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.
@jamesdesrochers4382 күн 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?
@wendellhoward8842 күн 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_king7Taro3 күн бұрын
Thanks guys for highlighting this issue!
@marcellidrissi36133 күн бұрын
I always felt it was hogwash... like so many things in medicine:)
@xDomglmao3 күн бұрын
NICE! Another BS myth busted. Thank you very much guys!
@jaech888 күн 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!
@SinisterSpatula11 күн 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.
@ChristopherDonnerArtist14 күн 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
@rabiakhan510918 күн бұрын
Does anyone have a copy of this article (pdf) they can share with me? Thanks!
@thomasg151321 күн бұрын
Love an upper decker
@marygraceisidro209721 күн бұрын
I was blown away! Bravo!!👏
@Realitycheck-mqt22 күн 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-mqt22 күн бұрын
Acute adrenal insufficiency!!!
@khh199026 күн бұрын
7 mins of waffle
@garybill721Ай 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.
@HyperkalemiaSineWaveАй бұрын
The “as you know” is genuinely one of the funniest bits in medicine
@michaelscott33Ай 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.
@michaelscott33Ай 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.
@BuddhaSunnАй бұрын
Aren’t insecticides harmful to humans in general? Wouldn’t nicotine be safer to use in agriculture?
@Brandon-yq1tmАй 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.
@gwhizz89229 күн 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.
@maliquespoonerАй бұрын
This is terrible advice.
@gwhizz89229 күн бұрын
Not if you're a smoker or a vaper. It's a great alternative.
@HasanAli-td4ymАй бұрын
Explained it with showing ECG pictures plzz
@HyperkalemiaSineWaveАй 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
@sharonrigs7999Ай 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
@hardeho16 күн бұрын
Dip is tobacco, and has nothing to do with a zyn pouch.
@blissless1278 күн бұрын
Ah so something nothing to do with zyns
@blissless1278 күн бұрын
@@hardeho”dental assistant” 😭
@sharonrigs79998 күн 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-zi5ih2 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.
@augustinus4432 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?
@vanubiarobinson6802 ай бұрын
She's amazing young woman.
@vanubiarobinson6802 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! "
@zumadale2 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.
@Novafan2 ай бұрын
jesus christ dawg no. acesulfame potassium is completely fine compared to fucking nicotine. You're completely delusional
@1980cantrell2 ай бұрын
How to reverse a 5051
@Kshatriya272 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
@IronMan123abc2 ай бұрын
Patient is AWOL 😅
@codrut9133 ай бұрын
😍
@debbiesullivan26303 ай бұрын
How do I get this🤔 & I need wider & longer
@terencemcgeown23583 ай бұрын
Im not going to drink anything for a few days and just eat some foam for my stomach ulcer.. Im joking, incase you dont get my humour.
@natepopow3 ай бұрын
Why was i expecting ranch 😭
@MartinFinnerup3 ай бұрын
I was expecting a salad dressing joke too.
@billybilly65743 ай бұрын
What's up doc? You're so sexy ❤❤❤
@GM-qt1lz3 ай бұрын
Some Foams are made of Latex, people with Latex allergies can go into anaphylactic shock. So just check.
@abuhanifashuvo17973 ай бұрын
Like it
@andreamd70943 ай бұрын
i love this speaker 😂❤ my favorite teacher in this series.
@tendiesoffmyplate90853 ай бұрын
My health is a mess but not terminal. I watch sbsk and i just found her and watch to remind myself that i dont have it that bad. Such a light.
@christianingmarkjlsvik78723 ай бұрын
Here is an anecdote of the risks of nicotine pouches: I live in Norway, where nicotine pouches, and the similar tobacco pouches known as «Swedish snus» have been widespread among youths for decades. There are many brands on the Norwegian market, and the nicotine strength of these can be as high as 50mg per pouch, but most people thankfully stay below 20mg (which is definitely too much for me). Since the age of 17, I became more and more addicted to nicotine pouches, and after two years, I was going through roughly 12 pouches of 13mg/pouch nicotine strength daily, in addition to drinking around 4 (pretty big) cups of coffee daily. Then one day, as a 19-year-old man with no known health complications, I had an episode of an extremely high heartbeat. (I think it’s called tachycardia?) I measured my pulse at more than 200 BMP, and freaked out, calling the emergency number, fearing for my life. The lady at the emergency central told me it was not an emergency, and that I should go to the doctor (I never did 🙊). After that, I was much more cautious about my nicotine and caffeine consumotion, and it has never happened again. A while after this episode, I heard from a friend that she had also experienced the exact same thing, and at a party, I learned that this was a phenomenon that people knew about. I still have no idea how serious this is, or what exactly causes it, but it definitely lights up a red flag about nicotine consumption for me.
