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LAC+USC DEM
LAC+USC Department of Emergency Medicine Residency. Views are residents' own, not medical advice, not representative of organization.
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LAC+USC DEM Jul 5
Always consider and treat empirically for sepsis in “myxedema coma” (which may have no edema and likely no coma, and thus could more aptly be called “decompensated hypothyroidism”). Often sepsis is the trigger! - Dr. Ryan Raam.
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LAC+USC DEM retweeted
Robert McNamara May 22
Well written piece “from the heart” of an EM trained doc but a deeply disturbing reflection on the state of the specialty.
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LAC+USC DEM retweeted
Stony Brook EM May 9
Some practical strategies to enhance communication during a stressful resuscitation: resuscitate by voice, combat mitigating language, graded assertiveness, SBAR, step-back method, sterile cockpit, closed-loop communication. PMID 21482347
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LAC+USC DEM retweeted
Judd Hollander May 1
Emergency Medicine is seen as a “lifestyle” choice by other specialists. The lifestyle includes working 76% of hours when others are home, being able to care for pts regardless of complaint, & not turning away people who wont be seen by others due to no insurance. Happy to help
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LAC+USC DEM Apr 19
For these infections (mot meningitis staph bacteremia, endocarditis) 5-7 days is plenty (sometimes even just 3!). Thanks to LAC+USC CMO for coming to
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LAC+USC DEM Apr 19
As a clarifier, almost no EM docs will ever have to do this, but if it can save a life, better to be over-prepared than overwhelmed.
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LAC+USC DEM Apr 19
Burr holes in the ED? ONLY if patient is herniating in spite of all your less invasive therapies AND prolonged transport time to a trained neurosurgeon. Ideal to discuss the indication with said neurosurgeon before, as well. Dr. Peck and Dr. Ansari.
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LAC+USC DEM Apr 19
Remember all alcohols early will just have Osm gap. Acidosis forms as they metabolize. - Dr. Garlich.
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LAC+USC DEM Apr 19
No acidosis in isopropyl ingestion. Ketonuria and can have falsely elevated creatinine on colorimetric tests (BMP, not VBG). Dr Sigman Tox Talk.
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Zach Jarou, MD Apr 4
4 years of M&M has taught me: 1) undress patients 2) walk patients 3) if you don’t write it down, it didn’t happen 4) believe the scariest version of the story is real 5) review the chart & use HIE 6) the answers are at the bedside 7) NEURO EXAM incl/ REFLEXES
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LAC+USC DEM Mar 29
Radiation exposure in space. “We’re not going to Mars until we fix this problem.” - Dr. Radek Bialczak MD Ph.D (in Physics).
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LAC+USC DEM Mar 23
Replying to @RussBrown3
They are still around and will eventually be transitioned over! Stay tuned.
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LAC+USC DEM Mar 22
Replying to @lacuscdem
- Dr. Crystal Irwin.
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LAC+USC DEM Mar 22
AUB. Ibuprofen 400-600mg QID x 5d can actually decrease bleeding 20-40% (careful if gastritis). Progestin 20mg TID x 7 d, then qDay after (will mess up EMB results though! - never for post menopausal pt.) Combo OCP also an option (more adverse effects). And TXA!1.3g TID x max 5d
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LAC+USC DEM Mar 22
Posterior palatal trauma. Infection risk > vascular injury risk. CT angio only if red flags (focal neuro deficit, AMS, dangerous mechanism, chest pain, crepitus, torticollis). Mucosal lacs < 3 cm heal well. Do not need prophylactic abx, but good RTED precautions. - Dr. Emily Rose
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LAC+USC DEM Mar 21
File your taxes! If you just matched and you’ll be doing income-based repayment, then filing your taxes 4th year will make your 1st year required payments are as low as possible (unless you made a bunch of $ 4th year). If you don’t it will be based on 1st paychecks, and be more $
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LAC+USC DEM Mar 19
Replying to @mcsassymd
We Ctrl + F’d “Rockstar” and the whole page turned yellow. Thought we OD’d on digitalis.
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LAC+USC DEM Mar 19
And, of course, the newest additions to the family. Welcome to the Class of 2022!
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LAC+USC DEM Mar 19
After a 14 month hiatus from the Twitter-verse, we back. Gave birth to 35 new future EM rockstars in that time. Allow me to introduce the class of 2021 (last year’s class).
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LAC+USC DEM retweeted
March for Science 24 Jan 17
The date of the March will be announced officially next week! Do not believe any rumors of a date until then!
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