EM Board bombs @EMBoardBombs
Co-hosts @blakebriggsMD & @iltifatMD (Academic Faculty). We drop multiple podcasts a week in our podcast: https://t.co/jQU6EXg1TW emboardbombs.com/interactive-qu… United States of America Joined July 2018-
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Refractory ventricular fibrillation = VF that persists after 3 shocks, 300 mg Amiodarone, 3 x 1 Epinephrine 1 mg. It's not the same as recurrent VF, which terminates after defibrillation, but then recurs.
HIV patient without any recent CD4 counts? Absolute lymphocytes <1000 suggests CD4<200. Act accordingly! buff.ly/3JzLzPu
Don't be falsely reassured at the spontaneous resolution of a headache which would have otherwise concerned you - remember to fear the sentinel bleed!
Pheochromocytoma is a rare adrenal gland tumor arising from chromaffin cells in the adrenal medulla, but it can also arise from other paraganglia (with those being more likely to metastasize)
Question stem mentions something like a baseball game, crowded subway, & then lots of people presenting with flu-like symptoms + cysts with progress to pustules that crust? Be thinking about smallpox! Tx = immediate vaccination 💉
If considering the diagnosis, grab your probe - in a majority of cases, echocardiography will reveal a pericardial effusion in pericarditis
There's a reason to go for the vallecula - using a D-blade as a Miller may cause the cords to fall into a more anterior position that causes snagging of the ETT. Our airway supremacy module is free buff.ly/3LCbBRK with real videos with step-by-step tips for improvement
Cirrhosis causes dysregulation of both pro- & anti-thrombotic processes: Pro-bleeding: thrombocytopenia, platelet dysfunction, ⬇️ Factors II, V,VII,IX,X,XI, & fibrinogen Pro- thrombosis: ⬆️vWF & Factor VIII; ⬇️ADAMTS13, protein C&S, antithrombin, Plasminogen #FOAMed
Focal atrial tachycardia = regular rhythm, weird looking P waves (but they all look like each other) vs Multifocal AT = irregularly irregular, 3 different P wave morphologies *Both have narrow QRS, both have rate 150-250*
Presented with a patient who underwent prolonged labor and now has post-partum hemorrhage? Your first thought should be uterine atony as prolonged labor is a big risk factor #WCW #OBintheED
Never EVER do GI contamination in hydrocarbon ingestion, as aspiration is much worse than the ingestion
First line therapy for seizures in acute hepatic encephalopathy includes *phenytoin* due to the liver’s inability to clear other sedatives well. This is one of the few times that second line seizure treatment is short acting benzodiazepines.
If you have a high clinical suspicion for septic arthritis, bedside arthrocentesis needs to be performed prior to antibiotic administration. Send the synovial fluid for gram stain, culture, WBC count + diff, crystal exam under polarizing microscope
CTA isn't indicated in a traumatic head bleed - BUT if you have a patient who had an unwitnessed fall (especially low mechanism falls), at least consider if the fall may have been secondary to sudden mental status change from an aneurysm rupture #TraumaTuesday
Hypertensive emergency isn't defined by an actual number - it's about the presence of symptoms of end organ damage. We know that the rate of BP increase is more important than the absolute number, so look at other recent visits!
If epistaxis stops w topical vasoconstrictors & direct pressure (be sure to check the oropharynx), observe for 30m for rebleeding. If no bleeding recurs, discharge w a topical ointment (for lubrication) & strict advice to not blow their nose! Reference: buff.ly/4aWHUXx
#nasendoscopy in ED helps in a patient presenting with 2 days of dysphagia. #emergencymedicine #ENT #dysphagia #fiberopticnasendoscopy #difficultairway
It's the start of marathon season here in the US (or so we hear?) Heat stroke treatment of choice = whole body cold water immersion Second best way to treat heat stroke = evaporative (convective) cooling
Pediatric Pneumonia: 👶 For children 2 months to 5 years (MCO S pneumo) tx is high dose amoxicillin. If truly ALLERGIC to PCN, then azithromycin. 🧒 For children 5 years to 16 years of age (MCO atypicals) tx is azithromycin #PedsEM
Patients with a hyphema and sickle cell disease or trait have a higher risk of increased IOP, optic atrophy, and secondary hemorrhage because sickling is more likely in low O2 environment of the aqueous humor. Admit!
