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EM Fundamentals
A mastery learning emergency medicine curriculum. Sponsored by . Contact us for small group resources!
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EM Fundamentals Sep 26
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Michael Cirone, MD Sep 19
Interns and Med Students diligently crushing Abdominal Pain today at conference
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EM Fundamentals Aug 23
Replying to @MDaware
Hopefully something you're not doing in the ED, but important to know to what RSI was contrasted: traditional sequence intubation.
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EM Fundamentals Aug 23
We often talk about about the meds and approach to RSI... but what are the alternatives? A review of RSI, TSI, DSI, and awake intubation: TSI: RSI: DSI: Awake:
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Derek Monette, MD Aug 14
Cricothyrotomy review today; highlights: - there will be blood... keep going - don’t ask for “the kit”; carry a scalpel - finger/bougie = 👍🏼 - needle = 👎🏼 - a surgical airway is *not* a failure on the operator; reduce stigma by marking the neck
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EM Fundamentals Aug 15
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EM Fundamentals Aug 7
Where's the Tylenol?!? Learn how to work up Chevy's nontraumatic severe rapid-onset headache from Dr. Edlow's March 2018 review in , now linked on EM Fundamentals:
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EM Fundamentals Aug 6
!!* We curate the highest-yield content we can find from all over, including , , , , , , , , , , , *we are biased :)
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SAEM Online Aug 6
Visit EM Fundamentals on SOAR! Curated content, interactive small group resources, simulation-based mastery learning checklists, (and more!) are available via EM Fundamentals. Visit EM Fundamentals: Visit SOAR:
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EM Fundamentals Aug 3
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EM Fundamentals Aug 3
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Susan Wilcox, MD Jul 24
Replying to @EMFundamentals
The latter - exactly as you said, you have to fix the metabolic, and keep them safe while you do. Most patients do fine with pH > 7.2, assuming no neuro or cardiac issues. But young brain respiratory centers won't like that pH, and they will try to fight to breathe!
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EM Fundamentals Jul 24
Replying to @MiscSusan
do you have a target for pH (relative or absolute) and/or a target PaCO2 (relative or absolute) that you aim for on the vent? or is it more about synchrony and preventing iatrogenesis (e.g., pH, autoPEEP) while the real work is done by insulin?
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Susan Wilcox, MD Jul 24
Replying to @EMFundamentals
Keep them very well-sedated as you correct the met acidosis. In meanwhile, target high MV -> use up to 8cc/kg as able, keeping Pplat <30, use high RR until limited by autoPEEP. Check ABG/VBGs early and often!
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EM Fundamentals Jul 24
Replying to @MiscSusan
any tips on vent management for these patients with dka, large tv, dyssynchrony?
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Susan Wilcox, MD Jul 19
Remember that angioedema can be patchy and non-contiguous. A non-edematous uvula does not preclude laryngeal edema.
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Charlie Inboriboon Jul 19
Running through some with our interns and rotating students .
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Michael Cirone, MD Jul 18
First Day of our new curriculum for interns at Christ. shout out to (with )
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EM Fundamentals Jul 13
Replying to @EMFundamentals
“Three percent of emergency department (ED) patients present with dizziness, vertigo, lightheadedness, or imbalance. These words are not diagnostically meaningful.”
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EM Fundamentals Jul 13
Step up your game in diagnosing patients with dizziness! Get beyond "what do you mean by 'dizzy'" and find those posterior CVAs with help from Jonathan Edlow's May 2018 article () just added to EM Fundamentals:
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