Christine Kositz retweeted
Chloroquine/hydroxychloroquine OD:
- charcoal if <2h
- expect rapid CNS/CVS crash; tube early
- diazepam 2 mg/kg over 30" then 1-2 mg/kg/d
- epi 0.25 μg/kg/min, titrate to SBP ≥90
- NaHCO₃ or 3% NS for ↑QRS
- avoid meds that ↑QT
- watch for ↓K⁺ (shift); don't overcorrect
Christine Kositz retweeted
UMEM Emergency Cardiology Symposium in 5 days (April 1), please register for the FREE livestream at emergencycardiologysymposium… #FOAMed @UMEmergencyMed
Christine Kositz retweeted
We've updated cardiac info in the online chapter on COVID19: emrap.org/corependium/chapte… Increasing reports of myocarditis due to COVID as well as true coronary occlusion due to inflammation-induced unstable plaques #COVID19
Keep in mind your differential diagnosis for some neurological problems in children @UMEmergencyMed . Acute flaccid myelitis is curiously biennial, so expect to see an increase this year!
Christine Kositz retweeted
Game changer! The new IDSA pneumonia guidelines tell us azithromycin alone is out in US as monotherapy for pneumonia. Too much resistant s. pneumo!
Doxy or Amox alone recommended for initial CAP treatment in healthy patients.
Aortic dissection pearls. CPD = controlled pericardial drainage. @GeorgeWill @UMEmergencyMed
Preeclampsia definition: greater than or equal to 140/90 plus end organ damage: headache/blurred vision, thrombocytopenia <100, creat >1.1 or double, elevated LFT 2x normal, pulmonary edema. 👶🏼@UMEmergencyMed @mich3111
Remember that a falling beta Hcg in a pregnant patient with abdominal pain does not rule out ectopic and it can also still rupture. @UMEmergencyMed
Massive hemoptysis. Intubate the “good” lung. Gel provides better seal and inflate the cuff a bit higher. Consider nebulized TXA (prior to intubating the good lung) #ACEP19
Fluid overload? You’ll have B lines. Don’t forget your differential for the presence of B lines 🧐 #ACEP19
Fluid in morisons pouch in ectopic pregnancy predicts need to go to the OR 👌🏼 #ACEP19
Emergency ultrasound for pneumothorax.
Less work is not inferior to more work‼️Sensitivity for PTX in one view vs. four views is the same #ACEP19
Christine Kositz retweeted
Gonna give Anti-emetics or Anti-psychotics in a patient with a Prolonged QTc? Ask yourself if it's really prolonged...Or <380ms by calculatimg JTc. Check out it out👇🏽
#FOAMed #MedEd #EMRAatACEP19 #ACEP19 @emresidents @ACEPNow @rtsuchida @EMRA_Education @UMichiganEM @amalmattu
Pregnant patients in trauma:
Eight or more contractions per hour is highly associated with placental abruption #ACEP19
