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Sam Ghali, M.D.

@EM_RESUS641k followers

ER Doctor | Resuscitation | Airway | Critical Care | Cardiovascular Emergencies | ECGs | Emergency Radiology | Trauma | #FOAMed | Patient Advocate

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Oct 16
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Posts 89 posts
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1Jul 20, '25Hi, ER Doc here. I don’t know who needs to hear this but do NOT even think about it.131×31.4M547k39k17k
2Mar 27, '23Here’s the Chest X-Ray of a young girl suffering from a condition that is now the #1 cause of death in children and adolescents in the U.S. What’s the diagnosis?68.4×16.4M84k20k2.2k
3Jan 16, '25Here's a video I made breaking down one of the most insane X-Rays I've ever seen #FOAMed66.7×16M32k4k17k
4Nov 28, '23Here’s a video I made breaking down this important case of a young man in his early 20’s who presented to the ER with cough for 1 month #FOAMed53.7×12.9M21k3.9k7.6k
5Jun 1, '24Here’s the CT Scan of a patient with a history of schizophrenia who presented to the ER with abdominal pain What’s the diagnosis?53.5×12.8M11k5706k
6Mar 31, '25What’s a life-saving medical fact everyone should know?51.7×12.4M62k5.7k28k
7Apr 9, '25Here’s a video I made breaking down a harsh medical reality truth for you Tell all your friends about this50.8×12.2M12k1.5k9.3k
8Jul 17, '24I’ve said it before and I’ll say it again, when a critical patient suddenly develops an intense and desperate thirst for water, they are about to code until proven otherwise.43.3×10.4M69k5.9k9.6k
9Dec 26, '22When a patient says “I feel like I’m gonna die”, they are about to code until proven otherwise. Trust me on this one.41.4×9.9M68k4.5k2.3k
10Dec 1, '24Watch Trevor Lawrence immediately after this horrific hit. His right arm suddenly flexes as his left arm simultaneously extends. This is known as the “fencing posture”—an involunta35.1×8.4M16k1.1k2k
11Aug 27, '23Here’s the Chest X-Ray of a young boy suffering from a condition that is now the #1 cause of death in children and adolescents in the U.S. What’s the diagnosis?35×8.4M19k3.7k1k
12May 1, '23Hi, ER Doc here. If your nose is bleeding, DO NOT TILT YOUR HEAD BACK. This just makes the blood drip down the back of your throat and you will then swallow and/or choke on it. Pin33.9×8.1M107k32k5.9k
13Aug 19, '23Hi, ER Doc here. I can’t believe I have to say this but please do NOT perform mouth-to mouth on dead wild animals.27.5×6.6M42k6.7k830
14May 17, '24When a critical patient suddenly starts talking to long deceased family members, they are soon going to code until proven otherwise. Trust me on this one.27.4×6.6M30k2k4.1k
15Jul 6, '20Hi, ER Doc here. If you think wearing a piece of cloth makes it “hard to breathe”, then trust me you do NOT want COVID-19.27.3×0274k68k818
16Sep 3, '23To this day the scariest Echo I've ever seen What's the diagnosis?26.3×6.3M12k1.5k2.1k
17Nov 1, '24Just to be crystal clear, “I feel fine but my wife made me come in” has a positive predictive value for something being *really* fucking wrong that approaches 100%23.1×5.5M87k3.5k3.1k
18Oct 8, '24Here’s one of the scariest CT scans I’ve ever seen What’s the diagnosis?21.4×5.1M10k3941.9k
19Apr 26, '24I don’t care what anyone says, “I feel fine but my wife made me come in” has a positive predictive value for something being really fucking wrong that approaches 100%20.5×4.9M54k2.6k2k
20Sep 18, '23This is the best video of flail chest I’ve ever seen19.8×4.7M23k3.4k4k
21Sep 9, '19Hi ER Doc here, This is called FLAIL CHEST. It’s where you break consecutive ribs in multiple places as a result of severe BLUNT FORCE TRAUMA. THIS HAS NOTHING TO DO WITH MARIJUANA18.5×0100k88k949
