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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 Aug 16
trans*/gender diverse pts in ED: ask preferred pronoun, be direct & respectful, ensure professional communication w other providers
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Brown Emergency Med retweeted
AEMETOnline Aug 15
AEM Education and Training 01: Resident Perception of Morbidity and Mortality Conference — Brown Emergency Medicine
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Brown Emergency Med Aug 16
Tx of acute decomp HF: nitrates, PPV. Diuretics early in tx are controversial--risks hypotsn, renal fail, abnl electrolyte.
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Brown Emergency Med Aug 16
Paradigm for thinking about heart failure: consider 1) congestion and 2) perfusion, not just HFpEF vs rEF
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Brown Emergency Med Aug 10
Serotonin Overload Great article about The Serotonin Syndrome
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Brown Emergency Med Aug 9
Put magnet on pacemaker: shocks (when not needed), HR too slow or fast. Turns defib off, fixed pacer at rate of 60
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Brown Emergency Med Aug 9
Congratulations to BrownEM's own Dr. Anthony Napoli, MD!
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Brown Emergency Med Aug 9
Ehrlichia is seen with LFT abnormalities and thrombocytopenia
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Brown Emergency Med Aug 9
Ehrlichia and Anaplasma are obligate intracellular bacteria.
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Brown Emergency Med Aug 9
HA w/oculomotor (CN III) palsy with pupillary involvement is PCOM aneurysm until proven otherwise
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Brown Emergency Med Aug 9
CN III palsy: parasympathetic fibers are external on nerve, so external pressure will cause dilation of pupil
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Brown Emergency Med Aug 9
CN III palsy: "down and out" pupil with lid lag (paralysis of levator palpebrae). SAH space: where isolated CNIII occur
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Brown Emergency Med Aug 9
Ludwig's angina: usually from 2nd/3rd molar, cellulitis, usually no abscess, "Woody" edema. Tx: ABx.
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Brown Emergency Med Aug 9
DKA: fast onset, ill appearing, usually normal MS, HHS: insidious onset with some neurological deficit
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Brown Emergency Med Aug 9
Triggers for HHS or DKA: insufficient insulin, infection, severe illness (MI, Stroke, GIB)
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Brown Emergency Med Aug 9
Tx of Venous air embolism: LL decubitus + trendelenburg (trap air in RV), oxygen (pressure gradient to force air out of vein
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Brown Emergency Med Aug 9
Tx of arterial air embolism: maintain patient supine to prevent cerebral edema/embolism. Volumes as low as 0.5mL can kill
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Brown Emergency Med Aug 9
Tx of air embolism: Hyperbaric can help for hemodynamic instability, stroke, MI. TLC with manual extract (gets ~ 20mL)
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Brown Emergency Med Aug 9
Hypovolemia can cause air embolism due to pressure gradient. Lungs can absorb about 50mL of air.
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Brown Emergency Med Aug 2
SAVE-score for predicting good outcome from VA-ECMO.
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