Mark Ramzy, DO, EMT-P

EmergMed-Critical Care-#POCUS Doc | Artist | Physician Coach | Graphic Designer | @REBEL__EM Co-Editor | Cheesecake Connoisseur | #FOAMed | Posts ≠Med Advice

[Mark Ramzy, DO, EMT-P @MRamzyDO]

🫁 ADVANCED THORACIC #POCUS 🫁

🅰️-Line: Physiologic reflection of pleural line
🅱️-Line: Vertical comet tail artifacts
🦓 Z-line: ill defined artifacts shorter in depth that look like B-lines but arent
🆎Lung profiles can help w/diagnoses

#FOAMed #MedEd @POCUS_Society @srrezaie

[Haney Mallemat @CriticalCareNow]

She's on HFNC, still dropping her sats, and she told you clearly: no intubation.

Mark Ramzy, DO (@mramzydo) from ResusX:ReUnion:
Now she’s tachy and hypotensive — what's your next move? Walk me through your approach in the comments.👇

[Haney Mallemat @CriticalCareNow]

Your patient has lightheadedness, gross hematuria, and a vague bleeding history. He just returned from Madagascar.

Mark Ramzy, DO (@mramzydo) from ResusX:ReUnion:
What's your first diagnostic step at the bedside? Share your approach in the comments.

[Haney Mallemat @CriticalCareNow]

EMS is holding him down. Wife says he's "not himself." Week of diarrhea, no eating.

Mark Ramzy, DO (@mramzydo) from ResusX:ReUnion:
Do you reach for a sedative first — or does something else hit your list before that? Tell us your approach.👇

[PacoCampillo @PacoCampilloPal]

"The Highest-Impact EM Papers of the Last Year"💥

90 minutes of disruptive medical education with @REBEL__EM @MRamzyDO @marco_propersi

Completely free for first 80 applicants attending @IncrEMentuMconf

Rebel on the Rocks & incrEMentuM Experience🍸

https://t.co/Z0mn6i6S2T

[Mark Ramzy, DO, EMT-P @MRamzyDO]

@cianmcdermott @REBEL__EM @marco_propersi @srrezaie @EMSwami I've actually found CCTA to be very institution specific. Some places (usually the more academic ones I work) tend to use it more compared to the community shops. Just my own anecdotal experience

[PacoCampillo @PacoCampilloPal]

Brilliant. Inspiring. Disruptive.

Mentors we’ve all wished for at some point

Dr Ernst & @SaraCrager return this year to @IncrEMentuMconf with Teacheria

Take your teaching skills to the next level & enjoy this wonderful episode of @REBEL__EM about how good education looks like

[REBEL EM @REBEL__EM]

🎙️ New Podcast!
💉 IO lines: Power & Pitfalls in the ED
⚡ Fast, reliable access in arrest & shock
🧭 Site matters: Sternum > Humerus > Tibia
⚠️ Labs unreliable, dislodgement common
👉 Listen now: https://t.co/JUU0PFujql
cc: @srrezaie @emswami @mramzydo @Marco_Propersi

[REBEL EM @REBEL__EM]

🥇What does performance under pressure in medicine look like?
🏃🏽‍♂️‍➡️What if we had the same tools as professional sports teams and elite athletes?
🧠 We've partnered with Arena Labs for data driven insights!

👀https://t.co/0xBzoaAoRv @Arena_Labs @MRamzyDO @Marco_propersi @EMSwami

[REBEL EM @REBEL__EM]

RENOVATE Trial: HFNC vs BPAP in ARF
📊 Did HFNC match BPAP in 5 respiratory failure subgroups?
✅ Non-inferior in 4/5
🧪 Bayesian dynamic borrowing = statistical edge
🚫 Futility in immunocompromised patients
Read more 👉 https://t.co/B5LWTWf5JC
#FOAMed #MedTwitter #REBELCrit

[REBEL EM @REBEL__EM]

