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heystevemd

@heystevemd

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Emergency Medicine MD, Former RRT
Passion for medical education. CriticalCareNow.com Editor.
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Sail Away party! #wondermakerstravel #disneycruise #familytravelling #exploredcl
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A “normal” PaCO₂ doesn’t always mean normal ventilation. The real question is: Is the CO₂ appropriate for THIS patient? From DKA to pregnancy to hypercapnia—read PaCO₂ in context, not in isolation. 📌 Save this for your next ABG. ↗️ Share with a colleague or trainee who teaches ABGs. 🔗 Full breakdown: **lifeonthefrontline.com** #EmergencyMedicine #ABG #CriticalCare #MedicalEducation #FOAMed @drvirenkaul @sangrialovingairwaydoc @defineshock @thepracticeshift @theicuchannel @emswami @criticalcarenow @armyemdoc [ABG interpretation, arterial blood gas, PaCO2, ventilation, respiratory acidosis, metabolic acidosis, Winter’s formula, DKA, hypercapnia, respiratory failure, ventilatory failure, acid-base disorders, emergency medicine, critical care, medical education, emergency medicine education, ICU education, bedside medicine ]
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An occluded LAD can hide behind ST depression. The de Winter pattern: upsloping ST depression at the J point flowing into tall, symmetric T waves across the precordial leads. • Comment “ECG” for the full free YouTube video on this lecture! • In a patient with suspected ACS, this pattern warrants urgent recognition and reperfusion evaluation. Waiting for classic ST elevation can delay care. • Save this for your next ECG teaching session. #ResusX #DeWinterPattern #ECG #EmergencyMedicine #FOAMed
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Before you call it Wellens, check lead III. Anterior T-wave inversions can appear in both ACS and pulmonary embolism. When lead III and V1 are also inverted, PE and right-heart strain deserve a closer look—especially with dyspnea, hypoxia, or syncope. Use the distribution to sharpen your differential. An ECG alone cannot confirm or exclude PE. Which finding would move PE higher on YOUR list? #ResusX #PulmonaryEmbolism #ECG #EmergencyMedicine #foamed
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In thsi live segment from @fox56news, we chat about the age old question of shoes on or off inside the house. What is the practice in your home and why?
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One decision. Hopefully not one deadly decision. Because one factor reduces a person’s chance of receiving resuscitation and of surviving sudden cardiac arrest. The public’s perception of their gender. Because the public is 50% less likely to resuscitate a ‘woman’. Think that’s sad? Think that @therealjimparsons deserves to live, one way or the other. Think everyone does? Then join our movement. We say all deserve help and the chance to live. We say Flash The Boobs to Save A Life. Also go watch @titaniquemusical because Jim Parsons is an absolute hoot in an unbelievably clever musical comedy filled with talent and brilliance. You deserve to watch it just like Jim and Sheldon deserve resuscitation as much as Rose’s mom.
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If you like my idea of EM and acute care and it resonates with you. Join me to improve acute care globally. Thanks in advance. @theicuchannel @em_rounds_with_pk @emswami @criticalcarenow @docreilles @defineshock @drvirenkaul @armyemdoc @heystevemd @sangrialovingairwaydoc @resuscitateindia
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🚨Its hot🚨 Every summer, patients die because heat stroke is mistaken for “just dehydration.” But heat illness is a spectrum. And when the brain starts failing, every minute matters. 🧠 Confusion is a red flag. 🌡️ Heat stroke is a medical emergency. ❄️ Cooling is resuscitation. Construction workers. Athletes. Children. Elderly patients. No one is truly immune to extreme heat anymore. This breaks down: • Early warning signs • Dangerous symptoms • When to suspect heat stroke • What actually saves lives SAVE this before the next heatwave. SHARE it — you might help someone recognize heat stroke early enough to survive. Created with insights from: lifeonthefrontline.com Insta: @humans.of.em @mohfwindia #HeatStroke #EmergencyMedicine #CriticalCare #Heatwave MedEd
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Have you ever felt uncertain about when bicarbonate actually helps? Many of us were taught: 👉 Severe acidosis = Give bicarbonate. But modern evidence suggests the answer depends on the patient, the physiology, and the cause of acidosis—not just the pH. This carousel covers: ✓ When bicarbonate may help ✓ When it usually doesn’t ✓ Isotonic vs hypertonic bicarbonate ✓ A practical pH-guided approach 📌 Save this for your next critically ill patient. 🔄 Share with a colleague. 📖 Read the full evidence review via the link in bio. Follow @humans.of.em for evidence-based Emergency Medicine & Critical Care. @emswami @defineshock @criticalcarenow @thepracticeshift @armyemdoc
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Shock doesn’t always show up as low blood pressure. Sometimes it’s cold hands, delayed cap refill, or a lactate that’s quietly climbing while the monitor looks “fine.” And the scariest moment? When BP keeps falling despite everything you’ve done right. That’s when you pause, reassess, and hunt for hidden causes — not just push more pressors. I broke down the modern approach to shock — the SED framework, the RUSH ultrasound protocol, and how to approach refractory/undifferentiated shock step by step. This is the stuff that changes outcomes in the first 10 minutes. Full article linked in bio 🔗 Tag a colleague who needs this on their next shift 👇 #EmergencyMedicine #FOAMed #CriticalCare #MedEd #POCUS
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Watch the entire conference now and earn CMEs/CEUs Video credit @alexpintofilms
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NIGHT SHIFT ADVICE PART 2: Night shift survival is not about being tougher. It’s about having a system. When I’m switching into nights, I try to stack the deck in my favor: ✅ Sleep in if I can ✅ Lift after waking, before shift ✅ Eat a real meal before work ✅ Take a pre-shift nap ✅ Front-load caffeine early ✅ Avoid hard workouts after shifts ✅ Keep late-night food lighter and high protein ✅ Use a shorter recovery sleep (4 hrs) after my last night to flip back You have to manage light, caffeine, food, training, and sleep like they all matter For me, workouts are usually best after waking and before shift. It gives me energy without wrecking my post-shift sleep. And when I’m switching back to days after the last night, I don’t sleep all day. I take a shorter recovery sleep (about 4 hours), get sunlight, move my body, and aim for an earlier bedtime with melatonin. Night shift is never easy. But a system makes it less brutal. Save this for your next stretch of nights. What advice do you have? Comment below! #EmergencyMedicine #NightShiftSurvival #ShiftWork #ERLife EMLife DoctorLife ResidentLife Burnout Nightshift HealthcareWorkers PhysicianWellness SleepHygiene NightShift MedEd BurnoutPrevention FitnessForDoctor
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