Emergency Medicine
52 Threads
Here are some key points from @American_Heart updated 2022 ICH guidelines:๐ฉธ๐ง 1โฃ Most common causes: i) arteriolosclerosis ii) CAA (often co-occurring). CAAโฌ๏ธrecurrence rates 2โฃ 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: โIโve 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 youโll...
1/ Fresh on @emcrit โ๏ธTx options in GBS โ๏ธIVIG vs PLEX ... both?? โ๏ธSome complications and considerations for both... NeuroEMCrit - IVIG ๐ PLEX https://t.co/fg3v7POxhI via @emcr...
๏ฟผ๐ฉธNEW PHARMACY๐EDUCATION BOARD๐ฉธ โจA tale of WARFARIN reversalโจ Letโs 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...
#ุซุฑูุฏ Types of shock https://t.co/zgZTw7vmdM
Another #CriticalCare #Tweetorial! ๐ซLeft Ventricular Assist Device for the non-cardiologist๐ซ Join me on a journey through LVADs with some #FOAMcc highlights useful for #CritCare...
ICU stories: You start your night shift and while walking in and out each patientโs room, you see this ๐ on one ventilator's screen: https://t.co/W9uv9zOyzD
๐จA Case from our Paeds Emergency Simulation Day๐จ 3 yr old BIBA, parents concerned about his fast breathing.. Unwell for a few days, low grade fever. SpO2 100%, HR 140, RR 50, BP 8...
ICU stories: Middle-aged pt w remote hx of seizures had grand-mal sz at home & in the ambulance. Intubated for airway protection in ED; transferred to ICU. Placed on propofol. Over...
Your plane has crashed and you are the only survivor. You make a recorder out of some nearby bamboo and play "Hot Cross Buns." It calms you for a moment, and then you go back to st...
1/10 Appendix #POCUS- adults can be just big kids 20 year old male, thin body habitus, presents with periumbilical abdominal pain that now in RLQ. The linear transducer is placed...
A 22-year-old female presents to the emergency department with seizures. She keeps seizing despite receiving benzodiazepines. Her bestie says they were foraging mushrooms and show...
Just leaving the ER. It was a long day. And a stunning amount of Covid. Today I worked in an area that was temporarily converted into a makeshift ICU during the first COVID wave....
Some thoughts from seeing a ton of Covid in the ER this week Good news: Aside from a few patients with compromised immune systems, didn't have to hospitalize anyone who was vaxxed...
1/ A case: I was asked to assess a pt that just arrived with hypotension and HR in the 20s by my co-attending in the ED. ECG was with no P waves and RBBB w/ LAFB & severe bradycard...
Interesting ICU case! 74 female recently discharged 1 week ago following stroke and Afib, now presenting to the ED bradycardic HR 34, hypotensive 70/42 and obtunded hence intubated...
1/12 Hickum's Dictum in #POCUS 60f presents as a stroke alert. She was found unresponsive and hypoxic. EMS reports left sided weakness and left facial droop. She was intubated on...
1/ #tweetorial ๐ Aggresive Nitroglycerin Usage in Acute Decompensated Heart Failure (ADHF) โก๏ธ Diuretics should not be considered first-line therapy in the ED treatment of patien...
Great talk by Dr @HedayatiMD on all things bradycardia with plenty of pearls ๐ โ Approach to bradycardia: Stable vs not stable, Sinus vs not sinus (look for p waves, is every QRS p...
Tamponade tweetorial 1/ 68m with a h/o COPD and lymphoma, presented with SOB unrelieved with home albuterol. Had an O2 sat 88% with EMS which improved with CPAP. BP 87/50 and HR 16...
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/โetcโ presented to...