FJB

EMT-P to MD. Pitt Med ‘19.

[FJB @FredMedic]

@willyhfrick @ECGEPSCADEVICE @RobertHermanMD @PendellM @smithECGBlog @EM_RESUS @The_Nanashi_O @DidlakeDW @AmmarNasirMD @ecgandrhythmRoe @ecgrhythms @EcgsOnly I do not think these can be Wellens waves if they are having active chest pain.

[FJB @FredMedic]

@willyhfrick @RobertHermanMD @PendellM @smithECGBlog @EM_RESUS @The_Nanashi_O @DidlakeDW @AmmarNasirMD @ecgandrhythmRoe @ecgrhythms @EcgsOnly I vote not OMI. Lots of R-wave (I don’t know if that is should alter my probability). Also V4 makes me think of a benign variant of TWI. I am also frequently wrong.

[FJB @FredMedic]

@PulmCrit I think nicardipine also has the advantage of pulmonary vasodilation (over nicardipine or clevedipine). Maybe nicardipine/clevedipine over nitroprusside if you know they have unrevascularized territory and are worried about coronary steal?

[FJB @FredMedic]

@TropeLeak @JeffLittle76 Pamela, I am not attracted to you anymore!

[FJB @FredMedic]

@IDstewardship Does it work? https://t.co/37YfhJ9q74

[FJB @FredMedic]

@BigCoachF Does it cause more diabetes?

[FJB @FredMedic]

@BigCoachF Coach, does it save lives? Does it prevent STEMIs?

[FJB @FredMedic]

@NickJohnsonMD I think that’s a great statement by you and the authors. I was not able to watch the presentation but did not initially see a similar statement in their JAMA article. I was a little worried by the large effect on ROSC and the “trend” of harm. I look forward to the larger trial.

[FJB @FredMedic]

@jelevenson @HanCardiomd Still gets used quite a bit at Barnes.

[FJB @FredMedic]

@BCM_InternalMed @rabihmgeha Right sided failure (tricuspid regurgitation) causing elevated central venous pressure causing cardio renal syndrome.

[FJB @FredMedic]

@EdwardP60483089 @MKIttlesonMD I completely admit that my lipidology game is weak. I think we don’t have medical therapies that increase HDL AND improve hard outcomes but I was under the assumption that the higher your HDL (genetics/diet/exercise) the more likely to avoid CVD and sequela?

[FJB @FredMedic]

@kaptinMD @MKIttlesonMD So true. But with the prior information that she could be a premenopausal woman and clinical trials are designed to enrich for events, I’d guess the NNT people similar to her is a higher than 92?

[FJB @FredMedic]

@jholtzman3 Is it possible the control arm wasn’t truly a placebo?

[FJB @FredMedic]

@EM_RESUS Sodium channel blockade due to elevated potassium.

[FJB @FredMedic]

@smithECGBlog @yadersandoval @adnanalkhouli @BrooksWalsh Though not part of Sgarbossa, do you have any opinions on what looks like T-wave inversions in the inferior leads?

[FJB @FredMedic]

@AvrahamCooperMD Thank you for posting this. But I think there is also a bit of literature on the use of IV furosemide causing acute vasoconstriction (https://t.co/2v7Xe0PT0n). When I worked as a paramedic we used a lot of IV nitroglycerin. It was fast acting and more titratable.

[FJB @FredMedic]

@DSpeerbrecher @Toaster_Pastry I think he referring to the chronic management of patients with CHF as opposed to the acute treatment we see when patients call 911 with acute SOB.

[FJB @FredMedic]

@christifulli88 @adamdavidthomas @critconcepts @khaycock2 Do you have a link to the randomized controller trial? The link you posted appears to be a retrospective cohort study?