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I smoked from 14 to 30. I vaped to get off cigarettes and used zyns to get off vapes. Out of all three zyns in my opinion have far less negative side affects.

Thank you for researching this topic. The impact of this Nitro phobia potentially prevented treatment to AMIs. The review of the data is greatly appreciated. Have you considered the topic of adenosine for SVT due to WPW. Here in Central Indiana some medical directors are stating WPW is a contraindication for adenosine.

Thanks guys for highlighting this issue!

I always felt it was hogwash... like so many things in medicine:)

NICE! Another BS myth busted. Thank you very much guys!

I am an intensivist, who watched this prior to my critical care fellowship. Still putting these skills to good use to this day and also teaching it to trainees- thank you EMCrit!

I've gone a month without smoking thanks to nic pouches. Nothing else worked for me to quit. Didn't think I'd ever be able to.

I got addicted to them. I've gotten off and withdrawal was rough. In moderation like 1 or 2 a week. I think it's fine. The performance enhancement isn't worth the addiction

Does anyone have a copy of this article (pdf) they can share with me? Thanks!

Love an upper decker

I was blown away! Bravo!!👏

That’s why we will never stop scanning Gi bleeds B/c Gi always want it Em can’t change only GI can stop that

Acute adrenal insufficiency!!!

7 mins of waffle

I quit smoking (44 years) by using the pouch. I knew there would be issues with the other aspect of smoking unknown triggers, hand to mouth habits, planning to not run out of cigarettes, drinking, and social cues. So, I had two pouches and bought hemp cigarettes. Instantly, I have not had a bit of interest in smoking a cigarette 0! Because the hemp cigarettes tend to be harsh, I very seldom feel the need to smoke them and i smoke them like one would smoke a cigar. After three months my lungs are clear I don't stink, my house and car doesn't stink. I started with 6 or 8 mg and have been tapering down to 3 and 4mg doses. I cannot believe in two hours i completely banished cigarettes from my life. I had tried everything and this is working. I hope others get this message.

The “as you know” is genuinely one of the funniest bits in medicine

Additionally, we already have trials showing the risk for aspiration is low in NIPPV patients which is why NIPPV on restrained patients was changed from an absolute to a relative contraindication.

Maybe it’s just me, but I feel like this is one of those studies that falls into the category of common sense and just proves the ignorance of the medical field. We have somehow attached ourselves to this notion of “it there’s no study to back it, then it must not be good!” I don’t need a study to tell me that an ultrasound Doppler is more sensitive and specific for monitoring the femoral pulse during a code when compared to manual palpation, but they studied it. I also don’t need a study that tells me NIPPV prior to intubation is superior. This feels like common sense.

Aren’t insecticides harmful to humans in general? Wouldn’t nicotine be safer to use in agriculture?

This is terrible advice.

Explained it with showing ECG pictures plzz

This is the most I’ve seen the entire EM/Crit care community simultaneously rejoice and flip their shit over a hot new piece of literature since Andy Fischer’s Whole Blood push, or maybe the AIRWAY trials

Don't do it. As a former military dental assistant, I have seen the terrible effects of the ' Deployment Diet ' of Rip Its and Dip

Keep in mind that the EPA is a tool to create policies, pushed by lobbyists, onto politicians, that will create rules or boundaries that will benefit their industry. That’s usually by banning or limiting another industry for something that’s not real.

And where is Surgery/ObGyn when they are needed to perform a laparotomy? Every hospital that i know has a surgical department on call, just call the hospital before you arrive and they will be ready. Is it an US thing for the EM to perform amateur procedures instead of surgeons?

She's amazing young woman.

"Health is not a deciding factor that you will have a life that's successful or a life that you are proud of! "

They come out with nicotine pouches...nicotine is pretty safe except it causes horrible gum recession. They decided to use ACESULFAME Potassium as a sweetener ...it hasn't been tested enough to be considered "safe." Can enhance tumor growth and stomach issues (heartburn). These pouches would be safe if they didn't dump ACESULFAME into them! It's probably way worse than nicotine or tobacco. They get you coming ..and going. They need to add crap that'll kill you or cause tooth loss due to holding nicotine against your gums for hours.

