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February 4, 2023

BehindTheMedspeak: When in doubt, do nothing

Screenshot 2023-01-21 at 11.01.35 AM

Excellent advice from Dr. Garfield re: what to do if you're giving anesthesia and something unexpected (not unanticipated: the art of giving anesthesia safely lies in having enough experience to have anticipated anything that could possibly happen — though every once in a while, perhaps once a year after you've been passing gas for, say, a decade, something unanticipated does occur) happens.

Prime example: during anesthesia induction, premature ventricular contractions (PVCs) are common.

The novice immediately reaches for the pre-filled lidocaine 100mg syringe; in contrast, I would simply increase hand bag-and-mask ventilation volume and rate, which acutely lowers CO2: the resulting hypocarbia usually did the trick.

I used to tell residents that simply holding the syringe in their hand solved the problem.

February 4, 2023 at 04:01 PM | Permalink | Comments (1)

Drone Dives Burj Khalifa, World's Tallest Building

Wrote Kottke:

Dubai-based video artist André Larsen spends a lot of time shooting the Burj Khalifa which, at 2,722 feet and 163 floors, is the world's tallest building.

In this video, a drone piloted by Larsen dives the entire height of the building... and it's kind of astounding just how much of it there is.

Floors whiz past by the dozen and still there's so far to go.

February 4, 2023 at 12:01 PM | Permalink | Comments (0)

Magic Mushroom Funnel



[via swissmiss]

February 4, 2023 at 08:01 AM | Permalink | Comments (0)

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