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QueensEM
The twitter feed for the Emergency Medicine residency program at Queen's University.
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QueensEM 6m
3rd degree block: more p-waves than QRS's and R-R interval must be regular.
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QueensEM 14m
Use mathematical stress to increase heart rate in ED "count back from 100 by 1, now by 2's, now by 3's more rapidly"
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QueensEM 17m
When you decrease HR Mobitz I - increase degree of block Mobitz II- decrease degree of block
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QueensEM 18m
When you increase HR Mobitz I - decrease degree of block Mobitz II - increase degree of block
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QueensEM 20m
Dynamic and thoughtful cardiologist teaching us his ways. Thanks for coming to
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QueensEM 31m
"When block is 2:1 how do we know it's Mobitz 1 or Mobitz 2? Look at the width of QRS and presence symptoms"
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QueensEM 33m
Thrilled to have teaching us about bradycardias at today!
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QueensEM 34m
on bradycardia with - don't forget to ask patients about eye drops when interrogating about AV nodal blocking agents.
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QueensEM 2h
Culture change around fluid resuscitation in severely injured patients will be a challenge. Might need interdisciplinary education.
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QueensEM 2h
DCR: less aggressive resuscitation end points (SBP 70-90, palpable radial pulse), smaller fluid boluses
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QueensEM 2h
DCR: permissive hypotension + restrictive fluids, hemostatic resuscitation, rewarming, correction of acidosis, hemorrhage control.
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QueensEM 2h
DCR: basically for severely injured trauma patients anatomic parameters physiologic parameters lab parameters
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QueensEM retweeted
David Messenger 2h
A great production screened at grand rounds this morning: "Haikus from the Grave": the challenge of pts who LWBS
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QueensEM 2h
Damage Control Resuscitation (DCR) goals: Maintain circulating volume, control hemorrhage, correct lethal triad
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QueensEM 2h
"Damage Control Resuscitation in the ED" with PGY3 Zach today
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QueensEM 2h
How can we have people feel cared for even while they are waiting?
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QueensEM 2h
Very powerful "Haikus from the Grave" film to generate discussion about patients that LWBS.
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QueensEM 14h
Having some fun watching a comedy sketch at the end of JC...we can't make the tv work though. Laughs are the same!
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QueensEM 16h
Journal club tonight reviewing IV contrast and AKI
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QueensEM Feb 21
uncomfortably slow!
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