be nice to the axial cuts

[Adan R Atriham @GoodCPR]

@DocWillisMD @CriticalCareNow Thank you for the explanation. Dr W.
🙂👍🏼

[Adan R Atriham @GoodCPR]

@OrlandoRPN This a systematic review & meta-analysis (SRMA), NOT a randomized controlled trial (RCT).
Let's remember that SRMA generate hypothesis, and RCT will confirm or refute them.
The total number of subjects is small (190) & only from one country.
Results cannot be practice-changing

[Adan R Atriham @GoodCPR]

@OrlandoRPN The tx for DKA is NOT about the glucose, it's about the acidosis. The tx is insulin, dose varies depending on insulin resistance & acidosis severity. Glucose should decrease ~50mg/kg/hr. If not, the tx is NOT reduce insulin, but add glucose to the IVF & ck lytes often

[Adan R Atriham @GoodCPR]

@911EDiaz The tx for DKA isn't about the glucose, it's about the acidosis. The tx is insulin, dose varies depending on insulin resistance & acidosis severity. Glucose should decrease ~50mg/kg/hr. If not, the tx is NOT reduce insulin, but add glucose to the IVF & ck lytes often

[Adan R Atriham @GoodCPR]

@MidlevelCare Unless she started seeing patients when she was 12, I will not allow an unexperienced "provider" get near close to me or anyone I love.