Hey @SouthwestAir Off the right side of the plane flying into @LGBAirport a rainbow circle. Flight attendant said she'd never seen one in her many years of flying.

Once again @AmericanAir fails to actually upgrade customers. Taking off with 2 empty seats in first and they failed to upgrade #3 and 4. Oh and taking off late because they forgot to remove excess fuel on the plane.

The carnage we are about to see in the Los Angeles area from COVID-19 is going to make what New York City looked like last year a drop in the bucket. #MaskUp #StayAtHomeSaveLives

Every time patients thank me for my service, I want to say back "If you really want to thank me, stay home and don't get together with your friends/family/pods/circles"

THIS. My motto to patients is "Testing is not being safe. Avoiding possible exposures is being safe."

#EMSvax - Proud to be vaccinated as both a local emergency medicine physician and the EMS Medical Director for @CAL_FIRE

#ThisIsOurShot #VaxUp #igotmyshot a glimmer of hope in the most treacherous of times. Be smart. #MaskUp #TrustScience

Wow I literally just listened to @kilmeade say that he understands what's going on in the ICUs because he hears about it and sees videos. NO, you DON'T understand unless you have WALKED IN OUR SHOES.

I appreciate @ACEPNow allowing me to be part of Social Media Team! I apologize to all the EM docs looking for tweets - we had 2 major fires out here in California that I've had to deal with and can't watch as much :(

Patients who an LVAD actually visit the ED more often than not for a non-LVAD reason. If being admitted they have relatively high mortality rates #ACEP20

Important point on anaphylaxis - diphenhydramine, corticosteroids, and H2 blockers are NOT the treatment. Epinephrine epinephrine epinephrine. Everything else treats just symptoms not the disease!! #ACEP20

Extravasation rate of peripheral vasopressors around 4%. Undefined limb ampuations. Dobutamine does not require CVC #ACEP20 - my personal practice is less than 24 hours usage in good (18gauge) proximal IV

Best use of push dose pressors surround RSI in critically ill patients. It come from the anesthesia experience #ACEP20

Half of severe sepsis patients have LV dysfunction. Dobutamine should be utilized if this is seen on ultrasound. Dobutamine can cause small increase, decrease, or have no change in BP. DeBlieux #ACEP20

Based on limited evidence, use norepinephrine in hypotension from PE. #ACEP20

Post-ROSC hypotension at 1 hour conferred increased mortality rate compared to normotension - do not just say "it's a little hypotension" - treat it!! #ACEP20

Furosemide = 3rd line treatment for cardiogenic pulmonary edema. First line no way. Takes too long to work. @amalmattu #ACEP20

Furosemide takes at least an hour to start working due to decreased renal blood flow in cardiogenic pulmonary edema. @amalmattu #ACEP20

Morphine has no role in cardiogenic pulmonary edema in 2020. @amalmattu #ACEP20