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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 Mar 22
Kratom: "no legitimate medical use" but not illegal at Federal level (a few states have made it illegal).
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Brown Emergency Med Mar 22
Kratom: seizure, tremors, dry mouth, GI upset as side effects. Has withdrawal symptoms such as agitation and GI distress.
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Brown Emergency Med Mar 22
Kratom: tropical leaf, mitragynine is the active component, Mu receptor partial-agonist, 13x potency of morphine
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Brown Emergency Med Mar 22
Vocal Cord Dysfunction: nebs may work better than MDI (myst vs irritant particles, asthma usually has no dif)
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Brown Emergency Med Mar 22
Purses lip breathing, panting, heliox, benzos, relaxation, CPAP/BPAP are some tx options for vocal cord dysfunction.
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Brown Emergency Med Mar 22
3% of ED patients with Resp Distress have vocal cord dysfunction.
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Brown Emergency Med Mar 22
SAH and TXA: if aneurism securing is delayed, may decrease repeat bleeding (2% v 10%), w/o change in mortality.
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Brown Emergency Med Mar 22
SAH: when aneurism is ammenable to clip/coil equally, there is less mortality (24% vs 31%) with coiling
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Brown Emergency Med Mar 22
SAH and AED: short course (1wk) as good as long course, no data that it is better than no meds (no data for harm)
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Brown Emergency Med Mar 22
SAH: MAP goal of 110, SBP of 160 (poor data, based on level C guidelines from ASA and NCS) (RIH: SBP of 140)
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Brown Emergency Med Mar 22
Hunt and Hess + WFNS scales predict mortality for SAH. H&H Grade 5 has 20% independent (not 100% mortality from 1st study)
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Brown Emergency Med Mar 22
SAH: about 1% of ED HA. 10-40% of SAH have sentinel bleed, 50% w/LOC.
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Brown Emergency Med Mar 21
Ultrasound Case of the Month Test your Ultrasound Knowledge!
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Brown Emergency Med Mar 13
Clinical Image 21: A Sparkle in the Eye New Clinical Image! An EM staple. Can you guess it?
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Brown Emergency Med Mar 3
POCUS for Appendicitis Make the diagnosis at the bedside!
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Brown Emergency Med Feb 23
Ultrasound Case of the Month Test your ultrasound knowledge!
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Brown Emergency Med Feb 15
The Swelling Toddler Baby Swelling Up?
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Brown Emergency Med Feb 9
Left main and 3 vessel disease may need CABG, Cangrelor is fast on, ~5 min 1/2 life, less surgery delay than clopidogrel
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Brown Emergency Med Feb 8
MI on ECG: Elevation in aVR (greater than V1) with diffuse ST depression: think Left main coronary occlusion.
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Brown Emergency Med Feb 8
Subjective bizarre sound in setting of trauma with normal TM exam, consider vascular injury.
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