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Steven T. Haywood

@heystevemd

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Emergency Medicine MD, Former RRT
Passion for medical education. CriticalCareNow.com Editor.

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If you’re thinking about medical school but worried it’s too late, it’s not.

I was a soldier from 2001–2009.
A respiratory therapist from 2003–2011.
And I didn’t become a physician until 2015.

There is no perfect timeline.

Your path doesn’t have to look like anyone else’s. The years are going to pass anyway, So if medicine is your dream, take the first step.

It’s not too late. It never was. taken in William Beaumont Army Medical Center by @heystevemd

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How to tell patient stories without getting fired.
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#emergencymedicine #paramedic #ems #flightnurse ernurse
. taken in Gaylord Opryland Resort & Convention Center by @heystevemd

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@heartcharged has been trying to tell you! taken in Gaylord Opryland Resort & Convention Center by @heystevemd

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Statistics show that in a fight, we have 10 minutes before sudden cardiac death wins by default every time. Learn with us all week, and throughout the year, how you can get in the fight and strike a blow for survival.

You have the power in your hands.
You can GET help, you can start HEART compressions, you can administer a CHARGED aed.
You can help knockout sudden cardiac death.

You can train now and step into the ring when needed.
You won’t always be able to defeat sudden cardiac death, but you can
BE A CONTENDER IN THIS FIGHT FOR SURVIVAL!

Remember, the chance for survival from a sudden cardiac arrest goes down 10% each minute. Locally, the average response time for paramedics is 9 minutes. Do the Math! The answer is - we need you ready, willing, and able to score the knock-out blow.

It’s National CPR & AED Awareness Week!
But we’re here every week working to Knock Out Sudden Cardiac Deaths! by @heystevemd

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What’s the appropriate intervention? taken in Tractor Supply Co. by @heystevemd

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We can fight sudden cardiac death.
We want to train you for the real fight so you’re ready to step into the ring when someone is down, knocked out without a punch, because sudden cardiac death is in the ring.

We can’t always score a knock-out blow but we can change the odds to favor survival if we Get HeartCharged.
GET help, start HEART compressions, administer CHARGED aed.

It’s time to stop being spectators as Sudden Cardiac Death defends its title with 9 out of 10 wins for every bout it’s in.
We can be a CONTENDER in this FIGHT for SURVIVAL!
We can claim VICTORY!

Enjoy and share this classic, a true throwback to when reels couldn’t be over a minute! by @heystevemd

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How much do you charge for coaching? taken in Gaylord Opryland Resort & Convention Center by @heystevemd

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Forever grateful to Dr. Blackwelder for reminding me that we are taking care of people, not diseases. taken in ETSU Quillen College of Medicine by @heystevemd

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What’s the overdose? taken in Tractor Supply by @heystevemd

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☠️ THALLIUM POISONING — What You Need to Know
🧪 What is it?
An odorless, tasteless heavy metal — historically called “the poisoner’s poison” — used in rodenticides and manufacturing. Still a means of criminal poisoning worldwide.
🔴 The Classic Triad:
GI symptoms (hours): Vomiting, severe abdominal pain — initially looks like any GI illness
Painful neuropathy (days): Burning pain and weakness ascending from the legs, paresthesias, dysesthesias
Hair loss (2–3 weeks): Diffuse alopecia with characteristic darkening/blackening of hair roots

⚠️ Other findings:
Mees lines on nails
Skin pigmentation changes
Delirium, coma, and visual loss in severe cases
Psychiatric symptoms can persist even after recovery

💊 Treatment:
Prussian blue (Radiogardase) — the specific antidote — binds thallium in the gut and blocks reabsorption. Dose: 3g orally three times daily in adults
Hemodialysis/hemoperfusion — especially useful in the first 48 hours
Potassium supplementation
Continue treatment until 24-hour urine thallium is less than 5 mcg/L

🧠 Clinical Pearl:
Think thallium in any patient with rapidly progressive painful peripheral neuropathy + alopecia — especially if the onset was preceded by unexplained GI illness. It’s rare, but missing it can be fatal. taken in Tractor Supply by @heystevemd

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Free medical advice from 5 doctors 🫰 by @heystevemd

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Here's what doctors want you to know about ChatGPT for medical advice by @heystevemd

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