Shelly, Mawi, and Paul discuss austere anesthesia, Mawi's Trauma, and Paul's salvation of a lobster. Enjoy the hosts and listen to Paul's Halloween EMT story.

Explicit. Mawi and Shelly discuss hemorrhoidectomies that go to ECMO, throat pressure that when released resuscitates patients, and septic guts gone wild. Join the hosts for their usual banter and story telling behind the scenes. Shelly loses it on a Mawi story and has to go Explicit.

Mawi and Shelly discuss problems with oxygenating Vape lungs, challenges with cardiologists putting in TEE probes, and use of the Clear Sight device from an anecdotal perspective. Join the hosts for a frank discussion on what's been going on in the medicine.

One of the funniest episodes we've had. Really irreverant side commentary. Good clinical discussions for learners. Discussed aggressive resuscitation, treating acidosis, and treating hyperkalemia. Come on a trip with the Wise Guys.

Shelly, Mawi, and David discuss a listener mail on interdepartmental conflict, cautionary tales of addressing valvular disease and anesthesia, and language barriers complicating care.

Shelly, Mawi, Paul, and Stephen have a great discussion on volume resuscitation strategies, maximum blood products given, and what to give when pH is whack. The nephrologist has some knowledge to drop....

Shelly and Mawi go through Listener Mail for droperidol response, and recommendations for block adjustments. Discussion on approaches to ultrasound IV's and ALines. Shelly tells a story about menopause that will make you laugh, unless you're a monster.... maybe.....

Mawi and Shelly Discuss things they've heard about. It's a medley of nerve blocks, Cannibinoid hyperemesis, and opiates.

Mawi and Shelly have a littany of technical difficulties with recording this episode. We tell some stories and joke as we are want to do. Enjoy.

Shelly and Mawi tell stories about endoscopy, random codes, ruptured aneurysms, and snow shoveling heart attacks.