QRS prolongation (eg Na blockade in overdose) is associated with poor contractility and hypotension (and PEA arrest at their worst), NOT dysrhythmias like QT prolongation @SLREM#EMConf
Happy to announce that @estein54 will be the new Program Director at @StJoesEM! Excited to work with a fantastic colleague as our program continues to move forward @nnpatel1291@drmrosen@hochmast
Patient positioning: in general, good lung DOWN to improve V/Q; exceptions:
-massive hemoptysis
-pulm abscesses
-unilateral emphysema
https://t.co/AVQNtKZhaS #emconf
With in-service just around the corner, it’s time to review your animal-disease associations! Tularemia = rabbits. Hantavirus = rodents. Anthrax = livestock. Gritty = ??? Review more from last month’s issue! https://t.co/RKGTUBTYYk
Today is #NationalPharmacistDay. For all of you lucky enough to have an ED pharmacist, go out and thank them today. From helping choose the right meds, to ensuring safe and appropriate dosing, they are the real unsung heroes of the ED!
.@PulmCrit's approach to agitated delirium 2/2 etoh withdrawal: dissociative dose ketamine for sedation and transitioning to phenobarb monotherapy for DTs
#EMCritConf2019#EMConf
The Dirty Double: sounds like a sandwich from KMP, but is actually @PulmCrit's preferred method for access in the crashing pt: https://t.co/Vc8wliyeXZ
#EMCritConf2019#emconf
"If you're putting in a radial A-line, a BP cuff would probably be ok."
So in these pts who aren't sick enough for a central A-line, what is the actual benefit of a radial?
(other than easy blood draws and happy nurses)
Any evidence supporting improved outcomes?
#EMCritConf2019
.@EMNerd_ : don't forget to count abx in your #sepsis fluid totals: Vanc + Zosyn + 1 L will get you close to 30 cc/kg in many pts
#emcritconf2019#emconf
January is #NationalBloodDonorMonth. Visit https://t.co/g5XrtgIoOK to learn more about how and where to donate blood or platelets. Roll up a sleeve and help #savelives!
Blessings to everyone who instead of being at home is out there helping others in some way this holiday season. Your sacrifices make a difference.
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