SadCrit

It's like the opposite of homeopathy - if a little bit doesn't work just keep increasing the dose until it does

From today!

#emimcc

This is the kind of pedantry I live for

Agreed (post-op ileus in this particular patient)

Well exactly. The pharmacist even asked me for a paper to support the "unlicensed use", so this is what I provided. Turns out that hospital doesn't even stock IV acetazolamide!

Yup, furosemide infusion for cardiac failure

Got a lot of pushback today for giving acetazolamide for contraction alkalosis - I thought this was pretty standard practice?
#emimcc

(Me on stage accepting my Froosy award)
And I'd just like to thank the day shift, for giving everyone a billion litres of fluid every day, so I could along every night and sneak furosemide onto every drug chart while they sleep. You guys are the real heroes ❤️

He did get better, but I wonder if we could have got there faster if we'd realised

Ah shit I just realised that patient from last week might have had serotonin syndrome
#emimcc

Can't tell you how many referrals I get for "life threatening asthma" because the CO2 is high, which are really just OHS

Consultant doesn't want to mobilise a patient with new diagnosis DVT (worried about dislodging some clot). Thoughts?

#EMIMCC #hemesky

If they die in ICU 3 days later, that's really the ICU's fault

Dune 3: Senior Year

What the fuck is this?

Fairy godmother: Don't forget the magic will fade at midnight

Me: ok well the club doesn't open till 11.30, so this isn't going to help much

I was looking for a flexiseal

Without even reading the paper I learned 2 things. The spelling of "Monro" and the spelling of "Kellie"

#AnSky

Love the big open jug of blood

Today is my last anaesthesia shift for the foreseeable future, feeling very conflicted!

Thank you!

Would you mind posting the answers for noobs like me please?

He gave us 'you can't handle the truth', 'I'll have what she's having', 'My name is Inigo Montoya (etc)' AND 'it goes up to 11'. How many other directors can claim that? A terrible loss.

How about that

Pre-suscitation was right there

My first job I had a boss who would make us use thiopentone to make sure we could use any agent safely

Appreciate the insights 🙏

I found your thoughts replying to another thread, very enlightening, thank you

I'm not saying if I think I will or won't.

I listened to the study authors talking about it and they suggested it's good evidence for using etomidate over ketamine.

I've only ever seen one dose of etomidate given in my whole life, so I was hoping to hear the wisdom of others

I just love hearing what people who are smarter and more experienced than me think