@poppynorthcutt.bsky.social - they’re on to you again.. 😂

I do think this is one of my favourite non-flight photos of the entire Apollo programme though

Personally I’d still go with ketamine… longer effect when people are slow at drawing up post intubation sedation, decent analgesia, more or less as cardiostable if dosed properly, doesn’t turn adrenals off, not painful to inject etc… at least this shows etomidate isn’t as bad as previously thought!

Come on, surely I can’t be the first person to think of “Nance”…?

I keep saying to residents that TRICC is the one trial I’d wipe from ICU literature. Not because it’s an inherently bad trial, but it gets misapplied so often… the amount of times I see bleeding patients on pressors “But the Hb is over 7 so they don’t need blood”…

Yep. Ketones are ketones…

Starvation, no/minimal carb intake, diabetic crises, prolonged vomiting itself, febrile illnesses in kids, pregnancy with hyperemesis, some genetic metabolic syndromes…

Yep but ketones aren’t just caused by alcohol…

Either use the iTIVA app’s specific RSI model, or use an induction dose of prop and then start an infusion at about 150 mcg/kg/min after 3 mins and down-titrate based on BIS, or use iTIVA’s manual mode once you’ve done the above and convert to TCI mode…

Use the iTIVA app with manual ml/hr dosing. It has a specific RSI model or you can start in manual mode, give your induction dose then convert to TCI mode when you start the infusion

Swift kick in the bollocks ought to do it…

Irritatingly it’s not available in the US Amazon store.

So I’ve just ordered some hardback from the UK… Really hope it’s worth the exorbitant delivery charges!

If they had said “Make managers accountable” then they may have been onto something. Sadly not…

I went to a good school, great teachers, really supportive environment.

We still had some dickhead students.

Surprisingly fewer/none in 6th form for some reason…

God I’m getting old…