Cliff Reid @cliffreid
42K Followers 3K Following EM/ICM/PHEM doc. LOVE learning + teaching. I work in the sky above Sydney, have the attention span of a bullet, + often have days that are like cartoons #FOAMedgamerEMdoc @GamerEMDoc
19K Followers 2K Following EM program director. PGY18. Pittsburgh Steelers, SF Giants, #Medtwitter, Golf, Video Games. GNR fan. Opinions are my own and do not reflect those of my employerChristian Casteel, DO @DrCasteelEM
15K Followers 5K Following PGY-3 @RushEmergency ➡️ @UCDavisEM Simulation Fellow | @KansasCityU alumn | Musician 🎸Skateborder🛹🦋doctor doubt🦋 @reverendofdoubt
10K Followers 3K Following Emergency Physician | Midwest 🔜 East CoastNihar Ranjan Nayak @nihar_nayak2
11K Followers 966 Following DM Cardiology trainee(YR-1)-AIIMS, New Delhi MD Medicine- AIIMS, New Delhi. MBBS- AIIMS BhubaneswarMark Ramzy, DO, EMT-P @MRamzyDO
9K Followers 827 Following EmergMed-Critical Care-#POCUS Doc | Artist | Physician Coach | Graphic Designer | @REBEL__EM Author | Cheesecake Connoisseur | #FOAMed Fan | Posts ≠Med AdviceSaltyEM @SaltyEMNY
8K Followers 1K Following Rural doc bringing salt to Emergency Med. Making it work with too little. Extra chaotic good. I only tweet medical advice. Jawn enthusiast.Doodz @PhysicianDoodle
9K Followers 1K Following EM Doc | Doodler | 👩🏽⚕️👩🏽🎨 The views expressed are my own & do not reflect the views of my institutionMedicalposts_SQU @MedPostsSQU
14K Followers 735 Following MD || Sultan Qaboos University 🇴🇲 || A medical account where mostly child health-related content will be posted || ENJOY!! 💉💊Hans Huitink @AirwayMxAcademy
13K Followers 9K Following Anesthesiologist🇳🇱Founder Airway Management Academy non-profit airway teaching #AAF24| Mobile Intensive Care Unit😷🚑🩺 | AirAmbulance🛩 @AirwayTriageAppRabih Geha @rabihmgeha
20K Followers 2K Following Bub. In sync with older brother @DxRxEdu on https://t.co/A2e9Y4BLWP Co-founder @CPSolversMatt Sztajnkrycer @NoobieMatt
7K Followers 5K Following Forged @tamingthesru | Professor & PD @MayoClinicEM EMS Fellowship | Toxicologist @MNpoisoncenter | CME Editor @AnnalsofEM | Officially not notable as of 42023Molly O'Neil, DO @mowwyjane
12K Followers 5K Following MD➡️WV➡️PA⛰EM PGY-2, upcoming chief @conemaughemres. Adopted. Passions: dogs, plants, pop punk, mentoring, EMS, rural + wilderness med. views=own #MedTwitter❗NTE®️N🅰️L .. @pgMedicine
58K Followers 956 Following 📖🩺💊💉🤳💎✍👨⚕️👩⚕️ 📣📣🏥 🧐🤜🤛 ℹNTE ®️NAL Ⓜ️EDℹ©️ℹNE 🧑⚕️👩🏻⚕🧠🫀🫁👅👁👀🦴🦶👂👃💪 https://t.co/xu71tUG50WRick Pescatore, D.O. @Rick_Pescatore
35K Followers 936 Following Dad. Doctor. Clinical details altered.emresidents @emresidents
23K Followers 1K Following The Emergency Medicine Residents' Association is the voice of emergency medicine physicians-in-training and the future of our specialtyMedSurvival by Raza @MedSurvivalRaza
18K Followers 71 Following Hospitalist Physician Akron General Hospital, Medicine is PASSIONNNNNN 😊 Trying to understand Medicine in a simpler way😉 Tweets & RTs =X=Medical adviceTravis Smith, DO @RosenelliEM
5K Followers 2K Following Assoc Dean of Clinical Ed & Assoc Prof of Emergency Medicine @1LECOM. FSU & UF grad. Aging & Longevity. God. Golf @medtweetorials @hdx @EMBoardBombs @CPSolversRobert Herman, MD @RobertHermanMD
11K Followers 442 Following #AI Deep learning ECG! 🫀Interventional Cardiology Researcher @CardioAalst | PhD @UninaIT | Co-Founder 👑 Queen of Hearts & @PMcardioApp | #ECG #FOAMedعارف @drmantastic
1 Followers 27 FollowingFernando Bremauntz @BremauntzF
