#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)
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
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
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
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