Alan You, MD

Part Emergency Medicine. Part Internal Medicine. Part engineer. #MedEd. Views are my own. Tweets are not medical advice.

[Alan You, MD @AlanYouMD]

Just a reminder for anyone interested to register and join us for the Combined Emergency Medicine residency fair tomorrow! There will be a great Q&A session and opportunity to chat with each of the individual programs. #emim #acep #emra

[Alan You, MD @AlanYouMD]

Excited to announce this year's residency fair for combined EM training residency programs. If you're interested in pursuing a career combining multiple specialties, scan the QR code on the attached flyer to register. Can't wait to see you there! #combinedlife #emim @ACEPNow

[The Art of EM @EMFFguru]

Great @emdocsdotnet paper on unexpected post-ED visit deaths

1. Tachycardia on discharge
2. Mechanical falls in age >65

Don’t discharge old people who are tachycardia.

Falls usually means deconditioned and underlying poor health -> death risk.

#medtwitter #MedEd

[Kristen Panthagani, MD, PhD @kmpanthagani]

You may have heard the shocking headline that 250,000 people die every year in the US due to misdiagnosis in the ER.

You may be even more shocked to know that this statistic is extrapolated from the death of...

just one man.

in a Canadian ER.

over a decade ago.

[Tony Breu @tony_breu]

1/10
Many labs can be abnormally high OR low.

Others appear to have just one direction of abnormality. But some diagnoses may be suggested by the "reverse abnormality." For example, a...

↓aPTT
↓Alk phos
↓ALT
↑B12
↓HDL

...may mean something.

Let's have a look.

[UCSD Pulmonary, Critical Care, Sleep, & Physiology @ucsdpccm]

We are beyond excited to announce our #PCCM Fellows and #Interventional #Pulmonary Fellow starting in July 2023.

Congratulations! Welcome to the family!

[UCSD Internal Medicine Residency @ucsdim]

CONGRATULATIONS to our residents and recent graduates for an outstanding fellowship match! We can't wait to see what amazing things you will continue to do in the next phase of your careers! #match2023 #internalmedicine #nrmp #Fellowship

[Katie Wiskar @katiewiskar]

#POCUS puzzle time again:

What's the large circular anechoic structure seen here?

Probe is placed on the patient's abdomen in the epigastric region.

Patient was in the ICU in profound shock NYD.

[Satya Patel MD, MPH @patelsatya2020]

Searching for a #hospitalist Job? I have made it easy for you. Too many options to choose from.

Top Factors to look for in the job.

#MedTwitter, @BeckersHR @NY_Hospital_Job @TodaysHospital @acphospitalist @ahahospitals

[Prathit Kulkarni, MD @PrathitKulkarni]

Pro tips for early trainees for HPI writing and oral presentations:

- Go in forward chronological time (start from when pt was last well up until the present)

- OK to include previous objective data, such as labs + imaging, if avail from before the current presentation

1/

[Emergency Physicians @EmergencyDocs]

This morning, we sounded the alarm on the patient boarding crisis that has brought ERs across our country to a breaking point. In our joint letter to @POTUS, we shared real-life stories showing the threat to our health care safety net. [1/4]

Full letter: https://t.co/p1kydtphUJ

[Nick Mark MD @nickmmark]

A case everyone needs to know:

A man admitted for CHF exacerbation is normoxic on ambient air. POCUS shows bilateral pleural effusions.

He develops Afib w/ RVR (HR 150s). A med is given. Suddenly he develops hypoxemia (SpO2 84% on NC, 94% on NRB).

What med & what happened?
1/

[BWH ID in Primary Care @BWH_IDinPCARE]

Quinolones - love 'em or hate 'em?

SO useful (great spectrum of activity, only oral option for PsA, atypical coverage), BUT lots of side effects (tendinopathy, aortic rupture 😱).

Well, we still use them -- so which to choose? h/t @PaulSaxMD for this pocket guide

[Alan You, MD @AlanYouMD]

Is there an emergency for emergency medicine? https://t.co/xUmJOOwzGi

[Jia Ng, MD MSCE @jiahweing]

When I was a first year medical resident, I became a mother.

Right before I delivered, I was the star intern.

But when I came back 4 weeks after giving birth, the Attendings were asking:

"What happened to Jia?"

[Bryan Carmody @jbcarmody]

Preliminary data for this year’s residency application cycle are now available.

These figures won’t surprise anyone familiar with the contemporary application process… but if you’ve been out of the game for a while, some of the numbers will be eye-popping.

#ApplicationFever

[Ricardo Arbulu, MD @RicardoArbuluMD]

Would you give ANY ceph to ANY pen allergic pt?

5⃣ years ago, Kaiser Perm South removed ALL EHR WARNINGS to avoid cephs in pen allergic pts.

- ⬆️ cephalosporins prescribed
- 🟰 reactions reported
BAM!

doi:10.1001/jamanetworkopen.2021.8367

[VCU EM/IM Residency @VCU_EMIM]

A meeting of the minds and VCU EM/IM reunion with current chief residents Joe and Sober and VCU grads @AlanYouMD (2020) and @JamesHu22202324 (2021) at ACEP22 in San Francisco! Love to see the big things our alumni are doing and national leadership roles they are taking!

[Alan You, MD @AlanYouMD]

Welcome, @DGlaucomflecken and @LGlaucomflecken to #ACEP22!