Mark Ramzy, DO, EMT-P (@MRamzyDO)

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Mark Ramzy, DO, EMT-P@MRamzyDO · Apr 23, 2023

🫁 ADVANCED THORACIC #POCUS 🫁 🅰️-Line: Physiologic reflection of pleural line 🅱️-Line: Vertical comet tail artifacts 🦓 Z-line: ill defined artifacts shorter in depth that look like B-lines but arent 🆎Lung profiles can help w/diagnoses #FOAMed #MedEd @POCUS_Society @srrezaie

MRamzyDO's tweet image. 🫁 ADVANCED THORACIC #POCUS 🫁

🅰️-Line: Physiologic reflection of pleural line
🅱️-Line: Vertical comet tail artifacts
🦓 Z-line: ill defined artifacts shorter in depth that look like B-lines but arent
🆎Lung profiles can help w/diagnoses

#FOAMed #MedEd @POCUS_Society @srrezaie

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REBEL EM@REBEL__EM · Jul 25

🚨TXA for Hemoptysis: We Put That $#!t on Everything (That Bleeds) Pt 2 🫁💨 Neb TXA worked faster & needed fewer procedures than IV in a small RCT 🌬️ Cheap, no IV, and maybe better ⚠️ Mostly TB patients, but results? 🔥 📖 rebelem.com #FOAMed #MedTwitter #MedX

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REBEL EM@REBEL__EM · Jul 24

🫁 What’s Behind the Breath? Shallow breaths? Think neuromuscular, bronchospasm, or poor compliance. Big breaths? Prob compensation. 👁 Observe ✋ Palpate 👂 Listen 🧠 Synthesize 🔗 wp.me/pdrP8b-5ng 🎙️ Frank Lodeserto MD @marco_propersi @mramzydo #REBELEM #FOAMed #MedEd

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REBEL EM@REBEL__EM · Jul 21

🫀 Sinus tachycardia = a sign, not a diagnosis. Don’t just treat the rate—find the cause. Use this 8-point checklist & skip reflexive beta blockers. 🎧 REBEL Core Cast 137: wp.me/pdrP8b-5nI #FOAMed #MedEd #MEdicine #CriticalCare @Marco_Propersi @mramzydo

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REBEL EM@REBEL__EM · Jul 23

🚫 Routine casting for all snuffbox tenderness? 🩹 The SUSPECT Trial says… maybe not. Bandaging was noninferior for occult scaphoid fx w/ better ROM + satisfaction. 📖 wp.me/pdrP8b-5nC @marco_propersi @EMSwami @MRamzyDO @srrezaie #FOAMed #medtwitter #MedX

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REBEL EM@REBEL__EM · Jul 17

🚨 Vasopressor Extravasation? Act fast. 💉 Phentolamine 🧴 Nitro ointment 💨 SC Terbutaline Quick-reference REBEL REVIEW 👇 📸 PMID: 28890646 #FOAMed #EM #CriticalCare #PharmTips @EMSwami @MRamzyDO @Marco_propersi @Srrezaie

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REBEL EM@REBEL__EM · Jul 18

🧠💥 1 month of intractable headache. Tried NSAIDs, antiemetics, steroids, nerve blocks, Topamax, ubrogepant—nothing worked. Then 💉 2.5 mg IV Haldol = near-total relief. Old drug, new role? 🔗 loom.ly/ic39bnw #FOAMed @EMSwami @MRamzyDO @Marco_propersi @Srrezaie

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REBEL EM@REBEL__EM · Jul 16

🚨MDCalc Wars: HEART Score vs. EDACS! Both safely ID low-risk ACS pts when paired w/ hs-trop. HEART = simple, EDACS = broader. Which do you use? 📖 loom.ly/Y2lFIpw 🎙️ @Marco_Propersi @MRamzyDO @srrezaie @emswami #FOAMed #Cardiology #EM

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REBEL EM@REBEL__EM · Jul 14

🚫 Routine casting for all snuffbox tenderness? 🩹 The SUSPECT Trial says… maybe not. Bandaging was noninferior for occult scaphoid fx w/ better ROM + satisfaction. 📖 wp.me/pdrP8b-5nC @marco_propersi @EMSwami @MRamzyDO @srrezaie #FOAMed #medtwitter #MedX

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REBEL EM@REBEL__EM · Jul 9

🚑 Midline tenderness + one beer — CT or not? You're in the ED. Which rule guides your call: 🟦 NEXUS — simple, fast, validated 🇨🇦 CCR — more nuanced, validated 💬 Let’s hear your go-to and why. 🔗 loom.ly/_WUCTws #FOAMed

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REBEL EM@REBEL__EM · Jul 8

🚨 Check it out on REBEL EM: Size Matters! Are you using the right cuff? New RCT shows the wrong cuff size skews SBP/DBP. 📉 Too Small cuff = High BP 📈 Too Large cuff = Low BP 📌 Details: wp.me/pdrP8b-5k6 @marco_propersi @EMSwami @srrezaie @MRamzyDO #MedTwitter

