Anand Swaminathan

emswami.bsky.social

16 September 2026 09:24

Hypokalemic Cardiac Arrest -Critical to get stat lytes -No guideline recs on potassium dosing in these cases -My dose: 40 mEq IVP (have heard anywhere from 20-60 mEq) -Consider holding epinephrine as it pushes potassium into cells + can exacerbate hypoK youtube.com/shorts/lXvtA... #EMIMCC

Anand Swaminathan

emswami.bsky.social

16 September 2026 09:23

Aortic Dissection Management Rally Consultants: CT surg, Cards, Vascular, IR POCUS for tamponade Anti-impulse therapy -Analgesia 1st -Anti-tachy tx: esmolol bolus + infusion w/ target HR 50-60 -AntiHTN tx: clevidipine/nicardipine w/ target SBP ~ 90-100 mm Hg youtube.com/shorts/3HF4u... #EMIMCC

Anand Swaminathan

emswami.bsky.social

21 August 2026 00:03

How closely do blood gas electrolytes correlate w/ BMP electrolytes? -Na value statistically significantly different but clinical difference is meaningless (PMID: 31070468 + 20157454) -K value w/ no statistically significant difference (PMID: 20157454 + 35371883) youtube.com/shorts/cmBcl... #EMIMCC

SadCrit

schistosomnia.bsky.social

17 August 2026 15:04

Thanks guys! It was a TBI patient, on 1g IV BD for a week (prophylactically), so there were no compliance concerns. Was having odd ICP spikes which the neurosurgeons said could be seizures, but they never clinically seized at all. If it had been up to me I'd have added a second agent 🤷

Anand Swaminathan

emswami.bsky.social

17 August 2026 14:52

Rocuronium gives longer safe apneic time than succinylcholine -Sux causes fasciculations which eats your O2 reservoir -Data shows roc gives 45 seconds more safe apneic time (PMID: 2122686, 20402874) youtube.com/shorts/5JAjE... #EMIMCC