2minuteEM

Emergency medicine in 2 minutes or under...

[2minuteEM @2minuteEM]

1. TTP and Reynold have the monopoly on pentads
2. FATRN full house only seen 7% of the time (remember SATURN V, sort of)
3. PLASMIC risk score

[Core EM @Core_EM]

Let’s take a minute to recap our latest blog post on a pretty daunting hematological emergency🩸

A thread 🧵 1/7 #MedEd #MedTwitter

[Ken Milne MD @TheSGEM]

Do you think EM physicians can properly apply, perform and interpret the HINTS exam? https://t.co/ygvwLS33Dg @EdlowJonathan @Hamishmcmack @PeterJohns84 @reverendofdoubt @emlitofnote @mfbellolio #SGEMHOP

[2minuteEM @2minuteEM]

Fantastic example of Kerley B lines.

Sensitivity 25%, Specificity 95% for LVF. Good at ruling in if present, not so good at ruling out if absent.

Peter Kerley was a 20th century Irish radiologist.

[The Koshur Doc @TheKoshurDoc]

Chest x-ray 🩻

What is this sign called?
What is the likely diagnosis?
What are the differentials?

#thekoshurdoc @IhabFathiSulima

[Jenifer Matos , M.D @Jenmatos0]

@BrownJHM 💠Schmorl’s node: It is a type of spinal disc herniation, involving the protrusion of the soft tissue of the intervertebral disc into the adjacent vertebrae.
💠common in the general population, affecting both young and older individuals.

[Jessica Thomas-Mourne @daajtm]

How I remember IO needle lengths...

[2minuteEM @2minuteEM]

And a calloused posterolateral 5th rib fracture 😅

Really useful breakdown of hila on chest radiographs.

Good skills

[theRadiologist @radiologistpage]

Female in her 60s presents with weight loss and has a chest X-Ray. What does it show?

[2minuteEM @2minuteEM]

Useful thread with infographic.
Remember Heyde’s (not Hades💀) syndrome = triad aortic stenosis, GI bleeding and acquired vWD from shear stress). #FOAMed

[Journal of Brown Hospital Medicine @BrownJHM]

A patient presented for further evaluation of anemia. Upper endoscopy revealed this finding. What is the likely diagnosis? H/t @drkeithsiau #Medtwitter

[2minuteEM @2minuteEM]

Short snappy thread. “Immature platelets express more adhesion proteins”

[Charles Milrod, MD @CharlesMilrod]

Picture this:

A patient presents with gum bleeding, and you find this 👇 on your exam.

What’s going on? 🤔

🧵 1/7

[The Intern At Work @InternAtWork]

Has anyone ever told you that you have a big heart?😍 Not too big, let's hope! Tune in this week for our episode on dilated cardiomyopathy!

Written by Dr. Jasper Ho (IM resident), reviewed by @katerade88 and @jddneary! Infographic by @shannonygui!

[Dr Geeta Mehta 🇨🇦 @geetamehta0]

The ICU team is starting to use ‘The Pause’ following the death of a patient @MountSinai.

To honour a person and recognize their life.

The pause can be led by any member of the interdisciplinary ICU team. When possible, in the presence of the patient’s loved ones.

[JClinMicro EIC @JClinMicro]

Photo-Quiz! I'm not even going to give you the patient history. What is it? https://t.co/6na7Ds40jp

@ASMicrobiology

[Keith Siau @drkeithsiau]

Endoscopic view of the stomach in a patient with cirrhosis and upper GI bleeding. What’s the diagnosis?

[Cliff Reid @cliffreid]

Should you WORRY about a WELL looking patient with mild hypotension?

Three minutes on When Not to Worry using the 'Four Ws'

https://t.co/RuDfoIXQzl

[2minuteEM @2minuteEM]

#FOAMed #MedTwitter

Useful videos:
https://t.co/8bG1wvyJUW
https://t.co/NJM9aRthYl (for “zero position” extension technique)

[Elliot K Fishman / CTisus.com @ctisus]

Chilaiditi syndrome

[2minuteEM @2minuteEM]

“Increasing frailty is associated with higher prevalence and reduced recognition of delirium in older hospitalised inpatients.”
Screen for delirium early in frail older patients using the quick and easy bedside 4AT

[Daisy @dvw364]

It's finally here. The latest results paper from GeMRC. A description of delirium and frailty in patients admitted as an emergency. Risk of delirium increases with frailty (independent of dementia). Frailty and delirium independent predictors of mortality.
https://t.co/vIyXehhAoO

[2minuteEM @2minuteEM]

ED handover: name a plant that atropine comes from.
#FOAMed #MedTwitter

[Laia Maynou Pujolràs @LaiaMaynou]

New paper published in Emergency Medicine Journal @EmergencyMedBMJ with @andrewdstreet, Christopher Burton, Suzanne Mason, Tony Stone, @Graham_P_Martin, @J_vanOppen, @GERED_DOC. 1/5
https://t.co/10Acc0dd1t

[Alasdair MacLullich @A_MacLullich]

🚑 #Delirium prevention in the #ED is potentially effective.

⭐ Interesting qualitative study exploring what actually gets done.

➡️ Commonly performed activities: provide hearing aids & glasses, water, food.

🔗 https://t.co/UAKZDGk76N

@MauraKennedyMD @DeliriumCommsJ

[Scottish Trauma Ntwk @ScotTraumaNwk]

Do you look after older patients who have sustained major trauma? Want more training on this?
HECTOR the #SilverTrauma course is coming to Scotland @scotsimcentre on the 20/21 March 2023.
#HectorOverTheWall
https://t.co/9xOkgorNXS