TuttoBene retweeted
Verstehe ich das richtig dass VW weniger Autos verkauft hat wegen einem Verbrennerverbot das noch gar nicht gilt und obwohl der Verbraucher keine E-Autos will sondern weiterhin Verbrenner?
So wird das nix mit der E-Mobilität liebe @deutschetelekom
Mittags im Hochsommer, wenn Strom eh schon umsonst ist.
TuttoBene retweeted
Pediatric severe TBI study finds extraventricular drains (EVD) linked to 30% fewer surgeries and 25% lower mortality vs. intraparenchymal monitors (IPM). Highlights EVD’s potential benefits in ICP management.
@TopKniFe_B
@colstewart09
@malmaaniMD
@fcastillodiaz99
journals.lww.com/jtrauma/abs…
TuttoBene retweeted
¿Vasopresina en choque cardiogénico? No es para todos. Puede salvar en shock mixto y bajo SVR… pero empeorar si subes la poscarga.
Por ahí hay gente que la sataniza
Revisión narrativa recientemente publicada
🔗 academic.oup.com/eschf/artic…
TuttoBene retweeted
{with Permission}
#Clamshell
#Resus_Thoracotomy
Works
🛑blunt Traumatic arrest
Left massive hemothx arrested in Trauma Bay (post. intercostal vessels ligated)
Survived neurologically intact 💪
Your ERT set should be ready in TRU
@REBEL__EM
#JustDoIt
rebelem.com/if-youre-going…
TuttoBene retweeted
Ich habe im Sommer einen PV-Zaun gebaut und will euch hier teilhaben lassen, wie Planung und Bau abliefen.
TuttoBene retweeted
Read the story 👇
It's so often that those of us who work in EM and critical care see devastating injuries and wonder whether we're really making a difference...
SPC Jordan Kirkpatrick is a @usarmy Soldier who was riding his motorcycle on his day off when he had a high-speed collision. He had a bad TBI (IPH, SAH, DAI), pulmonary contusions, multiple rib fractures, skull fracture, facial fractures, femur fracture, multiple pelvic fractures, and a splenic laceration.
EMS found him hypotense with a GCS of 3. Shortly after EMS arrival, he arrested. EMS started CPR, an i-gel was placed, and his chest was decompressed with ROSC achieved. In the ED, they intubated him, placed chest tubes, and transfusions were started. He was emergently taken to the OR for a multi-surgeon case and received >30 units of blood. Shortly after surgery, he went into ARDS/TRALI refractory to all medical management. @uchealth LifeLine air lifted in very critical condition to @CUAnschutz where he was emergently cannulated for ECMO. He had a bolt and EVD placed, was deeply sedated, paralyzed, and cooled for his TBI. He spent several weeks on ECMO in our CTICU and then was decannulated and transferred to our STICU, where he spent several months receiving dozens of procedures. I was part of his critical team in the STICU for several weeks.
He's now almost fully recovered mentally and is making progress physically recovering. Next week, he will be discharged from in-patient rehab. He will rejoin his fellow Soldiers at Fort Carson and transition to the Soldier Recovery Unit. The video and photos are from him and his family documenting his journey.
It's patients like Jordan who remind you that what you do matters.
(Photos, video, and story shared with patient and family permission)
#emergency #emergencymedicine #criticalcare #icu #erlife #iculife #science #army #armymedicine #trauma #motivation #motivating
TuttoBene retweeted
Chemical reactions take place in a matter of femtoseconds. One femtosecond is to a second, as a second is to 32 million years.
#NobelPrize laureate Ahmed Zewail used lasers to watch these reactions in slow motion and study how atoms in a molecule move during a chemical reaction.
ALT Ahmed Zewail at the Nobel Prize award ceremony in Stockholm on 10 December 1999. He is holding his Nobel Prize.
TuttoBene retweeted
When using routine VET to guide resuscitation for hemorrhage, cryoprecipitate transfusion occurred after 7 units of RBCs: plasma and after 10 units of a whole blood incorporated resuscitation.
@MikeVanGent1 @bryancotton1
journals.lww.com/jtrauma/abs…
TuttoBene retweeted
Merz zweifelte gestern in Berlin, ob E-Autos überhaupt marktfähig sind. Ich bin in den letzten 13 Tagen 2.620 km gefahren – vollelektrisch, quer durch Deutschland auf Sommertour. Ich fahre. Merz bremst. Gleichzeitig warnt der Klima-Bericht: Deutschland verfehlt seine Klimaziele deutlich. Alles klar, Herr Merz?
Trauma patient arrives at the hospital.
Severe subcutaneous emphysema, stiff neck, and pelvic binder make ultrasound-guided placement of a 12F Shaldon for massive transfusion impossible.
No one can do it without ultrasound anymore. Except one: 😎🏴☠️
TuttoBene retweeted
We’re putting the “P” back into CPR interviewing Hans on the complexities of ventilation in cardiac arrest, so many pearls we had to split into 2 parts @HansvanSchuppen @cliffreid @HawkmoonHEMS sydneyhems.com/2025/06/25/he…
TuttoBene retweeted
NEW EPISODE, NEW (AMAZING) VASCULAR TEAM @onebklynhealth🩸
Clinical Challenges in Vascular Surgery: The Risk & Reality of EVAR Complications ➡️ app.behindtheknife.org/podca…
📞 It’s 2 a.m. The on-call resident’s voice is shaky.
The CT shows an 18cm abdominal aortic aneurysm with a Type 1B endoleak.
There’s gas in the sac, fluid in the belly, and the patient has a defibrillator on both sides of his chest.
Is it a rupture? A graft infection? An aortoenteric fistula? All of the above?
You’re the vascular surgeon, what do you do? 😱
TuttoBene retweeted
Pulmonary aspiration, no evidence for steroids.
Use of antibiotics is case-by-case basis. Fit outpatients who have aspirated sterile gastric fluid, you can wait & reassess. Sick/frail patients or those who aspirate infected material would benefit from Abx
#GAMC2025
TuttoBene retweeted
Early norepinephrine in septic shock: Updated systematic review, meta-analysis & trial sequential analysis.
🩺 Early initiation linked to:
✅ Lower ICU mortality
✅ Faster MAP target achievement
✅ Fewer fluids & more vent-free days
ccforum.biomedcentral.com/ar…
#Sepsis #ICU #CritCare
TuttoBene retweeted
Ich möchte mal an einem realen Beispiel zeigen, warum unsere Gesundheitsversorgung völlig im Eimer ist:
Wenige Tage nach der Geburt mache ich bei einer Frau mit ihrem Kind vormittags einen Hausbesuch. Der Frau geht es sichtlich nicht gut, sie ist auffällig blass,
TuttoBene retweeted
Seit ein paar Wochen hört man keine Kritik mehr am #AuswärtigenAmt. Weder Styling noch Flüge oder ob die Person eigentlich bestehen kann, sind ein Thema.
Warum? Ach so, es ist einfach nur wieder ein dude im Amt, so wie die 100 Jahre zuvor. Ohne neue Ideen. Normal also.
TuttoBene retweeted
What is ventilator compliance?
How does resistance factor into this?
Where do we start with our assessment?
#emergency #emergencymedicine #criticalcare #icu #erlife #iculife #science #army #armymedicine #trauma #burn #thepitt #thepittmax #medx #medtwitter