7 Followers 109 Following R1 de Medicina Interna. 🫀Esta cuenta solo es para aprender a resumir ensayos clínicos o artículos científicos.Hassan @Hassan48618832
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21 Followers 9 FollowingAnnals of Laboratory .. @AnnLabMed
2K Followers 5K Following Annals of Laboratory Medicine, published by Korean Society for #Laboratory_Medicine #open_access_publishing #annlabmedCarpeTrauma @Carpetrauma808
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1 Followers 343 FollowingDr. Adham Sameer A. B.. @Adham_Sameer_B
2K Followers 6K Following 𝗠𝗗, 𝗠𝗛𝗤𝗦, 𝗗𝗠𝗙, 𝗖𝗕𝗧 & 𝗠&𝗠-𝗣𝗚𝗰𝗲𝗿𝘁𝘀 | @harvardmed 𝗛𝗮𝗿𝘃𝗮𝗿𝗱 𝗠𝗲𝗱𝗶𝗰𝗮𝗹 𝗦𝗰𝗵𝗼𝗼𝗹 | د.أدهم سمير عقيل برديسي |🫀| ( 德山医生 )Ben Boonpheng @BenBoonpheng
156 Followers 741 Following 🇹🇭 Nephrologist/Transplant Nephrologist based in Bangkok Hospital. 🎓MDCU65 🇹🇭 ETSU IM 2019 🇺🇸UCLA neph 2021. 🇺🇸 UW transplant 2022 MD FASNant @zanthony1_
191 Followers 2K FollowingNsor Alobi @alobi_nsor
144 Followers 168 Following GROW in grace,and in the knowledge of our LORD and SAVIOUR JESUS CHRIST. To Him be glory both now and forever.Amen. 2 Peter 3:18. [Follows,RT's≠Endorsements]ponzu @percussionclef
1 Followers 113 FollowingBrad Goettl @ChiefEmergRN
290 Followers 1K Following 🏥🚁🚑 Chief Clinical Officer | Strategic & Innovative Healthcare Executive | Fellow | Faculty | Emergency Nurse | Nurse Practitioner | My Opinions Are My Ownنُجُود بَاس.. @N_Baso
1K Followers 479 Following أطلَق وحدة، طبيبة طوارئ #med30 #UQUer .. أحبّني وأحب الخيل والشتا. ( واجعَلنِي مبَاركًا حَيثُما كُنت )Sherook @docsherook
101 Followers 2K Following Hematologist in Progress. Fellow traveller. Rider. car and bike enthusiast. Freethinker. in love with nature and myself. Humanity is my religion. Eden's Dad.Dustin Rhys @rhysdustin
59 Followers 210 Following Mixed martial arts 🥋 Some football⚽ Some cricket🏏 & little bit of politics. So watchout👀, my tweets may give you a burn. 👊Nam @bladerunner165_
0 Followers 211 FollowingEM Wannabes @EM_Wannabes
0 Followers 127 Following Home-base for practice questions/resources for EM-bound medical students. EM_Wannabes Ankihub deck (1% done) : https://t.co/u955EFFPKN𝙟𝙤𝙨𝙝 𝙛.. @PulmCrit
62K Followers 548 Following zentensivist 😷 FOAMite 🌊 diuresis jedi 💦 leader of the rebel alliance ⚔️ resuscitationist 💉 humanist 😢 writer with aweful speling 😬 no COI 💰Cliff Reid @cliffreid
42K Followers 3K Following EM/ICM/PHEM doc. LOVE learning + teaching. I work in the sky above Sydney, have the attention span of a bullet, + often have days that are like cartoons #FOAMedNephroPOCUS @NephroP
66K Followers 283 Following Point-of-care ultrasound #POCUS 📖 | by Abhilash Koratala MD @KoraAbhi, Associate Professor #Nephrology @MCW_Nephrology I👨🏻✈️ @POCUSIAPN | X≠ medical adviceStephen W. Smith @smithECGBlog
54K Followers 497 Following Prof of EM at Hennepin. Originator (w @pendellM & @AslangerE) of OMI paradigm of acute MI, ECG diagnosis of OMI. https://t.co/jutZW7fHFa… #ECGNick Mark MD @nickmmark
58K Followers 1K Following Intensivist, pulmonologist | Husband, Dad² | made @OnePagerICU @CritCareTime | passionate about MedEd & MedTech innovation | https://t.co/XoJT2T5cFVAnand Swaminathan MD .. @EMSwami
37K Followers 397 Following EM doc | Views my own | Medical commentary on CNN, Yahoo, MSNBC, NBC. he/him/hisgamerEMdoc @GamerEMDoc
19K Followers 2K Following EM program director. PGY18. Pittsburgh Steelers, SF Giants, #Medtwitter, Golf, Video Games. GNR fan. Opinions are my own and do not reflect those of my employerKen Milne MD @TheSGEM
