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EM Hitch
Dartmouth-Hitchcock Emergency Medicine Residency
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EM Hitch Oct 18
Congrats finals CPC. Made it to the finals, nailed it, a really tough case. Congrats to the winners.
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EM Hitch Oct 18
What a great DHMC EM Class of '17
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EM Hitch Oct 13
extra benefit of POCOS - more time at bedside with the patient
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EM Hitch Oct 13
giving the keynote speech on POCUS in a resource limited environment. If you use US you're going to save a life
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EM Hitch 7 Nov 15
Our recent grad, Lindsay Reardon, presenting at Ultrasound for Clinicians course during fellowship at Hennepin!
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EM Hitch 25 Oct 15
Use Sookasa app to encrypt ultrasound clips before sharing in Dropbox
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EM Hitch 30 Jul 14
Aortic Stenosis: syncope, dyspnea, angina. After sx start 75% 3yr mortality w/o surgery. Admit. Preload dept: careful w nitrates!
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EM Hitch 3 Jul 14
The Price of Prevention: Vaccine Costs Are Soaring, via
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EM Hitch 2 Jul 14
In cases of Bell's Palsy (FNP): test and treat for Lyme. 1/4 adults & 1/3 kids w Bells is Lyme. Bilateral FNP is pathognomonic.
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EM Hitch 2 Jul 14
Test for Lyme only if ?early dissem disease. IgM+1-2 wks post symptoms IgG+ 2-6 wks post EM rash. If ELISA+ confirm w Western Blot
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EM Hitch 2 Jul 14
If Erythema Migrans rash: Doxy 100mg po BID x14d; 2mg/kg/d BID for kids. EM rash usually within 1-2 wks, in 70-80% of Lyme cases
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EM Hitch 2 Jul 14
PPx for Lyme only if: Ixodes tick, within 72 hrs, attached >36hrs, not <8yrs or pregnant. Doxy 200mg single dose adults; 4/kg kids
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EM Hitch 24 Jun 14
Pediatrics Group to Recommend Reading Aloud to Children From Birth, via
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EM Hitch 18 Jun 14
If bleeding increases w tourniquet venous-only compression can lead to compartment synd. Still bleeding - consider 2nd tourniquet
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EM Hitch 18 Jun 14
Tourniquets: apply prox to wound, not over joints, tighten till bleeding stops or pulse lost, note placement time & do not cover.
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EM Hitch 4 Jun 14
Penetrating neck wounds: can be deceiving, may need early airway, unstable pts go to OR, watch Zone II, CTA is your friend
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EM Hitch 2 Jun 14
Calling an Ordinary Health Problem a Disease Leads to Bigger Problems, via
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EM Hitch 2 Jun 14
What’s Lost as Handwriting Fades, via
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EM Hitch 28 May 14
Junctional bradycardia: keep hyperkalemia on the differential. When treating hyperkalemia with possible digitalis tox- cautions with calcium
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EM Hitch 28 May 14
For undifferentiated hypotension think US RUSH exam: heart, IVC, FAST, aorta, lungs for pneumo, DVT.
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