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EMedTox
Emergency Physician, Medical Toxicologist. Bringing calm to chaos. Tweets mine, not advice. I speak & teach about & .
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EMedTox 5h
Replying to @vtmedic511 @RyanMarino
Canines have different response to drugs compared to humans. For example, much higher doses of opioid for treatment of pain, overdose symptoms. Also requires larger naloxone dose. Literature suggests synthetic cannabinoids have significant toxicity:
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EMedTox 6h
Respirators are only indicated, "In the unusual circumstance of significant airborne suspension of powdered opioids..." (not every time) From joint statement between American College of Medical Toxicology and American Association of Clinical Toxicologists:
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EMedTox 6h
Replying to @drkivela
A great quote from a residency colleague, "About 2/3 of hospital admissions come through the Emergency Department & each admission generates significant revenue, so every time you get a pay check, calculate 2/3 of total amount earned and say, 'Thank you, Emergency Department.'"
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Helen Schultz 13h
In Sep2018 I started seeing doctors and med students in an after hours, confidential setting. Now it's July 2019, & I have over 50 'patients'. Because of that & because this is the most rewarding thing I have ever done, I am expanding my hours. Contact; helen@drhelenschultz.com
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EMedTox 14h
In response to a new med student's question, a thread about being in medical school...
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EMedTox 15h
Replying to @FutureDOctorD
7. You will miss some friends & family life events. Some will be important. Choose very carefully who and what you prioritize. Do not miss things that truly matter & release expectations about others. 8. You can do this. Keep showing up. 9. is here for you. 6/6 🦉
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EMedTox 15h
Replying to @FutureDOctorD
6. It is normal to feel like you don't have context for what you're learning for a long while. You are building the scaffolding first. Notice similarities across organs and systems. Like...this sounds inflammation-y or cancer-y or infection-y or blood flow-lack- ischemia-y... 5/x
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EMedTox 15h
Replying to @FutureDOctorD
5. Parents, family, friends & fans are SO proud of you. They want to believe that you LOVE medical school, so that is what they will tell everyone. Love is not the right word. Grateful struggle is more like it. Incredibly special. Amazing. No,other students don't love it either.
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EMedTox 15h
Replying to @FutureDOctorD
4. People only open their mouths when they know the answer. When it seems like everyone else knows the answer & you don't, realize that everyone speaking up is harnessing the rare moment when they know an answer. They generally don't know what's going on either. 3/x
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EMedTox 15h
Replying to @FutureDOctorD
3. When you have had enough and can't sit through one more lecture that feels like it's wasting your time...go to school anyways. Go to the library and just explore the stacks. Every thing that you explore is still teaching you Medicine & will benefit your patients one day.
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EMedTox 15h
Replying to @FutureDOctorD
1. They already did the screening process. You got in. They want you there. Yes, you belong there. You. 2. Keep showing up & you'll end up a doctor. When you are learning so much that you think one more fact learned will make you forget your way home....keep showing up. 1/x
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David Crutchfield Jul 14
First Apple watch related visit today, new onset AFib!
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Samuel J Stellpflug Jul 21
This packaging seems not at all marketed for non-antitussive purposes. Small enough to fit in a pocket, concentrated DXM, no anticholinergic nor acetaminophen additive. 😐
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EMedTox 22h
Replying to @GracieEMDoc
Every time you order a medication, make sure you are confident in knowing how to treat & manage anaphylaxis, up to severe, life threat. You never know which one of your med orders will lead to life-threatening allergy. Rare, but if you break it, you darn well better fix it.
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Brit Cesar Jul 20
A billionaire investor has bankrupted Hahnemann Hospital in Philly & is refusing to release govt funding for 589 resident physicians. Please back up us, the ACGME, & CMS -we can’t continue our training unless our funding is released. RT. make this a national issue!
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EMedTox Jul 20
Replying to @ERGoddessMD
I once cardioverted rapid afib with a Foley catheter. Very tachycardic patient with a decent list of medical problems. I did a very quick & cursory exam identifying massive suprapubic distention. Chronic, in pt afraid to self-cath. Foley in. 1800 ml out. NSR restored.
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EMedTox Jul 20
Replying to @ERGoddessMD
I once cardioverted rapid afib with a Foley catheter. Very tachycardic patient with a decent list of medical problems. I did a very quick & cursory exam identifying massive suprapubic distention. Chronic, in pt afraid to self-cath. Foley in. 1800 ml out. NSR restored.
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EMedTox Jul 20
Replying to @Rick_Pescatore
Systems failure right there. Foreseeable misunderstanding.
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EMedTox Jul 20
Replying to @perkleberry
Go find the chart. Then find the offender. Have a chat. Be curious about their view and intent. Then discuss and call them out on it. If appropriate, forgive. Own what is yours, and nothing more.
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William Mapes Jul 20
Replying to @emedtox
"When seconds count, we're just minutes away"
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