EM doc based in Italy. Here for FOAMed and EM&CC community "Zebras are not unicorns" #FOAMed #Meu #EMIMCChttps://bsky.app/profile/drghem.bsky.socialhttps://bsky.app/profile/drghem.bsky.social/post/3ml7egrnzfc2pAnother RCT fails to find REBOA its place #EMIMCC [contains quote post or other embedded content]06 May 2026 18:47 +0000at://did:plc:cpur6mivjqi2jujam2enskzn/app.bsky.feed.post/3ml7egrnzfc2phttps://bsky.app/profile/drghem.bsky.social/post/3mh45crrigk23Not a solution for evert traumatic tamponade, but maybe in some setting with selected pts #EMIMCC [contains quote post or other embedded content]15 Mar 2026 14:21 +0000at://did:plc:cpur6mivjqi2jujam2enskzn/app.bsky.feed.post/3mh45crrigk23https://bsky.app/profile/drghem.bsky.social/post/3mesgrcvxxk2eThe Big Sick 2026 - Will lectures be published somewhere at some point? @emmanchester.bsky.social @stemlyns.bsky.social #EMIMCC #FOAMed14 Feb 2026 06:53 +0000at://did:plc:cpur6mivjqi2jujam2enskzn/app.bsky.feed.post/3mesgrcvxxk2ehttps://bsky.app/profile/drghem.bsky.social/post/3megxliiul22g#FOAMed if you want to know how medicine will be practiced #EMIMCC [contains quote post or other embedded content]09 Feb 2026 17:22 +0000at://did:plc:cpur6mivjqi2jujam2enskzn/app.bsky.feed.post/3megxliiul22ghttps://bsky.app/profile/drghem.bsky.social/post/3m7wi7mlgtc2i@pulmcrit.bsky.social hot take on RSI trial. Again, more questions than answers. But this editorial is amazing and gives you a different view on the trial amongst many other you're about to read in these days. #EMIMCC #FOAMed14 Dec 2025 06:24 +0000at://did:plc:cpur6mivjqi2jujam2enskzn/app.bsky.feed.post/3m7wi7mlgtc2ihttps://bsky.app/profile/drghem.bsky.social/post/3m7whgd2rmc2iNo difference in mortality and such a big gap in CV outcome (surrogates). Something unmesured? #EMIMCC [contains quote post or other embedded content]14 Dec 2025 06:10 +0000at://did:plc:cpur6mivjqi2jujam2enskzn/app.bsky.feed.post/3m7whgd2rmc2ihttps://bsky.app/profile/drghem.bsky.social/post/3m57yxgepvs2g"CRT, like a star, is not the destination but a guide for the journey". AS-2 it's not just a trial, it's a manifesto, an act of faith #EMIMCC #Andromeda #AndromedaShock2 #Sepsis criticalcarereviews.com/blog/current https://criticalcarereviews.com/blog/current09 Nov 2025 21:02 +0000at://did:plc:cpur6mivjqi2jujam2enskzn/app.bsky.feed.post/3m57yxgepvs2ghttps://bsky.app/profile/drghem.bsky.social/post/3m47crcz7xk2whttps://emcrit.org/pulmcrit/2025-arrest/ #EMIMCC Some @pulmcrit.bsky.social 's highlights about aha vs erc cardiac arrest guidelines #Emcritters27 Oct 2025 20:59 +0000at://did:plc:cpur6mivjqi2jujam2enskzn/app.bsky.feed.post/3m47crcz7xk2whttps://bsky.app/profile/drghem.bsky.social/post/3lykcbeumd22iPLS SHARE. FOR PATIENTS SAFETY SAKE #EMIMCC https://www.tandfonline.com/doi/10.1080/10903127.2025.2541258?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed11 Sep 2025 08:09 +0000at://did:plc:cpur6mivjqi2jujam2enskzn/app.bsky.feed.post/3lykcbeumd22ihttps://bsky.app/profile/drghem.bsky.social/post/3lvy2rkqvl22xGive diuretics as boluses look at Chloride, k+ and pH Multimodal diuresis Not every form of "heart failure" need diuretics in the firsts hours #EMIMCC #DiuresisJedi #Deresuscitation [contains quote post or other embedded content]09 Aug 2025 15:17 +0000at://did:plc:cpur6mivjqi2jujam2enskzn/app.bsky.feed.post/3lvy2rkqvl22xhttps://bsky.app/profile/drghem.bsky.social/post/3lvbyxpzeds2wHad a case of elderly M with bilateral carotid stent intubated for sudden