28K Followers 903 Following Remember to be skeptical of anything you learn, even if you heard it on the Skeptics’ Guide to EM. (he/him)Tony Breu @tony_breu
87K Followers 979 Following Hospitalist, VA Boston. Assistant Professor, @harvardmed and @HMSbioethics. Co-host, @CuriousClinPod. Usually at #AMreport. Views are my own.André Martin Mansoor @AndreMansoor
46K Followers 427 Following Clinician. Author of #FrameworksForInternalMedicine. Cofounder https://t.co/tknXc0rwOV. https://t.co/gRv9lQrnRkAmal Mattu @amalmattu
50K Followers 4 Following Univ of Maryland; creator of https://t.co/GghMJOjaiB videos, #WhiteBoardTeaching; love Princess Bride! tweets are opinions, not standard of care statements🦋doctor doubt🦋 @reverendofdoubt
10K Followers 3K Following Emergency Physician | Midwest 🔜 East CoastMark Ramzy, DO, EMT-P @MRamzyDO
9K Followers 827 Following EmergMed-Critical Care-#POCUS Doc | Artist | Physician Coach | Graphic Designer | @REBEL__EM Author | Cheesecake Connoisseur | #FOAMed Fan | Posts ≠Med AdviceICU OnePager @OnePagerICU
80K Followers 2 Following OnePager summaries of #CriticalCare topics 1️⃣📟 | critical care education one page at a time | free & open source | #FOAMed #FOAMcc | created by @nickmmarkSaltyEM @SaltyEMNY
8K Followers 1K Following Rural doc bringing salt to Emergency Med. Making it work with too little. Extra chaotic good. I only tweet medical advice. Jawn enthusiast.Mike Abernethy 🇺�.. @FLTDOC1
15K Followers 309 Following * Medicus ex Machina * Professor of EM: PGY-XXXVI * Grandfather of Dragons * Auld Yin * HEMS Physician * US Army Aviation Vet * 64 yrs of perpetual motion *Doodz @PhysicianDoodle
9K Followers 1K Following EM Doc | Doodler | 👩🏽⚕️👩🏽🎨 The views expressed are my own & do not reflect the views of my institutionMatt Sztajnkrycer @NoobieMatt
7K Followers 5K Following Forged @tamingthesru | Professor & PD @MayoClinicEM EMS Fellowship | Toxicologist @MNpoisoncenter | CME Editor @AnnalsofEM | Officially not notable as of 42023Laura Ngwenya MD, PhD @SurgeonScience
801 Followers 280 Following Univ. Cincinnati Director of Neurotrauma, Board Certified Neurosurgeon, Translational ResearcherCincy Fire & EMS @CincyFireEMS
15K Followers 296 Following Organized in 1853 and known as the nation’s oldest fully paid professional fire department, the CFD continues to provide courteous and professional service.Sports Injury Central @SICscore
19K Followers 155 Following Injury analysis from head team docs with decades of experience in NFL, NBA and MLB, featuring Dr. David J. Chao, @ProFootballDoc. Edge for fantasy/DFS/betting.Keith Siau @drkeithsiau
170K Followers 4K Following GI doctor with interests in endoscopy, gut health, liver & medicine. 💜 #GITwitter #LiverTwitter #MedEd. Occasional silliness. Siau rhymes with meow 😺Individual Daily Risk @medicalaxioms
70K Followers 5K Following I’m Mark Reid, MD. I made @MedicalAxioms. Now I’m writing a book called Individual Daily Risk that will change the way doctors & scientists interpret RCTs.Myrna Tellingheusen @PearlsFromMyrna
147K Followers 90 Following NOW ON MASTODON @[email protected] Retired executive secretary for Mr. Stanley Bogenshoots, Senior Vice President at Hughes Aircraft.Critical Care Medicin.. @CritCareMed
52K Followers 14 Following Critical Care Medicine covers all aspects of care for the critically ill or injured patient. Official journal of @SCCM. Tweets by @aartisarwal. #CritCareMedDoctor Podcasts @DoctorPodcasts
2K Followers 4K Following Reliable, collective knowledge and wisdom from physicians, scientists and healthcare experts. Not medical advice. Created and hosted by Robert Cykiert, M.D.The Pharm So Hard Pod.. @pharmsohardnet
