Sage Whitmore

Multidisciplinary ICU in Nashville, TN. Shock, ARDS, ECMO, Echo, Airway. Tweets are not medical advice.

[Sage Whitmore @spwhitmore]

Implementation of Extracorporeal Membrane Oxygenation Withou... : ASAIO Journal

Love. Great work!! ⁦@JenelleBadulak⁩ ⁦@NickJohnsonMD⁩ https://t.co/bWThZEfP2g

[Josh Farkas MD 💊 @PulmCrit]

CT scans in complex, undifferentiated critically ill patients save lives. we don’t have a mega-RCT to show this (analagous to CT screening for lung cancer) but it’s still true 😛

[Ismail Raslan @itraslan]

100% agree, no need for platelet transfusions

My takeaway from this paper: avoid the subclavian site when platelets are <30

[Jennifer Hartwell, MD FACS @traumamom4]

Please order the CT with IV contrast.
The kidneys will be fine.
It's whatever diagnosis we are missing with the non-contrast CT that will damage the kidneys.

[Sage Whitmore @spwhitmore]

@CAPanaesthesia Is there a recording of this?

[Shai @dr_shai]

1000mls of 0.9% Saline prescribed over the phone.

[Josh Trebach, MD @jtrebach]

I’m an emergency medicine doctor. When you come to my ER, I will take care of you even if your beliefs are different than mine. My job is to take care of patients.

If you would deny a patient care because they have different beliefs than you, then you should not be in medicine

[Landsberg Manual @LandsbergManual]

Diuresis MUST continue until volume overload resolves, NOT until Creatinine increases

Routinely, diuresis MUST continue DESPITE Creatinine increase

#Medtwitter #kidney #meded #FOAMed #heartfailure #pulmonary #critcalcare #anesthesia PRTIYL @DrHilaryShapiro

[peter brindley @docpgb]

So good, so very good. ⁦huge thx ⁦@emcrit⁩ https://t.co/fZakbjlSpl

[Josh Farkas MD 💊 @PulmCrit]

Nurses save lives.

I see this all the time in the ICU.

It's a curious thing - both obvious, yet also frequently overlooked.

🙏Thank you for everything that you do.

#NursesWeek

[Sage Whitmore @spwhitmore]

@atscommunity Wrong call, @atscommunity . Hurt feelings are not the same as the hemorrhagic shock, sepsis, or invasive cancer awaiting a woman with an ectopic, previa, PPROM, or mole who falls ill at a conference in a draconian anti-woman red state. Reimburse travel and offer remote options.

[Jenelle Badulak @JenelleBadulak]

I just had a baby and this is 100% real. Please care about young women in medicine.

[Fifty Shades of Whey @davenewworld_2]

Thank you Fox News for bringing this to my attention. I love the idea of small businesses exercising their right to refuse service to fascist parties. Let's keep this trend going.

https://t.co/eWQJcwu7e8

[Wu Tang is for the Children @WUTangKids]

This is what the media should be covering not Trump’s plane and motorcade

[Sage Whitmore @spwhitmore]

Proud of you nashville

[Peter Frampton @peterframpton]

I have posted this before but ..

26 years ago, a gunman entered
Dunblane Primary School in Scotland,
killing 16 kids and a teacher. The UK
govt responded by enacting tight gun
control legislation. In the 9400+ days
since, there have been a total of O
school shootings in the UK.

[Emily Brant Stone MD MS @ebb_md]

My preschool-aged nephews aren’t old enough to vote, but they’re old enough to be killed by a gunman at school. They’re not given a choice, but we are. Enough is enough.

[Sage Whitmore @spwhitmore]

@AirwayMxAcademy @Vapourologist @bobfunn @jducanto @EM_RESUS @DaveOlvera1 @StefBouman @maffygirl @GoodishIntent @PedsAnesNet @JohnCSakles @AirwayHub “DSI” style
Sitting up. NRB at flush flow
Defib + monitors
IV/IO access, fluids, norepi
20mg ketamine IVP every 60sec until relaxed
Assist w ambubag/peep valve to pre-ox
VL, DL, bougie, iGel, scope, blade, etc ready
Slug of ketamine+bit of midaz+full RSI roc
Vortex sequence

[Journal of Brown Hospital Medicine @BrownJHM]

Scalpel-finger-bougie cricothyrotomy @thegurneyroom #FOAMed