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Who says you need a 3D-printed heart to teach cardiac ultrasound? Sometimes you learn with what you have. (Would still love a 3D heart to teach with though...) #MedEd #FOAMed #POCUS #ButterflyIQ
Another Sim day with @StonyBrookEM residents, this time on LAST - Local Anesthetic Systemic Toxicity. #FOAMed #EMConf
Dr. Lawrence on ocular trauma: Eyelid lacerations: when to call Ophtho - involving lid margin or tarsal plate, involving lacrimal system, protruding fat, levator muscle involved, missing tissue or tension present, globe injury @StonyBrookEM #FOAMed #EMConf 1/
Dr. Lawrence on ocular trauma: Globe rupture? Get Ophtho! Eye shield to protect the eye in the meantime. @StonyBrookEM #FOAMed #EMConf 6/
Dr. Lawrence on ocular trauma: Ocular compartment syndrome - IOP >40? Time for lateral canthotomy / cantholysis! @StonyBrookEM #FOAMed #EMConf 7/
Residents are one of the main reasons I love my job. Thank you for the privilege of allowing me to continue to learn and serve alongside you. Here are some of our outstanding @StonyBrookEM residents that are being highlighted @StonyBrookMed
Dr. Wright @brianjwrightmd on extubation in the ED: Patient selection is key! Monitoring is critical. Make sure the process that led to intubation is reversed. When in doubt, leave the tube in. #EMConf #FOAMed @StonyBrookEM 1/
Dr. Wright @brianjwrightmd on extubation in the ED: Rapid Shallow Breathing Index (RSBI) = RR / Tidal Volume. Want RSBI < 75. #EMConf #FOAMed @StonyBrookEM 5/
Dr. Wright @brianjwrightmd on extubation in the ED: Post-extubation care: Place on supplemental O2. Observe for at least 60 min. For post-extubation stridor - methylprednisolone 40-125 mg IV and nebulized epinephrine. #EMConf #FOAMed @StonyBrookEM 6/
Dr. Wright @brianjwrightmd on Ventilator Crisis: That's DOPE - Displacement. Obstruction. Pneumothorax, auto-PEEP, Pain. Equipment malfunction. #EMConf #FOAMed @StonyBrookEM 1/
Dr. Wright @brianjwrightmd on Ventilator Crisis: P = Pain. Dip in pressure during a vent-given breath = air hunger. Increase flow rate or increase sedation. #EMConf #FOAMed @StonyBrookEM 9/
Dr. Wright @brianjwrightmd on Ventilator Crisis: E = Equipment malfunction. Take it out of the equation. Disconnect patient from vent and give bagged breaths. Change out the vent. Try different vent settings. #EMConf #FOAMed @StonyBrookEM 10/










