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Jeff Rixe Jan 18
Tramadol is a dirty drug. It has very limited (some argue zero) utility. Please STOP prescribing this to patients - particularly elderly pts with multiple meds, anticoagulation, and a high likelihood of trauma or delirium at baseline. Gracias.
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Lawrence Haines Jan 15
19 yo presents with left flank pain and hematuria. What is this in his bladder?
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Sam Ghali, M.D. Jan 19
Can’t emphasize this enough: 1. Don’t crank the neck back 2. ELEVATE the head! Video courtesy:
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Kate Flavin Jan 19
This is genius and incredibly depressing at the same time
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Manual Of Medicine 43m
Flow Diagram for Resuscitation in Sepsis-induced Hypoperfusion .
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Dorothy Wade Jan 21
Humanizing the ICU experience with enhanced communication via
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Philippe Le Conte 28m
71 yrs old pt, sepsis, BP 75/45. see visual hyperdynamic LV, TDI mitral S' 16 cm/s and presence of SAM (sword profile aortic Doppler). Sign associated with deep hypovolemia (DOI 10.1186/s13054-015-0980-z). Improved by fluids!
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Sam Ghali, M.D. 1h
Here’s an of a patient with 100% Acute LAD Occlusion Remember that RBBB normally has ST Depression in V1-V3. So ANY ST Elevation should alarm you. In fact, even an isolectric ST segment should be considered to have ’relative elevation’. STEMI Criteria misses this!
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emsimcases.com 5h
Getting Serious about GridlockED: Lesson Plans to Teach about Systems Improvement - The creators of share some resources to help enhance teaching & learning using their game.
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Association of Anaesthetists 8h
Guidelines for the safe practice of total intravenous anaesthesia (TIVA), published today in
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Anaesthesia Jan 21
Peri‐operative care pathways: re‐engineering care to achieve the ‘triple aim’. This great new review from and argues it is possible to improve patient experience and population health while reducing costs. 🔓
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Utah EM Ultrasound Jan 18
Looking for papilledema? Ultrasound's got you covered!! 1 mm of disc elevation is 100% specific for papilledema. If you can see swelling you've probably got papilledema!
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Michael Bond, MD 6h
Treatment for Torsades by Magnesium and overdrive pacing. Overdrive passing speeds up heart rate reducing QT duration and can prevent Torsades
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Anaesthesia 6h
For emergency laparotomies, the time taken to correct abnormalities should be balanced against the need for prompt surgery, particularly in time‐sensitive situations involving sepsis or hypovolaemia. Full here! 👇 🔓
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Clay Smith 12h
Antiarrhythmics In Arrest - New ILCOR Update
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Utah EM Ultrasound 6h
Normotensive pt w/ PE. A quick TAPSE measurement changes dispo immediately! Normotensive pts w/ abnormal TAPSE (<16 mm) are 4 x more likely to die from PE in 30 days. It's better than RV strain & easy to do! Just M mode the lateral tricuspid annulus & measure!
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TheResusRoom Jan 13
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Pediatric Imaging 6h
Preschooler with increased perspiration. Axial CT without contrast of the abdomen shows a large solid right adrenal mass. The diagnosis was pheochromocytoma.
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ACEP - Members 10h
Case: • 8 y/o girl, 3 days of fever, nontraumatic left-sided neck pain, sore throat • Physical examination significant for torticollis, tenderness along the left posterior side of the neck, and bilateral anterior cervical lymphadenopathy
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Adan R Atriham 2h
Great lecture by on opioids. Ask 3 questions: Do you lick your needles? (HACEK endocarditis), what water u use to dilute your (Gram neg infx), do you use citrus fruits in the mix (fungal endophthalmitis).
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