Josh @pulmcrit.bsky.social tackles ICU management of DAH incl ANCA vasculitis
On PLEX: yes that doesn’t help DAH at all
However, in some patients, it helps save a few months off dialysis - small effect
@hswapnil.medsky.social
@hswapnil.medsky.socialJosh @pulmcrit.bsky.social tackles ICU management of DAH incl ANCA vasculitis
On PLEX: yes that doesn’t help DAH at all
However, in some patients, it helps save a few months off dialysis - small effect
@rebel-em.bsky.social🚨Do We Need a CT for Every Renal Colic? 🪨
🧍♂️ Young w/ classic sx? No CT
🧓 Older or unclear dx? CT w/ contrast.
🔍 Use POCUS to guide imaging
Stop the scan-everyone approach.
👉 Read more: https://loom.ly/AMw_hY0
Written by: Dr. Abbas Husain
#FOAMed #EMIMCC #MedSky
@emswami.bsky.socialRelative Adrenal Insufficiency
-Key point: consider this diagnosis in every patient presenting w/ shock
-Typically occurs in patients on low dose daily steroid
-Chronic steroid use suppresses intrinsic steroid synthesis.
-Tx: hydrocortisone 100 mg IV
@rebel-em.bsky.social🚨 New Post Alert!
🔥 Pancreatitis Severity Made Simple:
Ranson’s Criteria vs BISAP Score — which predicts mortality better?
🩸 Compare the classic 48-hr model with the bedside-friendly BISAP.
➡️ https://wp.me/pdrP8b-5rG
#MedSky #FOAMed #EMIMCC
@emswami.bsky.socialFluid Load in Severe Asthma
-Intubation + mech vent switches pt from negative to positive pressure vent ➡️ ⬆️ intrathoracic pressure + drops preload
-In severe asthma, huge insensible losses due to ⬆️ work of breathing
-Consider early fluid load to avoid HD decomp
@imcrit.bsky.socialWhich of the following is the most likely diagnosis?
A. Acute ischemic thromboembolic stroke
B. Cerebral arterial vasospasm
C. Focal partial seizures
D. Posterior reversible encephalopathy syn.drome
@rebel-em.bsky.social🚨 REBEL EM Gear Available! 🚨
Show your love with our I Love EBM—REBEL EM Heart Logo collection! 🎉 T-shirts, hoodies, mugs, and stickers—perfect for the EBM community! 🫁💥
👉 Shop now and wear your passion! https://loom.ly/voSxpiI
@emajournal.bsky.socialThe Once-Conventional 48-h Elective #Cardioversion Threshold for “Recent-Onset” #AtrialFibrillation Is No Longer Recommended
doi.org/10.1111/1742...
@wileyhealth.bsky.social
#MedSky #EMSky #EMedSky #emimcc #ACEM
@emajournal.bsky.socialIntranasal #Dexmedetomidine for ED paediatric #ProceduralSedation
@wileyhealth.bsky.social
#MedSky #EMSky #EMedSky #emimcc #ACEM
@emswami.bsky.socialYEARS Algorithm in Active Cancer (PMID: 42437322)
-YEARS: If “No” to clinical signs of DVT, hemoptysis + PE, can double d-dimer upper limit
-RCT 700 patients w/ cancer showed 1.8% miss rate w/ YEARS (same as standard group)
-Potential reduced CTPA rate by 22%
@rebel-em.bsky.social🚨 New REBEL Core Cast! Ep 138: A Simple Bedside Approach to Shock💥 Start with the 4 L’s: Lucid, Limbs, Leak, Lactate
Pulse pressure = your shock type cheat code
🎧 Listen now: https://loom.ly/ntey1VU
#FOAMed #EMIMCC #MedSky
@load-dependent.eurosky.socialpH and lactate as predctors of survival in ECPR. Statiatically significant, clinically useless. Plus c’est grave, plus c’est grave #emimcc #cccsky www.sciencedirect.com/science/arti...
@emswami.bsky.socialLet’s Play Right Drug, Wrong Dose:
-Rocuronium
Wrong dose: 0.6 mg/kg
Right dose: 1.2 mg/kg (paralysis onset less than 60 sec)
-Epinephrine in Anaphylaxis
Wrong dose: 0.3 - 0.5 mg IM
Right dose: 0.5 mg IM - simplify decision in critical scenario
@emswami.bsky.socialDo bougies incr risk of airway injury?
-Poor technique/blind placement of a bougie can cause airway injuries. Same is true of ETT + rigid stylets
-RCT data (PMID: 29800096 + 34879143): 2000 patients, no airway injuries
@imcrit.bsky.socialYour regularly scheduled reminder:
If you were on call Saturday night, Sunday is not a “day off.”
It’s a recovery day disguised as a day off.
Don’t be gaslit.
@olofl-s.bsky.social
@schistosomnia.bsky.social