5K Followers 3K Following Welcome to the official Twitter of Pharm So Hard Network! 🎙️ Your go-to source for everything in emergency medicine, hospital & ambulatory care pharmacy.JEM_Journal @jem_journal
2K Followers 94 Following Official twitter account for the Journal of Emergency Medicine. Our goal is to collaborate and to bring more clinical pearls and EBM to the social media worldIzzy Lott, MD @isabelrlott
245 Followers 198 Following Emergency Medicine PGY-1 @tamingthesru | @umichmedicine alum | proud Minnesotan, #firstgen, #firstgenmed | views are my own + not medical advice ⚡️Clay Josephy, MD @cjosephy
997 Followers 1K Following EM and CCM physician. Posts are my own. Product of the cumulative influences of UWSOM @uwmedicine | UofArizona EM | UCSF Anesthesia Critical Care Med @ucsfccmCritical Care Reviews @CritCareReviews
55K Followers 916 Following The leading critical care evidence dissemination platform. Website, newsletter, blog, book, podcast, livestream & meeting. #CCR24 June 12-14Daniel Gawron @djgawron8
231 Followers 526 Following Emergency & Sports Medicine Physician | via @TamingtheSRU @GUMedicine @UMich | Sideline medicine IS emergency medicineMidwest vs. Everybody @midwestern_ope
465K Followers 0 Following Representing and defending THE #1 region || insta: midwestvseverybodyArun Nagdev @NagdevArun
4K Followers 566 Following POCUS director, Highland ED; SoundAdvice columnist @ACEPNow; Senior Director of Clinical Education @exoeffectEmergency Medicine Fo.. @TheEMFoundation
540 Followers 135 Following Emergency Medicine Foundation (EMF) is a 501(c)3 nonprofit organization. To date, EMF has awarded more than $20 million to advance EM research and education.Judy Melinek M.D.🔬 @drjudymelinek
52K Followers 10K Following Forensic pathologist, 🇺🇸🇳🇿🇮🇱columnist @medpagetoday & coauthor with @TJMitchellWS. ♥️, RT DO NOT mean I endorse or agree. she/herNeurology high-yield .. @Neurology_facts
6K Followers 10 Following Archive of high-yield neuro facts (includes all subspecialties) used to study for neurology board exam. Also helpful for clinic, ward. By @MicieliA_MD, FRCPCBloodman @Bloodman
6K Followers 1K Following Tom DeLoughery - Hematologist at Oregon Health Science UniversityRadiopaedia Cases @RadiopaediaBot
9K Followers 0 Following I automatically tweet out every new peer-reviewed case added to @Radiopaedia, the world's greatest free radiology resource. You're welcome.Nihilist Data Scienti.. @nihilist_ds
7K Followers 3 Following Statistically insignificant observations on data science. Submissions: https://t.co/1VcM3dRnHH omnia trahe - nihil inveniet - morietur solusDavid Harker, MD, FAA.. @HarkerDavid
16K Followers 532 Following @UTSWDerm trained Board-Certified Dermatologist | Husband | Father | 🇨🇦🇺🇸 | @BYU alum | @VisualDx Advisory Board | Tweets are mine and are not med advice.Andreas Charidimou MD.. @a_charidimou
18K Followers 5K Following Neurologist | Asst. Prof @bmcneurology @BUMedicine | Stroke,🩸🧠 Cerebral Amyloid Angiopathy, Dementia, Brain Small Vessel DiseaseThe Neuroradiologist @theneuroradguy
24K Followers 118 Following A (relatively) young neuroradiologist, fascinated by the brain and brain imaging. Here to share my passion :).Oren Friedman @OrenFriedman
2K Followers 445 Following Resuscitationist. Pulm-crit doc that's into Echo, PE, cardiac arrest, and ECMO. I love teaching critical care and forever learning critical careDruv Bhagavan @DruvBhagavan
