GENOCIDE WATCH for North America

"This is the war. If you do not wish to be challenged, leave now. Saturday morning cartoons await." - The artist formerly known as Prince

#genocide #smallpox #blackpox #antififa #vermont #bitcoin #bch #bitcoincash #minneapolis #Healthcareworkers #emergencymedicine #emergencymedicalservices #nurses #intensivecare #criticalcare

Hey #Healthcareworkers #emergencymedicine #emergencymedicalservices #nurses #intensivecare #criticalcare folks: black band your badge. If you don’t have one already, a hairband with a knot in it will work fine.

When we lose a cop, medic, firefighter — we put a black band around our work badges. Band up for Mr. Pretti.

🔥 HbA1c & Infected Pancreatic Necrosis (IPN)

⚠️ HbA1c ≥6.5% = 4× higher IPN risk in acute necrotizing pancreatitis.

🩸 Hyperglycemia drives immune dysfunction, bacterial translocation & severe inflammation.

📌 Early HbA1c testing + strict glucose control is essential.

#Pancreatitis #IPN #HbA1c #CriticalCare #GastroAGI

🫁🦠 Gut–Lung Crosstalk in Sepsis

Sepsis disrupts the gut microbiota, damages the intestinal barrier, and allows LPS/endotoxins to enter circulation—triggering lung inflammation, NETs, and ALI/ARDS.

Immune cells shift to glycolysis (HIF-1α), mitochondria release ROS/mtDNA, and gut-derived metabolites (bile acids, TMAO) worsen lung injury.

Restoring the axis via probiotics/FMT, vagal activation, and immune-metabolic profiling may improve outcomes.
#GastroAGI #Sepsis #CriticalCare

Tele-Ultrasound: What the Data Show

A review of 6,051 papers → 18 studies across 11 countries found:
• Strong diagnostic performance (agreement up to 100%)
• Positive provider experience
• Good patient acceptance
• Cost savings

Tele-ultrasound is feasible and clinically meaningful — when supported by proper technology.

#TeleUltrasound #Ultrasound #POCUS #MedicalScience #DigitalHealth #RemoteCare #CriticalCare #MedTech

Doppler for Deresuscitation Readiness

• Discontinuous IRVF → 4× odds of success
• 87% sensitivity
• VExUS 2–3 → high specificity, low sensitivity
• IRVF ↓ correlates with ↓ NT-proBNP

IRVF reflects bedside physiology — not long-term outcomes.

Useful for when to remove fluids, not what will happen after.

#CriticalCare #POCUS #Ultrasound #RenalDoppler #FluidManagement #MedicalScience #ICU