Danny Trotier

[Danny Trotier @danny_trotier]

Standard dose of narcan=2-4mg. Redose as needed. IV or intranasal administration preferred #getreadyuc18

[Danny Trotier @danny_trotier]

Important to consider if study is adequately powered #getreadyuc18

[Danny Trotier @danny_trotier]

3 hemodynamically neutral drugs for sedation/analgesia: fentanyl, ketamine, etomidate #getreadyuc18

[Danny Trotier @danny_trotier]

Focal lesion within the right parietal lobe can appear globally altered/confused #getreadyuc18

[Danny Trotier @danny_trotier]

Most specific and rapid way to tell if ET tube is properly placed: waveform on end-tidal CO2 #getreadyuc18

[Danny Trotier @danny_trotier]

CaCl in a small gauge peripheral IV may destroy the vein. #caustic #getreadyuc18

[Danny Trotier @danny_trotier]

If patient has V tach and a pulse you aren’t wrong to call a code. They will likely destabilize #getreadyuc18

[Danny Trotier @danny_trotier]

Anaphylaxis is any 2 systems involved. Have low threshold to give epi #getreadyuc18

[Danny Trotier @danny_trotier]

Not a surgeon? Don’t mess with J tubes #getreadyuc18

[Danny Trotier @danny_trotier]

Don’t forget to watch the monitor and ascertain rhythm during pulse checks of a code. Good CPR will look like a ventricular rhythm on the monitor #getreadyuc18

[Danny Trotier @danny_trotier]

Consider scary high dose insulin for beta-blocker OD, up to 10 units/kg/hr!!!!#gonnaneedsomesuga #getreadyuc18

[Danny Trotier @danny_trotier]

Using an 18 g needle for LP is cruel and unusual. 70% incidence of post-LP headache #getreadyuc18

[Danny Trotier @danny_trotier]

EKG changes in hyperK: tall/peaked T waves—>loss of P wave—>widened QRS—>PANIC#getreadyuc18

[Danny Trotier @danny_trotier]

Subcutaneous emphysema = common finding associated with pneumothorax #getreadyuc18

[Danny Trotier @danny_trotier]

Signs of poor bag valve masking: poor chest rise, sonorous breath sounds, obvious excessive secretions, increased resistance #getreadyuc18

[Danny Trotier @danny_trotier]

@gpapo This is super high yield for Cincinnati

[Danny Trotier @danny_trotier]

Viscous lidocaine is clutch pretreatment for painful DRE or manual disimpaction #cincyai

[Danny Trotier @danny_trotier]

Just saw a pt I treated at Kroger. He got better! #crushedit #cincyai

[Danny Trotier @danny_trotier]

In a pt with a concerning trauma story, try serial FAST exams. The resuscitated pt will often provide better exam #cincyai

[Danny Trotier @danny_trotier]

Return 3d after epidural hematoma w/ lethargy+HA? Found hyponatremic to 122. TBI-->cerebral salt wasting #cincyai