FL Hosp EM Residency

Tweets for resident education only, not medical advice. Posts on this site are our own and do not necessarily represent FH’s positions, strategies, or opinions.

[FL Hosp EM Residency @flhospemres]

In trauma, Testicular rupture occurs when there is a disruption in the tunica albuginea, managed differently from fracture #emconf

[FL Hosp EM Residency @flhospemres]

If a testicular hematoma is discovered, a follow up ultrasound at 30 days is recommended to rule out testicular tumor 2 of 2 #emconf

[FL Hosp EM Residency @flhospemres]

Be careful with testicular hematomas in trauma, a small percent of these will actually be newly discovered testicular tumors 1 of 2 #emconf

[FL Hosp EM Residency @flhospemres]

In trauma, Testicular fracture occurs when there is disruption of the parenchyma without disruption in the Tunica Albuginea #emconf

[FL Hosp EM Residency @flhospemres]

Are you educating your students on patient hand off or simply asking them medical knowledge? Think about the whole student! #emconf

[FL Hosp EM Residency @flhospemres]

Creatinine greater than 15 in an older male that is new or suspected new onset? Place a foley, it's likely post renal AKI #emconf

[FL Hosp EM Residency @flhospemres]

C-Spine Fracture? Think about obtaining a CT Angio Head/Neck to rule out blunt cerebrovascular injury #emconf

[FL Hosp EM Residency @flhospemres]

Simple Febrile Sz: generalized, once over 24 hours, less than 15 minutes
Ages: 6months-5yrs.
#EMConf

[FL Hosp EM Residency @flhospemres]

Seizures Unresponsive to meds? Think Hypoglycemia, Hyponatremia, INH OD, Hypocalcemia. Thanks Dr. CJMM
#EMConf

[FL Hosp EM Residency @flhospemres]

Simple febrile seizure in a child 6m-6y? Work it up as if the patient had no seizure, just the fever! #emconf

[FL Hosp EM Residency @flhospemres]

Patient seizing? Got an IV? Give IV lorazepam up to 4 mg. No IV, then IM midazolam 10 mg is preferred over IM lorazepam #emconf

[FL Hosp EM Residency @flhospemres]

Fever, myalgias, petechial rash on wrists/ankles and EXTREME Calf/Gastrocnemius tenderness --> RMSF #emconf

[FL Hosp EM Residency @flhospemres]

Still worried about Lyme Disease even though Tick attachment <3 days? One time dose of Doxycycline 200 mg PO #emconf

[FL Hosp EM Residency @flhospemres]

Worried about Lyme Disease? Tick attachment <3 days caries near 0% risk. >3 days then 25% risk of Lyme disease #emconf

[FL Hosp EM Residency @flhospemres]

RMSF: Rash on hand/wrists & ankle/feet and spreads centrally.
Labs: may see Neutropenia, low platelets, hyponatremia.
#EMConf

[FL Hosp EM Residency @flhospemres]

RMSF: Classic Triad: Fever, Rash, Tick Bite
#EMConf

[FL Hosp EM Residency @flhospemres]

Tick Removal: Use forceps, grasp head, pull upward.
#EMConf

[FL Hosp EM Residency @flhospemres]

Most Common spontaneous bleeding site for pediatric Hemophilia A? The Ankle Joint #emconf

[FL Hosp EM Residency @flhospemres]

Hemophilia A: Factor VIII deficiency.
1 unit/kg of factor VIII raises factor level by 2%
#EMConf

[FL Hosp EM Residency @flhospemres]

HUS: Thrombocytopenia, renal failure, and MAHA. Assoc w/ diarrhea.
#EMConf