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REBEL EM@REBEL__EM · Jul 7

🫁 What’s Behind the Breath? Shallow breaths? Think neuromuscular, bronchospasm, or poor compliance. Big breaths? Prob compensation. 👁 Observe ✋ Palpate 👂 Listen 🧠 Synthesize 🔗 wp.me/pdrP8b-5ng 🎙️ Frank Lodeserto MD @marco_propersi @mramzydo #REBELEM #FOAMed #MedEd

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REBEL EM@REBEL__EM · Jul 6

🎧 REBEL Cast: Acetaminophen Toxicity 🧪 When to start NAC 📈 Use the Rumack-Matthew Nomogram 🧠 King's College Criteria 💊 Fomepizole—future role? 🎙️ By @emswami 🎧 listen: wp.me/pdrP8b-5lZ @marco_propersi @mramzydo @srrezaie #FOAMed #Toxicology #EmergencyMedicine

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Mark Ramzy, DO, EMT-P@MRamzyDO · Jun 24

The EM band is getting back together @cliffreid @davidcarr333 @TheSGEM @umanamd @emcrit @srrezaie @REBEL__EM @EmICUcanada @stemlyns @docib @HumanFact0rz @DocWillisMD @CriticalCareNow @_NMay @PrehospitalCC @coreultrasound Be prepare for the unprepared incrementum-conference.com/en/speakers-20…

@@IncrEMentUM@IncrEMentuMconf · Jun 24

🔥The final schedule for IncrEMentuM 2026 is now live Three intense days. Live simulations, hands-on sessions, speakers from around the world, and decisions under pressure. Now you know when, where, and with whom. Check out the full program.

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REBEL EM@REBEL__EM · Jun 26

❤️REBEL REVIEW on Eclampsia Definition & Treatment 🫃🏽Prevent maternal hypoxia and trauma using measures below 🫀See treatment of hypertension w/meds below 👶🏽Treatment is delivery of fetus! 👀More at: loom.ly/LNw6HwY #FOAMed @MRamzyDO @Marco_propersi @EMSwami @Srrezaie

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REBEL EM@REBEL__EM · Jun 18

🫀Treatment of Ventricular Tachycardia starts with identifying the underlying cause! 4️⃣Here's a REBEL REVIEW describing four ways to manage this life-threatening arrythmia! 👀Check out more at loom.ly/LNw6HwY #FOAMed #MedED @EMSwami @marco_propersi @Srrezaie @MRamzyDO

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REBEL EM@REBEL__EM · Jun 16

🎧 NEW CoreCast! 🫁 Confused about hypoxia vs hypoxemia? We’ve got a simple bedside approach‼️ 🚫 Shunt ≠ Dead space 💡 Know when FiO₂ fails & PPV saves 🎙️ @Marco_Propersi @MRamzyDO @srrezaie @emswami 🔗 loom.ly/hJFaydE #FOAMed #MedTwitter #PulmCrit

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REBEL EM@REBEL__EM · Jun 13

🫁 Crashing SCAPE? High-dose nitro works fast. 💉 Bolus hard (up to 2mg IV) 💨 Add BiPAP 🕒 Peak in 5 min ⚠️ Taper when SBP <140 or MAP <65 Infographic via @REBEL__EM 🔥 @marco_propersi @emswami @srrezaie @mramzydo ❤️ Like 🔁 Repost 🔔 Follow #FOAMed

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REBEL EM@REBEL__EM · Jun 11

🚨 IV/IO Access Flow Rates 💉 14G = 250 mL/min 💉 18G = 100 🦴 Humeral IO > Tibial IO 🧵 Triple lumens = slowest 💡 Gauge Matters! 📊 REBEL EM image ❤️ Like | 🔁 Share | 👥 Tag your team By @Marco_Propersi @MRamzyDO @EMSwami @srrezaie #FOAMed #Resus #EmergencyMedicine

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REBEL EM@REBEL__EM · Jun 10

🚑 Midline tenderness + one beer — CT or not? You're in the ED. Which rule guides your call: 🟦 NEXUS — simple, fast, validated 🇨🇦 CCR — more nuanced, validated 💬 Let’s hear your go-to and why. 🔗 loom.ly/_WUCTws #FOAMed

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REBEL EM@REBEL__EM · Jun 9

🚨 NEW on REBEL EM 📉 The ADAPT-Sepsis Trial: PCT-based protocols ↓ Abx by 1 day but ↑ mortality (5%) CRP didn’t meet non-inferiority ⚠️ Biomarkers ≠ clinical judgment 📖 hhttps://wp.me/pdrP8b-5mL ✍️ By @MRamzyDO 🧠 Peer reviewed by @EMSwami & @Marco_Propersi #FOAMed

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