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Salim R. Rezaie
EM/IM Doc; Founder of REBEL EM & REBEL Cast; Viva (Tweets are opinion only)
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Salim R. Rezaie retweeted
Justin Morgenstern 9h
This is important. It isn’t the ST elevation we actually care about. It’s the occluded vessels. There are other presentations we need to know.
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Salim R. Rezaie 19h
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Salim R. Rezaie retweeted
Sam Ko, MD, MBA Jul 15
Modified Valsava maneuver. YES, IT REALLY WORKS.
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Salim R. Rezaie retweeted
Ultrasound Training Solutions Jul 15
- Newly released - 80 new course dates to June 2019 available now There's something for everyone And keep your eyes 👀 peeled for new developments
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Salim R. Rezaie retweeted
Mizuho Spangler Jul 15
New to ? Highly recommend this awesome post on ⁦by ⁩ & ⁦⁩. Practical tips for the newbie 🤙🏼
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Salim R. Rezaie Jul 14
US Guided Femoral Nerve Blocks for Hip Fxs via BOTTOM LINE: Regional anesthesia resulted in better pain control, less opioids, less opioid related S.E., & better functional outcomes compared to control (i.e. IV Opioids)
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Salim R. Rezaie Jul 14
Replying to @Ljpengels @EMSwami
Maybe...or maybe they just need some gentle pressor/inotrope support...what they don’t need is boluses of epinephrine with compressions
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Salim R. Rezaie retweeted
Abbas Husain Jul 13
Calling Consult takes practice and deliberate communication. Get to the Point + be clear courteous and concise Nice review by
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Salim R. Rezaie retweeted
Stephen W. Smith Jul 13
No doubt. You can’t diagnose cardiac arrest by absence of palpable pulse! Ultrasound!
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Salim R. Rezaie Jul 13
How Do You FEEL About Echo in Cardiac Arrest? via 1. There is a high rate of cardiac activity in patients thought to be in PEA (74.5%) or asystole (35%) 2. It’s time to abandon fingers for pulse checks & embrace more advanced technology (POCUS)
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Salim R. Rezaie Jul 13
Potential of rtPA for Ischemic Strokes With Mild Symptoms (PRISMS): The Case of the Missing Comparator via 90d mRS = No Difference tPA vs ASA Symptomatic ICH = tPA 3.2% vs 0% ASA
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Salim R. Rezaie Jul 13
The PARIS Trial: A Randomized Trial of High-Flow Oxygen Therapy in Infants with Bronchilitis via Primary Outcome: Tx Failure Standard O2 Therapy: 23% HFNC: 12% NNT to Prevent 1 Tx Failure = 9 Fragility Index = 51
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Harvard Macy Jul 12
New podcast and blog post available! "Effective Learning Strategies in Emergency Medicine" - lots of great educators involved including Jeff Ridell. MT
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Salim R. Rezaie Jul 12
Agree with you Justin...IMHO...current best evidence: 1. Undifferentiated UGIB no pt oriented benefit with PPI 2. EGD proven PUD decreased rebleeding & need for surgical intervention with PPI 3. Harms of PPI = Bolus + Infusion for 72hrs not Bolus Alone (But Still a Possibility)
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Salim R. Rezaie Jul 12
I'd argue with some of the conclusions: 1. Increased Mortality was with infusion NOT bolus PPI 2. Bolus = Infusion 3. Known PUD or EGD proven PUD --> Decreased Re-bleeding & Need for Surgical Intervention 4. Agree in Undifferentiated UGIB no Patient Oriented Benefit
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Salim R. Rezaie Jul 12
Agree with caveats ;)
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CoreEM Jul 12
Journal Update: HFNC in Hypoxic Bronchiolitis | Guest Post Reduction in escalation of care w/ early HFNC vs standard O2 therapy (NNT = 9)
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Salim R. Rezaie Jul 12
In HD unstable GIB would always go PRBCs > Crystalloids but unfortunately in crash situations there is still typically a 10 - 20min lag for blood product arrival...therefore agree minimize crystalloid & think about push dose pressors to help spare fluids until PRBCs arrive
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Salim R. Rezaie Jul 12
Would ask for crash blood and transfuse ASAP, however the reality is crystalloid readily available as bridge until PRBCs arrive from blood bank
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Salim R. Rezaie Jul 12
Don’t Pick the Scab - Vilazodone via 1. Shorter Half-Life Compared to Other SSRIs ≈25hrs 2. Serotonin Reuptake Inhibitor = Incr Serotonin 3. Serotonin 1A Receptor Partial Agonist = Incr Serotonin
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