Raed F. Gabal

EM Resident 👨‍⚕️

ليس من المهم بطأ خطواتك طالما أنك لا تتوقف💪

[Raed F. Gabal @Raed_F_G]

20-8-2025
تم قبولي في برنامج الزمالة العربية لطب الطوارئ و إن شاء الله أن تكون فاتحة خير و بداية رحلة مليئة بالإنجاز و الطموح
#accepted
#EMResident

[Raed F. Gabal @Raed_F_G]

Young female pt. pregnant at the 6th month presented with SOB..
ECG done.
What do you think about this ECG?!
#ECG
#EM #emergencymedicine

[Raed F. Gabal @Raed_F_G]

@_onlyscott DiMaria I think

[Mastering the Differential 🩺 @MTD_MED]

🫁 What is Dead Space?

Dead space is the portion of inspired air that reaches the lungs but does not participate in gas exchange.
➡️ Ventilation is present ✔️ but perfusion/exchange is absent ❌.
💡 Types of Dead Space

1) Anatomic dead space
Air in the conducting airways (nose → trachea → bronchi).
No alveoli → no gas exchange.

2) Alveolar dead space
Air reaches alveoli that are ventilated but not perfused (e.g., pulmonary embolism).
3) Physiologic dead space
= Anatomic + Alveolar
This is what we care about clinically in ICU.
🏥 ICU relevance

↑ Dead space = wasted ventilation, seen in:
Pulmonary embolism

ARDS
Low cardiac output states
Overdistension from high tidal volumes

It means the patient is ventilating but oxygen isn’t improving because perfusion is compromised.

[Dr sthanu subramanian @drsthanus]

Meningitis Protocol...

https://t.co/WUTKPrZMAs

[Raed F. Gabal @Raed_F_G]

@ecgandrhythmRoe Thanks for your great and amazing account ❤️🙏

[Raed F. Gabal @Raed_F_G]

@LorickFox @ecgandrhythmRoe K+ was 5.7 mmol/dl
PH was 7.1

[Raed F. Gabal @Raed_F_G]

@ecgandrhythmRoe I agree with your answers.
I think it's an escape ventricular rhythm with bigeminal pattern
I think it was caused by hyperkalemia or the acidosis
It really was a very challenging case for me
I really couldn't understand what was happening at that time everything was going wrong

[Dr. Andreas Roeschl @ecgandrhythmRoe]

A slow heart rate, no further information available. What is the most likely explanation here?

[Manual Of Medicine @ManualOMedicine]

@Ahmedata7777 Diabetic Ketoacidosis (DKA) Algorithm
https://t.co/94rgqA5KXZ

[Ahmed Ata @Ahmedata7777]

DKA Resolution Criteria

All of the following must be met:
1. Blood glucose <200 mg/dL (11 mmol/L)
2. Bicarbonate ≥18 mEq/L
3. pH >7.3
4. Anion gap normalized (≤12 mEq/L)
5. Hemodynamically stable

[Raed F. Gabal @Raed_F_G]

@beINSPORTSNews @grok what do you know about this player

[Dr sthanu subramanian @drsthanus]

26-year-old construction worker sustained a blunt chest trauma following a low-velocity road traffic accident.

Managed initially with conservative measures and discharged.

2 months later presented again with dyspnea. 👇

Findings?

Thoughts?

[Matters of the Heart 🫀 @MattersoftheH14]

.

[Raed F. Gabal @Raed_F_G]

@EkgHacks @ecgchallenge 👍 Agree 👍💯

[Raed F. Gabal @Raed_F_G]

40 years old male
Unknown case of any chronic illness presented to ED complaining of sudden onset of SOB ass. with mild chest pain
V/S:
BP-100/70. RR-24. PR-50.
RBS-128. O2-92%
What do you think??!!
@ecgchallenge
@EkgHacks
#ECG

[Raed F. Gabal @Raed_F_G]

@ecgandrhythmRoe Her vital were
BP 130/70
RR 22
PR 91
SpO2 95
So she is vitally stable with no history or risks for PE

[• @GigiBuff0n]

I have just found this interesting ECG
what do you think ?