Patient arrived to the ED with a known and not unexpected issue post recent surgery and the surgeon Epic chatted me without me calling (I was waiting for labs) about ten minutes into her ED visit! How absolutely wonderful!
Is there anything better than a satisfying shoulder reduction with just some intraartic lido and some gentle traction ? ED LOS <1 hour
I'm gonna ride that high allllll day
remember: PaCO2 > etCO2
targeting etCO2 30-35 will generally put the paCO2 into the 35-50 range (safe)
so, the safety of hypercapnia supports the safety of etCO2 monitoring
don't phlebotomize patients to fine-tune something that doesn't matter (2/2)
https://t.co/GYNQSd25VX
ICU stories (a brief one): A 40+ yo pt w hx of bipolar disorder/asthma/GERD/HTN was brought to the ED by EMS after his wife found him lethargic ("altered mental status"). Apparently, he had spent the previous 2 days isolated in his forest cabin. Upon ED arrival, he was obtunded
I ran into a former colleague today whom I haven’t seen in 2 years (while 36 weeks pregnant). He casually says “Hey, what you been up to?!”. I look down at my belly and say “this”. He pulls up his phone and shows me this
@MDKrunalP@pulmtoilet @cjosephy High LVOT VTI should be expected (or even a "clue") in mod-severe aortic regurgitation. From Blanco's paper in: Ultrasound J 2020; 12: 21 https://t.co/AvUQD64eY5
Greetings, #MedTwitter! This is the official twitter account of UCSF Fresno ECMO program. We will periodically be posting ECMO tweetorials as well as sharing consented &/or de-identified patient stories.
First tweetorial dropping tomorrow morning. Stay tuned!
@cjosephy @DrSamuelBrown Totally agree! "Signed off" at five is probably one of my biggest pet peeves. You know where things are in the kit at that point. 20-30 starts to hit competency IMO