Dr. Marco

Emergency medicine doc. Ultrasound nerd. Enthusiast of things funny and weird.

[Dr. Marco @DrMarcoE]

A colleague of mine couldn't help himself...

[Sam Ghali, M.D. @EM_RESUS]

Watch this video showing how smooth reducing a dislocated shoulder is after an Interscalene Nerve Block.

Keep an eye on the shoulder and look how easy it pops back into place while he feels no pain.

This is why I haven’t had to do a sedation for shoulder dislocation in years.

(With consent)

[Dr. Glaucomflecken @DGlaucomflecken]

Emergency medicine consults

[Sam Ghali, M.D. @EM_RESUS]

Here’s a video I made breaking down this very important #ECG case from the ER

#FOAMed

[Dr. Glaucomflecken @DGlaucomflecken]

ProPublica continues their incredible work exposing the vile underbelly of health insurance companies. Received a denial? Ask for your claim file.

[Dr. Marco @DrMarcoE]

@ispekhov @javilm @chairboy @iamharaldur Yeah, I agree that you shouldn't run a business if you don't pay employees well. But people who support a restaurant with an exploitative business practice and don't tip shouldn't think they are doing so to spark social change. You're just taking advantage.

[Dr. Glaucomflecken @DGlaucomflecken]

Cigna uses an automated system that allows “medical directors” (doctors employed by @Cigna) to deny a claim in 1.2 seconds without opening the patient’s file.

Please read this, share it, and help us (metaphorically) burn these companies to the ground.

[Dr. Glaucomflecken @DGlaucomflecken]

PE thread:

One of the challenges with fighting private equity in medicine is the lack of data. We need to look at costs, outcomes, burnout, etc pre/post PE acquisition. We all know pushing medicine further into for profit territory is bad, but we need data to show how bad it is

[NephroPOCUS @NephroP]

#POCUS basics 🔻
Schematic representation of the calculation of stroke volume (SV) and cardiac output (CO) by #echofirst.

CSA: cross-sectional area; LVOT: left ventricular outflow tract; d: diameter; RVOT: right ventricular outflow tract; LV: left ventricle; AoR: aortic root; LA: left atrium; da: descending aorta; RA: right atrium; RV: right ventricle; VTI: velocity–time integral; HR: heart rate

#IMPOCUS #Nephpearls #MedEd #FOAMcc
🔗 https://t.co/QKZF3NCBcp

[The Problem With Jon Stewart @TheProblem]

State Sen. Nathan Dahm (R-OK) has penned several bills loosening gun restrictions, including the nation’s first anti-red flag law. He thinks these bills protect the Second Amendment – and that they make us safer. We think it's probably one or the other. Watch it on @AppleTVPlus.

[Fuck You I Quit @fuckyouiquit]

Healthcare should not be tied to employment. Everyone deserves access to quality medical care, regardless of their employment status. Saying otherwise means you think a human life is worthless if they aren’t tied down to a job.

[Dr. Marco @DrMarcoE]

@Wiblicks @ProtestCheese @Imposter_Edits

[V.L.Sorrell, MD (@CASEfromASE EIC) @VLSorrellImages]

#JADEL

Although I've been on consults this week, I've enjoyed reading the collection of new reports in @CASEfromASE

Here's the latest:
https://t.co/UhXGdN9eif

Before reading, can you guess what's going on here?

A. Endocarditis
B. Trauma
C. Iatrogenic
D. Clot in PFO

[IMCrit @IM_Crit_]

ICU stories (a brief one): One hour before the end of the am shift, u walk around in the ICU to make sure thinks look OK before u type your sign-out note. You spot the resp therapist & the nurse bagging the pt in Rm 306. From the hallway, u see the monitor: HR 160, RR/45, Sat 70%

[Wonder of Science @wonderofscience]

Cheetahs don't roar, they meow and purr like house cats.

Full video: https://t.co/761IrZuLVQ

[Dr. Marco @DrMarcoE]

@MiriamETucker @froggybsb03 @LeslieRadius @janibrahim13 @lucimacaroni @DrLenaDO @charjahar If someone can talk, they don’t need narcan. Opioid overdoses that require naloxone are marked by shallow/slow breathing, severely depressed mental status and pinpoint pupils. Don’t try to put candy in the mouth of someone like this.

[Dr. Marco @DrMarcoE]

@MiriamETucker @froggybsb03 @LeslieRadius @janibrahim13 @lucimacaroni @DrLenaDO @charjahar If someone is hypoglycemic enough to be unresponsive (like the type of person that would require naloxone) then I honestly wouldn’t recommend putting food/drink in their mouth. It’s a great setup for an airway disaster.

[Jonah Rubin MD, FCCP @JonahRubinMD]

Thoracic Ultrasonography!
...And the long-awaited answers to the 'simple' quiz.

The majority only got question #3 correct!
40% needle-decompressed open lung.
55% tapped ascites.
Let's fix that.

Read on: Crit Care Echo Lecture 6
from @HarvardPulm @PCCSM_BIDMC @MGH_PCCM 🧵1/13