Preskoči na sadržaj
Korištenjem servisa na Twitteru pristajete na korištenje kolačića. Twitter i partneri rade globalno te koriste kolačiće za analize, personalizaciju i oglase.

Za najbolje sučelje na Twitteru koristite Microsoft Edge ili instalirajte aplikaciju Twitter iz trgovine Microsoft Store.

  • Naslovnica Naslovnica Naslovnica, trenutna stranica.
  • O Twitteru

Spremljena pretraživanja

  • obriši
  • U ovom razgovoru
    Ovjeren akauntZaštićeni tweetovi @
Predloženi korisnici
  • Ovjeren akauntZaštićeni tweetovi @
  • Ovjeren akauntZaštićeni tweetovi @
  • Jezik: Hrvatski
    • Bahasa Indonesia
    • Bahasa Melayu
    • Català
    • Čeština
    • Dansk
    • Deutsch
    • English
    • English UK
    • Español
    • Filipino
    • Français
    • Italiano
    • Magyar
    • Nederlands
    • Norsk
    • Polski
    • Português
    • Română
    • Slovenčina
    • Suomi
    • Svenska
    • Tiếng Việt
    • Türkçe
    • Български език
    • Русский
    • Српски
    • Українська мова
    • Ελληνικά
    • עִבְרִית
    • العربية
    • فارسی
    • मराठी
    • हिन्दी
    • বাংলা
    • ગુજરાતી
    • தமிழ்
    • ಕನ್ನಡ
    • ภาษาไทย
    • 한국어
    • 日本語
    • 简体中文
    • 繁體中文
  • Imate račun? Prijava
    Imate račun?
    · Zaboravili ste lozinku?

    Novi ste na Twitteru?
    Registrirajte se
Profil korisnika/ce EM_RESUS
Sam Ghali, M.D.
Sam Ghali, M.D.
Sam Ghali, M.D.
@EM_RESUS

Tweets

Sam Ghali, M.D.

@EM_RESUS

ER Doctor | Resuscitation | Airway | Emergency Ultrasound | Cardiovascular Emergencies | ECGs | Trauma | Critical Care | #FOAMed | Patient Advocate

USA
Vrijeme pridruživanja: kolovoz 2014.

Tweets

  • © 2020 Twitter
  • O Twitteru
  • Centar za pomoć
  • Uvjeti
  • Pravila o privatnosti
  • Imprint
  • Kolačići
  • Informacije o oglasima
Odbaci
Prethodni
Sljedeće

Idite na profil osobe

Spremljena pretraživanja

  • obriši
  • U ovom razgovoru
    Ovjeren akauntZaštićeni tweetovi @
Predloženi korisnici
  • Ovjeren akauntZaštićeni tweetovi @
  • Ovjeren akauntZaštićeni tweetovi @

Odjava

Blokiraj

  • Objavi Tweet s lokacijom

    U tweetove putem weba ili aplikacija drugih proizvođača možete dodati podatke o lokaciji, kao što su grad ili točna lokacija. Povijest lokacija tweetova uvijek možete izbrisati. Saznajte više

    Vaši popisi

    Izradi novi popis


    Manje od 100 znakova, neobavezno

    Privatnost

    Kopiraj vezu u tweet

    Ugradi ovaj Tweet

    Embed this Video

    Dodajte ovaj Tweet na svoje web-mjesto kopiranjem koda u nastavku. Saznajte više

    Dodajte ovaj videozapis na svoje web-mjesto kopiranjem koda u nastavku. Saznajte više

    Hm, došlo je do problema prilikom povezivanja s poslužiteljem.

    Integracijom Twitterova sadržaja u svoje web-mjesto ili aplikaciju prihvaćate Twitterov Ugovor za programere i Pravila za programere.

    Pregled

    Razlog prikaza oglasa

    Prijavi se na Twitter

    · Zaboravili ste lozinku?
    Nemate račun? Registrirajte se »

    Prijavite se na Twitter

    Niste na Twitteru? Registrirajte se, uključite se u stvari koje vas zanimaju, i dobivajte promjene čim se dogode.

