Emergency Care
29 Threads
▪️ ▪️ ▪️ A🧵 on management of hypertensive emergencies. The 𝗕𝗔𝗥𝗞𝗛 algorithm for management of hypertensive emergencies and end-organ damage 𝗕 - Brain 𝗔 - Arteries 𝗥 - Retina 𝗞 - K...
A 🧵 on STORMS in medicine. First a question ❓️ PRAZOSIN is helpful in management of which among the following conditions❓️ 💥Electrical storm 💥Cytokine storm 💥Thunderstorm Asthma...
A🧵 on alkali therapy. First a Question❓️ A patient of diabetic ketoacidosis presented in a stupourous state with hypotension. ABG ➡️ pH -7, HCO3 - 9 mEq/L, K-5mmol/L. Along...
Ever been in a situation where your friend started having seizures and you didn’t know what to do? This post teaches what to and what not to do when someone around you starts expe...
1/ A 68 yo woman collapses at a Braves game. Bystander CPR is initiated. AED demonstrates a shockable rhythm, ROSC is achieved after 6 rounds of CPR. She’s found to have a STEMI an...
A patient of diabetic ketoacidosis presented in a stupourous state with hypotension. ABG ➡️ pH -7, HCO3 - 9 mEq/L, K-5mmol/L. Along with other measures a decision was made for alka...
Low platelets 😵 emergency. But when? Patient is actively bleeding. Transfuse platelets irrespectively. Do the further workup after that. Patient is in sepsis. Lactic acid, proca...
You are a #pedsresident in the Emergency room 👶👶 An anxious mother brings her 2 year old child, who has accidentally swallowed a button battery 2 hours back. 😮 How will you proc...
[Thread 1/7] Stay on topic : Male, 63yo, having chest pain for 30min without any effort Initial EKG shows an inferior STEMI (OMI) + conduction impairment of the P wave, compatible...
Which of the following symptoms and signs is most likely present to some degree in many hypertensive emergencies? A. Chest pain B. Global cerebral deficits C. Lethargy D...
1/13 ➡️ REBOA is an exciting "new" therapy for non-compressible torso haemorrhage ➡️ It's used across the world, but without robust evidence ➡️ Does it work? Is it beneficial? ➡️...
36y/o male who went to the hospital emergency room due to sudden SOB. #EPeeps #CardioTwitter Digitized using #PMCardio ❤ https://t.co/x7jePlVg4A
#NeuroPostItPearl #21 1/ Every now and then I'll be on a triage call where a patient is likely peri-herniation and the hypertonic saline or mannitol is "going to come from pharmac...
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...
How to help a choking infant! An infant has just choked on a tiny item (even after you had tried to keep it out of their reach), here is what to do. A thread!
You get called to the haemodialysis unit. An 18 yr old man has missed his dialysis all week & today reports weak legs. The dialysis nurse snaps this ECG as he passes out. What do...
Case study : A 48-year-old man with diabetes and he had virus Corona was admitted to the emergency department. He had hypoventilaiom . https://t.co/J9YUJTFdZS
1/🧵 Let’s learn about Ace inh-induced angioedema His lips & tongue swelled up hours after taking a blood pressure med he’d been on 10 years - lisinopril. 📍What’s the treatment?...
ICU stories: Elderly pt w PMHx of CAD/COPD/CKD/DM2/cirrhosis c/b esoph varices + ascites requiring paracentesis (most recent a week earlier)/anemia of chronic dz/”etc” presented to...
1/18 Chest pain is a frequently seen reason for admission. Here's my take on when to consider ACS in patients with chest pain! #MedTwitter #CardioTwitter #MedEd #FOAMed #MedTweetor...
Update on anaphylaxis based on this fresh guideline from the the Anaphylaxis Working Group of the Resuscitation Council UK (RCUK)(#1/7). https://t.co/k8nJPt3IvV https://t.co/Iykm...
20 year old brought to the ED with altered mental status. Hypotension, cold extremities, severely delayed capillary refill. Necrotic ulcer on palate #POCUS 1/5 https://t.co/N...
In #resus21 week, here thread including recent Cardiac Arrest @yourICM articles (most open, enjoy! - random order) 1⃣prognostication after CA: time for update?? https://t.co/rvzgB...
ED 3 AM: 🚨 ambulance rushes in, pt in his 40's unconscious, BP 50/20, HR 140. Reanimation is started and arterial gases are ordered: lactate 10! Two hours later, pt conscious, MAP...