7K Followers 2K Following MD/PhD Student 🩺🔬 | BME | AHA → @NIH_NHLBI NRSA Fellow | 🫀⚡️🎶🎵💊 | @AmerMedicalAssn Delegate | Opinions ⊆ {Mine} ⋂ {¬⚕️ Advice} | L/F/RT ≠ Endorse | 時々日本語Charlie Brower @chbrower
83 Followers 224 Following EM PGY-2 at The University of Cincinnati (@TamingTheSRU). Former @HarvardMed / @PrincetonStefan Tigges @StefanTigges
22K Followers 2K Following Teaching w/ comics. My 4 free Radiopaedia comics on reading CXRs, Head CTs, Abdominal CTs & Medical Stats: https://t.co/1NK4I3quCaLea Alhilali, MD @teachplaygrub
51K Followers 165 Following Neuroradiologist @HRInstitute_AZ. @BarrowNeuro. Striving to make learning neuroimaging and anatomy fun. If I can make you laugh, I can make you learn.The Pride Cincy @ThePrideCincy
8K Followers 513 Following The original independent @fccincinnati SG. Members of the @inclinecincy. Supporters of club and city. @NorthernRow home/@MollysCovington away! #AllForCincyMatt Johnson @HelicopterDPE
1K Followers 1K Following Helicopter Pilot Examiner | Private - ATP exams | Gold Seal CFI | Views & opinions are my own & do not represent any organization | Columnists @ Rotor Pro MagEM:RAP @emrap_tweets
2K Followers 32 Following The world's best medical education in audio, video, and app form. https://t.co/MJy2W9qaCZ #whatyoudomattersThe ECG Educator 🩺.. @JasonWinterECG
8K Followers 2K Following ECG Educator/Mentor, Ambulance clinician, (DipECG), Author, Pilot, Ex Cardiac Safety Specialist, Editor in chief of https://t.co/RZ5Xt0xUkY.American Board of Eme.. @ABEMCert
3K Followers 1K Following Our Mission: To ensure the highest standards in the specialty of Emergency Medicine.Ultrasound Box @UltrasoundBox
706 Followers 15 Following The free case-based educational ultrasound resource. 🔉Bennett Lane @Bennett_Lane
56 Followers 11 FollowingOrtho Reviews @Ortho_Reviews
8K Followers 17 Following Our goal is to make concise reviews of orthopedic topics. Check out our past reviews at: https://t.co/FMMTD8Tj3j Founder: @CSMorfordRachel Gottlieb-Smith.. @RGottliebSmith
2K Followers 540 Following #ChildNeurologist 🧠 & Residency Program Director #umichchildneuro @MottChildren • @JournalofGME Associate Editor • #MedEd • 🎾 • She/Her • Views my ownDr G Rajesh (Gopalan .. @DrRajeshG1
33K Followers 2K Following Professor & Head of Cardiology, Government Medical College Calicut(Kozhikode), Kerala, India. Tweets are not endorsements.Michelle Kittleson MD.. @MKIttlesonMD
40K Followers 418 Following #kittlesonrules | Cardiologist | Prof of Medicine @CedarsSinai | Author Mastering the Art of Patient Care available at https://t.co/zdJT2MVNhbMatt Siuba @msiuba
17K Followers 1K Following #Zentensivist & Critical Care APD @CCF_PCCM | #ThePeoplesVentricle🫀Advocate | PH/RV Hemodynamics (especially in ARDS and Liver Disease) | “Shoo-ba”Resus Cric Superstar @RozehnalMd
9K Followers 2K Following Patron Saint of Emergency Medicine. Verified Idiot. Views my own and should not be acted on for any reason. He/himAvraham Z. Cooper, MD @AvrahamCooperMD
116K Followers 3K Following Pulm/Crit physician and PD @OSUPCCM_Fellows • @JournalofGME editor • Podcast @curiousclinpod • Dad/husband • Views my own@MedFactChecks @DrparrayMD @EM_RESUS @amalmattu @smithECGBlog @EMBoardBombs @ALiEMteam @MedTrivias @DrRazi4 @PendellM @drbasitmasoodi @ShariqShamimMD @emergmedottawa @EMSwami yes, that is how i would pkay it as well
@DrparrayMD @EM_RESUS @amalmattu @smithECGBlog @emcrit @EMBoardBombs @ALiEMteam @MedTrivias @DrRazi4 @PendellM @drbasitmasoodi @ShariqShamimMD @emergmedottawa @EMSwami You can get a new heart, don't think the same for brain.