22Mar 30, '24When a critical patient suddenly develops an intense and desperate thirst for water, they are about to crash until proven otherwise. Trust me on this one.18.1×4.3M25k2.6k3.6k
23Mar 4, '23When an ER patient says “my wife made me come in”, something is really fucking wrong until proven otherwise. Trust me on this one.17.2×4.1M39k2.2k684
24Jun 18, '20If you think wearing a mask “cuts off your oxygen", just wait until you find out what COVID does.16.6×0160k45k492
25Feb 9, '25Hi, ER Doc here. Every time I see somebody with a nosebleed doing this wrong I feel the need to get this message out: If your nose is bleeding, DO NOT TILT YOUR HEAD BACK. This jus16.4×3.9M17k3.9k1.4k
26Jul 22, '21I just left the ER. We are officially back to getting crushed by COVID-19. Delta Variant is running rampant and it’s MUCH more transmissible than the original virus. 99% of our ICU16×0144k38k1.5k
27Aug 19, '24When an ER patient says “I would’ve come in sooner but I didn’t wanna bother you guys”, something is really fucking wrong until proven otherwise. Trust me on this one.15.3×3.7M76k2.7k2.3k
28Jul 23, '23Doctors be like: Don’t confuse your Google search with my 4 years of Medical School Patients be like: Don’t confuse your 4 years of Medical School with my 20 years of living with t13.9×3.3M45k4.4k1.2k
29Jun 27, '23Just a reminder that when a patient says “I feel like I’m gonna die”, they are about to code until proven otherwise. Trust me on this one.13.5×3.2M39k2.9k1.3k
30Dec 16, '24Hi, ER Doc here. I can’t believe I actually have to say this but please do NOT insert frozen potatoes into your anus in an attempt to cure hemorrhoids.13.3×3.2M35k3.2k1k
31Jun 20, '23Here’s a message that was sent to me by an ER resident physician in training who saved a patient’s life half way across the country from me. When people ask “why teach on social me13×3.1M27k2k413
32Nov 22, '24Hi, ER Doc here. I don’t know who needs to hear this but going outside in the cold with your hair wet does NOT cause pneumonia. Please tell your friends and grandmothers about this12.1×2.9M40k3.5k1k
33Jul 20, '19This amazing. Everyone should know the Heimlich Maneuver. RT to save a life!11.4×082k41k1.4k
34Feb 28, '21Serious question: If masks and social distancing don’t work, then what the hell happened to the flu?10.9×0132k14k714
35Jul 9, '23Chief complaint: “Indigestion” Medicine is hard. Stay humble.10.4×2.5M11k1.4k722
36Feb 11, '24Hi, ER Doc here. When a patient says “I feel like I’m gonna die”, they are about to code until proven otherwise. Trust me on this one.10.3×2.5M14k1.4k836
37Jun 23, '24If I’m ever on an airplane and the flight attendant asks “is there a doctor on board?” of course I’ll help. I’m an ER doctor. But the first thing I’ll be doing is looking for a par10.1×2.4M20k730517
38Jan 28, '23I don’t know who needs to hear this but please stop cutting clothes and underwear off totally stable trauma patients9.1×2.2M13k860200
39Jun 22, '20Hi ER Doc here, @Twitter needs to flag this tweet as medical misinformation. There is NO scientific evidence that face masks cause pneumonia or any other type of lung infections. T9.1×059k38k251
40Aug 23, '20BREAKING: A novel treatment has been discovered that can reduce COVID-19 transmission by up to 75%. It’s called wear a fucking mask.8.9×093k20k202
41Oct 31, '20Hi ER Doc here, I can’t believe this needs to be said but doctors do NOT get more money if somebody dies from COVID. RT so people don’t believe this made up BS8.9×057k37k449
42Sep 24, '24This is a fascinating phenomenon known as terminal lucidity. In the medical field we refer to it as “rallying” or “the surge”. If it’s any consolation, doctors can’t really explain8.5×2M24k2.8k2.3k