🤧 Should you prescribe Tamiflu for mild flu?
📉 Oseltamivir shortens symptoms by <24h
🤢 But side effects are common
🚫 No mortality/hospitalization benefit in healthy patients
👥 @emswami @marco_propersi @mramzydo
#FOAMed #MedEd

[REBEL EM @REBEL__EM]

🧠 New on REBEL EM: Ketamine vs Etomidate for RSI
✅ No statistically significant difference in 28-day mortality (≈1% absolute diff favoring ketamine).
⚠️ Ketamine had more cardiovascular collapse, driven mainly by new/increased vasopressor use.
#FOAMed #EM #CriticalCare #Airway

[REBEL EM @REBEL__EM]

🚨Our 1st REBEL MIND Post is out on the Dunning-Kruger Effect!
🧠MIND = Mastering Internal Negativity During Difficulty

🏁How can we assess our own performance?
🎙️Listen & check out the post: https://t.co/Dv4oRpHJVC

#FOAMed #MedEd @MRamzyDO @marco_propersi @EMSwami @srrezaie

[Dr sthanu subramanian @drsthanus]

Tranexamic acid

[REBEL EM @REBEL__EM]

🫀 #POCUS in shock resuscitation?
✅ ↓ Mortality
✅ ↓ Vasoactive use
✅ ↑ Lactate clearance
New REBEL EM post explores system-level benefits!
📝 By: Dr. Christopher Karnicki
#FOAMed #POCUS #Ultrasound #EmergencyMedicine #CriticalCare

[REBEL EM @REBEL__EM]

🫁 New on REBEL EM
Rib fractures ≠ benign. Using RibScore + SCARF improves prediction of respiratory decline—>95% sensitivity when combined.
📖 https://t.co/5YZqsBKQtr
By Dr Eric Steinberg | Reviewed by @Marco_Propersi & @MRamzyDO
#FOAMed #MedEd #Trauma #RibFracture

[REBEL EM @REBEL__EM]

🧪 ICARUS-ED: Early albumin in sepsis?
📉 No real outcome benefit
💰 30x the cost vs crystalloids
⚠️ Outcomes > optics
🔍 Full breakdown: https://t.co/kDHpz8rCSK
❤️ Like 🔁 Repost 🔔 Follow
#FOAMed #MedX #MedTwitter #MedEd
@marco_propersi, @mramzydo, @emswami, @srrezaie

[REBEL EM @REBEL__EM]

🤧 Should you prescribe Tamiflu for mild flu?
📉 Oseltamivir shortens symptoms by <24h
🤢 But side effects are common
🚫 No mortality/hospitalization benefit in healthy patients
📖 Read more: https://t.co/1sx3E9Sfms
👥 @emswami @marco_propersi @mramzydo
#FOAMed #MedEd

[REBEL EM @REBEL__EM]

❄️ Winter is coming… and so are the pneumonia admits.
CURB-65, PSI/PORT, SMART-COP.
One guides admit vs discharge, another predicts mortality, and one spots who’s about to crash.
New on @REBEL_EM 👉 https://t.co/rNQ1FFXGNE
#FOAMed #EM #Pneumonia #MedTwitter

[REBEL EM @REBEL__EM]

Status epilepticus: what’s the move after midaz?
🚑 Data suggest ketamine ↑ seizure cessation (esp in adults) without more arrests/intubations
⚠️ not ready to rewrite protocols.
Benzos first.
Ketamine for true refractory cases.
🔗 https://t.co/ufwDIKMJBA
#FOAMed #EMS #Neuro

[REBEL EM @REBEL__EM]

🧪 ICARUS-ED: Early albumin in sepsis?
📉 No real outcome benefit
💰 30x cost vs crystalloids
⚠️ Outcomes > optics
🔍 Full breakdown: https://t.co/kDHpz8rCSK
❤️ Like 🔁 Repost 🔔 Follow
#FOAMed #MedX #MedTwitter #MedEd
@marco_propersi, @mramzydo, @emswami, @srrezaie