Joshua Kimbrell
@joshkimbre
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Paramedic turned medical student interested in resuscitation science and health equity. Here mostly for #FOAMed and the occasional meme. #LGM
New York, NY
Joined November 2011
For patients intubated in ERs in Brazil, etomidate was associated with higher 7d and 28d mortality vs ketamine, despite more immediate post-intubation hemodynamic instability with ketamine.
jamanetwork.com
This cohort study compares in-hospital mortality with etomidate vs ketamine for emergency rapid sequence intubation in critically ill adults.
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The Pond on a snowy Sunday morning in Central Park in New York City #newyork #newyorkcity #nyc @centralparknyc #centralpark #snow
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TRENDING: Indiana superstar quarterback Fernando Mendoza just gave the greatest Heisman Speech of all-time. ❤️❤️❤️ This can make a grown man cry.
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Magaziner: How many US military veterans have you deported? Noem: Sir, we have not deported U.S. Citizens or military veterans. Magaziner: We are joined on zoom by a gentleman who is army combat veteran who was shot twice while serving our country in Panama in 1989. Earlier
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Big news: Results of the HIGHLY anticipated RSI trial: Ketamine vs Etomidate 🥁 Drumroll... n=2,365 pts 1° No difference in mortality (28.1 vs 29.1%) 2° Ketamine associated with WORSE hemodynamic outcomes (SBP <65, new/increased vasopressor requirement, or cardiac arrest): 17
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Wow. This is why we do RCTs! In critically ill patients undergoing RSI, Ketamine did not lower odds of 28d in-hospital mortality compared to Etomidate, and it did lead to higher rates of cardiovascular collapse, hypotension, vasopressor use, and ventricular tachycardia.
Presented at CCR Down Under 2025: In a randomized trial involving critically ill patients undergoing intubation in EDs or ICUs, the use of ketamine for the induction of anesthesia did not lead to significantly lower in-hospital mortality than etomidate. Full trial results:
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1900 Eastern! This one could shake things up. Very exciting. Do you think ketamine will win the day?
Ketamine or etomidate for rapid sequence intubation? We'll find out at CCR Down Under 2025! Make your prediction via the link below and we'll see what the critical care community think prior to hearing the results of the RSI trial! https://t.co/MSqd2JfYva
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On Dec 9th, as soon as the embargo lifts, I will publish an EMCrit Wee on the Results of the RSI trial-Etomidate vs. Ketamine for RSI Induction. It is a discussion with the lead authors: @JonathanCaseyMD and @brian_driver Until then, why don't you put your chips down!!! Take
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4 letters, 4 words! @GreenWaveFB coach @CoachJonSumrall made #RMFW popular about a month ago and it continues to grow by the day. Here's the story on how RMFW came to life even more thanks to the relationship between Sumrall and @TulaneShop owner David Cariello. @wdsu
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It's a Tulane Championship Gameday. Beat North Texas.
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The @tulanealumni house is ready for hundreds of alums to gather today. About a dozen watch parties set up throughout the nation as well. Alums are debating if it’s the most important Tulane football game in an over 125-year history. Winner goes to the Playoff🏆
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Positions filled and match rates for the 2025 NRMP Medicine and Pediatric Specialties Fellowship Match
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These guys administered rocuronium, then sugammadex, then the patient developed severe anaphylaxis unresponsive to usual therapies, was in extremis, so they treated the patient with another dose of rocuronium. https://t.co/2q6E1YLMxv
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Everyone: check out this amazing youtube airway site. These are the worlds experts in emergency airway. Brian Driver and Matt Prekker have published more on this topic than anyone and here they demonstrate every possible airway technique. Aaron Robinson is an amazing EMS
youtube.com
Welcome to Hennepin Airway! Our channel will teach you approaches and equipment for emergency airway management.
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Robert F. Kennedy, Jr. is definitely coming for your vaccines, part 5: VAERS and a useful idiot at the FDA https://t.co/c0Z8pfQ8Ew via @sciencebasedmed @gorskon
sciencebasedmedicine.org
In the sadly continuing story of how Health and Human Services Secretary RFK Jr. is working to eliminate vaccines, we look at a useful idiot, Dr. Vinay Prasad, and how he is weaponizing dead children...
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