#TipsForNewDocs
Note says: "Pt w/HFrEF not on spironolactone due hyperK."
Wrong: assume spirono contraindicated
Right: review labs- K 5.1 once when Cr 1.8- now Cr 1.0 --> re-try spirono.
You could trust the chart, but you should verify with primary data.
#kittlesonrules
1/4 - The Mystery
A doctor is on overnight call in the hospital. They are also hooked up to continuous ECG monitoring.
🤔What might cause the following tracing?
‘VT’ versus ‘SVT with aberrancy’.
The long list of VT "suggestive" ECG features is difficult to recall and apply in real time.
How can we simplify things?
Here is my ABCDE approach – five simple Qs to ask:
🧵👇
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People have mocked #RadialFirst but idk how you can argue against the mortality benefit in #STEMI !! I just did a great case where I encountered spasm and just used the 4F in 6F guide technique and proceeded radially. Patient did great! #Cardiotwitter for the win! #IVUS
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1⃣Treatment decisions should be based on clinical indications, regardless of sex, race or ethnicity
#TipsForNewDocs
When examining/doing a procedure on a sedated or unresponsive pt, address them by name and narrate your actions.
It’s good to keep in the habit, it’ll remind you they’re a person, and you never know what they might absorb even if unconscious.
#kittlesonrules