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InspiraEM
Inspiring the Next Generation of Emergency Physicians. Tweets are our own, not meant as medical advice, and do not represent the viewpoints of our hospital
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InspiraEM retweeted
Rick Pescatore Apr 20
Excited for my first publication in . Hopefully many more to come. Thanks to my hard working team at !
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InspiraEM retweeted
Rick Pescatore Apr 10
So incredibly proud of our residents for their presentations at ! Better patient care through scholarly work.
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InspiraEM Mar 20
C4 Critical Care Conf held at Cooper Univ today
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InspiraEM Mar 20
Currently in a court-mandated REBOAcoholics Anonymous meeting! Highly engaging and entertaining talk!
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InspiraEM Mar 20
TEE helps with prognosis, finding reversible causes, and helps you do what you already do better! Consider multidisciplinary use of TEE in the ED during cardiac arrest!
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InspiraEM Mar 20
REBOA for trauma is so yesterday! Think Massive GIB, Ruptured Ectopic or OB Bleeds, & Medical Arrests! REBOA shown to have improved cardiocerebral perfusion, improved rate of rosc, improved neurological outcomes in animal models
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InspiraEM Mar 20
Massive PE & ECMO: Bridge or Destination Therapy & can follow push dose tPA during cardiac arrest. Allows for dec preload and afterload, allows for the sick RV to rest, and triggers fibrinolytic mechanisms to aid clot dissolution without added thrombolysis!
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InspiraEM Mar 20
Veritable Smorgasbord Of Sepsis...Think SIRS and Source Of Infection for use in the ED for broad sensitivity, NEWS & MEWS for predicting decline in the Inpatient unit and SOFA in the ICU
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InspiraEM Mar 20
Compassion Crisis In Our Healthcare. Pressing need to get back to our roots & connect & empathize with our pts. Associated with higher quality of care, dec med errors, improved pt compliance, dec cost of care and better career resilience. The Anti-Burnout
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InspiraEM Mar 20
Dont anchor on sepsis! Need to have a broad differential and consider Tox!!! Mimics of Sepsis
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InspiraEM Mar 20
Every OB intubation should be considered a difficult airway! Sats drop twice as fast and CO2 rises twice as fast w/inc aspiration and 10x higher ARDS rate in pregnant pts in ICU! Maximize maternal O2 content, uterine a blood flow, and optimize acid-bas status!
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InspiraEM Mar 20
Targeting MAPS in Sepsis: Think about targeting physiology: 65mmHg=(COxSVR)+CVP! And no strong evidence to personalize BP for chronic HTN
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InspiraEM Mar 20
Ultrasound In Resus: Velocity/Time Interval, Fractional Shortening using M Mode, Peak Vessel Velocity, IVC and SVC Collapsibility....a myriad of options but no consensus. Next up, TEE to guide resus? Prudent upon the astute clinician to familiarize self!
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InspiraEM Mar 8
Learning from the leaders of Emergency Medicine. Amazing talks on End Of Life Care, NIV and Vent Management, OB Emergencies, and Airway Management
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InspiraEM Mar 8
Mastering NIV with Type 1 Resp Failure: Issue w/Oxygenation Type 2 Resp Failure: Issue w/Ventilation Use CPAP and tweak FIO2 and PEEP for Type 1 and use BPAP and tweak TV and RR for Type 2
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InspiraEM Mar 8
Things I Wished I Learned During Residency! The Art Of The End Of Life Discussion. Lead with the outcome....allow silence....explain what happened when family is ready....and inquire about the life of the departed.
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InspiraEM Mar 8
PPH...think about 4T’s and consider oxytocin, misoprostol, and IV TXA after uterine massage. OB emergencies in the ED!
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InspiraEM Jan 18
PGY-2 EM resident Tristan Simmons breaking down the dailying stressful situations and way to cope in the ED
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InspiraEM Jan 18
Great talk and review of EMS field tapes by EMS legend Tom Brabson
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InspiraEM Dec 7
Mount Sinai 4th yr EM resident breaking down different and effective ways to elicit and give feedback on shift
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