Amr Gharib

[Amr Gharib @USpadwan]

Putting the final touches on our presentation. Come see us @340PM in room 113. @TeddyDanielz @sticksEM @eaa5683 @WUSTL_US @WUSTL_EM @DrLAWEM @ThinkingCC #ACEP19 #ACEP2019

[Amr Gharib @USpadwan]

Has anyone heard anything about the safety of the reusable/washable cloth surgical masks currently available for purchase such as these? They may help woth the ppe crisis...https://t.co/vPToQen28d

[Amr Gharib @USpadwan]

@AdairaLandryMD @M_Lin @ALiEMteam We appreciated your talk Dr Landry. Thank you for speaking to us. @DrJessMorrison @AustinTamEM @AG_EM33

[Amr Gharib @USpadwan]

@ThinkingCC @ywolfe Sbp or map?

[Amr Gharib @USpadwan]

#medtwitter #FOAMed @ThinkingCC @ywolfe This came up the other day: in code situations: could an art line tracing serve as a surrogate to your palpated pulse during pulse checks?

[Amr Gharib @USpadwan]

@eaa5683 @WUSTL_EM Congrats enyo you deserve it!

[Amr Gharib @USpadwan]

@ThinkingCC @ywolfe @TeddyDanielz @eaa5683 @sticksEM what are your thoughts?

[Amr Gharib @USpadwan]

@ThinkingCC @ywolfe Makes sense logically. It seemed analogous to an arterial doppler frequently used in code situations. But then the question begs to be asked: what is your cut off for a perfusing pressure such that youd restart compression.

[Amr Gharib @USpadwan]

It was a pleasure hearing from @EvieMarcolini about seizures and status epilepticus...treat seizures aggressively. 4mg of Ativan is the preferred starting dose. Also get involved: @aaeminfo.

[Amr Gharib @USpadwan]

@DrJessMorrison @AG_EM33 Congrats...welcome!

[Amr Gharib @USpadwan]

@drmarcogarrone Wise men quote wise men.

[Amr Gharib @USpadwan]

A mentor of mine once told me “A patient will always tell you whats wrong with them if you just listen”. Adequate and efficient history gathering is such a struggle when youre in a time crunch. I think of his advice daily...its so difficult to commit to regularly.

[Amr Gharib @USpadwan]

@ywolfe No. Avg PI was 30% pre, 24% post but change was not statistically significant.

[Amr Gharib @USpadwan]

Sorry for the late post but here is the short and dirty on the results of our study examining the changes in PV pulsatility in patients undergoing dialysis:
28 patients data analyzed. Time to completion was 3.2 mins. Avg volume removed 3.2L....

[Amr Gharib @USpadwan]

@HeyDrNik Agree! One idea we had was that the patients simply werent “sick” enough -> essentially not in enough of a fluid overloaded state. That, however, doesnt explain the poor correlation which was the most disappointing part of our study.

[Amr Gharib @USpadwan]

@HeyDrNik Again not sure of the actual numbers but I dont believe it was a substantial amount...that being said that should skew the results more towards the right in making the pv more pulsatile, not the opposite.

[Amr Gharib @USpadwan]

@HeyDrNik This was during regular outpatient dialysis during their regularly scheduled sessions. We were actually working with the nephro folks...they were interested in seeing if this could help guide dialysis. They to my knowledge run them “dry”.

[Amr Gharib @USpadwan]

@HeyDrNik 1) not sure of the actual numbers @eaa5683 has the ability to access the raw data.

[Amr Gharib @USpadwan]

@HeyDrNik Poor correlation in values

[Amr Gharib @USpadwan]

Also great thanks to everyone @WUSTL_US for their help with the project.

[Amr Gharib @USpadwan]

Our team had a few ideas but im curious to see what #medtwitter had to say about this. Thanks #ACEP19 for allowing us to present our research.

[Amr Gharib @USpadwan]

@ThinkingCC @Ad12Andre @phil_starno @ywolfe @HeyDrNik @sticksEM @TeddyDanielz @eaa5683 @WUSTL_US @WUSTL_EM