Raed Hussein Alamein

Senior Emergency Medicine Registrar with special interest in Critical Care. 【=◈︿◈=】/music producer/Dj, trance/electro/house enthusiast/Co-founder at @kermamusic

[Raed Hussein Alamein @houseED00]

@Jtah1994 @Oldtime101 It called Meccha Chameleon

[Raed Hussein Alamein @houseED00]

@med_712 Also add to that that the acidosis itself causes pseudohyperkalemia so in severe acidosis even if the potassium is within normal ranges k infusion should be started, put in mind that every decrease of PH by 0.1 can cause an increase of K by 0.6

[Raed Hussein Alamein @houseED00]

@md1talk Ringer Lactate of course, and all the guidelines should be updated to recommend RL (or balanced solutions) instead of NS in general ( except for certain cases) and specifically for DKA

[Raed Hussein Alamein @houseED00]

@cosyposter That’s so accurate

[Raed Hussein Alamein @houseED00]

@hereismemee_ @JalalMAli_ We should do it again ya5

[Sam Ghali, M.D. @EM_RESUS]

Hi, ER Doc here.

RT if you’ve ever done CPR on someone and they survived.

Trying to prove something.

[𝕎 @_wvsl]

You can avoid reality, but you cannot avoid the consequences of avoiding reality

[Raed Hussein Alamein @houseED00]

@wisalAltayeb Well said

[مُوستا⚡️. @walmosta]

منحة جامعه قطر حتفتح ٨ اكتوبر للعايز يقدم دا رابط موقع الجامعه

https://t.co/gvkYDUNlfr

[Raed Hussein Alamein @houseED00]

@srrezaie If patient is awake, even if altered, I’d like to try some BiPAP, with a lil bit of ketamine while all meds are being given, in the meantime I’d prepare my intubation set and meds, if all went well then I’ll continue on BiPAP, if patient deteriorated, I’d go for intubation.

[سياف مصطفى @sayafmustafa86]

🎓 منح دراسية #جامعية مقدمة من المملكة العربية #السعودية بدأ التقديم عبر موقع وزارة #التعليم ( ادرس في السعودية )
رابط التقديم
https://t.co/nmfzADNmbz

فرصة كبيرة لطلاب #الشهادة السودانية والذين توقفت دراستهم الجامعية

🗓️ التقديم بدأ من ٧ سبتمبر ٢٠٢٣ م

وفق الله الجميع

[Raed Hussein Alamein @houseED00]

@md1talk I don’t think that Na bicarb is useful in DKA, whatever the PH is, and Last I checked there’s no actual evidence supporting the use of Na bicarb in DKA patients, for me never gave it and I’ll never give it. maybe only if there’s an associated NAGMA, or uremic acidosis 🤷🏾‍♂️

[Raed Hussein Alamein @houseED00]

@srrezaie It’s more than 1 litter, I guess 1.5-2 litters if the operator squeezed hard enough ! That’s why we need to be more gentle when we bag patients

[Raed Hussein Alamein @houseED00]

@bruceHenaAho Actually white sauce and béchamel sauce are the same according to French cuisine, but if you mean some other white sauce that’s another thing

[Raed Hussein Alamein @houseED00]

@srrezaie I’ve reached 2 and 3 mcg/kg/min in some occasions, but then I started to add on a second agent(usually epi)as soon as I hit a range of 0.5-0.7 mcg/kg/min, and I find that more useful, maybe !

[Raed Hussein Alamein @houseED00]

@wisalAltayeb 🤔

[Raed Hussein Alamein @houseED00]

@Asiritrauma1 What induction agent do you usual use in sever TBI ?

[Raed Hussein Alamein @houseED00]

@PulmCrit Thiamine Illuminati 🤣

[Raed Hussein Alamein @houseED00]

@wisalAltayeb 🌚

[Raed Hussein Alamein @houseED00]

@wisalAltayeb Omg you’re beyond saving !