Recognition & treatment of hyperkalemia is something I teach all new paramedics that get put with me. Absolutely love this lecture!!
@kamaronmil970728 күн бұрын
Thca is not a synthetic cannabinoid
@TomasC-b3j28 күн бұрын
Yeah I guess I'm wrong
@TomasC-b3j28 күн бұрын
I still smoke thca though lol
@danielmenendez8249Ай бұрын
People have smoked tobacco for thousands of years and you open up with nicotine being mainly known as a pesticide, and you are just now finding out it is a performance enhancer?
@michaelmccormick6755Ай бұрын
Why on god's earth not just invest in point of care blood gas machine and never have this problem?? How can we be responsibly running a Resus ED in the 1st world country without one?? Not just for tox/metabolic, many acute presentations need one. Takes 2 minutes to take the sample and get the result max.
@drmario5942Ай бұрын
C+
@nsas955Ай бұрын
Thanks again. You are the best.
@nsas955Ай бұрын
Thank you. You are the best.
@alistar2016Ай бұрын
RIP. Legend.
@zwampel4269Ай бұрын
I can imagine it having bad effects for your gums?! I tried a few and have been feeling them become more sensitive. Does anyone know more about those effects?
@andyvermette7321Ай бұрын
Better quit eating potatoes, tomatoes and peppers cause they all contain nicotine
@Mikemikemike135792 ай бұрын
I’ve considered starting, but I remember how hard it was to quit nicotine years ago. 2 week withdrawal might not be worth it
@lim94292 ай бұрын
I was expecting a video about nicotine pouches to discuss gum health effects. It's the main question for many.
@rebec7063_2 ай бұрын
Excellent presentation, thank you!
@GraysonClark-v4s2 ай бұрын
Is this conference still going on?
@JudyPeng-w8t2 ай бұрын
I almost watch all this teacher cardiology lectures. I want to have one teacher like him in real world !
@bremerphil2 ай бұрын
Do you have any source for amiodarone leading to asystole in hyperkalemia? Preferably a source that can be cited. I don't find any valid source for this.
@requiemforjustin3 ай бұрын
I probably would have given amio too not counting the ms and seeing stable wide complex. So glad I ran into this presentation before I had a similar case. Thank you.
@TomasC-b3j3 ай бұрын
I bet thca is synthetic weed like k2 ha I've smoked thca it's not same as regular weed it doesn't even give me a effect that's my honest opinion. Finally I found a vid that speaks the truth about thca and all that hemp stuff
@DavisRyan1229 күн бұрын
You could’ve just had some reggie, thca is the natural form of weed that grows on the plant. It becomes the illegal delta 9 chemical once it’s smoked. It’s just that the weed in legal states. They just done have to state “thc-a” on the packaging because they don’t have to worry about sneaking around the law. But it’s super unregulated and you can get some shitty stuff for really cheap so you have to go with shops with jars of flower
@kamaronmil970728 күн бұрын
You're completely misinformed
@KadenScottBybee3 ай бұрын
Thanks for the video! Lots of great info on nicotine. I would like to note that while the total nicotine content of a cigarette is 10-14 mg/cig, most of it is not inhaled or absorbed. It is more along the lines of 1.2-2 mg per cigarette that is inhaled and makes it to systemic circulation, so the total content of the pouch is more in that sense, but considering the first pass metabolism through buccal absorption, I think the 3 mg pouch will deliver the total systemic nicotine content of a typical cigarette.
@mdmuzammilkhan70634 ай бұрын
Could anyone provide an explanation and description of the Ferguson 1989 papers?
@Kyler_ford_8084 ай бұрын
I smoked from 14 to 30. I vaped to get off cigarettes and used zyns to get off vapes. Out of all three zyns in my opinion have far less negative side affects.
@wendellhoward8844 ай бұрын
Thank you for researching this topic. The impact of this Nitro phobia potentially prevented treatment to AMIs. The review of the data is greatly appreciated. Have you considered the topic of adenosine for SVT due to WPW. Here in Central Indiana some medical directors are stating WPW is a contraindication for adenosine.
@jamesdesrochers4384 ай бұрын
One of the big reasons is because WPW is an AVRT not AVNRT, by blocking the AV node all your doing is sending conduction down an unregulated accessory pathway which can get bad if the pt has multiple accessory tracts. Still may be safely effective in some narrow complex but still gotta be careful and make sure theres not an underlying afib, have you been successful with adenosine/wpw svt in the past?
