Anand Swaminathan
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emswami.bsky.social
Anand Swaminathan
@emswami.bsky.social
EM doc | Resuscitationist | Medical Educator | EMRAP Managing Editor
He/Him/His
Instagram: @EMSwami
I don't hear it but, I will gladly take the compliment!
November 21, 2025 at 5:49 PM
Discussed in the video
I wouldn’t do pushes but isotonic bicarbonate infusion would be great
November 21, 2025 at 5:14 PM
Thanks! Not worked anywhere where it was available but maybe just not considered an ED drug
November 19, 2025 at 10:22 PM
Not available in US so I don't have experience with it
We have octreotide which is very underwhelming
www.thennt.com/cms/nnt/octr...
November 19, 2025 at 5:38 PM
The benefit on octreotide is pretty low (though I still get asked to do it and do it on my own)

www.thennt.com/cms/nnt/octr...
Octreotide for Gastrointestinal Hemorrhage from Esophageal Varices – TheNNT
www.thennt.com
November 19, 2025 at 4:51 PM
I've got to review again as well but a couple things pop up aside from the high vs low resource:
-Admitted CAP patients sicker than what I see in US setting
-HIV + TB rates
-Entry criteria likely included lots of viral stuff

Interesting discussion. I would probably defer at this point for most CAP
October 30, 2025 at 7:08 PM