Hippo EM

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@zwampel4269 Күн 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?

@andyvermette7321 2 күн бұрын

Better quit eating potatoes, tomatoes and peppers cause they all contain nicotine

@Mikemikemike13579 17 күн 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

@lim9429 20 күн бұрын

I was expecting a video about nicotine pouches to discuss gum health effects. It's the main question for many.

@rebec7063_ 26 күн бұрын

Excellent presentation, thank you!

@GraysonClark-v4s Ай бұрын

Is this conference still going on?

@JudyPeng-w8t Ай бұрын

I almost watch all this teacher cardiology lectures. I want to have one teacher like him in real world !

@bremerphil 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.

@requiemforjustin 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-b3j 2 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

@KadenScottBybee 2 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.

@mdmuzammilkhan7063 2 ай бұрын

Could anyone provide an explanation and description of the Ferguson 1989 papers?

@Kyler_ford_808 2 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.

@wendellhoward884 3 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.

@jamesdesrochers438 3 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?

@wendellhoward884 3 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_king7Taro 3 ай бұрын

Thanks guys for highlighting this issue!

@Idre37 3 ай бұрын

I always felt it was hogwash... like so many things in medicine:)

@xDomglmao 3 ай бұрын

NICE! Another BS myth busted. Thank you very much guys!

@jaech88 3 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!

@SinisterSpatula 3 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.

@BrandonMcCarty 2 ай бұрын

I'm starting the same journey

@ChristopherDonnerArtist 3 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

@rabiakhan5109 3 ай бұрын

Does anyone have a copy of this article (pdf) they can share with me? Thanks!

@thomasg1513 3 ай бұрын

Love an upper decker

@marygraceisidro2097 3 ай бұрын

I was blown away! Bravo!!👏

@Realitycheck-mqt 3 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-mqt 3 ай бұрын

Acute adrenal insufficiency!!!

@khh1990 4 ай бұрын

7 mins of waffle

@garybill721 4 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.

@HyperkalemiaSineWave 4 ай бұрын

The “as you know” is genuinely one of the funniest bits in medicine

@MasonHatfieldLogorrhea Ай бұрын

As you know... I died xD

@michaelscott33 4 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.

@michaelscott33 4 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.

@rubenrobledo7665 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

@BuddhaSunn 4 ай бұрын

Aren’t insecticides harmful to humans in general? Wouldn’t nicotine be safer to use in agriculture?

@Brandon-yq1tm 4 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.

@gwhizz8922 3 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.

@maliquespooner 4 ай бұрын

This is terrible advice.

@gwhizz8922 3 ай бұрын

Not if you're a smoker or a vaper. It's a great alternative.

@HasanAli-td4ym 4 ай бұрын

Explained it with showing ECG pictures plzz

@HyperkalemiaSineWave 4 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

@sharonrigs7999 4 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

@hardeho 3 ай бұрын

Dip is tobacco, and has nothing to do with a zyn pouch.

@blissless127 3 ай бұрын

Ah so something nothing to do with zyns

@blissless127 3 ай бұрын

@@hardeho”dental assistant” 😭

@sharonrigs7999 3 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-zi5ih 5 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.

@augustinus443 5 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?

@tim6676 Ай бұрын

You have five minutes from when the mother looses pulse, there isnt time to get anyone else in the room

@EmbraceTheHustle7013 21 күн 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.

@vanubiarobinson680 5 ай бұрын

She's amazing young woman.

@vanubiarobinson680 5 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! "

@zumadale 5 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.

@Novafan 5 ай бұрын

jesus christ dawg no. acesulfame potassium is completely fine compared to fucking nicotine. You're completely delusional

@1980cantrell 5 ай бұрын

How to reverse a 5051

@Kshatriya27 6 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