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NSLIJ EM, EM/IM/CC
Resident account of Northwell@NSLIJ EM, EM/IM and EM/IM/CC programs, New Hyde Park+Manhasset, NY.
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NSLIJ EM, EM/IM/CC retweeted
Sassy, (future) MD Feb 19
Welcome to , where the ranks are made up and the programs don't matter!
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NSLIJ EM, EM/IM/CC Feb 21
It's time - we've made our list and checked it twice... Just about - can't wait for !!
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NSLIJ EM, EM/IM/CC retweeted
Gregg Chesney Feb 18
"Para"-phimosis - the foreskin is stuck closer to the "pair of" testicles - I never forget which is which-Courtesy of Noel Mancherje
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NSLIJ EM, EM/IM/CC retweeted
Pik Mukherji Feb 17
Post-it crazy at for workshop on in organ distribution.
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NSLIJ EM, EM/IM/CC Feb 15
Phimosis v Paraphimosis: 'Para'phimosis is below glans- dangerous, needs the 'para'medic. Squeeze out edema or dorsal slit if fails.
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NSLIJ EM, EM/IM/CC Feb 15
Other fish poisoning loved by inservice: ciguatera, has funny neuro and allodynia (temp reversal).
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NSLIJ EM, EM/IM/CC Feb 15
Pt. eats big fish (tuna) gets red and itchy (histamine response) = scombroid.
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NSLIJ EM, EM/IM/CC Feb 15
Fresh water fish bite? Staph/Strep/Aeromonas. Salt water? Staph/Strep/Vibrio.
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NSLIJ EM, EM/IM/CC Feb 15
Agree, that trick of the trade hasn't worked well for me either. My chart says "copious" and I go to no pain.
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NSLIJ EM, EM/IM/CC Feb 15
Oops! In Hemophilia A, replete w Factor 8, to 100% in potential life threatening injury. Lesser injuries may replete to 40-50%.
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NSLIJ EM, EM/IM/CC retweeted
Pik Mukherji Feb 15
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NSLIJ EM, EM/IM/CC Feb 15
Chemical exposure to the eye? Alkali worse than acid, gives you liquefaction necrosis. Irrigation until pH corrects.
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NSLIJ EM, EM/IM/CC Feb 15
Electrical injury? High voltage considered > 600V. Look at contact points, if entry exit may have traversed heart, then EKG/monitor.
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NSLIJ EM, EM/IM/CC Feb 15
Burns get fluid. Not tweeting the whole Parkland thing. Just remember 1st 24hrs of repletion starts from time of burn, not arrival.
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NSLIJ EM, EM/IM/CC Feb 15
Most common cause of fetal mortality on trauma? Abruption. Give Rhogam in major trauma EVEN IF no external vag bleed.
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NSLIJ EM, EM/IM/CC Feb 15
Shoulder dislocation w/ neurovascular injury? Axillary n. and a.
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NSLIJ EM, EM/IM/CC Feb 15
Suspect diaphragm compromise/rupture w/ penetrating injury? What test finds it? None but laparotomy. Imaging notorious for missing.
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NSLIJ EM, EM/IM/CC Feb 15
Hemophiliac after head injury? Replete factor to 100%, dose at 50U/kg. (Factor repletes 2% per U per kg.
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NSLIJ EM, EM/IM/CC Feb 15
Pt. has SC emphysema, "crunching" sounds w heart auscultation. "Hamman's sign" Benign if asthma/forced breath. Borhaeve's if vomited = ABX.
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NSLIJ EM, EM/IM/CC Feb 15
Disaster triage: black tag a pt. unlikely to survive, don't resusc. if no VS. Except lightning: try rescue breaths first.
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