David Weiss
@nurseinflight.bsky.social
Flight RN, ED RN, Urban Search & Rescue, AEMT, EMS Educator, icecream lover. Here to learn all things EM, CritCare, and HEMS! #MedSky
Hope to see everyone at the National Urban Search and Rescue conference in Orlando!
October 21, 2025 at 12:44 PM
Hope to see everyone at the National Urban Search and Rescue conference in Orlando!
Reposted by David Weiss
Occult VF in Cardiac Arrest: 5.3% of patients with cardiac arrest showed VF on echo but ECG w/ PEA/asystole
Study does not show improved outcomes but not powered to do so
Strong argument for intra-arrest echo as it can dramatically change management
#EMIMCC
Study does not show improved outcomes but not powered to do so
Strong argument for intra-arrest echo as it can dramatically change management
#EMIMCC
July 1, 2025 at 5:44 PM
Occult VF in Cardiac Arrest: 5.3% of patients with cardiac arrest showed VF on echo but ECG w/ PEA/asystole
Study does not show improved outcomes but not powered to do so
Strong argument for intra-arrest echo as it can dramatically change management
#EMIMCC
Study does not show improved outcomes but not powered to do so
Strong argument for intra-arrest echo as it can dramatically change management
#EMIMCC
Reposted by David Weiss
ICU Airway Secrets:
Facing the risk of irritating the real experts of #airway management, I have to confess that I find Magill forceps 👇 very helpful (when the need arises!)
Even though Magill has been traditionally used to guide either the ET tube into the larynx
Facing the risk of irritating the real experts of #airway management, I have to confess that I find Magill forceps 👇 very helpful (when the need arises!)
Even though Magill has been traditionally used to guide either the ET tube into the larynx
May 31, 2025 at 8:09 PM
ICU Airway Secrets:
Facing the risk of irritating the real experts of #airway management, I have to confess that I find Magill forceps 👇 very helpful (when the need arises!)
Even though Magill has been traditionally used to guide either the ET tube into the larynx
Facing the risk of irritating the real experts of #airway management, I have to confess that I find Magill forceps 👇 very helpful (when the need arises!)
Even though Magill has been traditionally used to guide either the ET tube into the larynx
Reposted by David Weiss
did you think that labetalol is a single drug?
nope
it’s actually a mixture of FOUR different drugs
RS, RR, SS, and SR-labetalol
and this is clinically relevant!
lets discuss why…
🧵 #1/3 #EMIMCC
nope
it’s actually a mixture of FOUR different drugs
RS, RR, SS, and SR-labetalol
and this is clinically relevant!
lets discuss why…
🧵 #1/3 #EMIMCC
May 11, 2025 at 4:45 PM
did you think that labetalol is a single drug?
nope
it’s actually a mixture of FOUR different drugs
RS, RR, SS, and SR-labetalol
and this is clinically relevant!
lets discuss why…
🧵 #1/3 #EMIMCC
nope
it’s actually a mixture of FOUR different drugs
RS, RR, SS, and SR-labetalol
and this is clinically relevant!
lets discuss why…
🧵 #1/3 #EMIMCC
May 11, 2025 at 3:08 AM
The rules are simple: you see a match post - you like a match post.
And you give support to all those who did not match, because someday soon they too will be excellent physicians!
And you give support to all those who did not match, because someday soon they too will be excellent physicians!
March 17, 2025 at 3:59 PM
The rules are simple: you see a match post - you like a match post.
And you give support to all those who did not match, because someday soon they too will be excellent physicians!
And you give support to all those who did not match, because someday soon they too will be excellent physicians!
Reposted by David Weiss
Laryngoscopy Tip: Mac Scoop
-Mac blade designed to sit in vallecula, engage hyoepiglottic ligament + pull epiglottis out of way
-When pt epiglottis is floppy, use tip of Mac to scoop the epiglottis pulling it out of the way (like a straight blade is used)
youtube.com/shorts/RTKvI...
#EMIMCC #MedSky
-Mac blade designed to sit in vallecula, engage hyoepiglottic ligament + pull epiglottis out of way
-When pt epiglottis is floppy, use tip of Mac to scoop the epiglottis pulling it out of the way (like a straight blade is used)
youtube.com/shorts/RTKvI...
#EMIMCC #MedSky
Mac Blade as a Scoop #criticalcare #emergencymedicine #airway
YouTube video by EMSwami
youtube.com
March 17, 2025 at 2:12 PM
Laryngoscopy Tip: Mac Scoop
-Mac blade designed to sit in vallecula, engage hyoepiglottic ligament + pull epiglottis out of way
-When pt epiglottis is floppy, use tip of Mac to scoop the epiglottis pulling it out of the way (like a straight blade is used)
youtube.com/shorts/RTKvI...
#EMIMCC #MedSky
-Mac blade designed to sit in vallecula, engage hyoepiglottic ligament + pull epiglottis out of way
-When pt epiglottis is floppy, use tip of Mac to scoop the epiglottis pulling it out of the way (like a straight blade is used)
youtube.com/shorts/RTKvI...
#EMIMCC #MedSky
An awesome 30 minutes from The Big Sick conference. Great watch for all of my peeps in EM / Crit Care youtu.be/Au4L3H6oRaI?...
#EmergencyMedicine #CriticalCare #Survival #FOAMED
#EmergencyMedicine #CriticalCare #Survival #FOAMED
Life 2.0 - What the dead can teach us about living | Matt Morgan | TBS Zermatt 2025
YouTube video by TBS Zermatt
youtu.be
February 22, 2025 at 3:36 AM
An awesome 30 minutes from The Big Sick conference. Great watch for all of my peeps in EM / Crit Care youtu.be/Au4L3H6oRaI?...