collapse and coma. CTA + CTP showed bilateral stent occlusion and complete shut down of anterior brain circulation. Signs of right upper limb ischemia (cold, pulseless). #EMIMCC #FOAMed #Stroke31 Jul 2025 20:46 +0000at://did:plc:cpur6mivjqi2jujam2enskzn/app.bsky.feed.post/3lvbyxpzeds2whttps://bsky.app/profile/drghem.bsky.social/post/3lv2gkf3yok2dA case in which V Tach should be prevented with adrenaline and chronotropism #EMIMCC [contains quote post or other embedded content]28 Jul 2025 20:27 +0000at://did:plc:cpur6mivjqi2jujam2enskzn/app.bsky.feed.post/3lv2gkf3yok2dhttps://bsky.app/profile/drghem.bsky.social/post/3lst4p4yn3c2gThose "softer" skills usually given for granted or misunderstood, "you have or you dont". In many place where I've trained or worked one spokes about leading as an abstraction and something you don't create or striving for #EMIMCC @emcases.bsky.social https://emergencymedicinecases.com/leadership-emergency-medicine/30 Jun 2025 11:52 +0000at://did:plc:cpur6mivjqi2jujam2enskzn/app.bsky.feed.post/3lst4p4yn3c2ghttps://bsky.app/profile/drghem.bsky.social/post/3lsj5wwxtkc2v5. Find a way to enjoy #EMIMCC @emcrit.bsky.social https://emcrit.org/emcrit/emcrit-guest-post-in-defense-of-dignity-by-chris-hicks-md/26 Jun 2025 12:48 +0000at://did:plc:cpur6mivjqi2jujam2enskzn/app.bsky.feed.post/3lsj5wwxtkc2vhttps://bsky.app/profile/drghem.bsky.social/post/3lrnme6otyk2iKetorolac coming at 30 mg per vial 🤯🤯🤯#EMIMCC [contains quote post or other embedded content]15 Jun 2025 13:51 +0000at://did:plc:cpur6mivjqi2jujam2enskzn/app.bsky.feed.post/3lrnme6otyk2ihttps://bsky.app/profile/drghem.bsky.social/post/3lrlmrfnj4c24Tracheo emergencies toolbox #EMIMCC https://youtu.be/-2bFRCx0cFQ?si=dzDHk4WTlTOtvm5014 Jun 2025 18:53 +0000at://did:plc:cpur6mivjqi2jujam2enskzn/app.bsky.feed.post/3lrlmrfnj4c24https://bsky.app/profile/drghem.bsky.social/post/3lrknxriou22uIf interested in ketamine for status, great debate https://emcrit.org/emcrit/ketamine-status-epilepticus/ @first10em.bsky.social vs @emcrit.bsky.social #EMIMCC [contains quote post or other embedded content]14 Jun 2025 09:42 +0000at://did:plc:cpur6mivjqi2jujam2enskzn/app.bsky.feed.post/3lrknxriou22uhttps://bsky.app/profile/drghem.bsky.social/post/3lr25pozo322vCardioman, you re right, not a STEMI. But.. need the same care aka straight to the cath lab. Time to change paradigm #EMIMCC #OMI [contains quote post or other embedded content]07 Jun 2025 20:09 +0000at://did:plc:cpur6mivjqi2jujam2enskzn/app.bsky.feed.post/3lr25pozo322vhttps://bsky.app/profile/drghem.bsky.social/post/3lql37fzbn22kMmmmm love ketamine but always I ve always been skeptical on super powerfull bronchodilatatory properties #EMIMCC [contains quote post or other embedded content]01 Jun 2025 20:14 +0000at://did:plc:cpur6mivjqi2jujam2enskzn/app.bsky.feed.post/3lql37fzbn22khttps://bsky.app/profile/drghem.bsky.social/post/3lq7ywiyd7s2bKeep your ED infusion pump for something else! #EMIMCC [contains quote post or other embedded content]28 May 2025 10:34 +0000at://did:plc:cpur6mivjqi2jujam2enskzn/app.bsky.feed.post/3lq7ywiyd7s2bhttps://bsky.app/profile/drghem.bsky.social/post/3lq5jdl6vdc23Inspirational talk for EM DAY 27 may. Add yours . https://youtu.be/Au4L3H6oRaI?si=oD5QLXWnO2tXo6lc . https://youtu.be/GFX_tocJShA?si=hkfL9h0wt1qukjzu . https://youtu.be/crjsmj4G0MU?si=yJFtIazXonjHEfn4 . https://emcrit.org/odr/should-must-wont/ #EMIMCC27 May 2025 10:49 +0000at://did:plc:cpur6mivjqi2jujam2enskzn/app.bsky.feed.post/3lq5jdl6vdc23