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ECU EM
Official twitter of the East Carolina University Emergency Medicine Residency Program.
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ECU EM Nov 10
Dr. Thomson covering intubations and airway management.
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ECU EM Nov 10
Dr. Portela teaching Needle Decompression to the BSOM.
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ECU EM Nov 10
Dr. Adams helping walk BSOM students through sim cases in the Osprey Simulator!
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ECU EM Nov 8
Don't forget psychogenic polydipsia as a cause of hyponatremia.
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Brian Lin, MD, FACEP Nov 6
Master the V1 nerve block for your next forehead laceration:
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ECU EM Nov 8
When correcting sodium -- gotta consider patient's volume status: hypo/hyper/euvolemic.
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ECU EM Nov 8
No central line needed for administration of 3% NaCl -- apparently it has been taken out of the pharmacy recommendations.
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Fareen Zaver Nov 8
Final series. Thanks to an amazing and all the graders and readers who have supported it!
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ECU EM Nov 8
Things that like to appear on the boards: Serum Osmolality = (2 x (Na + K)) + (BUN / 2.8) + (glucose / 18)
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Nick Johnson Nov 8
Replying to @ECU_EM
But some PEEP is good. Following ARDSnet PEEP ladder is generally a safe bet:
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ECU EM Nov 8
First question in hyponatremia --- is the patient symptomatic??
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ECU EM Nov 8
Hyponatremia is significantly more common in the ED patient than hypernatremia -- who knew?
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ECU EM Nov 8
Dr. Bryan Zorko giving Grand Rounds this morning on Sodium Management in the ED -- in a 3 piece suit!!!! Looking sharp Dr. Zorko!
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ECU EM Nov 8
Replying to @NickJohnsonMD
Thanks for the clarification!
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ECU EM retweeted
Megan Ranney MD MPH Nov 8
LVEF 35% or less = predictor of sudden cardiac death & of need for AICD
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ECU EM retweeted
Nick Johnson Nov 8
Replying to @ECU_EM
Not exactly. Higher PEEP associated with improved oxygenation but no mortality benefit in ALVEOLI & LOVS trials. When applied with aggressive recruitment maneuver, it has also been associated with harm
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ECU EM Nov 8
What is the Murray Score??
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ECU EM Nov 8
Murray Score 3-4 = potential ECMO candidate.
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ECU EM Nov 8
Cesar trial (2009) - Community hosp study. ARDs should be referred to ECMO center for improved survival (even if they don't get ECMO - higher level of care).
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ECU EM Nov 8
In treatment of ARDS, High PEEP has been shown to have better outcomes. So high PEEP and Low Tidal Volumes.
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