Nicholas Gardinier

FP-C with a passion for EKGs

[Eagles Coalition @EaglesGather]

4) Use bougies to improve first pass success! The graphic speaks for itself. Absolutely use it for difficult airways!

#GatheringEagles19

https://t.co/O0m7g2AYlm

5/x

[The Bottom Line @WICSBottomLine]

TBL 288: CENSER: Early use of Norepinephrine in Septic Shock Resuscitation
https://t.co/gki9qjgf8T

[Dr. Dave Stukus @AllergyKidsDoc]

There are many things wrong with this situation.
1.Epinephrine is the ONLY effective treatment for anaphylaxis-it treats ALL symptoms; not just severe
2.Epi works best if used early: It's safe & effective
3.Reluctance by health professionals to use epi reinforces misconceptions

[Sam Ghali, M.D. @EM_RESUS]

Can’t emphasize this enough:

1. Don’t crank the neck back
2. ELEVATE the head!

Video courtesy: @kovacsgj
#FOAMed

https://t.co/CcXVCQidVW

[Nicholas Gardinier @ngparamedic]

@lucaheights @TayyMichhh What no you always loved coffee stfu

[Nicholas Gardinier @ngparamedic]

@MensHumor @lucaheights

[Sam Ghali, M.D. @EM_RESUS]

Here’s an easy way to remember #Pediatric Tube Sizes based on a simple formula for endotracheal tube (ETT). This will get you to the right ballpark in an emergency:

ETT x 1= [Age ÷ 4] + 4
ETT x 2= NG/OG or Foley
ETT x 3= ETT Insertion Depth
ETT x 4= Chest Tube

#FOAMed

[Air Methods @AirMethodsCorp]

In the news: Geisinger health system expands surgical redesign program to help reduce #opioid use. Results from the initial pilot program: 18 percent reduction in patient opioid use across the organization. #opioidcrisis https://t.co/0jBAqPNGOj

[The Tox And The Hound @ToxAndHound]

Welcome our newest hound, ⁦@jmmarraffa⁩, as she explores the toxicity of loperamide! ⁦@drusyniak⁩ ⁦@lapizity⁩ ⁦@DavidJuurlink⁩ ⁦@mbspyres⁩ ⁦@DrDianeC⁩ ⁦@toxiferoustales⁩ @toxicologist12 ⁦@ChrisHolstege⁩ https://t.co/CPEzUs0c9i

[Skyler Lentz @SkylerLentz]

Do you mostly use pressure (PC) or volume (VC) targeted modes of ventilation and why?

https://t.co/F9t2alc86n

[Salim R. Rezaie, MD @srrezaie]

LOMAGHI Trial: Magnesium Sulfate for Rapid Atrial Fibrillation https://t.co/RwNhOktp6K #FOAMed

Addition of 4.5g of IV mag sulfate to standard rate-control agents may more efficiently & more rapidly improve therapeutic response rates w/ no signif adverse effects in afib with rvr

[Nicholas Gardinier @ngparamedic]

@OSUEMEdu I’ve always been taught the same. But why?

[Resuscitology @resuscitology]

Intubation without neuromuscular blocking agents is associated with significantly increased risks of difficult intubation and upper airway discomfort or injury according to recent Cochrane systematic review

https://t.co/MDr18DyiQI

[Dave Olvera @DaveOlvera1]

Honored to present the latest @AirMethodsCorp clinical research at #SAM2018Chicago

[Lee Wood @EMDrLee]

Thanks @srrezaie for this great breakdown of bundle branch blocks. There are so many patterns to memorize, but understanding the physiology always helps it sink in. https://t.co/hJwdYCKc8u

[Sam Ghali, M.D. @EM_RESUS]

When resuscitating hemorrhagic shock patients, always hook blood tubing up directly to the IV. Connector pieces (locks, hubs, j-loops):

1. increase length
2. decrease diameter
3. destroy your flow

#PoiseuillesLaw

[Salim R. Rezaie, MD @srrezaie]

Alpha and Beta Effects of Various Pressors via @FAdamakos #EMConf

[Nicholas Gardinier @ngparamedic]

@ShanenGuwop @BrooksWalsh @smithECGBlog My guess is no. The morphology is too consistent. The one off beat may be an aberrant or fusion complex

[Nicholas Gardinier @ngparamedic]

@CauseWereGuys @lucaheights

[Tony Breu @tony_breu]

1/
"Why do my fingers get all wrinkly when I take a bath?” This was the question my 3-year-old daughter asked me recently after bath time.

I thought for a minute, then realized I didn't have a clue.

The explanation is so much cooler than I had expected...