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Brown Emergency Med
Official Twitter feed of the EM residency at Brown/Rhode Island Hospital. Tweets are not medical advice.
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Brown Emergency Med 11h
PID w/IUD: CDC guidelines recommend keep IUD in for 48-72 hours while treating PID. If not improved, then remove.
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Brown Emergency Med 11h
IUD migration: most common in nulliparity women. Can use US to confirm placement
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Brown Emergency Med 11h
Progestin only oral/implant/IUD do not increase risk of VTE. Progestin only injection + combined OCPs do increase risk
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Brown Emergency Med retweeted
Pik Mukherji 15h
Replying to @BrownEMRes
Unilateral tongue edema shortly after t-pa push. <1% of pts. but airway threatening.
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Brown Emergency Med retweeted
Alyson J. McGregor 14h
Clinical Therapeutics discusses the challenges of setting sex and gender guidelines
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Brown Emergency Med 11h
Emergency contraception: Ulipristal (Ella) is most effective (>85%) med in obese and non-obese, good for up to 5 days
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Brown Emergency Med 15h
tPA induced angioedema: frontal and insular cortex infarcts and being on ACEI increase risk. Bradykinin mediated process.
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Brown Emergency Med retweeted
Richard Levitan Oct 11
Visiting Cape Cod--Chatham--after conference at beautiful New England!
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Brown Emergency Med retweeted
SAEM Online Oct 11
ICYMI: Check out the new Early Access Podcast feat. author interview with !
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Brown Emergency Med Oct 11
Huge thanks to Dr. Levitan for a fantastic airway grand rounds.
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Brown Emergency Med Oct 11
Cardioversion tip: at 45 degrees (safer airway) and compress the chest with towels over the pads.
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Brown Emergency Med Oct 11
Surgical airway: the cartilaginous cage will keep you and the patient safe
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Brown Emergency Med Oct 11
Hyperangulated laryngoscopy: don't get close, 50% of glottis in top 50% of screen. Leave room for tube delivery
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Brown Emergency Med Oct 11
Hyperangulated laryngoscopy: MAC3 blade is often large enough for most individuals.
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Brown Emergency Med Oct 11
Little kids may not need head ramped up. Big occiput is helpful in airway opening.
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Brown Emergency Med Oct 11
O2 under CPAP mask => flow of O2 throughout respiratory cycle. CPAP along doesn't. Anecdotal better tolerance.
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Brown Emergency Med Oct 11
CPR: use LMA. Pulse+hypoxia: OOPS (Oxygen On, Pull mandible forward, Sit pt up), BVM upright as 2nd response
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Brown Emergency Med Oct 11
NO DESAT: Nasal Oxygen During Efforts Securing A Tube. Os up the nose. Apneic oxygenation
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Brown Emergency Med Oct 11
Holding the mask IFO nose can allow for better exhalation of CO2 and better O2 delivery to alveoli
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Brown Emergency Med Oct 11
Head tilt does nothing to open airway. Jaw up and forward is better for opening the airway
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