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brookswalsh.bsky.social
brookswalsh
@brookswalsh.bsky.social
1.6K followers 1.9K following 1.2K posts
ER doc.
Okay at reading ECGs
Proud to have helped eliminate "excited delirium" in EM.
Aiming to correctly use the subjunctive in Spanish more often.
And I am never, ever sick at sea.
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brookswalsh.bsky.social
Y no había autotune
a picture of a man with a big red wig and a caption that says i turn to stone when you are gone
ALT: a picture of a man with a big red wig and a caption that says i turn to stone when you are gone
media.tenor.com
November 8, 2025 at 10:46 AM
brookswalsh.bsky.social
Ironically, a 2021 Annals editorial attacked media coverage of the ketamine issues, and took issue with how the media described ketamine as an "animal tranquilizer."
www.annemergmed.com/article/S019...
In multiple articles, ketamine was referred to as a “date-rape drug,” when, in fact, its presence in drug-facilitated sexual assault is extremely uncommon.28 In others, it was called an “animal tranquilizer,” a gross misrepresentation considering that numerous medications are Federal Drug Administration-approved for both veterinary and human use. These technically correct but highly misleading facts undermine the truth about ketamine and its vital importance as an analgesic and sedative to the global medical community.
November 6, 2025 at 2:51 PM
brookswalsh.bsky.social
Oof.
@carlelliott.bsky.social brings up the Annals editorial where patients with ExD are repeatedly compared with "wild beasts?"
e.g. "So why not treat people like wild beasts?"
www.annemergmed.com/article/S019...
By 2016, a deputy editor of the Annals of Emergency Medicine could compare agitated patients to “wild beasts” and write, “Let’s take ’em down with a ketamine blow dart.”5 But is this crazy? There is ample precedent for taking down beasts in the wild with ketamine. Remember those nature shows in which biologists shoot tranquilizer darts into rhinos or lions or polar bears? It should be no surprise that ketamine has been and continues to be the most common ingredient in such animal blow darts.3 So why not treat people—when the situation requires it—like wild beasts? But with intramuscular ketamine injection rather than an actual blow dart rifle. We all know from our procedural sedation practice that ketamine has rapid onset after intramuscular injection (usually 2 to 5 minutes) and that immobilization and cardiorespiratory stability are key features of the resulting trancelike dissociative state.4 Isn’t this the ideal formula for “taking down” a wild beast of a patient?
November 6, 2025 at 2:39 PM
Reposted by brookswalsh
vman29397.bsky.social
Well the statehood party has collapsed by nearly 8% points and the independence party is the only party seeing any sizable growth in voter identification. Also the independence party finished second in last year's election
November 5, 2025 at 3:28 PM
brookswalsh.bsky.social
Even if excited delirium were to be proven tomorrow to be a valid and useful diagnosis, we already know that "death from ExD" always involves dangerous restraint practices, i.e. prone restraint or positional asphyxia.
Even more significant has been the collapse of the diagnosis of “excited delirium,” a medical condition supposedly characterized by extreme agitation, violence, inappropriate behavior, and feats of superhuman strength. In 2018, it was still plausible (if controversial) to cite the grave risks of excited delirium as a justification for forced sedation with ketamine. Today, however, excited delirium is widely seen as a pseudodiagnosis used to explain away deaths that have occurred at the hands of the police.20 No major medical organization supports its legitimacy.
November 6, 2025 at 2:20 PM
brookswalsh.bsky.social
"But what if it was *your* ..."
stfu and do your job professionally Temu John Wick
November 5, 2025 at 10:07 PM