Dr Bober- have you had experiences with parents concerned about children receiving opioids in setting of acute pain in setting of the epidemic? #LIconf
Slightly different topic for Strayer: tell us about your preference of using morphine IR over Oxycodone/hydrocodone combinations and how to dose this #LIConf
With the opioid epidemic, there is much discussion regarding the best way to care for our patients. The 2nd Annual All Long Island Conference is All About Pain
Register today: https://t.co/IaGupOrdgU
#LIconf#StonyBrookMedConference#painfreeED#emconf
A bilirubin of 39 in a 5 day old is no April Fools! Check out the SBEM Blog for a case of when your bilirubin> your age... https://t.co/7CNafhgu7M @SamitaHeslin
See article from @JustAMogul from @StonyBrookEM on missed opportunities to integrate pall care into the ED for older adults. Of patients evaluated, 30d mortality: 54%; 29.8% alive at 12 mo, 73% reqd intensive care. https://t.co/RlqI6EN7xW @AGEM @HMSPallCare@GeriatricEDNews
IV Bolus Epi for Anaphylaxis: A Double-Edged Sword via @JustAMogul https://t.co/H9si1pcPng #FOAMed#FOAMcc
1st Dose of Epi IM (Most severe AEs occur when given IV)
IV Epi: Low Dose, Slow Push (20-60mcg slow over 3-5min; max 100mcg)
Don’t Give Dead ppl Doses of Epi to Alive ppl
@4_0Vicryl Unfortunately I don’t think we had many of those sort of patients in our cohort. Admission diagnoses were respiratory failure, sepsis, ischemic/hemorrhagic stroke, etc. Unless they were septic from an ischemic limb- but I don’t have that data 🤓
Patients >65 yrs presenting to the ED as Level 1 ESI from long term care facilities have high mortality and resource utilization and may benefit from early palliative care- presented today at #ACEP18
Take rib fractures in the geriatric population seriously: For EACH additional rib fracture in patients >65 years, the risk of pneumonia increases by 27% and mortality by 19% #emconf
PMID: 10866248
I’m frequently called ‘airway expert’
Never embraced it
Not b/c I suffer imposter syndrome
I don’t
B/c those I’ve seen embrace ‘expert’ stop moving forward & defend their set believes much to the eventual discomfort of those around them
Misquoting Hamilton:
Stay hungry & scrappy
For the use of opioids in an acute painful condition, the NNT is 1. The NNH for the adverse effect of addiction is 7000 #emrap While addiction is a serious disease, our duty is to treat acute pain when present
Consider clearing a C collar after negative high quality CT C spine in your drunk patient without neuro deficits- awaiting metabolism may be harmful. Check out our blog post: https://t.co/sM81GTRfqm
#emconf