Ali 💙

Nurse, wanderer, reader

[teamCNO 💙 @teamCNO_]

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Explore expert-developed courses for #teamCNO and #OurNHSPeople. 👉 https://t.co/YPKguxL8dt

[Sam Ghali, M.D. @EM_RESUS]

Here’s a very important video I made breaking down this #ECG case of a 30-year-old man who collapsed into cardiac arrest

#FOAMed

[The Innovation | Medicine @Innov_Medicine]

Arterial Blood Gas (ABG) Interpretation via stephbeggs

#Acidbase #ABG #Bloodgas #respiratory #metabolic #acidosis #alkalosis #diagnosis #meded #MedTwitter #FOAMed #INNOMed

[Tony Breu @tony_breu]

1/8 - The Mystery

It's 1981, 10 years before filgrastim is approved by the FDA.

You're hoping to mitigate chemotherapy-induced neutropenia in one of your patients.

🤔What medication might provide this ELEMENT of cancer care?

[William Aird @WilliamAird4]

1/4

#GI #GIbleed #urea

Elevated BUN: creatinine ratio favors UPPER over lower GI bleed.

Why?

1) Hb in stomach --> amino acids (aa).
2) aa absorbed by small intestine.
3) aa transported and taken up by liver.
4) In the liver, aa undergo deamination, leading to release of NH3.

[Journal of Brown Hospital Medicine @BrownJHM]

Basics of ECG interpretation @Medical_MD1 #Medtwitter

[Ben Zaranko @BenZaranko]

The short version: nurse shortages matter and cost lives. Especially shortages of:

1) more experienced/senior nurses
2) nurses working in their usual hospital

Healthcare support workers and agency staff are NOT like-for-like replacements for experienced registered nurses.

[Merope @meropemills]

Happy birthday, Martha. You should be 15 today ❤️

‘We had such trust, we feel such fools’: how shocking hospital mistakes led to our daughter’s death | Family | The Guardian https://t.co/DzNearcQeQ

[Tony Breu @tony_breu]

1/14
🤔Why does it take weeks for the radiographic evidence of pneumonia to clear?

Patients often feel better DAYS after starting treatment.

And yet the chest x-ray takes WEEKS to return to normal.

Why the delay?

[Emma Mitchell 💙 @silverpebble]

If your brain’s ravaged but you only have a few mins to spare, click my profile then click ‘media’ & scroll through the photos I post. I design them using neuroscientific research into the brain’s response to nature, to alleviate anxiety & lift mood when you see them #MHliferaft

[Robert E Fuller @RobertEFuller]

This baby barn owl just heard thunder for the first time #thunderstorms

[ECG Cases @ecg_cases]

(1/x) Some days ago I shared a case report with an ECG, typical for PE. 68% of YOU recognized the pattern correctly. For the remaining 32% I want to explain, WHY this ECG is (given the the history in the tweet) typical for acute PE:

[Tony Breu @tony_breu]

1/4 - The Mystery

Human gut bacteria produce enough vitamin B12 to prevent deficiency.

And yet B12 is considered an "essential" vitamin requiring dietary intake.

🤔If our bodies contain enough B12 for cellular function, why do we need to ingest it?

[Tony Breu @tony_breu]

1/4 - The Mystery

You are admitting a patient with confusion. As part of the initial work-up, an ECG is obtained.

It is markedly abnormal.

🤔 What vitamin deficiency could lead to this ECG finding?

[Paul Howard @Paul_Howard_IoW]

DOACs in cancer-related DVT/PE
RCTs comparing apixaban (Caravaggio), rivaroxaban (selectD) & edoxaban (HokusaiVTE) with LMWH find comparable outcomes. But the 3 DOACs have important differences (this🧵). Apixaban is often the best choice in the broadest range of cancer situations

[Tony Breu @tony_breu]

1/12
🤔Why does iron deficiency cause fatigue, even in the absence of anemia?

I have often equated iron with hemoglobin and oxygen-carrying capacity.

But there is so much more to it!

[Tony Breu @tony_breu]

1/13
🤔Why does multiple myeloma cause anemia and not pancytopenia?

If the issue is infiltration of the bone marrow with plasma cells, wouldn't all cell lines be low?

Let's have a look.

[Tony Breu @tony_breu]

1/10
Does epinephrine improve outcomes in patients with cardiac arrest?

This is a question with a complex answer. This thread is only meant to scratch the surface and is a follow-up to a recent tweetorial on the use of epinephrine for cardiac arrest.