Pulm/crit nurse practitioner @SOMC_Health 🫁 Formally Flight-Retrievalist @UC_Health 🚁. Retired Firefighter/NRP @UTlocal3412 👩🏻🚒. Fisherman 🎣. #FOAMed
Ohio, USA
Joined October 2009
- Tweets11.1K
- Following907
- Followers725
- Likes3.6K
Shad Ruby retweeted
Por amor de Dios, ya NO usen Soluciones IV de Base ❌ 💦
Un estudio de >12,000 pacientes demostró que las Soluciones Base (mantenimiento) se asocian a:
-Mortalidad
-Lesión Renal Aguda
-Terapia de Reemplazo Renal
a 30 días 📈 (MAKE30)
En buena onda prueben no usarlas, no pasará nada malo y al contrario, estarán mucho menos hinchados (o nada) sus pacientes, menos derrames, ahorran diuréticos, evitan alteraciones electrolíticas, no diluyen la Hb, etc.
Bastante tiene ya de líquidos con los que se pasan los medicamentos (infusiones, arrastre y lavados) y la nutrición que le den.
DOI10.1016/j.jcrc.2026.155619
Shad Ruby retweeted
🚨 BREAKING: The Chief of Chicago Police is being praised nationwide for the moment he STOOD WITH ICE instead of the Left
"Let me make this CLEAR! Federal agents, ICE, HSI, are officers. They are agents of law enforcement."
"If you box them in...plow a VEHICLE, you're using DEADLY FORCE. And THEY can use deadly force in response to stop YOU!"
"We need to be clear about these laws. We cannot become a society where we just decide to take everything in our own hands and start to commit crimes against law enforcement!"
"It is a crime. You may not like what they're doing. I can understand that there's a lot of emotions out there, but that does NOT mean that you get to commit a crime, especially one that could lead to deadly force."
"We need to keep everyone safe. Our responsibilities when it comes to federal agents, and I've been asked these questions, we do not interfere with the duties and responsibilities of federal agents."
This is literally just common sense.
Every single police chief should be saying this. This is DEEP BLUE CHICAGO!
Shad Ruby retweeted
New Pulm PEEPS Pearls episode out today about the use of methylene blue in septic shock!
Listen here: pulmpeeps.com/2025/11/25/111…
Shad Ruby retweeted
CT scan of a 25F with abdominal pain and feeling full after a meal. What’s the diagnosis?
Shad Ruby retweeted
Ever heard someone say ‘too sick to be intubated’
No one is
Here’s a ‘physiologically challenging airway’
Intubation for hypoxaemia & septic shock
2 emergency medicine specialists -1 on hemodynamics & oversight, 1 on oxygenation & supervising registrar intubation
Art line in, Peripheral norepi, epi 1:100000 ready to push
POCUS excluded RV failure
Ramped, preox via NIV-ST mode, allowing supported ventilation during induction
Intubated 1st pass over bougie using VL
No desat, no hypotension
Resus nurses all over it
Calm, smooth, safe. Just like we train
A shared mental model in a cohesive trained team leads to effective resuscitation
Resuscitate Before You Intubate!