43Apr 23, '20Hi, ER Doc here. Do NOT inject or consume ANY disinfectants in an attempt to kill COVID19.8.0×077k18k154
44Dec 19, '23When an elderly person says “I just don’t feel right”, they are having a medical emergency until proven otherwise. Trust me on this one.7.1×1.7M21k2.2k751
45Oct 9, '24I’ll give you a hint: it’s NOT an exorcism7.0×1.7M18k3501.1k
46Aug 2, '23Watch this video showing how smooth reducing a dislocated shoulder is after an Interscalene Nerve Block. Keep an eye on the shoulder and look how easy it pops back into place while6.8×1.6M10k1.4k1.6k
47Jul 15, '25when a farmer gets dragged to the ER 😭6.5×1.6M69k2.6k1.4k
48Nov 21, '23When a critical patient asks “Am I gonna die?”, they are about to code until proven otherwise. Trust me on this one.5.7×1.4M10k704571
49Sep 26, '24“What’s the craziest thing you’ve seen in the ER?” The daily consequences of a completely broken healthcare system.4.9×1.2M22k2.2k675
50Nov 25, '22Here’s a message that was sent to me by an ER resident physician in training who saved a patient’s life half way across the country from me. When people ask “why teach on social me4.9×062k3.8k1.9k
52Apr 18, '20Hi, ER Doc here. Just to be crystal clear we still do NOT have enough COVID tests for our symptomatic patients let alone to test everyone who wants one.4.7×044k13k100
53Apr 28, '19“If we ban AR-15s they’ll just find other ways.” I’m an ER Doctor. I’ve seen every way there is. Nothing comes close to empowering murderers with the ability to destroy as many hum4.6×045k11k167
54May 11, '20Hi, ER Doc here. We STILL do NOT have enough COVID tests for our symptomatic patients let alone to test everyone who wants one.4.6×042k12k113
55Aug 16, '24Hi, ER Doc here. If you witness someone pass out on to the ground, DO NOT RUSH THEM BACK UP TO A STANDING POSITION. This just decreases blood flow to their brain and can only make 4.5×1.1M14k3.8k850
56Nov 25, '24Hi, ER Doc here. I can’t believe I actually have to say this but do NOT perform mouth-to-mouth CPR on awake people who are literally talking to you.4.5×1.1M14k2k519
57Nov 1, '24Triage Nurse: “Hi Sir, what brings you to the ER?” Patient: “Ahh I feel fine, but my wife made me come in…” Triage Nurse: *immediately places defibrillator pads and rushes him to c4.3×1M15k940451
58Feb 9, '24Just a reminder that when an ER patient says “my wife made me come in”, something is really fucking wrong until proven otherwise.4.3×1M14k874371
59Apr 27, '24Patient: “I’m fine but my wife made me come in.” Triage Nurse: “Sir, where are your fingers?”4.1×994k14k715339
60Sep 19, '24Hi, ER Doc here. Just a friendly reminder if your nose is bleeding, DO NOT TILT YOUR HEAD BACK. This just makes the blood drip down the back of your throat and you will then swallo3.7×881k11k3.2k977
61Feb 14, '20I’m sorry but this is the most ADORABLE cardiac thrombus I’ve ever seen3.6×033k8.7k686
62Nov 10, '19A 17-year-old boy was rushed to the ER by his brothers struggling to breathe... [thread]3.6×022k9k5k
63Dec 26, '20Hi, ER Doc here. RT if you’ve ever done CPR on someone and they survived. Trying to prove something.3.2×014k12k2.8k
65Nov 29, '20Just left ER and reflecting back on my shift. I just wanna send a special shoutout to respiratory therapists. We’re seeing so much COVID and they’re always having to put themselves3.1×037k3.9k28
66Jun 13, '25Hi, ER Doc here. Everyone needs to know that taking too much Tylenol can cause liver failure and DEATH. I have seen too many people unintentionally overdose. Do NOT take more than 2.9×685k11k2.9k957
67Mar 25, '25If a pregnant patient presents to the ER with trauma and the story just doesn’t seem to make sense, you must find a way to interview her without her partner present. Pregnant women2.9×684k17k2.6k621
