I recently had a patient who presented in profound acute renal failure with a BUN of >200, creatinine of 13.5, and critical pH of 6.7, on the brink of death...

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'It's better to be aggressive about managing a patient's airway and they didn't need it, and you look like an idiot, than to ignore a decompensating airway, and you end up with a dead pt, and then you look like a bigger idiot.' - Veer Vithalani, MD
#TxNAEMSP19 Texas Chapter- National Assn of EMS Physicians #FOAMems

There is a tendency for #EMS crews to rush their critical pt to the ambulance because they view it as a 'safe place'. While moving that pt, care is neglected. You CANNOT adequately resuscitate these pts during that time. #StayAndPlay #TXNAEMSP19 Texas Chapter- National Assn of EMS Physicians Veer Vithalani, MD

Utilizing your cardiac monitor file in #QualityImprovement can help you see underlying rhythm, EtCO2 waveform capnography (and the effectiveness of it), SpO2, time on chest, timeline of events, and use the information to make learning points for your crews. #TXNAEMSP19 Texas Chapter- National Assn of EMS Physicians

Had a great first annual meeting of the Texas chapter of NAEMSP! Thanks to all who came and contributed to great discussions. Already looking forward to next year! #TxNAEMSP19 Texas Chapter- National Assn of EMS Physicians NAEMSP

Know the difference between occluded tube and misplaced tube (solid line vs dotted line). #TxNAEMSP19 Veer Vithalani, MD

SADS - Sudden Ambulance Death Syndrome - critically ill patients who deteriorate quickly in the back of or on the way to the ambulance. Stabilize. Your. Patient. On. Scene. Before. You. Move. Them. #TxNAEMSP19 Veer Vithalani, MD

Texas #EMS by the numbers. #TXNAEMSP19

Looks like we might want to try decaf...

Chapter meeting tonight! JW Marriott Austin Room 408-409 1830-1930 We promise to make it short so you can make it to your dinner plans!