Twitter | Search | |
UCLA (RR/OV) EM Res
(/ Combined) EM Residency Twitter Acct. Disclaimer: Any tweets for education only and not official medical advice
629
Tweets
172
Following
1,262
Followers
Tweets
UCLA (RR/OV) EM Res Dec 5
Graham: Paint injected into finger likely needs OR washout
Reply Retweet Like
UCLA (RR/OV) EM Res Dec 5
Graham: subungal hematoma rx trephination
Reply Retweet Like
UCLA (RR/OV) EM Res Dec 5
Graham: mallet finger -> splint in extension
Reply Retweet Like
UCLA (RR/OV) EM Res Dec 5
Graham: mcp neck fx 10 / 20 / 30 / 40 rule in IF/MF/RF/PF for amt of angulation tolerated
Reply Retweet Like
UCLA (RR/OV) EM Res Dec 5
Focus on appropriate ABX in sepsis for sick pts. AVOID abx “just in case” in non sick.
Reply Retweet Like
UCLA (RR/OV) EM Res Dec 5
Don’t forgot thinking about other etiologies of elevated lactate than just sepsis: albuterol, liver failure, bowel ischemia, metformin, etc...
Reply Retweet Like
UCLA (RR/OV) EM Res Dec 5
IVF protocols in sepsis: Identify specific populations which potentially harms is the future of resus
Reply Retweet Like
UCLA (RR/OV) EM Res Dec 5
Aggressive fluid resus in sepsis protocols might now be best. Evidence suggesting mortality in positive balance.
Reply Retweet Like
UCLA (RR/OV) EM Res Dec 5
Procalcitonin levels peak in 6-24hrs. Evidence in use in ICU setting for de-escalation of care
Reply Retweet Like
UCLA (RR/OV) EM Res Dec 5
IDSA states mandatory abx time of administration in sepsis may lead to abx overuse in unaffected pts.
Reply Retweet Like
UCLA (RR/OV) EM Res Dec 3
Check out this piece from UCLA's Carolyn Sachs on Malpractice Claims.
Reply Retweet Like
UCLA (RR/OV) EM Res retweeted
Alan Chiem Dec 1
Patient with ruptured AAA diagnosed with POCUS! residents did a great job with management, including obtaining this gorgeous study!
Reply Retweet Like
UCLA (RR/OV) EM Res Nov 28
- Sepsis 30cc/kg bolus does not have good evidence. We should be more thoughtful with our resus. Consider pressors earlier.
Reply Retweet Like
UCLA (RR/OV) EM Res Nov 28
- consider plasma-lyte as 1st line for fluids in cirrhosis + septic shock. Better than NS or lactate.
Reply Retweet Like
UCLA (RR/OV) EM Res Nov 28
intrasal meds - 1mg/kg IN Ketamine for sub-dissociative dose. No difference in pain scores vs IN fentanyl.
Reply Retweet Like
UCLA (RR/OV) EM Res Nov 28
intrasal meds - split dose evenly btw nostrils for desired results faster
Reply Retweet Like
UCLA (RR/OV) EM Res Nov 7
Akie telephone protocols to initiate bystander CPR can help outcomes in out of hospital cardiac arrest
Reply Retweet Like
UCLA (RR/OV) EM Res Nov 7
Savitsky: unclear dx of pediatric hip pain w/o joint effusion -> think about osteomyelitis & evaluate with MRI.
Reply Retweet Like
UCLA (RR/OV) EM Res Nov 7
Savitsky: splint supracondylar Fx 2 or above in position of comfort
Reply Retweet Like
UCLA (RR/OV) EM Res Nov 7
Savitsky: Greenstick -> One cortex breaks, the other intact.
Reply Retweet Like