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Cook County EM
Home of the Cook County Emergency Medicine Residency! Tweets are not to be considered medical advice, nor representative of CCHHS. Primum non nocere!
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Cook County EM Jul 8
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Cook County EM Jun 27
Replying to @CookCountyEM
Prone to ventricular dysrhythmias - CAN be defibrillated, CAN do chest compressions (however risk of dislodging device)
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Cook County EM Jun 27
Replying to @CookCountyEM
Patients will be anticoagulated - look for bleeding and reverse if needed, susceptible to AV malformations in GI tract (look for GIB bleed); but also at risk of pump thrombosis (look for hemolytic anemia and inc pump power)
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Cook County EM Jun 27
Replying to @CookCountyEM
Use ultrasound early to assess fluid status - patients are very sensitive to hemodynamics abnormalities
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Cook County EM Jun 27
Replying to @CookCountyEM
Patient will not have pulse - to measure BP: use manual cuff, inflate, listen with Doppler, deflate slowly, pressure at which flow is heard = MAP
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Cook County EM Jun 27
Replying to @CookCountyEM
Pulsatility index on the device is a measure of CO - consider IVF on most patients, they are preload dependent
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Cook County EM Jun 27
Senior talk by chief resident Neera Khattar on LVAD assessment
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Cook County EM Jun 21
Another great case from Cook County Hospital. Well done and Dr Joe Palter!
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Cook County EM retweeted
ACEP - Members Jun 20
EM Case: Pain, redness & swelling of right periorbital region. Visual acuity 20/25 bilaterally, no deficits/pain with extraocular movements, no uptake of fluorescein to corneas. Patient had rubbed a plant around eye to alleviate eye-twitching.
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Cook County EM retweeted
Neeraj Chhabra Jun 6
Great summary of ED hemophilia management from our PGY3, Dr. Fiutko
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Cook County EM May 30
Acalculous cholecystitis Mostly, but not always, ICU patients US: wall thickening, pericholecystic fluid, sonographic murphys Treatment is still cholecystectomy.
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Cook County EM May 30
No doxy in kids? Correct, EXCEPT in the case of Rocky Mountain spotted fever. This can be life-saving
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Cook County EM May 30
Lyme disease: Transmitted by Ixodes tick Ticks attached less than 36hrs do not require PPX Consider in young patients with complete heart block or bilateral Bell’s palsy
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Cook County EM May 30
Fourth year resident Dr Laurie Krass here dropping some knowledge on tick bites for her senior talk
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Cook County EM May 23
ACEP Guidelines: screening tests in asymptomatic HTN is not necessary. May consider if patient has poor follow up
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Cook County EM May 23
Acute pulmonary HTN: caution with too much fluids, avoid hypoxia, early use of inotropes. Use caution if you absolutely have to intubate: positive pressure creates a higher afterload for right heart
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Cook County EM May 23
Choose your own adventure video sim with . Our sim fellows rock!
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Cook County EM retweeted
Quincy Moore May 21
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Cook County EM May 16
SQ Pediatric Rehydration: Clean, anesthetize, give Hyaluronidase, then infuse IVF
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Cook County EM May 16
Pancreatitis tips: Send the TG level; get RUQ U/S > CT esp if elev ALT; get CT if delayed or atypical presentation; no need for routine ABX
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