𝕄𝕒𝕣𝕥𝕪 𝕋𝕦𝕣𝕧𝕖𝕪 🇺🇸

Paramedic/RN.... Random Shenanigans.... #foamed #foamems...
Yeah, well, you know, that's just, like, your opinion, man.

[shobhanai @HeyShobhan]

A man spends 50 years teaching at MIT.

He knows his time is running out.

So he records one last lecture — everything he knows, distilled into a single hour.

He died 5 months later.

This is that lecture.

The most important hour you'll watch this week. 👇
Bookmark it for later

If you have one uninterrupted hour this week, I'd recommend watching it.

🔖 Save this for when you have the time.

[Henry Wang @henrywangmd]

EMS, the tide has turned - Our new JAMA Open study confirms that most adult out-of-hospital cardiac arrests are now managed with supraglottic airways rather than intubation.

Longitudinal Changes in Emergency Medical Services Advanced Airway Management https://t.co/2MAH1acApk

[Joshua Brown @joshua_b_brown]

Dr. Sebastian Boland discusses variation in EMS quality metrics based on @GamutQI @QualityEms in ESO data, showing high quality achievement is associated with lower mortality in trauma patients #ASC2025 @PittSurgery @PittTTMRC @rpcrowe @PittEMSDocs @ESO_Solutions

[Sahil Bloom @SahilBloom]

An important truth: Preparation always beats planning.

[Ian Miles Cheong @ianmiles]

This is what lawfare against Elon Musk looks like, and they aren’t even hiding it.

The California Coastal Commission voted 6-4 to reject SpaceX's proposal to increase Falcon 9 launches from 36 to 50 at Vandenberg Space Force Base, citing in part the political activities of SpaceX CEO Elon Musk on X.

These petty bureaucrats are targeting Musk's business operations due to his vocal political stances on the platform, rather than solely focusing on environmental or safety concerns.

[The Babylon Bee @TheBabylonBee]

Jill Biden Drops Out Of Presidential Race https://t.co/hq6RrcVcQC

[𝕄𝕒𝕣𝕥𝕪 𝕋𝕦𝕣𝕧𝕖𝕪 🇺🇸 @martyturvey]

@JoeBiden It's forged...
#notsignedincrayon

[Beff (e/acc) @beffjezos]

How the hell was such an obvious line of sight not secured?

[Russell Brand @rustyrockets]

HOLY SHIT

DONALD TRUMP JUST GOT SHOT!

[Elon Musk @elonmusk]

I fully endorse President Trump and hope for his rapid recovery

[Matt Sztajnkrycer @NoobieMatt]

Coming in the September 2024 issue of @AnnalsofEM

What Rx are harmful to send older ED patients home on? What alternatives exist?

A nice consensus paper providing a list of high-risk meds.

Ping @mayoclinicemres @MayoPharmRes @TamingtheSRU @mfbellolio

#FOAMed #FOAMems

[Matt Sztajnkrycer @NoobieMatt]

While underpowered, still an important paper in @WADEM_PDM

BLUF - bystander narcan is safe and effective.

Rates of ADRs were similar to EMS, and NCPE was not noted in either group.

Although more may not be better.

Ping @RyanMarino

#FOAMems #FOAMTox

[Shannon Fernando @shanfernands]

🧵 Epinephrine is the most commonly used drug in out-of-hospital cardiac arrest (OHCA) resuscitation. But does it improve outcomes? And what is the optimal dose?

We studied these questions in our new NMA, in @accpchest. The results surprised us.

https://t.co/AvCl8nH7NQ

[Matt Sztajnkrycer @NoobieMatt]

An interesting paper in @WADEM_PDM by the folks @NSWAmbulance on Brain Injury Associated Shock (BIAS).

Not common, but present in nearly 6% of intubated pts with GCS < 12.

And physiologically indistinguishable from hemorrhagic shock.

Ping @NAEMSP @AMPAdocs @NAEMT_

#FOAMems

[FOAMfrat @FOAMfrat]

The importance of epinephrine in anaphylaxis cannot be overstated!

[Nilesh Vasan @AirwayLegend]

The majority of ‘difficult’ airway issues are related to negotiating a bend with a curved blade ie Macintosh.
It’s a manufactured problem that can be easily remedied using straight laryngoscope blades.
#MedTwitter #FOAMed #airway #anesthesiology #otolaryngology #Emergency #ems

[Amal Mattu @amalmattu]

Sunday shift with star resident Charmie Mehta ⁦@macurcheese⁩ ⁦@UMEmergencyMed⁩ ⁦@UMEMresidency⁩ #foamed #WhiteBoardTeaching

[EMS Avenger @EMSAvenger]

#FOAM #FOAMED #FOAMEMS #12LEAD #12LEADECG #12LEADEKG #CARDIOLOGY #RESUSCITATION #MEDED #MedTwitter

[Peter Antevy @HandtevyMD]

"Low and high prehospital ETCO2 values were associated with increased mortality in this large dataset."

"Contemporary resuscitation practices may make low ETCO2 values uncommon, and field termination decision algorithms should not use ETCO2 values in isolation."