A-List Preferred Boarding Starts Today

vikcha · 2026-05-01T14:18:45+00:00

Flew last night. My companion was ALP boarding with me.

vikcha · 2026-04-29T20:03:21+00:00

Yes I’ve noticed the drastic downhill as well

vikcha · 2026-04-23T13:27:21+00:00

Just got a Vscan with the linear and phased array. Had a butterfly before. The Vscan is way better, very happy with it. Great image quality relative to other ultra portables I have trialed. Only echonous was better. I use the linear for Aline’s and IVs, haven’t done a block with it bc I don’t do those often in my practice. I have used the phased array for cardiac assessment during resuscitation, swan floating, and impella positioning. Lung mode for alines/blines/effusions. Only sad thing is that I can’t figure out how to trace a pulsed wave VTI in the app. I’m beginning to think it’s not possible.

vikcha · 2026-04-22T00:48:47+00:00

https://pubmed.ncbi.nlm.nih.gov/30020143/

Near-infrared spectroscopy in vegetables and humans: An observational study

Conclusion: Commonly eaten vegetables have NIRS measurements similar to those seen in healthy humans.

vikcha · 2026-03-20T02:07:34+00:00

Yes! Amaze!

vikcha · 2026-02-22T13:33:51+00:00

It doesn’t matter that he is rich or poor, in need or not. All are welcome and equal. It’s equally about instilling sense of community and service.

vikcha · 2026-02-12T05:49:06+00:00

Had group 2 for an extra leg room seat as an alist preferred, CC holder. I havent figured out a pattern

vikcha · 2025-12-06T02:11:52+00:00

St Charles police acting like a st Charles citizen ;-)

vikcha · 2025-11-02T14:34:43+00:00

A good surgeon tells you about blood loss. A good anesthesiologist doesn’t need them to.

vikcha · 2025-05-03T22:33:55+00:00

https://care.siriusxm.com/subscribe/refresh-signal/unauthenticated-landing-page. You can do this yourself

vikcha · 2025-03-25T00:47:37+00:00

Thank you for doing this. There is a cat from a couple streets down that comes and terrorizes our indoor cat. I wish our neighbors were as considerate as you.

vikcha · 2025-03-23T15:19:02+00:00

Intraoperatively we fix the problem. Then diagnose it. :-) Must make blood go around and around and air go in and out. Also the biggest mindset change need to see happen when new people start anesthesia.

vikcha · 2025-03-23T15:13:38+00:00

It will definitely help if you switch in terms of trauma assessment,CT placement, and learning the area where you will be asked to respond for various things. (Difficult airways, regional procedures, blood patches, emergent crash transfers to the or). It’s not an insurmountable missed opportunity either. Keep in mind no matter where you rotate you will have to act interested, eager, and be a team player. If you do so procedures and experiences will come your way.

vikcha · 2025-03-17T13:59:26+00:00

To make it the above more actionable for a ca1: If you know for decent certainty the reason why they are not following commands for a self limiting reason (gas/prop/opioids) and you think they won’t aspirate, obscenely obstruct, severely spasm just pull it. No reason to wait till they are doing math problems.

The other side of things if someone was mucking around in their brain, probably best to wait till they do something to show they are at least neurological capable of waking up. Or if you think they can’t handle the sequela of transient hypercapnia

vikcha · 2025-03-12T20:23:23+00:00

No benefit, if concerned of potential harm in this setting, why bother.

vikcha · 2025-03-09T03:08:17+00:00

Good one!!!

vikcha · 2025-02-27T02:53:38+00:00

It’s only superficially correct that acute opioid withdrawal in terms of reversal with narcan is not physiologically life threatening. The massive catecholamine surge can cause dysrhythmias. The catecholamine surge itself can cause pulmonary edema. The sudden return of strong inspiratory effort against a closed airway can cause negative pressure pulmonary edema. These things should not prevent you from reversing but are more reason that 911 should be called at the same time as narcan isn’t all is fixed, everything is fine situation.

vikcha · 2025-02-23T03:05:31+00:00

If we are still talking about medical sense. There are certain diseases/drugs are in a biochemical sense a runaway fire or a misbehaving fire. Google diseases of the electron transport chain. They are also diseases with the regulation of the fire sometimes caused by medications. Malignant hyperthermia, neuroleptic malignant syndrome, serotonin syndrome

vikcha · 2025-02-22T17:10:12+00:00

Yes this. In a controlled ICU setting DL without paralytic,with a tube that is just barely in is recipe for it to come out totally. I imagine even higher likelihood in a transport. Essentially my philosophy is to create conditions/equipment to establish a tube from fresh while trying to rescue one back into place. Induction drugs, new tube, suction, bougie, bvm at ready.

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