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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 Mar 20
What a stellar group of people! Welcome to the family! LAC+USC Emergency Medicine Class of 2024.
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LAC+USC DEM 15 Mar 19
Welcome to this rockstar class. LAC+USC Emergency Medicine Class of 2023.
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LAC+USC DEM 7 Mar 19
41K homeless in Los Angeles, more than most the largest cities in America have combined. “We have to take our care to them.” Bret Feldman PA-C with Street Medicine.
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LAC+USC DEM 14 Feb 19
Lid lacs that need ophthalmology.
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LAC+USC DEM 14 Feb 19
Treatment of ruptured globe en route to ophtho.
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LAC+USC DEM 14 Feb 19
Signs of (not so occult) globe rupture. Peaked pupil, hemorrhagic chemosis, Seidel sign on flouresceine exam, scleral smudge, hyphema.
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LAC+USC DEM 14 Feb 19
Ruptured globe (occult). Scans don’t save all. Pay attention to the ACUITY! Low IOP? Uh oh (probably better not to check it if suspicion was high in the beginning).
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LAC+USC DEM 14 Feb 19
Ocular trauma only seen initially by an ophthalmologist in 20% or fewer cases! This is our disease presentation to master. “Have you ever asked an internist about the eye? A trauma surgeon? Answer is always, ‘Just call ophtho!”
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LAC+USC DEM 10 Jan 19
Determining capacity in the ED. 1 Is patient capable of UNDERSTANDING the information? 2 Does patient APPRECIATE the illness/symptom and its severity? 3 Is his/her REASONING linear/logical 4 Can patient EXPRESS A CHOICE (verbally or otherwise) - Dr. Michael Perez
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LAC+USC DEM 10 Jan 19
“Spiked helmet sign” on ekg likely a SICK patient, avoid anchoring bias, consider non cardiac causes -intrathoracic or even intra-abdominal pathology. - Dr. Jagoda
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LAC+USC DEM 10 Jan 19
1st off, agree inappropriate. I’m just a resident running twitter account during grand rounds, but if u message me more details, I can look into this. Straw poll of residents, none of us even knew “homosexuality” was an ICD diagnosis. May’ve been seen UC by non-residency staff.
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LAC+USC DEM 29 Nov 18
“Be the nicest person at whatever workplace that you go to.” - career advice from Dr. Stuart Swadron on doctoring.
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LAC+USC DEM 29 Nov 18
Five generations of program directors at LAC+USC. Dr. Stuart Swadron talks “On Doctoring.”
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LAC+USC DEM 29 Nov 18
Dr. Erick Eiting discusses LBGTQ health disparities and how we can make our ED’s more inviting to our patients. 1 - all gender restrooms. 2 - pronouns matter. 3 - DECORATE your doors!
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LAC+USC DEM 20 Sep 18
Phenibut. Sounds Canadian, actually Russian (in origen). Taken for “disappearance of social anxiety” or even GHB withdrawal. Develop tolerance rapidly, can lead to agitation, myoclonic jerking, anxiety, tachycardia, hypertension, etc. Treat w/d with baclofen.
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LAC+USC DEM retweeted
jeff riddell 6 Sep 18
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LAC+USC DEM 5 Jul 18
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 22 May 18
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 9 May 18
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 1 May 18
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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