Laura Roper, MD

@CrozerEM trained doc. MedTox Fellow 2020-2022 @EinsteinEMed. CrossFitter @CrossFit. Tweets are not medical advice. Thoughts are my own. #FOAMed #FOAMtox

[Laura Roper, MD @LauraRoperMD]

@miguel_reyesMD Congrats!!

[Josh Trebach, MD @jtrebach]

got groans of horror from my colleagues after suggesting one of the deadliest poisons was not strychnine but strychTEN

[Prof. Feynman @ProfFeynman]

• Study hard.
• What others think of you is none of your business.
• It's OK not to have all the answers.
• Experiment, Fail, Learn and Repeat.
• Knowledge comes from experience.
• Imagination is important.
• Do what interests you the most.
• Stay curious.

[Salim R. Rezaie, MD @srrezaie]

Managing the Sick Asthmatic via @HedayatiMD at #ACOEP20

-EtCO2 > 40 = bad sign
-Early NIV (decreases intubation rate)
- Early IV steroids
-Ketamine 0.4 - 0.5mg/kg IV
-IV Mg2+ 2g over 20min x3 doses
-Epi 0.5mg IM --> push dose 0.5 - 1mL --> start drip at 5mcg/min
-IVF 500-1000mL

[Dr. Glaucomflecken @DGlaucomflecken]

First time in the OR

[Kimberly D. Manning, MD, MACP @gradydoctor]

1/
#HumanismAlways, Day 6

Intern Year

Her: "You okay?"
Me: "Ma'am?"
Her: "Look like you was having a rough time when y'all were in here earlier."
Me: "Oh. That."

She was referring to post call rounds when I was presenting her case to my attending.

It had not gone well.

[Laura Roper, MD @LauraRoperMD]

@gradydoctor Brings back my own memories thank you for sharing this is a beautiful lesson

[Matt Klein @MKleinMD]

Fantastic table summarizing important pearls & pitfalls in the management of high risk airways, from a must-read paper by @SkylerLentz, Alex Grossman, @EMHighAK and @long_brit

https://t.co/IoASNqbnEq

[Skyler Lentz @SkylerLentz]

Why do we miss aortic dissections?

History:

Sudden onset chest (79% type A) or back pain (43% A, 64% B) most common. Ripping, tearing and migratory pain uncommon.

Painless type A in 6.3%

HTN most common risk factor

Good registry data here:

https://t.co/P2fluqXZgI

#FOAMed

[Mark Ramzy, DO, EMT-P @MRamzyDO]

A helpful REBEL Review looking at the Canadian Syncope Risk Score.

Remember that like every tool in medicine, appropriate clinical judgement and application is required. Dont blindly follow any scoring tool.

#FOAMed #FOAMcc @TeamVenk @WeAreCanadiEM @CAEP_Docs @EMSwami @srrezaie

[Miguel Reyes, MD @miguel_reyesMD]

Interleaving weaves together different yet related topics for studying across time.

The increased cognitive interference associated with interleaving of multiple topics simultaneously has been shown to improve comprehension, retention and test outcomes.

https://t.co/ZMjp2G6egJ

[Laura Roper, MD @LauraRoperMD]

@MrsPA_C Aww love this! :) thank you for the encouragement! #advicefornewattendings #PGY4

[Laura Roper, MD @LauraRoperMD]

@JaclynHJansenMD @KimiChernoby @RamiAhmedDO @IUEMSDivision @IUEMWomen @DocCooper86

[Laura Roper, MD @LauraRoperMD]

@DrDianeC I saw a case of this in residency!

[Andy Little @andyglittle]

Happy that I got to collaborate with @dkalnow with Amber and @patricia_capone as newcomers for the article “Podcasting in Medicine: The Current Content by Emergency Medicine Subspecialty”

https://t.co/Jso7SIQmjj

#MedTwitter #FOAMed #podcasting

[Laura Roper, MD @LauraRoperMD]

@ash_bo21 @DocCooper86

[Steve Curry @SteveCurryMD]

Adding brorphine, a designer opioid, to our mass spec library. It's definitely in the midwest, and will be here soon if not already here.
@ToxAndHound @MedToxFellowshp