Shaynna Mann

[Saikat Mitra @saikatmitra05]

#POCUS #MedTwitter

❇️ 3 easy steps for evaluating shock using IVC ‼️

1/

♦️If IVC is small from reduced mean systemic venous pressure (Pms)
⬇️
♦️Hepatic venous flow 🟰 normal (S>D)

[Shaynna Mann @sm2400]

@SLUgrounds Anyone have any knowledge of when the dog park will reopen?

[Salim R. Rezaie, MD @srrezaie]

Routine Laboratory Testing is not Required Prior to Admission of Psychiatric Patients via @First10EM https://t.co/kIXiQSLLHB #FOAMed

Although I agree with this...it's not ED docs that need to be convinced, it's the psychiatrists

[Shaynna Mann @sm2400]

@SLUgrounds

[Salim R. Rezaie, MD @srrezaie]

Peripheral Pressors for All? Peripheral Norepinephrine Infusion via
@spoonfedEM https://t.co/qViWokLqgv #FOAMed

14k pts got PIV norepi infusion
Median size of IV 18g
60% of IVs in antecubital fossa
5pts (0.035%) had extrav
No serious complications or skin necrosis reported

[Daniel Adams @Danimal_MD]

Inspiring lecture by Dr. Peter DeBlieux at #ACEP19:

Therapeutic momentum

Choices we make in the ED with sedation, vent settings (FiO2!), vasopressors, and antibiotics often continue in the ICU, and may have profound downstream effects for our patients.

#upstairscaredownstairs

[Shaynna Mann @sm2400]

How to hook up a needle cric @FortWorthEM

[Sam Ghali, M.D. @EM_RESUS]

NEEDLE CRIC - 3 Ways to Connect BVM to Angiocath:

~3.5 ETT Adapter
~7.0 ETT Adapter + 3mL syringe
~2.5 ETT Adapter + cut IV tubing

#FOAMed

[Shaynna Mann @sm2400]

@FortWorthEM @MelHerbert @JessMasonMD Savage garden? @MelHerbert @JessMasonMD 🌱🍃🌺

[Veer Vithalani, MD @veervithalaniMD]

Congrats @anantpatels! Well deserved https://t.co/i0Agz4lkpd

[Matt Astin @mastinmd]

Contrast absolutely safe to be given through IO for radiology studies. @vbebarta #rebellion18

[GOGOnephrine🚑 aka J. Gollwitzer @jgollw]

Incl. contrast and blood ... #FOAMems https://t.co/gbqTqufQKc

[Matt Astin @mastinmd]

Massive PE. Give thrombolytic. Full dose vs half dose? Unsure. Start with lower dose, can always give more. @CriticalCareNow #rebellion18

[Shaynna Mann @sm2400]

TXA isn’t a procoagulant it’s an anti-fibrinolytic. Consider TXA outside of trauma as an adjunct to stop severe bleeding in epistaxis, post-tonsillectomies, GI bleeds, hemoptysis, and ICH.
@FortWorthEM #rebellion18

[Matt Astin @mastinmd]

.@CriticalCareNow: “If you don’t treat the RV right, it will screw you.” #rebellion18

[Matt Astin @mastinmd]

The rebel himself, @srrezaie, kicking of #Rebellion18.

[Matt Astin @mastinmd]

Checking pulses? Your fingers are really unreliable. Use ultrasound during rhythm checks to see under the skin. @CriticalCareNow #Rebellion18

[Shaynna Mann @sm2400]

Survival to discharge based on initial intra-arrest cardiac US:
-Standstill: 0.6%
-Pseudo pea: 4%
@FortWorthEM #rebellion18 @SonoShedd @canuck4199

[emresidents @emresidents]

The chaos continues! ... with some "dirty dancing!" #EMRAatCORD18 #CORDAA18 @CORD_EM

[emresidents @emresidents]

Chaos in the ED bar is open for business! Bloody Mary or Mimosa? You choose! #EMRAatCORD18 #CORDAA18 @CORD_EM

[Sam Ghali, M.D. @EM_RESUS]

Wanna test pupillary light reflex but eye swollen shut?

Ultrasound swollen eye
Shine light in opposite eye
Watch pupil!