Heba Majdi

🇸🇩🇦🇪

[Poinciana|بونسيانا @poinciana0]

باقة جديدة
الوانها صيف خيال🌷☀️💕🩵🤍🌷🩷💜

[clare @sadderlizards]

just decided that everything will be okay

[Novelle art. @artistryhere]

.

[هاني @iih4u]

أعوذ بالله من فواجع الاقدار ومن تقلب الأحوال
يارب لاتفجعنا في أنفسنا ولا في أهلنا ولا في من نحب ولا تحمّلنا مالا طاقة لنا به

[Adebisi Adeyeye @Anthoniabc]

We are going to Mayo Clinic!!!!

My husband and I have ‘couples matched’ to General surgery and Emergency Medicine programs at @MayoClinic

From UCH/LUTH Nigeria, the journey was arduous but we succeeded!

@mayoclinicemres @emresidents @MayoSurgery

#Match2025

[Mounir Basalus (Ⲃⲁⲥⲓⲗⲓⲟⲥ) @Basalus]

1/ Flecainide monotherapy: Risks you need to know ⚡💊

While effective for rhythm control, flecainide carries serious risks—especially when used without an AV nodal blocker. Here’s why. 🧵👇

#Cardiology #AtrialFibrillation #Flecainide

[Dr. Rick Pescatore @Rick_Pescatore]

At some point, we have to accept reality: for the schizophrenic, homeless patient with chronic disease and no hope of establishing primary care, us becoming their primary care doctor IS the emergency.

We can lament the system that forces this upon us. We can rage at the inequities that make an ER visit the only point of care for millions.

But we can’t pretend it isn’t happening.

If emergency medicine is about episodic care, then let’s own it. Let’s manage diabetes in the patient who will never see an endocrinologist. Let’s mitigate cardiovascular risk where we can—playing the music until the ship’s name is confirmed.

The ER is where the medical safety net stops unraveling. If we’re going to claim that role, we better be ready to catch.

[Qasem Ahmed @QAlmulihi]

Dr. Sam @EM_RESUS advices for emergency physicians

1️⃣ Never stop learning. Knowledge is the foundation of care. Your eyes cannot see what your mind does not know, so avoid complacency.
2️⃣ Trust your instincts. Clinical gestalt is at the heart of emergency medicine. Even without a clear diagnosis, a gut feeling that something is wrong should prompt action.
3️⃣ Be decisive. Many patients crash while decisions are being made. Choosing not to intervene should never be the default due to indecision.
4️⃣ Control your stress. Adrenaline is natural but too much impairs thought processes and technical skills.
5️⃣ Be aware of cognitive biases. Much of what we do is psychological. Acknowledging biases is key to minimizing errors.
6️⃣ Debrief routinely. Reflecting on tough cases and shifts helps identify mistakes and improve practices.
7️⃣ Learn emergency ultrasound. It transforms practice. If not comprehensive skills, at least learn critical care ultrasound or basic echocardiography for significant impact.
8️⃣ Follow up on your patients. This practice is one of the most powerful ways to learn and understand outcomes.
9️⃣ Accept that bad outcomes are sometimes inevitable despite your best efforts, but never let this justify less-than-optimal care.
🔟 Be kind and compassionate. Patients may not remember clinical details but will remember how they were made to feel during their worst moments.

[Dr. Rick Pescatore @Rick_Pescatore]

The system is broken, and you are the duct tape.

When healthcare, law enforcement, mental health services, & social safety nets fail, the patient lands in your ER. At 3 AM. Alone. You will be expected to fix the unfixable.

[Dr. Rick Pescatore @Rick_Pescatore]

No one trains you for what it really means to be an emergency physician.

You will make life-or-death calls in seconds. You will miss things. You will doubt yourself. And you will still have to walk into the next room and be perfect.

[Ross Prager @ross_prager]

(1/x) We care about STEMI on ECG because it suggests 'Occlusive Myocardial Infarctions' (MIs that completely block a coronary artery)

But... there are other ECG patterns that suggest complete coronary occlusion

A 🧵on can't miss ECG patterns.

[nini💗 @demuremenace]

This Ramadan, may everyone with a heavy heart feel light again

[H’s mom @aiishadahir]

Never abandon these 3 du’as

[IMCrit @IM_Crit_]

Did you see this 👆 picture? Ok, now forget about it.

Please visit https://t.co/umAThQeMbZ
and check what @cliffreid teaches there!

[Katie Wiskar @katiewiskar]

1/
Time for another #POCUS pitfalls thread 🧵: the infamous IVC 🤩

I have MANY thoughts on the IVC 💭

When I first started teaching POCUS, I actually disliked the IVC because it was often poorly done or incorrectly interpreted ❌

I have now come to love the IVC, BUT you have to do it right!

#tweetorial