bogdan solomon

ED MD, air and land retrieval, ICU addicted.

[bogdan solomon @themanssx]

@medicalaxioms Working in a overloaded ED. Any papers supporting this? Could be very helpful. Ty

[Medical Axioms @medicalaxioms]

We usually find other doctors’ misses and they find ours.

So we both think the other guy is dumber than he is.

[Martin Kneyber, MD PhD FCCM 🇺🇦 @Martin_Kneyber]

@ketaminh Well, that’s why they invented phenylefrine #PedsICU

[Salim R. Rezaie, MD @srrezaie]

@First10EM @TheBreachEM @IARS_Journals @PulmCrit @DrLindaDykes I am all for peripheral pressers...they make pragmatic sense, and although extravasation events are rare, if you are using peripheral pressors you should have a plan to treat extravasation events. The risk is not zero...no matter how you want to interpret the data.

[@load-depentent.bsky.social @load_dependent]

Lochy: Very important!!! Tamponade post cardiac surgery can be regional (focal hematoma) and be a difficult diagnosis. Resterneotomy May be necessary if suspicion is high with inconclusive echo. Large pleural effusions can lead to tamponade physiology. #EuroEcho #FOAMcc

[Salim R. Rezaie, MD @srrezaie]

SGEM XTRA: No Retreat, No Surrender – Thrombolysis for Acute Ischemic Stroke via @TheSGEM https://t.co/HF72eX07DT #FOAMed

Fantastic Discussion of NNT and potential issues with using NNT

[bogdan solomon @themanssx]

@Sassy_Nursey Strange that it happens in other countries. I thought it was an Eastern Europe thing.

[Anton Helman @EMCases]

Trauma - The First & Last 15 Minutes. Community & Trauma Center.
With @HumanFact0rz @BosmanDr @petrosoniak

Preparation, Resequenced Trauma Resus, Identify Occult Shock, Resuscitation Targets, Massive Transfusion, Resuscitation Intensity
#FOAMed #FOAMcc
https://t.co/IhR9URuomc

[VA Boston Joint Chiefs @BostonChiefs]

Struggle in memorizing the charts differentiating serotonin syndrome from NMS & malignant hyperthermia charts? As Dr. Eizember (still not on Twitter!) teaches during #AMreport, consider using Hunter’s criteria for serotonin syndrome #MedEd #medtwitter

[Michael Perlmutter, MD @DitchDoc14]

An excellent post from @amerelman https://t.co/nEaDMt9XLO

[Dr. David Lyness @Gas_Craic]

OPIOID ALTERNATIVES VERSION 2 - The 2018 Update with @painfreeED (PDF & Ref's: https://t.co/SqcEXeVESf) #FOAMed #FOAMcc

[Dr Helgi @doctorhelgi]

George Collee - highly experienced anaesthetist retails the story of how a normal Thursday changed everything as a patient died on induction of anaesthesia from a penicillin allergy. #frankland18

[Brooks Walsh @BrooksWalsh]

"Isolated" RBBB as only sign of acute MI?
Sure is a lot of STE in V1 for a simple RBBB.
https://t.co/JY4X3QSx2b

[ICU Management @ICU_Management]

Our #ICU #Highlights feature: Blood glucose targets, #POCUS for regional anaesthesia, Biomarkers for #sepsis triage in #PICU, Crystalloids vs colloids after major abdominal surgery, TTM use in OHCA, #Fluid stewardship
Read them all 👉 https://t.co/EBPmn7ocJD

[CritCareRN @rn_critcare]

Gave ketamine for burn dressing...

Me trying to remove dressings: how's the pain? Is the medicine working?

Pt: I don't think it's working. WHY ARE THERE SO MANY PENGUINS ON THIS ISLAND?

Ok I think we're good to go.

#nurselife #medtwitter

[Heart_BMJ @Heart_BMJ]

Do we still need stethoscopes? In this podcast, Professor Bernard Prendergast discusses his paper on whether stethoscopes can detect valve disease in asymptomatic primary care patients. We also cover POCUS and whether Bernard still uses his stethoscope! https://t.co/vzSAKLyDAY

[bogdan solomon @themanssx]

@Frubulotta1 I don't have a lot of experience with icu ventilation, theoretically there shouldn't be a difference between pinsp+peep and plat pressure except in high resistance settings when pcv ventilated

[bogdan solomon @themanssx]

@Frubulotta1 45 pplat is rarely seen in our icu, except during recruitment

[bogdan solomon @themanssx]

@Frubulotta1 The pinsp includes peep on that ventilator?