@wendellhoward8844 ай бұрын
@@jamesdesrochers438 Thank you for your reply and contrasting AVRT vs AVNRT. Yes I have been successful with SVT and history of WPW. But I am cautious about drawing "facts" from my practice solely on my paramedic anecdotal experience. And I teach my paramedic students about the dangers of A-Fib RVR and history of WPW. When I ask medical directors about WPW as a contraindication in the protocols, I finally received a legitimate answer from a respected ED physician. I introduced my questions with the FDA and drug manufacturer's approval of adenosine for WPW SVTs. She honestly responded, "that is how I was taught in medical school." I try not to teach dogma and share both sides of the opinion, and unfortunately many times I am warning the students about how anecdotal information is becoming "fact." Any more insights you have to share I pass on to the new generation of paramedic students.
@Ali_king7Taro4 ай бұрын
Thanks guys for highlighting this issue!
@Idre374 ай бұрын
I always felt it was hogwash... like so many things in medicine:)
@xDomglmao4 ай бұрын
NICE! Another BS myth busted. Thank you very much guys!
@jaech884 ай бұрын
I am an intensivist, who watched this prior to my critical care fellowship. Still putting these skills to good use to this day and also teaching it to trainees- thank you EMCrit!
@SinisterSpatula4 ай бұрын
I've gone a month without smoking thanks to nic pouches. Nothing else worked for me to quit. Didn't think I'd ever be able to.
@BrandonMcCarty4 ай бұрын
I'm starting the same journey
@HryhoriiNikonchukАй бұрын
Did you give up pouches as well?
@ChristopherDonnerArtist5 ай бұрын
I got addicted to them. I've gotten off and withdrawal was rough. In moderation like 1 or 2 a week. I think it's fine. The performance enhancement isn't worth the addiction
@rabiakhan51095 ай бұрын
Does anyone have a copy of this article (pdf) they can share with me? Thanks!
@thomasg15135 ай бұрын
Love an upper decker
@marygraceisidro20975 ай бұрын
I was blown away! Bravo!!👏
@Realitycheck-mqt5 ай бұрын
That’s why we will never stop scanning Gi bleeds B/c Gi always want it Em can’t change only GI can stop that
@Realitycheck-mqt5 ай бұрын
Acute adrenal insufficiency!!!
@khh19905 ай бұрын
7 mins of waffle
@garybill7215 ай бұрын
I quit smoking (44 years) by using the pouch. I knew there would be issues with the other aspect of smoking unknown triggers, hand to mouth habits, planning to not run out of cigarettes, drinking, and social cues. So, I had two pouches and bought hemp cigarettes. Instantly, I have not had a bit of interest in smoking a cigarette 0! Because the hemp cigarettes tend to be harsh, I very seldom feel the need to smoke them and i smoke them like one would smoke a cigar. After three months my lungs are clear I don't stink, my house and car doesn't stink. I started with 6 or 8 mg and have been tapering down to 3 and 4mg doses. I cannot believe in two hours i completely banished cigarettes from my life. I had tried everything and this is working. I hope others get this message.
@HyperkalemiaSineWave5 ай бұрын
The “as you know” is genuinely one of the funniest bits in medicine
@MasonHatfieldLogorrhea3 ай бұрын
As you know... I died xD
@michaelscott335 ай бұрын
Additionally, we already have trials showing the risk for aspiration is low in NIPPV patients which is why NIPPV on restrained patients was changed from an absolute to a relative contraindication.
@michaelscott335 ай бұрын
Maybe it’s just me, but I feel like this is one of those studies that falls into the category of common sense and just proves the ignorance of the medical field. We have somehow attached ourselves to this notion of “it there’s no study to back it, then it must not be good!” I don’t need a study to tell me that an ultrasound Doppler is more sensitive and specific for monitoring the femoral pulse during a code when compared to manual palpation, but they studied it. I also don’t need a study that tells me NIPPV prior to intubation is superior. This feels like common sense.
@rubenrobledo76653 ай бұрын
Thank you! I thought I was the only one thinking this. We’ve been doing this prehospital setting for years, if there’s no bipap we have bvm O2 with peep set 5-10 at least 3min prior to intubation. But it takes a study to confirm even the common sense practices
@BuddhaSunn5 ай бұрын
Aren’t insecticides harmful to humans in general? Wouldn’t nicotine be safer to use in agriculture?