How to reverse a 5051

Hello sir. I got C2 fracture last year,by bike accident. It's going more than a year. Still having some tightness in my Neck while rotating. The specifications were- CLOSED DISLOCATION SECOND CERVICAL VERTEBRA R.T.A. /HEAD INJURY / D.A.I. WITH C2 FRACTURE TYPE 2 ODONTOID FRACTURE WITH ROTATORY ATLANTO-AXIAL DISLOCATION. I'm asking that I'm 28 now.and now I'm feeling better day by day. Can i start my gym (workout) again. Actually months ago while my last check-up my neurosurgeon told me to not go gym in life again. Only thing i can do is crosswalk. I'm asking that can i do gym with precautions like not lifting heavy weight. Please answer. Aditya from INDIA

Patient is AWOL 😅

😍

How do I get this🤔 & I need wider & longer

Im not going to drink anything for a few days and just eat some foam for my stomach ulcer.. Im joking, incase you dont get my humour.

Why was i expecting ranch 😭

What's up doc? You're so sexy ❤❤❤

Some Foams are made of Latex, people with Latex allergies can go into anaphylactic shock. So just check.

Like it

i love this speaker 😂❤ my favorite teacher in this series.

My health is a mess but not terminal. I watch sbsk and i just found her and watch to remind myself that i dont have it that bad. Such a light.

Here is an anecdote of the risks of nicotine pouches: I live in Norway, where nicotine pouches, and the similar tobacco pouches known as «Swedish snus» have been widespread among youths for decades. There are many brands on the Norwegian market, and the nicotine strength of these can be as high as 50mg per pouch, but most people thankfully stay below 20mg (which is definitely too much for me). Since the age of 17, I became more and more addicted to nicotine pouches, and after two years, I was going through roughly 12 pouches of 13mg/pouch nicotine strength daily, in addition to drinking around 4 (pretty big) cups of coffee daily. Then one day, as a 19-year-old man with no known health complications, I had an episode of an extremely high heartbeat. (I think it’s called tachycardia?) I measured my pulse at more than 200 BMP, and freaked out, calling the emergency number, fearing for my life. The lady at the emergency central told me it was not an emergency, and that I should go to the doctor (I never did 🙊). After that, I was much more cautious about my nicotine and caffeine consumotion, and it has never happened again. A while after this episode, I heard from a friend that she had also experienced the exact same thing, and at a party, I learned that this was a phenomenon that people knew about. I still have no idea how serious this is, or what exactly causes it, but it definitely lights up a red flag about nicotine consumption for me.

Great video! But I must point out that you said that Zyns have less nicotine than cigarettes at 1:33 . This is technically true, but only around 1/10 of the nicotine in each cigarette can actually be absorbed in the body. The EU has a law banning cigarettes that have more than 1mg of nicotine, but that is measured in the absorbable «free nicotine». Nearly all of the nicotine in nicotine pouches can be absorbed, but it is released over a longer span of time, so the effects aren’t felt as strongly using a Zyn pouch as a cigarette.

you know it's going to be a good lecture if you see that blue background in the slides

I would warn anyone falsely advertising poison - Ks, Spice - as "synthetic cannabis" to cease immediately. Neither the manufacturer, nor the retailers, advertise, nor have they ever advertised that crap as synthetic cannabis or marijuana. Only the medical community, law community, and media advertise, and that to the stressed out masses desiring to use real cannabis, but have to piss for a job, that a scientific impossibility - man synthesize a natural plant, cannabis, or marijuana. Those alcoholic and codependent authorities are responsible for tempting millions to try K2 and Spice by advertising it as synthetic cannabis. Countless souls have been harmed. Lawsuits are coming for damages. You had better stop doing it yourself.

This was great... appreciate the information. One doctor to another, the honesty is appreciated.

I really appreciate the honest and well thought out answer to this question. I wish more content discussed the risks and benefits of choices we make and is honest when the research just simply hasn't been thoroughly conducted yet. Would you be able to make a video discussing the differences in risk between coffee and zero calorie/sugar energy drinks? Specifically for someone trying to improve performance on long overnight shifts?

Perhaps link some sources in the description. This video though is such a good topic and thank you for making it

😉 *Promo SM*

at age 47 , i have ride motorcycles since i was 15 , before that skateboard , be riding bicycle every day for the last 10 years , never brake bone , got hit by car once , and i have ride in all weather i have ride drunk multiple times ,i have also injure my self few times with power tools and manual tools , well ok the raw food is stupid thig to do , spending couple of day with dearie and vomiting is not fun ,

You need to cite your sources.