@EMBoardBombs Did one 3 days ago, confirmed moderate - large sized pericardial effision!!
84 years with ,right sided hemiparesis. Aphasic ,GCS=11. Ct-Hyper dense left MCA ?thrombosis. Ekg - inferior wall MI . What the priority here ? Brain or heart ? Thrombolysis,PPCI or thrombectomy ?@EM_RESUS @amalmattu @smithECGBlog @emcrit @EMBoardBombs @ALiEMteam @MedTrivias
#nasendoscopy in ED helps in a patient presenting with 2 days of dysphagia. #emergencymedicine #ENT #dysphagia #fiberopticnasendoscopy #difficultairway
🌟 Volunteer Spotlight! Shoutout to Kari L. Gorder, MD for her dedication to supporting ACEP and emergency medicine. We appreciate you and all of your hard work! 👏 #volunteerweek
ICU Pharmacology Secrets: This is another random collection of pharmacology pearls that I witnessed & wrote down during the last two months. And so it begins: 1. Hydralazine (H) is a widely used arterial vasodilator; especially in 🇺🇸, it is mostly used to treat
ICU Hemodynamic Secrets: I don't know who has to hear this, but fluids do not always have to come first before starting a pressor... 🤷♂️ #FOAMed #FOAMcc #meded #MedTwitter #medstudent #hemodynamics
@reverendofdoubt @BrooksWalsh I'm less skeptical since joining Mich. Not just about docs, also about nursing resources. Advantage is operational flexibility. Some patients need 12 hrs of critical care, and we have no problem getting that here. Lit supports that critically ill boarding uniquely dangerous.
@AlexJankeMD By extension, if we keep adding beds and doctors to the emergency department, we eventually won't need a hospital upstairs at all.
I do think an ED-ICU is important, especially for high volume EDs. However, it is another glaring example of the ED being the safety net / dumping ground for inpatient hospital boarding issues. More pressure on EDs to take on higher risk / responsibility for failing health system
@AlexJankeMD By extension, if we keep adding beds and doctors to the emergency department, we eventually won't need a hospital upstairs at all.
fresh tiny blog: the cutoff razor 🪒 If a continuous variable is dichotomized using a cutoff, then values near the cutoff provide little information. link: emcrit.org/pulmcrit/cutof…
@EMBoardBombs If we are suspecting PRES, we jump straight towards the MRI rather than CT,
Interesting to see the results of this poll! Over half of you (60%) said that this was pericardial effusion; while 40% said this was pleural effusion.
BUT it's definitely there; and we can see that the anechoic fluid runs BEHIND the DTA, rather than in front of it. This is a pleural effusion 🙃
@EMBoardBombs 5-1-1 5 in the CNS (tumor, vascular malformation, recent ischaemic stroke, recent significant head trauma, spontaneous unprovoked ICH) 1 in the CVS (suspected/ proven aortic dissection 1 anywhere (active uncontrolled bleeding other than menses/ bleeding tendencies)
@PhysicianDoodle IV labetalol ordered for same. Me:
@EMBoardBombs Hahaha I couldn’t let @embasic have all the fun