    Registrirajte se
    Imate račun? Prijava »

    Dvosmjerni (slanje i primanje) kratki kodovi:

    Država Kod Samo za korisnike
    Sjedinjene Američke Države 40404 (bilo koje)
    Kanada 21212 (bilo koje)
    Ujedinjeno Kraljevstvo 86444 Vodafone, Orange, 3, O2
    Brazil 40404 Nextel, TIM
    Haiti 40404 Digicel, Voila
    Irska 51210 Vodafone, O2
    Indija 53000 Bharti Airtel, Videocon, Reliance
    Indonezija 89887 AXIS, 3, Telkomsel, Indosat, XL Axiata
    Italija 4880804 Wind
    3424486444 Vodafone
    » Pogledajte SMS kratke šifre za druge zemlje

    Potvrda

     

    Dobro došli kući!

    Vremenska crta mjesto je na kojem ćete provesti najviše vremena i bez odgode dobivati novosti o svemu što vam je važno.

    Tweetovi vam ne valjaju?

    Prijeđite pokazivačem preko slike profila pa kliknite gumb Pratim da biste prestali pratiti neki račun.

    Kažite mnogo uz malo riječi

    Kada vidite Tweet koji volite, dodirnite srce – to osobi koja ga je napisala daje do znanja da vam se sviđa.

    Proširite glas

    Najbolji je način da podijelite nečiji Tweet s osobama koje vas prate prosljeđivanje. Dodirnite ikonu da biste smjesta poslali.

    Pridruži se razgovoru

    Pomoću odgovora dodajte sve što mislite o nekom tweetu. Pronađite temu koja vam je važna i uključite se.

    Saznajte najnovije vijesti

    Bez odgode pogledajte o čemu ljudi razgovaraju.

    Pratite više onoga što vam se sviđa

    Pratite više računa da biste dobivali novosti o temama do kojih vam je stalo.

    Saznajte što se događa

    Bez odgode pogledajte najnovije razgovore o bilo kojoj temi.

    Ne propustite nijedan aktualni događaj

    Bez odgode pratite kako se razvijaju događaji koje pratite.

    Sam Ghali, M.D.‏ @EM_RESUS 10. stu 2019.
    • Prijavi Tweet

    A 17-year-old boy was rushed to the ER by his brothers struggling to breathe... [thread]

    07:41 - 10. stu 2019.
    • 6.514 proslijeđenih tweetova
    • 13.922 oznake „sviđa mi se”
    • Abdulrahman .. shehab eldabi 🇸🇩 el dave University of Surrey Midwifery Maddy Reynolds Moses Ngomane Benjamin Solder KARINA PATRICIA, MD Abdullah
    370 replies 6.514 proslijeđenih tweetova 13.922 korisnika označavaju da im se sviđa
      1. Novi razgovor
      2. Sam Ghali, M.D.‏ @EM_RESUS 10. stu 2019.
        • Prijavi Tweet

        He was in profound respiratory distress with deep retractions breathing 40 times per minute. It turns out he was a severe asthmatic in the midst of the worst asthma attack of his young life. [2/x]

        84 proslijeđena tweeta 558 korisnika označava da im se sviđa
        Prikaži ovu nit
      3. Sam Ghali, M.D.‏ @EM_RESUS 10. stu 2019.
        • Prijavi Tweet

        He was cyanotic and barely moving any air. His Pulse Ox registered 30% with a perfect waveform. His eyes rolled back and he lost consciousness right in front of us. He was on the brink of death... [3/x]

        8 replies 67 proslijeđenih tweetova 491 korisnik označava da mu se sviđa
        Prikaži ovu nit
      4. Sam Ghali, M.D.‏ @EM_RESUS 10. stu 2019.
        • Prijavi Tweet

        His brothers stood right by his side just staring at him with tears streaming down their faces. Their sense of desperation was palpable. You could feel them wanting to do literally anything to help save their little brother. [4/x]

