Mark Ramzy, DO

💧How much fluid should be giving in Pancreatits?

🌊Check out the WATERFALL Trial: https://loom.ly/dBJbgl8 by @emswami.bsky.social

#FOAMed @marco-propersi.bsky.social @mramzydo.bsky.social

❤️REVIEW on Eclampsia Treatment
🫀Treat hypertension w/medications below
👶🏽Treatment is delivery of fetus!

#FOAMed @mramzydo.bsky.social @marco-propersi.bsky.social @emswami.bsky.social

Choosing the right cannula size when aiming for a predicted flow of about 3.5 L/min in a 70 kg male:

💧Aim for Venous Drop Pressure < 40mmHg
🩸Aim for Arterial Drop Pressure < 100 mmHg

#FOAMed #FOAMcc #ECMO #Cardiac

Size Matters: The Impact of Cuff Size on Blood Pressure - REBEL EM - Emergency Medicine Blog Background: Accurate blood pressure (BP) measurement is essential in the emergency department (ED), where it serves as a key marker of hemodynamic stability and informs critical management decisions. ...

1/🚨 New on REBEL EM!
🔗 wp.me/pdrP8b-5k6
When BP readings are off, lives are at risk.
🩺 Using the wrong cuff size—📉 too small or 📈 too big—skews BP significantly.
👉What you need to know 🧵
@marco-propersi.bsky.social
@emswami.bsky.social
@mramzydo.bsky.social
#FOAMed #EmergencyMedicine #EMIMCC

SCOPE-DKA: Normal Saline vs Plasmalyte in Severe DKA The authors of the study sought to investigate whether plasmalyte would lead to faster DKA resolution without increasing ketone generation.

There's NOTHING normal about "Normal" Saline

🌊Although underpowered, SCOPE-DKA Trial showed faster resolution of metabolic acidosis from DKA w/Plasmalyte over NS

👀Check it out: loom.ly/jZClSEk

#FOAMed #EMIMCC #MedSky
@emswami.bsky.social @mramzydo.bsky.social @marco-propersi.bsky.social

⚡️Procainamide vs Amiodarone for Stable V-Tach?
💥Still a hot debate 🔄

Check out the full breakdown of the PROCAMIO Trial:
👉 t.co/4bDc2ETjxv

Don’t miss the REBEL Review OnePager! 📄✅

💙 Like | 🔁 Repost | ➕Follow
#FOAMed #medsky
@emswami.bsky.social @marco-propersi.bsky.social @mramzydo.bsky.social

🫁 Crashing SCAPE? High-dose nitro works fast.
💉 Bolus hard (up to 2mg IV)
💨 Add BiPAP
🕒 Peak in 5 min
⚠️ Taper when SBP <140 or MAP <65

@marco-propersi.bsky.social
@emswami.bsky.social
@mramzydo.bsky.social

#foamed #medsky #emergencymedicine #emimcc

❤️ Like 🔁 Repost 🔔 Follow

Street Medicine: Compassionate Care for the Unhoused - REBEL EM - Emergency Medicine Blog Introduction: In this episode of Rebel Cast, host Marco Propersi, along with co-hosts Steve Hockman and Kim Baldino, delve into the practice and importance of street medicine—the direct delivery of he...

🚨 New REBEL EM Podcast Drop!

We dive into Street Medicine—where compassion meets
clinical care for our most vulnerable patients, right where they live. Don’t miss this one.

🎧 wp.me/pdrP8b-5k4
@mramzydo.bsky.social @marco-propersi.bsky.social @emswami.bsky.social
#StreetMedicine #medsky

Giving another talk at #incrementum2025
5 papers in 15 minutes that you should know about. #MedSky #EBM

Dr.Reuben Strayer on Airway in Trauma at #Incrementum2025:

🧑‍🦯Dont blindly follow ATLS
🩸Yankuer suctions SUCKS badly (consider Ducanto catheter)
🔪Scalpel -Finger-Bougie = Be prepared

#FOAMed #MedEd #MedSky
@emswami.bsky.social @emmanchester.bsky.social @drfreeze.bsky.social @davidcarr333.bsky.social

@thesgem.bsky.social & Salim Rezaie on Induction Agents at #IncrEMentuM2025:

🫁Asthmatic requiring intubation = Ketamine
🧠Increased ICP, consider Propofol vs Etomidate
🦠Septic Shock = Ketamine vs Etomidate. Avoid Propofol

#FOAMed #MedEd #MedSky @drfreeze.bsky.social @emmanchester.bsky.social

Dr. George Willis on DKA Myths at #IncrEMentum2025:

🪦DKA Criteria is not set in stone
🧪Check B-Hydroxy-Butyrate Levels
💉Dont assume its insulin noncompliance
🦑Consider SQuID Protocol for mild to mod DKA

#FOAMed #MedEd #MedSky @thesgem.bsky.social @cliffreid.bsky.social
@emmanchester.bsky.social

First Post on @bsky.app & eager to jump into the #MedSky & #FOAMed community.

Follow this emergency medicine trained cardiothoracic intensivist for high quality education & clinically relevant infographics like this one 👇🏽

@emswami.bsky.social @mgottliebmd.bsky.social @emergencymednews.bsky.social