Wayne Bond Lau, MD

Professor of Emergency Medicine, FAAEM, FACEP, Thomas Jefferson University Hospital. Make today better for someone else. Valar dohaeris.

[Susanna M Nazarian MD, PhD @SMNazarian]

Honored to have been chosen by the #SKMC students as the first ‘Coffee with Clinicians’ guest this year. Sincere thanks to @WBLMD for his thoughtful questions and partnership. It was good for my soul to see and hear you, students. @JeffersonUniv @TJUHospital @JEFFsurgery

[Wayne Bond Lau, MD @WBLMD]

#Amanita phalloides toxin is not inactivated by heat. You can not solve the toxicity of this #mushroom by cooking it, aggressively or not.

[Wayne Bond Lau, MD @WBLMD]

In a @jem_journal case study, #tourniquet placement was used to prevent intubation paralytics from perfusing an extremity to assess #seizure status and sedation level.

https://t.co/nLNaUOnMts

[Wayne Bond Lau, MD @WBLMD]

Undomiciled patients experience longer #emergency dept wait times compared to domiciled patients, a disparity that exacerbates for urgent/emergent triage categories.

#homelessness @jem_journal
https://t.co/Rwpg6bQ4Bb

[Wayne Bond Lau, MD @WBLMD]

IV #haloperidol (0.05-0.1 mg/kg) is superior to #odansetron (8mg) for acute #cannabis-associated hyperemesis - providing new insight into pathophysiology @Qemerg #CAH @AnnalsofEM
https://t.co/nkXBDkIU6f

[Wayne Bond Lau, MD @WBLMD]

#Urushiol is a oily resin invoking the inflammatory reaction from #poisonoak, ivy, & sumac.
"Urushiol", derived from Japanese 漆 (#urushi, lacquer tree), is used by artisans to coat pens elegantly.

#Pilot845 @tokyostationpens @fudefan @_penaddictfm
@dowdyism @imyke @Nurse_HTeng

[Wayne Bond Lau, MD @WBLMD]

As with all things in medicine, #intramuscular injections are not entirely risk free. #NicolauSyndrome (livedoid dermatitis) is a rare complication, associated with many drug class injections (steroid, penicillin, diclofenac, antipsychotics, anti-seizure, and vaccinations).

[Wayne Bond Lau, MD @WBLMD]

The rare condition named #Morgellons is poorly understood. Patients report itchiness and infested sores that contain fiber bundles. Dermatologists and psychiatrists have postulated Morgellons may be a variant of #DelusionalParasitosis. https://t.co/1logZbpgV6

[Wayne Bond Lau, MD @WBLMD]

#Lifestyle Medicine prescriptions suggested by Dr Raquel Harrison (@acute2root) should address one of the 6 pillars: nutrition, sleep, risky behavior reduction, stress reduction, social connectedness, and physical activityhttps://bit.ly/3faQVCb

[Wayne Bond Lau, MD @WBLMD]

New #PALS guidelines (tripling the ventilation rate in #pediatric #cardiacarrest cases) raises some questions in the community

https://t.co/vClmAH1BGu
@CircAHA
#resuscitation

[Wayne Bond Lau, MD @WBLMD]

#Redotex (not @US_FDA approved), a Mexican weight loss drug, contains:
-tri-iodothyronine
-atropine
-diazepam
-aloin
-d-nor pseudoephedrine

If that list isn't scary enough, #thyrotoxicosis, amongst other things, can ensue. #HardPass
https://t.co/SnPTveL4S9 @jem_journal

[Wayne Bond Lau, MD @WBLMD]

Once you've learned the #HINTS exam, you might want to arm yourself with the #BucketTest next.
#posteriorstroke
https://t.co/VoDZs6sggE
@jem_journal

[Wayne Bond Lau, MD @WBLMD]

New study @jem_journal quantifies the interruptions due to #EKG review in the #EmergencyDepartment

https://t.co/k3II1BEirr

[Wayne Bond Lau, MD @WBLMD]

Blood (even venous) is red.

Plasma is yellow.

The plasma of women on oral contraceptives is slightly green, due to elevated #ceruloplasmin.

https://t.co/EDyfcbZz0w
https://t.co/i8e2moap52

[Wayne Bond Lau, MD @WBLMD]

Today, only 5 countries in the world permit the payment for #plasma:

-Germany
-Hungary
-Czech Republic
-Austria
-#USA

https://t.co/pnbbCbIfY7
@NPR @planetmoney

[Wayne Bond Lau, MD @WBLMD]

Anemia - Parvovirus, Malaria
Eosinophilia - Parasites, Helminths, Allergies
Hyponatremia - RMSF
Thrombocytosis - Kawasaki

#BoardReview

[Wayne Bond Lau, MD @WBLMD]

Left ventricular outflow tract opening during #CPR is associated with successful #resuscitation during #CardiacArrest.

https://t.co/GvW8XZzLYi
#LVOT #ROSC

[Wayne Bond Lau, MD @WBLMD]

In a retrospective study of >30,000 adults, elevated #bloodpressure readings in the #emergencydepartment are common but not associated with adverse cardiovascular outcomes 2 years post visit. @AnnalsofEM https://t.co/jjGLBQhJ3d

[Wayne Bond Lau, MD @WBLMD]

Heart attacks after snake bites can happen - and not just after venomous #snakebites.

#MI #ACS #venom @jem_journal
https://t.co/xNwv6TCcuv

[Wayne Bond Lau, MD @WBLMD]

~3% of MI have a thrombus as the root cause - most of these are due to #atrialfibrillation.
#Aspiration does not improve clinical outcome, and has association with #stroke
@AnnalsofEM
https://t.co/VO5SwXCRBM