        55 proslijeđenih tweetova 467 korisnika označava da im se sviđa
        Prikaži ovu nit
      5. Sam Ghali, M.D.‏ @EM_RESUS 10. stu 2019.
        • Prijavi Tweet

        There’s a natural reflex and momentum to want to intubate these patients right away. But here’s a message I want to get out: INTUBATION IS THE LAST THING A CRASHING ASTHMATIC NEEDS. [5/x]

        14 replies 384 proslijeđena tweeta 1.532 korisnika označavaju da im se sviđa
        Prikaži ovu nit
      6. Sam Ghali, M.D.‏ @EM_RESUS 10. stu 2019.
        • Prijavi Tweet

        Even if the intubation is flawless, it you’ve done nothing to solve the underlying problem. And once the tube is in, you will have a hell of a time trying to manage them with positive pressure on a ventilator. [6/x]

        79 proslijeđenih tweetova 591 korisnik označava da mu se sviđa
        Prikaži ovu nit
      7. Sam Ghali, M.D.‏ @EM_RESUS 10. stu 2019.
        • Prijavi Tweet

        Ventilated asthmatics are at high risk for profound hyperinflation from severe air trapping. This can lead to dangerously increased intrathoracic & plateau pressures which can result in barotrauma, compromised venous return, and ultimately cardiac arrest. [7/x]

        165 proslijeđenih tweetova 1.024 korisnika označavaju da im se sviđa
        Prikaži ovu nit
      8. Sam Ghali, M.D.‏ @EM_RESUS 10. stu 2019.
        • Prijavi Tweet

        So here’s what we did. First, we sat him straight up to 90 degrees. This simple positioning maneuver accomplishes three main things: it minimizes atalectasis, optimizes FRC, and decreases the work of breathing. [8/x]

        7 replies 155 proslijeđenih tweetova 1.255 korisnika označava da im se sviđa
        Prikaži ovu nit
      9. Sam Ghali, M.D.‏ @EM_RESUS 10. stu 2019.
        • Prijavi Tweet

        We then placed him on BIPAP right away running continuous high-dose combination aerosols right through the mask. It’s very important to nebulize BOTH Albuterol AND Ipratropium which together are more effective than Albuterol alone. [9/x]

        15 replies 152 proslijeđena tweeta 1.326 korisnika označava da im se sviđa
        Prikaži ovu nit
      10. Sam Ghali, M.D.‏ @EM_RESUS 10. stu 2019.
        • Prijavi Tweet

        We gave him 3 back-to-back IM shots of .5mg Epinephrine (1.5mg total) while IVs were being placed by some amazing nurses. We then started him on an IV Epinephrine infusion at 20 micrograms per minute. [10/x]

        14 replies 108 proslijeđenih tweetova 986 korisnika označava da im se sviđa
        Prikaži ovu nit
      11. Sam Ghali, M.D.‏ @EM_RESUS 10. stu 2019.
        • Prijavi Tweet

        Next we gave him 2 grams of Magnesium Sulfate, 125mg of Solumedrol, and 10mg of Decadron IV. Because steroids take time to work it’s very important to get these meds on board as soon as possible. [11/x]

        29 replies 95 proslijeđenih tweetova 868 korisnika označava da im se sviđa
        Prikaži ovu nit
      12. Sam Ghali, M.D.‏ @EM_RESUS 10. stu 2019.
        • Prijavi Tweet

        We considered Ketamine but held off in order to preserve his mental status exam. His O2 Sat started coming up and he began showing some signs of improvement. But he was still in big trouble. [12/x]

        6 replies 67 proslijeđenih tweetova 520 korisnika označava da im se sviđa
        Prikaži ovu nit
      13. Sam Ghali, M.D.‏ @EM_RESUS 10. stu 2019.
        • Prijavi Tweet

        We started him out on BIPAP at 14/4. PEEP (the bottom number) is controversial in asthmatics and I won’t go into details of that here but we elected to give him low level PEEP at 4 cm H2O. [13/x]