@Brandon-yq1tm5 ай бұрын
Pretty much, but you can't really put a trademark on something on nicotine and control the sale of it such as you can on Monsanto's Round Up, which does cause cancer. But who cares about that as long as you are making a profit.
@gwhizz89224 ай бұрын
Yes, nicotine is safer than modern insecticides. In fact, most vegetables have nicotine in them. Eggplant veggies have the highest content. It is a natural protection for the plants from insects although some insects are immune to the nicotine.
@maliquespooner6 ай бұрын
This is terrible advice.
@gwhizz89224 ай бұрын
Not if you're a smoker or a vaper. It's a great alternative.
@HasanAli-td4ym6 ай бұрын
Explained it with showing ECG pictures plzz
@HyperkalemiaSineWave6 ай бұрын
This is the most I’ve seen the entire EM/Crit care community simultaneously rejoice and flip their shit over a hot new piece of literature since Andy Fischer’s Whole Blood push, or maybe the AIRWAY trials
@sharonrigs79996 ай бұрын
Don't do it. As a former military dental assistant, I have seen the terrible effects of the ' Deployment Diet ' of Rip Its and Dip
@hardeho5 ай бұрын
Dip is tobacco, and has nothing to do with a zyn pouch.
@blissless1274 ай бұрын
Ah so something nothing to do with zyns
@blissless1274 ай бұрын
@@hardeho”dental assistant” 😭
@sharonrigs79994 ай бұрын
It STILL causes gum recession. Not nearly as bad as dip, Redman chew or smoked tobacco. Zyns can be thought of as harm reduction.
@HH-zi5ih6 ай бұрын
Keep in mind that the EPA is a tool to create policies, pushed by lobbyists, onto politicians, that will create rules or boundaries that will benefit their industry. That’s usually by banning or limiting another industry for something that’s not real.
@augustinus4436 ай бұрын
And where is Surgery/ObGyn when they are needed to perform a laparotomy? Every hospital that i know has a surgical department on call, just call the hospital before you arrive and they will be ready. Is it an US thing for the EM to perform amateur procedures instead of surgeons?
@tim66762 ай бұрын
You have five minutes from when the mother looses pulse, there isnt time to get anyone else in the room
@EmbraceTheHustle70132 ай бұрын
@@tim6676 Yeah only who practice and face these situations everyday while working will know -- not the Lay Public like @augustinus443 , who only know to act woke and question the rationale behind these things, even when they are International Consensus.
@vanubiarobinson6806 ай бұрын
She's amazing young woman.
@vanubiarobinson6806 ай бұрын
"Health is not a deciding factor that you will have a life that's successful or a life that you are proud of! "
@zumadale7 ай бұрын
They come out with nicotine pouches...nicotine is pretty safe except it causes horrible gum recession. They decided to use ACESULFAME Potassium as a sweetener ...it hasn't been tested enough to be considered "safe." Can enhance tumor growth and stomach issues (heartburn). These pouches would be safe if they didn't dump ACESULFAME into them! It's probably way worse than nicotine or tobacco. They get you coming ..and going. They need to add crap that'll kill you or cause tooth loss due to holding nicotine against your gums for hours.
@Novafan6 ай бұрын
jesus christ dawg no. acesulfame potassium is completely fine compared to fucking nicotine. You're completely delusional
@1980cantrell7 ай бұрын
How to reverse a 5051
@Kshatriya277 ай бұрын
Hello sir. I got C2 fracture last year,by bike accident. It's going more than a year. Still having some tightness in my Neck while rotating. The specifications were- CLOSED DISLOCATION SECOND CERVICAL VERTEBRA R.T.A. /HEAD INJURY / D.A.I. WITH C2 FRACTURE TYPE 2 ODONTOID FRACTURE WITH ROTATORY ATLANTO-AXIAL DISLOCATION. I'm asking that I'm 28 now.and now I'm feeling better day by day. Can i start my gym (workout) again. Actually months ago while my last check-up my neurosurgeon told me to not go gym in life again. Only thing i can do is crosswalk. I'm asking that can i do gym with precautions like not lifting heavy weight. Please answer. Aditya from INDIA