ππ€π¨π πππ§π ππ¨ π
@PulmCrit
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zentensivist π§ββοΈ FOAMite π diuresis jedi π¦ leader of the rebel alliance βοΈ resuscitationist π writer with aweful speling π¬ no COI π°
University of Vermont π
Joined October 2012
how to quickly set up a useful MedSky account! π¦ Itβs blown up over the past week and itβs increasingly fun & useful. π¦ This isnβt about politics; itβs a legitly better platform. blog:
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@leanne84221561 @REsusurrus agree w Haney. scalpel/bougie cric is easy to do. patient will be anoxic before help arrives.
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@davidmcswane @DrToddLee @propublica Yes I agree these are complex cases. But I would bear in mind that barbiturates are extremely potent at high doses, so they can be scary to physicians not experienced with them. It's conceivable that physicians who reviewed this case over-estimated the effect of phenobarbital.
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@dissengagement If a patient with advanced cancer were to receive 260 mg of phenobarbital and pass on, I would attribute the death to cancer and not medication effect. I donβt think itβs a high enough dose to really accelerate dying.
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@tonyver45 @propublica @davidmcswane I think the story is basically accurate and I agree with the authorβs general conclusions. Itβs really just the phenobarb dosing bit that I disagree with.
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@SpartyBasketbal @IM_Crit_ I cross posted it here too because itβs bugging me. I want to believe that true accurate journalism is still a thing.
I want to discuss an error in a recent article in @propublica by @davidmcswane The article alleges that an oncologist euthanized several patients with phenobarbital. Evidence from the article is shown below. Can you see the error?
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Why do I care? Phenobarbital is commonly maligned as an incredibly dangerous drug, leading to underutilization where it could be uniquely helpful (e.g. alcohol withdrawal). But ultimately the dose makes the toxin. High enough doses can absolutely kill someone, but not 260 mg.
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~1 month after moving to bloo ski, I want to report back that itβs freaking great. π algorithm picks up nice stuff π feeds concentrate high-yield posts π no ads or trash (twitter is becoming NSFW π¬) π getting better every week how-to guide here:
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@pulmtoilet Iβm suprised that anyone is actually seeing this post given the way twitter is now censored & throttled π
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throttling tweets that contain links is one more small way that twitter is hostile to journals & FOAMed. any platform that discourages links is self-serving (lookin at you instagram).
Elon Musk effectively admits that posts with links are throttled. If you've been wondering why your posts with links to journalistic articles haven't been getting nearly the engagement you would expect, this is why. I have less and less reason to be here.
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RT @stevanzetti: Elon Musk effectively admits that posts with links are throttled. If you've been wondering why your posts with links to joβ¦
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RT @emcrit: Now In-Press, a review on Expert use of the Bougie for Airway Management, a paper @Ryan_Barnicle, @BraceyA, and I just publisheβ¦
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