        5 replies 66 proslijeđenih tweetova 533 korisnika označavaju da im se sviđa
        Prikaži ovu nit
      14. Sam Ghali, M.D.‏ @EM_RESUS 10. stu 2019.
        • Prijavi Tweet

        The purpose of IPAP (the top number) is to help support ventilation and decrease work of breathing. But you must understand that the higher the IPAP, the bigger the Tidal Volume, and the more air the asthmatic must exhale... [14/x]

        1 reply 63 proslijeđena tweeta 549 korisnika označava da im se sviđa
        Prikaži ovu nit
      15. Sam Ghali, M.D.‏ @EM_RESUS 10. stu 2019.
        • Prijavi Tweet

        And since asthma is primarily a problem of exhalation, IPAP in asthmatics is a double-edged sword. So, as he started improving and regaining strength, we down titrated his IPAP from 14...down to 12...then to 10...and ultimately down to 8 cm H2O. [15/x]

        74 proslijeđena tweeta 582 korisnika označavaju da im se sviđa
        Prikaži ovu nit
      16. Sam Ghali, M.D.‏ @EM_RESUS 10. stu 2019.
        • Prijavi Tweet

        As his lungs began to open up you could now hear his wheezing louder than ever. Remember that when severe asthmatics start to open up and move ↑ air, they will often sound WORSE—but this is often a paradoxical sign of clinical improvement. [16/x]

        5 replies 161 proslijeđeni tweet 1.290 korisnika označava da im se sviđa
        Prikaži ovu nit
      17. Sam Ghali, M.D.‏ @EM_RESUS 10. stu 2019.
        • Prijavi Tweet

        For an entire hour I didn’t leave the room. As our treatments took effect the boy really started to improve. He was breathing slower and easier. His lungs sounded much better. I’ll never forget the moment he opened his eyes and started looking around the room. [17/x]

        5 replies 66 proslijeđenih tweetova 809 korisnika označava da im se sviđa
        Prikaži ovu nit
      18. Sam Ghali, M.D.‏ @EM_RESUS 10. stu 2019.
        • Prijavi Tweet

        This is a crucial moment in an asthmatic’s clinical course. I can’t stress enough how important it is to talk to these patients and reassure them in a calm voice. It’s terrifying to not be able to breathe, and anxiety worsens respiratory distress. [18/x]

        7 replies 136 proslijeđenih tweetova 1.099 korisnika označava da im se sviđa
        Prikaži ovu nit
      19. Sam Ghali, M.D.‏ @EM_RESUS 10. stu 2019.
        • Prijavi Tweet

        After an hour and a half the boy looked like a completely different person. We admitted him to the PICU where he was watched closely overnight. He was never intubated. He did great and was discharged home with his family the very next day. [19/x]

        10 replies 65 proslijeđenih tweetova 992 korisnika označavaju da im se sviđa
        Prikaži ovu nit
      20. Sam Ghali, M.D.‏ @EM_RESUS 10. stu 2019.
        • Prijavi Tweet

        There’s no doubt in my mind that without medical intervention this young boy would have died within minutes. And that, if we would’ve decided to intubate him when he presented, he also might not be alive today. [20/x]

        12 replies 87 proslijeđenih tweetova 986 korisnika označava da im se sviđa
        Prikaži ovu nit
      21. Sam Ghali, M.D.‏ @EM_RESUS 10. stu 2019.
        • Prijavi Tweet

        Please remember the concepts in this thread and share them with others and I promise you will save lives. [End]

        129 replies 366 proslijeđenih tweetova 3.294 korisnika označavaju da im se sviđa
        Prikaži ovu nit
      22. Kraj razgovora

    Čini se da učitavanje traje već neko vrijeme.

    Twitter je možda preopterećen ili ima kratkotrajnih poteškoća u radu. Pokušajte ponovno ili potražite dodatne informacije u odjeljku Status Twittera.

      Sponzorirani tweet

      false

      • © 2020 Twitter
      • O Twitteru
      • Centar za pomoć
      • Uvjeti
      • Pravila o privatnosti
      • Imprint
      • Kolačići
      • Informacije o oglasima