68Jan 10, '22Hi, ER Doc here. I can’t believe I have to say this but do NOT consume your own urine in an attempt to treat COVID19.2.8×026k4.4k139
69Nov 17, '22Leave Twitter just because it’s losing its entire infrastructure and is terribly understaffed? Babe, I’m an ER Doctor in the U.S. Healthcare System2.7×033k3.6k189
70Jun 12, '2129-year-old Christian Eriksen went into Sudden Cardiac Arrest on the soccer field in front of the entire world today. His life was saved because he got immediate CPR and defibrilla2.6×024k7.2k186
71Aug 22, '25I don’t care what anyone says, family members should NOT have the power to overturn a patient’s DNR wishes.2.5×592k14k896202
72May 8, '21These are your lungs. These are your lungs on COVID. Any questions? #GetVaccinated2.3×017k8k373
73Nov 13, '21Hi, ER Doc here. I’ve intubated a lot of patients who regretted not getting the vaccine. Never intubated a single patient who got it.2.2×024k4.9k123
74Sep 23, '19If your nose is bleeding, DO NOT TILT YOUR HEAD BACK. This just makes the blood drip down the back of your throat and you will swallow and/or choke on it. Pinch your nose and TILT 2.1×011k10k287
75Oct 26, '19Watch this great video showing the Modified Valsalva Maneuver converting a patient in SVT to Normal Sinus Rhythm If you’re not doing this, you’re not doing SVT right! Video courtes2.1×016k5.8k1.5k
76Jan 25, '21ok who did this?2.1×023k2.9k271
77Jun 7, '20Hi, ER Doc here. Everyone should know that pepper spray is LITERALLY a chemical irritant.2.0×019k4.7k38
78Feb 23, '21These are your lungs. These are your lungs on COVID. Any questions?1.9×014k6.8k276
79Dec 5, '22Here’s the Chest X-Ray of a young boy with a condition that is now the leading cause of death in children and adolescents in the U.S. What’s the diagnosis?1.6×013k3.3k609
80Sep 21, '21Hi, ER Doc here. I can’t believe I have to say this but do NOT insert Ivermectin into ANY of your orifices in an attempt to treat COVID19.1.5×016k2.7k61
81Sep 4, '21I have an ivermectin joke, but it doesn’t work1.5×016k3.1k54
82Mar 29, '21Here’s a message that was sent to me by an ER resident physician in training who saved a patient’s life half way across the country from me. When people ask “why teach on Twitter?”1.4×018k1.2k181
85Mar 16, '22When a patient tells you “I feel like I’m gonna die”, believe them until proven otherwise. Trust me on this one.1.3×015k1.8k273
86Aug 15, '22Hi, ER Doc here. Did you know that bystander CPR can double or triple the chances of survival from cardiac arrest? This is how it works. Life is precious. Learn CPR.1.3×09.5k3.9k994
87Oct 31, '21This is the spookiest Echo I’ve ever seen 😱1.2×011k1.8k639
89Jul 9, '22Here’s an impressive Chest X-Ray of a 50 year old man who presented to the ER with shortness of breath What’s the diagnosis?1.1×09k1.1k1.3k
91Sep 4, '21I admitted an elderly lung cancer patient with COVID19 for slightly low oxygen levels. Him: “I guess the vaccine didn’t work for me huh doc?” Unvaccinated, I almost certainly would1.0×012k1.9k54
92Aug 18, '22Me: “Hi Sir, what brings you to the ER?” Patient: “I feel fine, but my wife made me come in.” Me: … Patient: … Me: *places defibrillator pads on his chest*1.0×013k763185
93Aug 26, '22Patient: “I think it’s just reflux” Narrator: It was not just reflux1.0×011k1.2k296
94Jul 26, '22Just a friendly reminder that what has become routine to you, may be one of the scariest times in your patient’s life.0.9×09.6k1.6k149
97Jan 16, '22Thousands of Americans are now dying from COVID every single day. I can assure you that none of these deaths are mild.0.7×07.4k1.4k31

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