theEDjgh

The feed of the ED of the JGH of McGill U. Linking EM learners with the #FOAMed world. (NB not the official voice of the JGH or CIUSSS West-Central Mtl.)

[theEDjgh @cuttingEDjgh]

@ZHeart11768530 Warfarin?
Would also not make Ibutilide my 1st choice.
Needs an update.

[theEDjgh @cuttingEDjgh]

Like they said…

[CAEP @CAEP_Docs]

It's time once again to remind everyone that emergency department (ED) crowding is not due to low acuity visits. ED crowding is due to hospital crowding and the inability to move admitted patients to the floors. Emergency Physicians can handle busy. It's crowding that kills.

[theEDjgh @cuttingEDjgh]

We’re expecting great things from Joel as our new leader and are excited as his mandate as chief begins!
@mcgill_emerg

https://t.co/Bma97MCZHY

[theEDjgh @cuttingEDjgh]

The only chief most of us in our ED ever knew. A true innovator and leader. Thank you Marc and best of luck in this next chapter of your life. @CIUSSS_COMTL @mcgill_emerg

https://t.co/KElgwOSf3I

[theEDjgh @cuttingEDjgh]

@BoutrosMarylise @mcgillu @mcgillGenSx @mcgillsurgery A gem of a surgeon, and a gem of a man.

[theEDjgh @cuttingEDjgh]

Thanks to @PeterJohns84 for a wonderful Grand Rounds this morning at our annual JGH Day; a 3.5 hour bootcamp all about vertigo. Residents & staff came out invigorated and with a new desire to confidently assess the dizzy patient!
@mcgill_emerg
@CIUSSS_COMTL
#FOAMed
#medtwitter

[theEDjgh @cuttingEDjgh]

@drjgutt @First10EM Same.

[theEDjgh @cuttingEDjgh]

Useful to be reminded of this rare but deadly liver toxin. Keep in your DDx.

[Elliot Tapper @ebtapper]

An older man comes to the ED with abrupt onset nausea, & diarrhea

He is joined by her daughter whom he is visiting from abroad

Testing is below
The diagnosis is unclear
Until his daughter got just as sick too
🧵
#livertwitter #liverstory #MedTwitter

[Zaven Sargsyan @sargsyanz]

Ultrasound: “no evidence of cholecystitis”

Op report: “gangrenous cholecystitis with extremely friable tissue. Purulent drainage with manipulation of gallbladder.”

I've seen this many times.

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[theEDjgh @cuttingEDjgh]

Congratulations, ⁦@VTagalakis⁩ You are a credit to the ⁦@CIUSSS_COMTL⁩!
Dr. Vicky Tagalakis appointed Chief of Department of Medicine | JGH News https://t.co/nFEjZcP1v2

[theEDjgh @cuttingEDjgh]

Shout out to our own @ErrolStern for his efforts here - our own simulation centre, a great addition to the @McGillDeptEM program.
JGH EM Simulation Centre May 2023 https://t.co/vuHqcDerqA via @YouTube

[theEDjgh @cuttingEDjgh]

“It is not a virtue to continue to do what we have always done…”
#lessismore
When Oral Therapy Can Replace Intravenous Antibiotics—Changing Practice as New Data Emerge | Humanities | JAMA Internal Medicine | JAMA Network https://t.co/PjJPbwiwAa

[theEDjgh @cuttingEDjgh]

@DavidJuurlink @EMCases Any antibiotic that’s supposed to lengthen the QT, i.e. azithromycin, quinolones…

[theEDjgh @cuttingEDjgh]

We agree.
Once and for all: Masks reduce the risk of spreading COVID | TVO Today https://t.co/6uZosiNsbO

[theEDjgh @cuttingEDjgh]

@GermHunterMD The author may be deservingly persona non grata but, he makes some good points here.

https://t.co/2E8gYvVsLC

[theEDjgh @cuttingEDjgh]

@StevePhillipsMD Quasi-socialized medicine? Well that’s a comparison that makes no sense. Over 30 yrs working emergency med in a socialized med system and I never,NEVER, have had anyone tell me who I can scan, treat or admit. Tell me that’s the same for your private insurance based system…

[theEDjgh @cuttingEDjgh]

@jchristi111 @DoctorHoopsMD They do come back culture positive but a + urine culture is not the same as having a UTI. Many of these pts will have + cultures no matter how many courses of ABs they get. That doesn’t mean they’re sick from a urine infection. We all have to unlearn what we were taught here.

[theEDjgh @cuttingEDjgh]

@jchristi111 @DoctorHoopsMD It’s logic like that that leads to the massive over treatment of the elderly, the catheterized & the institutionalized with antibiotics. Nurses & doctors have historically overestimated the importance of a urine’s bouquet on deciding whom to treat.

https://t.co/Q5wS0KNdFO

[André Picard @picardonhealth]

Dr. Leighanne Parkes, an infectious disease specialist and microbiologist with the Jewish General Hospital in Montreal, answers your questions about #RSV, #influenza and #COVID19. Q+A by @menakarw on #TheDecibal podcast🎙️ https://t.co/9u0iwGUXVY via @globeandmail

[theEDjgh @cuttingEDjgh]

@IDDoc1978 @ABsteward TID as effective for Clinda as QID.