Emergency Medicine
71 Threads
ICU stories (from the trenches): 70 yo pt w hx of A-fib/CAD/ICM w EF 25%/VT ablation s/p BiV ICD/CKD/HTN/HLD/peripheral vasc dz/COPD etc presented to outside 🏥 w SOB/weakness/falls...
You are a young #medicine resident! You are working in a heavy emergency when: 23,♂️,p/w acute breathlessness You check his SpO2, it's👇🏻 You are worried and start him on suppleme...
I've decided to start a series of high-yield Step 1 review tweetorials 🧵 Here's the first one: A 45 yr old man presents with a headache, dizziness & confusion. He has been stayi...
The iGel is a great supraglottic airway device But like other supraglottic airway devices (SAD) it's not foolproof Here's how to maximise your success with the iGel - a thread 🧵...
I hope someone sees this I was on emergency call & in a space of 2 hours we had admitted 2 stroke patients In a space of 24 hours 3 more making 5. I called my friend Dr R because...
@BrownHospMed I saw one of these this week. I, like many here, said, 'oh, it's probably Raynaud's or Anchenbach Syndrome'. However, the history and physical led me to a Duplex art...
ICU stories (from the trenches): It's been a bit more than 2 hrs in your night shift & you are checking some labs signed out to you to be followed on. A rapid response is called fo...
MEN'S MUST READ Few weeks ago, while on duty in the emergency ward, I met a young student who had been having left scrotal pain for 3days. The pain was so bad it affected how he wa...
"Hey what’s this funny donut 🍩 stuck on the crash cart?" It's a 🧲 magnet! We keep it there because it can be life-saving if applied over a pacemaker or ICD. A 🧵about magnets, pa...
‼️ #CriticalCare #Tweetorial ‼️ 🫁 Tracheostomy Basics & Trach Emergencies 🫁 Join me on a review tracheostomy tube basics and can't miss emergency situations! #EmoryNCCTweetoria...
Middle aged person comes in with headache. CT (from https://t.co/Rofk97CdLi and for illustrative purpose only) with acute #SDH. GCS 15 and non focal exam. Patient on Xarelto. A 🧵on...
ICU stories: Eldelry pt w CAD s/p multi-vessel PCI / DM2 / HTN presented to the ED w epigastric "burning". Symptoms much worse with laying down & while eating. No relief w iv famot...
1/17 🤔Why do we use epinephrine to treat cardiac arrest? Epinephrine can CAUSE cardiac arrest. And yet we give it as part of ACLS to treat the condition it caused. This paradox r...
FIRST AID TREATMENT FOR GUNSHOT INJURY If someone is shot, please use these 10 tips to save their life urgently if you can. {A thread dedicated to victims of #OwoMassacre and sur...
The NHS is broken, perhaps beyond repair: a thread. *this is an n=1 reflection on my experience as an OOH doctor over the BH weekend. It is therefore subjective, and clearly cannot...
1/14 The hallway SOBs Twas a busy evening in the ED. I was coming out of the ressusc bay and I see 3 patients with the CC of "shortness of breath" all placed in hallway beds. X-ray...
1/14 Rapid Response Series, #3: Hypoxia How many times on rounds have you been asked, “What are the 5 causes of hypoxemia”? 🤔 #MedTwitter #TipsForNewDocs
Here are some key points from @American_Heart updated 2022 ICH guidelines:🩸🧠 1⃣ Most common causes: i) arteriolosclerosis ii) CAA (often co-occurring). CAA⬆️recurrence rates 2⃣ Pr...
A 6y old girl is rushed into ER in unresponsive state Chubby & cute, her prettiness is mauled by the deepest jaundice As I watch ER docs intubate the child to protect her airways...
55 y/o found unresponsive at train stop. 911 to ED, he wakes up a bit, slumps over and says he lost vision in one of his eyes. Follow the case with me. Some of this is very simple,...
1/ Awhile ago, on a triage call: “I’ve got a guy here, pretty young, came in looking terrible. GCS 4, we intubated him. Scan shows a big bleed. ICH score 4. Not sure much you’ll...
1/ Fresh on @emcrit ⚔️Tx options in GBS ⚔️IVIG vs PLEX ... both?? ⚔️Some complications and considerations for both... NeuroEMCrit - IVIG 🆚 PLEX https://t.co/fg3v7POxhI via @emcr...
🩸NEW PHARMACY🚑EDUCATION BOARD🩸 ✨A tale of WARFARIN reversal✨ Let’s talk KCENTRA (aka 4-factor prothrombin complex concentrate)-in particular, when it comes to serious bleeding in...
@ScopingSundays @KhushbooSGala @TomTielleman @tareksawas @BilalMohammadMD @AhmadBazarbashi @RobertoSimonsMD @SanchezLunaMD @vaibhav_manu @rmulkimd @NnekaUfereMD @LizzieAbyMD @DrMal...
