Lydia Marie Sahlani

emergency doc. life between shifts/ shocks/ crash carts.

[Ohio State Emergency Medicine Residency @OhioStateEMRes]

Congratulations to our very own, Dr. Abbey Smiley on being selected to serve as the 2021-2022 #EMRA Health Policy Committee Vice Chair! @EMadvocacy @emresidents #OSUEM #emraadvocacy

[The Ohio State University Wexner Medical Center @OSUWexMed]

400 down, many, many more to go! 👏💉 We're so proud to be able to provide mass #COVID19 vaccinations at @TheSchott. Through this site, we'll be able to administer more than 3,000 vaccines per day. Learn more: https://t.co/51raI71Noq

#InThisTogetherOhio #TogetherAsBuckeyes

[Lydia Marie Sahlani @LydMD]

Yesterday was a good day.

[NBC Nightly News with Tom Llamas @NBCNightlyNews]

.@gabegutierrez was given exclusive access as a UPS truck delivered Covid-19 vaccines to The Ohio State University Wexner Medical Center, where the staff was among the first in the U.S. to receive the vaccine.

[Lydia Marie Sahlani @LydMD]

My residents, my heroes 🙏🏻

[Governor Mike DeWine @GovMikeDeWine]

Live now on https://t.co/90BcIYqI19: Dr. Mercy Dickson, one of the first vaccine recipients at @OSUWexMed. She is a third-year emergency room resident.

[Lydia Marie Sahlani @LydMD]

My residents, my heroes 🙏🏻

[The Ohio State University Wexner Medical Center @OSUWexMed]

We are so excited to have administered the first round of #COVID19 vaccines at #OSUWexMed at 10:47 this morning.

#InThisTogetherOhio #TogetherAsBuckeyes

[Eric J. Adkins, MD @EricAdkins]

⁦@OhioACEP⁩ ⁦@ACEPNow⁩ ⁦@OSUWexMed⁩ If you are having symptoms that you are worried could be an emergency it is OKAY to call 911 or come to the ER. If you think it could be COVID19 related, be sure to tell the EMS / ED staff. #ERhere4U https://t.co/QW4m6skqX0

[Lydia Marie Sahlani @LydMD]

Lesson in litigation- beware of “he said she said” game with consultants- document details discussed pertinent to decision making and proposed plan #EEM19 #essentialsofem #emergencymedicine

[Lydia Marie Sahlani @LydMD]

Lessons in litigation in EM- don’t send a test you don’t want answer to! Bandemia in CBC may bite you in the ass- so document and awknowledge it! Yes I considered it... #EEM19 #essentialsofem #emergencymedicine

[Lydia Marie Sahlani @LydMD]

Action items- document pertinent positive/ negative (ex for headache/ fever- no AMS/ no neck stiffness/ kid eating food/ acting normally) and document stable at DC! DOCUMENT WELL! #essentialsofem #EEM19 #emergencymedicine

[Lydia Marie Sahlani @LydMD]

Other tips- Every 6u prbc give an amp of calcium chloride; send fibrinogen level when massively transfusing; give PCC if patient on warfarin; fentanyl for pain control #weingart #EEM19 #essentialsofem

[Lydia Marie Sahlani @LydMD]

Give platelets and TXA (if no contraindication)- let drip during massive transfusion...then decide what MAP should be - minimal normotension (65 MAP and perfusing); 80 MAP in TBI (no great evidence); if ice cold extremity- not perfusing, increase MAP goal #weingart #EEM19

[Essentials of EM @EssentialsofEM]

Ear foreign body? Irrigation is great, but not for ears with batteries, bugs or organic material. Batteries are at risk for coagulation necrosis, and bugs and other organic material are likely to swell, disintegrate and become more unmanageable. #EEM19 @BeharSolomon

[Lydia Marie Sahlani @LydMD]

Transfusing >3 units of product...think massive transfusion protocol #weingart #EEM19 #essentialsofem #emergencymedicine

[Essentials of EM @EssentialsofEM]

"You are allowed to use ideal body weight for sepsis resuscitation." See how he documents it below.

-Scott Weingart (@emcrit)

[Lydia Marie Sahlani @LydMD]

Pressor use should be triggered EARLY- low dose norepi- increases venous return for fluid given or endogenous fluid...consider in first BP drop; might be able to take off pressors in ED! #EEM19 #essentialsofem #emergencymedicine

[Lydia Marie Sahlani @LydMD]

Beware of 30cc/kg bolus in sepsis for ESRD, CHF, Fat IVC patients... #EEM19 #essentialsofem #emergencymedicine

[Lydia Marie Sahlani @LydMD]

What triggers your critical care sepsis bolus? 30cc/kg bolus- hypotension, lactate >4, actual vs ideal weight...can the patient tolerate without harm? Healthy patient, healthy heart vs 90 year old with EF 20%...#weingart #EEM19 #essentialsofem #emergencymedicine

[Lydia Marie Sahlani @LydMD]

@DRstrangelicht 😂 I just had to quote but couldn’t bring myself to type it all out!

[Lydia Marie Sahlani @LydMD]

“Magnesium levels ain’t worth 🍆” (in hypokalemia) #coreyslovis #EEM19 #essentialsofem #hejustsaidthat #accurate

[Lydia Marie Sahlani @LydMD]

Congrats Katie! So well deserved!

[Katie Hunold Buck @kmhunold]

Thank you! It is an honor. This award reflects the work of my wonderful mentors and colleagues as well - Thank you to each and every one! @TimPlattsMills @UNCEM_Research @MNShahMD @OSUEMEdu @AGEM_SAEM @SAEM_RAMS @UVAMedAlum #SAEM2019

[Essentials of EM @EssentialsofEM]

Provocative testing in low risk chest pain does not improve outcomes at 1 month or 1 year.

Stop doing provocative testing in low risk patients! The specificity of these test are 75-80%! Too many false positives!

@amalmattu for #EEM19