Listener mail for heart block, crazy blood pressures, and water allergy. Mawi and Shelly tell stories about big tongues, MH, dementia, and problematic circumcisions. Join the Wise Guys for their journey into the strange new year.

Join Mawi and Shelly for a discussion on how people are presenting with groin injuries, an update to the previously discussed case that progressed to ECMO, a rock and a hard place with a cerebral ischemic event in a patient with a recent shoulder surgery, and a patient with percretia to bilateral iliac vessels.

Mawi, Sarah Stewart Holland from Pantsuit Politics, and Shelly discuss Insurance dysfunction, Angioedema adventures, and massive esophageal hemorrage to start with. Mawi and Shelly continue to discuss stylette dysfunction during intubation, putting PACU patients in backwards, and a pediatric internal decapitation.

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.....