Riaz

[SASEM2024 @sasem2024]

Buckle up guys..
Ready for #SASEM2024?
All set…
Let’s get this show on the road! 💥

A Journey of Evolution 🚨

At #SASEM2024,
Be the #powertoEMpower
Stay tuned for more!

[Riaz @riazd27]

@Jhaherresidency @5aalz @salehaljathnan Congratulations

[𝗥𝗲𝘀𝘂𝘀𝗠𝗲𝗱 @ResusMed]

🚑 Shock Index (SI): A Vital Tool in Critical Care 🚑

1️⃣ Introduction:
The Shock Index is the ratio of heart rate to systolic blood pressure. It's a simple yet powerful tool to identify patients at risk of shock, a life-threatening condition where the body's organs don't receive enough oxygenated blood.

2️⃣ History:
First introduced in 1967, by Allgöwer and Buri, as a quick, noninvasive method to determine the degree of hypovolemia in hemorrhagic shock. It's been validated in various settings, from the battlefield to the emergency room, and has proven to be a reliable predictor of patient outcomes.

3️⃣ Patients & Usage:
Trauma Patients: Quick assessment of blood loss and severity.

Cardiac Patients: Helps in identifying heart-related shock.

Sepsis: Early detection of septic shock.

Pregnancy: Useful in assessing the risk of complications.

Pediatrics: Adapted for use in children with modified values.

4️⃣ How to Calculate:
SI = Heart Rate / Systolic Blood Pressure
Normal SI: 0.5 - 0.7
Elevated SI (>0.9): Increased risk of shock and mortality.

5️⃣ Advantages:
Easy to calculate.
Rapid assessment tool.
Guides resuscitation efforts.

6️⃣ Limitations:
Not a standalone diagnostic tool.
May vary with age, medications, and underlying conditions.

7️⃣ Conclusion:
The Shock Index is an essential part of modern emergency medicine. By providing a quick snapshot of a patient's physiological state, it enables timely intervention and can save lives.

🩺 Share this post with your fellow healthcare professionals to spread awareness about this crucial tool in trauma care! 🩺

[Resa E Lewiss MD @ResaELewissMD]

Everyone was bummed when the 2 Vol Practical Guide to Critical Ultrasound iBook was no longer available.

Thanks to the creative work of @CBaloescu and @RubbleEM for @ACEP_EUS the content, the authors, the narrated videos are back!

Free app download: https://t.co/qWLHA31tKs

[EM Board bombs @EMBoardBombs]

·Anterior wall ischemia: 2+ precordials (V1-V6); LAD V1-V4
·Anteroseptal ischemia: V1-V4; Proximal LAD
·Apical or lateral ischemia: aVL & I, V4 to V6: Distal/Diagonal LAD or LCx
·Inferior wall ischemia: II, II, & aVF; 90% RCA, 10% LCx
https://t.co/DDzrgC1vfN

[emDOCs Team @emdocsdotnet]

Ultrasound G.E.L. - Ultrasound for Nailbed Injury by @PratsEM
#FOAMed #FOAMus #FOAMPed #EBS #POCUS https://t.co/Wm6DUWg0vg

[Manisa Ghani @anzcenINCUBATOR]

Fundamental ICU 4-week facilitated online course for new doctors rotating to ICU. Share this to those who might benefit. https://t.co/qSXoVDMmS5

[the EMCrit Crew @emcrit]

EMCrit 272 - The Right Heart with @SaraCrager. This pesky ventricle doesn't get enough respect: https://t.co/4wP9rsTA6S

[Rubina Khan-Dharsey @4oRtituDe]

This Mama has got crazy moves 💪🏼💪🏼

[Kash Akhtar @kashakhtar]

If ever you wanted to see an Achilles tendon snap in slo-mo

[the EMCrit Crew @emcrit]

Fluid selection & pH-guided fluid resuscitation: fresh IBCC chapter & cast (by @PulmCrit & @adamdavidthomas) https://t.co/Bq9zsd4TUa

[NephroPOCUS @NephroP]

#POCUS #FOAMed
Never forget color Doppler before jumping to conclusions.
For more scenarios: https://t.co/Fc5j9zVdyT

[Acadoodle @ECGTeacher]

Why does Atrial Flutter fool us so often? Top 10 Tips to Minimize Uncertainty https://t.co/WCjYVpoq8c

[Stephen W. Smith @smithECGBlog]

I was handed this ECG at triage with no information because the patient could not speak English, could only point to his chest https://t.co/BONAe7gJp0

[Anton Helman @EMCases]

Burn & Inhalation Injuries: ED Wound Care, Resuscitation & Airway Management with Joel Fish & Maria Invankovic.

Special segment on awake intubation with @kovacsgj

Rule of 9's is dead. Same with Parkland. Same with daily dressings...
https://t.co/sVrwJnmGev
#FOAMed

[Rubina Khan-Dharsey @4oRtituDe]

Congratulations to @NKUNorseMSOC Seniors on your Graduation. We all so proud of you. Wishing you all well in your future endeavors 🎓⚽️🎓⚽️

[GrepMed @grepmeded]

Complete Blood Count (CBC) Interpretation via @TamingtheSRU:

https://t.co/aGfDFtv9N3

#FOAMed #Meded images made searchable:

"CBC Interpretation" -> https://t.co/xFzSwVfqCJ

[Salim R. Rezaie, MD @srrezaie]

Stress Tests Conclusion: Putting it All Together via @First10EM https://t.co/KpKhlOl19X #FOAMed

"For every 1,000 pts we expose to a stress test, 2 are at risk for MI & stress test will likely pick up 1. However, for that 1 true positive test, there will be 150 false positives".

[Bryan D Hayes PharmD @PharmERToxGuy]

‘Vanc & Zosyn’ is NOT the Answer for Everything: Emergency Medicine Antimicrobial Essentials | Handout from my final AAEM talk https://t.co/xx580jTfkq #FOAMed #AAEM19

I am grateful to have had the privilege of speaking at the Scientific Assembly the past 5 years.

[GrepMed @grepmeded]

ABG Interpretation by @AmyChung:

https://t.co/MioMq6drLb

#FOAMed #Meded images made searchable:

"ABG Interpretation" -> https://t.co/aw4pwlhShF