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Dr. Mark Greene Jul 9
Esophageal rupture do not scope CXR wide mediastinum pneumothorax air around paraspinous muscles Lt pleural effusion mediastinal air fluid level Mgmt NPO NG tube fluids broad abx analgesia +/- chest tube urgent primary closure, conservative in self contained(2/2)
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Dr. Mark Greene Jul 9
Esophageal rupture CC chest pain tachypnoea Lt sided pleural effusion SubQ air Hamman Sign (crunching sound on chest auscultation) MCC endoscopy think Boerhaave syndrome in alcoholics, Ix of choice water soluble contrast esophagram(1/2)
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edward lew Jul 16
Just a spoonful of honey makes the coughing child go down. Honey>dextromethorphan>placebo
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MH/CCF/CWRU EM Res Jul 15
To perfectly sum up our excitement for the annual airway lab: "Airway week, like shark week, but with more oxygen." Dr. Ryan Stegenga, education chief.
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Megan Stobart Jul 16
I need more color and post its to help me finish the schedule. This is just page 1...
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MH/CCF/CWRU EM Res Jul 15
Be sure to mentally run through the 7 P's of RSI. Anticipate a difficult airway via "LEMON" - Look, Evaluate 3-3-2, Mallampati, Obstruction, Neck mobility. Preparation is KEY.
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MH/CCF/CWRU EM Res Jul 16
Residents learned the difficulty of triaging patients in a simulated mass casualty situation with the help of tactical medics.
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AlamoCityEM Jul 15
Cannabinoid Hyperemesis? -Hot Showers Help -Narcotics slow GI, avoid! -Low dose Haldol 2.5mg, Ativan 1mg, Benadryl 12.5mg cocktail -Mix of evidence/anecdotal experience suggest benefit -Can also try topical capsaicin or sub-dissociative Ketamine
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MH/CCF/CWRU EM Res 21h
Some advice on transtracheal ventilation from Dr. Ryan Stegenga
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Carl Preiksaitis Jul 11
In the vaccinated era, epiglottis is a polymicrobial disease of adults
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Shyam Murali Jul 13
Some pearls (among many other) from my very first Concordance with LBBB = MI Aspirin for ACS? Give it. If allergic, give benedryl One ecg begets another No Canadian head if less than 16, non trauma, on AC/AP.
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MH/CCF/CWRU EM Res Jul 15
Special thanks to Dr. Matt Kostura for putting together another amazing "Airway Lab"
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Northwestern EM Jul 11
Who are likely to bounce back to the ED? Dehydration is the most common diagnosis followed by dyspnea.
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Rush EM Residency Jul 12
1. Always communicate 2. Don’t nickel and dime labs 3. Share the plan 4. Don’t interrupt when they’re talking (listen instead) 5. If you DC a pt, take IV and document the time 6. Direct & clear verbal orders
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Megan Stobart Jul 11
PGY3s and 4s learning US guided nerve blocks!
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Northwestern EM Jul 11
61% of surgically confirmed ovarian torsion will have normal doppler flow on ultrasound
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Trent She Jul 13
Keys to running your very own ultrasound conference from Gabe Rose 1. Make sure you have breaks. 2. Utilize flipped classroom models. 3. Think about unifying themes. 4. KNOW YOUR AUDIENCE!!! 5. Ensure you have hands-on time. 6. Obtain post-conference evals.
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AlamoCityEM Jul 16
What does a caffeine overdose look like? Basics: Nausea. Vomiting. Tachycardic. Next Level: Seizures (Adenosine Antagonist) Hypokalemia (Shifted intracellularly, not total deficiency)
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Travis Eastin Jul 11
Dermatopathologist at ? Great talk by from on the professional use of social media to the residents.
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Duke EM Residency Jul 12
Trauma 101: practice, practice, practice! Paramedic Painter has a nice ring to it 😜
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