#EmergencyMedicine #CriticalCare #Survival #FOAMED
#EmergencyMedicine #CriticalCare #Survival #FOAMED
January 27, 2025 at 5:05 AM
Swift water activations in VT in the winter are always something special. What started with inches of rain, snowmelt, and rapidly rising rivers ended in the early hours of the morning with light and fluffy snow. #USAR #EMS #SwiftWater
December 12, 2024 at 8:31 AM
Swift water activations in VT in the winter are always something special. What started with inches of rain, snowmelt, and rapidly rising rivers ended in the early hours of the morning with light and fluffy snow. #USAR #EMS #SwiftWater
This is the type of content I am here for!
A patient presented in need of an urgent but relatively minor surgery. Vitally stable.
Surgery goes fine, but ICU is called because their “sat is too low to extubate.”
No prior pulmonary or cardiac conditions.
#emimcc
Surgery goes fine, but ICU is called because their “sat is too low to extubate.”
No prior pulmonary or cardiac conditions.
#emimcc
December 1, 2024 at 5:07 AM
This is the type of content I am here for!
Reposted by David Weiss
important thread 👇
{norepi + vaso} can often induce a state of *normotensive* vasoconstrictive shock
this is why I dislike blind algorithms that start with NE, then pile on vaso on without considering global hemodynamics
for experts, there is no such thing as a “1st/2nd/3rd line” pressor #EMIMCC
{norepi + vaso} can often induce a state of *normotensive* vasoconstrictive shock
this is why I dislike blind algorithms that start with NE, then pile on vaso on without considering global hemodynamics
for experts, there is no such thing as a “1st/2nd/3rd line” pressor #EMIMCC
If the LV of the patient with sepsis is «hyperdynamic» when on noradrenaline, then EF dropps and the LV looks poorly when vasopressin is added, but recovers to normal with dobutamine, you likely haven’t «uncovered hidden LV dysfunction» or septic cardiomyopathy. #emimcc #pocus #echofirst 1/
November 30, 2024 at 2:25 PM
important thread 👇
{norepi + vaso} can often induce a state of *normotensive* vasoconstrictive shock
this is why I dislike blind algorithms that start with NE, then pile on vaso on without considering global hemodynamics
for experts, there is no such thing as a “1st/2nd/3rd line” pressor #EMIMCC
{norepi + vaso} can often induce a state of *normotensive* vasoconstrictive shock
this is why I dislike blind algorithms that start with NE, then pile on vaso on without considering global hemodynamics
for experts, there is no such thing as a “1st/2nd/3rd line” pressor #EMIMCC
Reposted by David Weiss
high-flow for preox is so 2023…
all the cool kids are using bilevel now
PREOXI trial: https://emcrit.org/pulmcrit/bsi/
#EMIMCC
all the cool kids are using bilevel now
PREOXI trial: https://emcrit.org/pulmcrit/bsi/
#EMIMCC
Do you use high-flow nasal oxygenation during induction of general anaesthesia in parturients living with obesity?
Turns out there is NO clinically meaningful difference between the use of standard facemask oxygenation and high-flow!
#AnSky #MedSky
https://buff.ly/4fMvK6u
Turns out there is NO clinically meaningful difference between the use of standard facemask oxygenation and high-flow!
#AnSky #MedSky
https://buff.ly/4fMvK6u
November 28, 2024 at 7:22 PM
high-flow for preox is so 2023…
all the cool kids are using bilevel now
PREOXI trial: https://emcrit.org/pulmcrit/bsi/
#EMIMCC
all the cool kids are using bilevel now
PREOXI trial: https://emcrit.org/pulmcrit/bsi/
#EMIMCC
Reposted by David Weiss
ICU Hemodynamics:
There is a lot of discussion about the role of methylene blue (MB) in refractory #septicshock. We don't have many RCTs in this topic & I read every new one with interest. This small RCT was recently published:
There is a lot of discussion about the role of methylene blue (MB) in refractory #septicshock. We don't have many RCTs in this topic & I read every new one with interest. This small RCT was recently published:
November 22, 2024 at 4:18 PM
ICU Hemodynamics:
There is a lot of discussion about the role of methylene blue (MB) in refractory #septicshock. We don't have many RCTs in this topic & I read every new one with interest. This small RCT was recently published:
There is a lot of discussion about the role of methylene blue (MB) in refractory #septicshock. We don't have many RCTs in this topic & I read every new one with interest. This small RCT was recently published:
Reposted by David Weiss
One of my favorite things about vaccines is that they make me harder to kill
November 24, 2024 at 10:33 PM
One of my favorite things about vaccines is that they make me harder to kill
Excited to have completed the credentialing process and to start performing #POCUS exams using the Butterfly during critical care transports. It will be great to have another tool in the toolbox!
November 23, 2024 at 9:45 PM
Excited to have completed the credentialing process and to start performing #POCUS exams using the Butterfly during critical care transports. It will be great to have another tool in the toolbox!
Happy to have made the migration over to this platform. I look forward to learning all I can about CritCare, Emergency Medicine, and transport / helicopter medicine. Maybe even do a little education of my own?? Who knows!
November 22, 2024 at 5:23 AM
Happy to have made the migration over to this platform. I look forward to learning all I can about CritCare, Emergency Medicine, and transport / helicopter medicine. Maybe even do a little education of my own?? Who knows!