@christianingmarkjlsvik78723 ай бұрын
Great video! But I must point out that you said that Zyns have less nicotine than cigarettes at 1:33 . This is technically true, but only around 1/10 of the nicotine in each cigarette can actually be absorbed in the body. The EU has a law banning cigarettes that have more than 1mg of nicotine, but that is measured in the absorbable «free nicotine». Nearly all of the nicotine in nicotine pouches can be absorbed, but it is released over a longer span of time, so the effects aren’t felt as strongly using a Zyn pouch as a cigarette.
@Kilzu12 ай бұрын
Nicotine, like all alcaloids actually gets into your body VERY easilly, in fact you get nicotine just by smelling it, which is why people who smoke cigars and cigarettes take a small sniff first, before litting a cigar or cigarette, since smell is only way to tell what things taste like and nicotine just happens to be one of those things, which makes you physically ill, if you take it mixed with flavors you don't like.
@Kilzu12 ай бұрын
Also you can't even compare nicotine pouches to smoking, since way nicotine gets to your body is different. When you smoke cigarettes, it takes a while for nicotine to have any effect, when you smoke cigar, it hits like a mule (especially if you inhale the smoke, since cigars are pure tobacco and don't contain chemicals, which slows down the whole nicotine effect) when you take nicotine pouches, it literally drills a hole into your gum and nicotine is released straight to brains which is why nicotine pouches can pack quite a punch. Now if you want to use nicotine pouches, go ahead, but don't fool yourself or anyone into thinking, that taking nicotine pouches has no health risks. Nicotine can cause increased blood pressure, heart problems among some effects on brain receptors and that's what too much nicotne does, basically it does something to your body, which leads to point where you can't breathe and suffocate. That is why it is next to impossible to accidentally take lethal dose of nicotine, since you get gag reflex, nausea, uncontrollable vomiting and pass out after taking not even half of the lethal dose of nicotine (which btw is about 1gram).
@adrianj92123 ай бұрын
you know it's going to be a good lecture if you see that blue background in the slides
@bryantsamperi34023 ай бұрын
I would warn anyone falsely advertising poison - Ks, Spice - as "synthetic cannabis" to cease immediately. Neither the manufacturer, nor the retailers, advertise, nor have they ever advertised that crap as synthetic cannabis or marijuana. Only the medical community, law community, and media advertise, and that to the stressed out masses desiring to use real cannabis, but have to piss for a job, that a scientific impossibility - man synthesize a natural plant, cannabis, or marijuana. Those alcoholic and codependent authorities are responsible for tempting millions to try K2 and Spice by advertising it as synthetic cannabis. Countless souls have been harmed. Lawsuits are coming for damages. You had better stop doing it yourself.
@ethanwagner56034 ай бұрын
This was great... appreciate the information. One doctor to another, the honesty is appreciated.
@hippoem4 ай бұрын
So glad you enjoyed it!
@GDSchaefer4 ай бұрын
I really appreciate the honest and well thought out answer to this question. I wish more content discussed the risks and benefits of choices we make and is honest when the research just simply hasn't been thoroughly conducted yet. Would you be able to make a video discussing the differences in risk between coffee and zero calorie/sugar energy drinks? Specifically for someone trying to improve performance on long overnight shifts?
@mcd2d4 ай бұрын
@GDSchaefer, thanks for the feedback. I'm gonna dig into the coffee vs. energy drink issue, stay tuned for the video!
@gamerguy7655 ай бұрын
Perhaps link some sources in the description. This video though is such a good topic and thank you for making it
@hippoem4 ай бұрын
They're added!
@priscella56005 ай бұрын
😉 *Promo SM*
@darkphotographer5 ай бұрын
at age 47 , i have ride motorcycles since i was 15 , before that skateboard , be riding bicycle every day for the last 10 years , never brake bone , got hit by car once , and i have ride in all weather i have ride drunk multiple times ,i have also injure my self few times with power tools and manual tools , well ok the raw food is stupid thig to do , spending couple of day with dearie and vomiting is not fun ,