Carl @challgallus
Flight Paramedic in the great white north. interested in medical education, riding my bike, snowboarding, climbing and playing with my puppy. Alberta, Canada Joined June 2012-
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Referring physician when the interhospital critical care transport team arrives
Among >3,500 Canadian paramedics, >30% screened positive for major depression and >40% positive for PTSD. Findings consistent with earlier in pandemic - things are not getting better. Thank you to paramedics who signed up for @CORSIP_Canada oem.bmj.com/content/80/Sup…
How we escalate vasopressor and corticosteroid therapy in patients with septic shock CCR Journal Watch criticalcarereviews.com/latest-evidenc…
Walking on a street and blocking cars to protest walkable spaces is a wild choice.
Would it be too much to ask that owning the libs shouldn’t take the planet with it?
Complete airway obstruction by food bolus. Attempted removal with Magill forceps under VL visualization unsuccessful, so paramedic pushed the bolus aside to get an indirect view of the cords, which was navigated with a bougie. Damn fine work. #bougie ncbi.nlm.nih.gov/pmc/articles/P…
manipulating volume status affects outcomes less than we might have expected as long as you’re in the right ballpark, a little less volume & more pressor, or more volume & less pressor - may not matter fluid never was, nor ever will be, the treatment for sepsis😛 #zentensivist
manipulating volume status affects outcomes less than we might have expected as long as you’re in the right ballpark, a little less volume & more pressor, or more volume & less pressor - may not matter fluid never was, nor ever will be, the treatment for sepsis😛 #zentensivist
Any time there’s any nepotism discourse, I do unfortunately feel the need to revisit Brooklyn Beckham’s photography book
pH 6.85 Lactate 26.2 Bicarb 6.0 Base Excess -17.3 What are the chances of surviving 24 hours after these blood gas levels without mechanical ventilation, vasoactive support, hemodialysis or ECMO?
Me rushing back from the bathroom at 3 am so I dont lose any tiredness:
“Paddling the school canoe… ooh you better believe that’s a paddlin’.”
This included discussion and rehearsal of optimal positioning, tongue control, glossoepiglottic fold engagement, bimanual laryngoscopy, bougie adjustment microskills, hyperangulated VL tips and the SALAD approach to heavily contaminated airways with double DuCanto set up
A List of Things People Blamed on Bicycles 🧵
1/3 If you have a chance to teach something that you want to improve at, jump at the chance. It deepens your understanding and accelerates your expertise like nothing else. This is one factor contributing to how I’ve assembled my inner library of most confident resus topics
Brief review of cardiac arrest drugs - epinephrine, lidocaine, amiodarone, nitrite, shenfu, vasopressin, methylprednisolone, calcium #ACLS link.springer.com/epdf/10.1007/s…
If you are a paramedic in Alberta, please out the survey. …ether4health.albertahealthservices.ca/ems-service-pl…
@AG_EM33 On of my favorite physiology papers found that elite Olympic rowers dropped their pH as low as 6.74 (with a lactate of 32 mmol/L) after a 2000m Erg. 100% of the rowers survived. It’s not the pH or lactate that kills it’s the processes causing the acidosis (hypoxemia).

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