Shaynna Mann retweeted
#POCUS #MedTwitter
❇️ 3 easy steps for evaluating shock using IVC ‼️
1/
♦️If IVC is small from reduced mean systemic venous pressure (Pms)
⬇️
♦️Hepatic venous flow 🟰 normal (S>D)
Shaynna Mann retweeted
Routine Laboratory Testing is not Required Prior to Admission of Psychiatric Patients via @First10EM first10em.com/routine-labora… #FOAMed
Although I agree with this...it's not ED docs that need to be convinced, it's the psychiatrists
Shaynna Mann retweeted
Peripheral Pressors for All? Peripheral Norepinephrine Infusion via
@spoonfedEM journalfeed.org/article-a-da… #FOAMed
14k pts got PIV norepi infusion
Median size of IV 18g
60% of IVs in antecubital fossa
5pts (0.035%) had extrav
No serious complications or skin necrosis reported
Shaynna Mann retweeted
Inspiring lecture by Dr. Peter DeBlieux at #ACEP19:
Therapeutic momentum
Choices we make in the ED with sedation, vent settings (FiO2!), vasopressors, and antibiotics often continue in the ICU, and may have profound downstream effects for our patients.
#upstairscaredownstairs
How to hook up a needle cric @FortWorthEM
NEEDLE CRIC - 3 Ways to Connect BVM to Angiocath:
~3.5 ETT Adapter
~7.0 ETT Adapter + 3mL syringe
~2.5 ETT Adapter + cut IV tubing
#FOAMed
Shaynna Mann retweeted
Congrats @anantpatels! Well deserved xitter.cf/FortWorthEM/status/996…
Shaynna Mann retweeted
Contrast absolutely safe to be given through IO for radiology studies. @vbebarta #rebellion18 – at Tobin Hill, San Antonio
Shaynna Mann retweeted
Incl. contrast and blood ... #FOAMems xitter.cf/srrezaie/status/995369…
Shaynna Mann retweeted
Massive PE. Give thrombolytic. Full dose vs half dose? Unsure. Start with lower dose, can always give more. @CriticalCareNow #rebellion18 – at Tobin Hill, San Antonio
TXA isn’t a procoagulant it’s an anti-fibrinolytic. Consider TXA outside of trauma as an adjunct to stop severe bleeding in epistaxis, post-tonsillectomies, GI bleeds, hemoptysis, and ICH.
@FortWorthEM #rebellion18
Shaynna Mann retweeted
.@CriticalCareNow: “If you don’t treat the RV right, it will screw you.” #rebellion18 – at Tobin Hill, San Antonio
Shaynna Mann retweeted
Checking pulses? Your fingers are really unreliable. Use ultrasound during rhythm checks to see under the skin. @CriticalCareNow #Rebellion18 – at Tobin Hill, San Antonio
Survival to discharge based on initial intra-arrest cardiac US:
-Standstill: 0.6%
-Pseudo pea: 4%
@FortWorthEM #rebellion18 @SonoShedd @canuck4199
Shaynna Mann retweeted
Chaos in the ED bar is open for business! Bloody Mary or Mimosa? You choose! #EMRAatCORD18 #CORDAA18 @CORD_EM
Shaynna Mann retweeted
Wanna test pupillary light reflex but eye swollen shut?
Ultrasound swollen eye
Shine light in opposite eye
Watch pupil!
Shaynna Mann retweeted
Twice in one QA...gotta be careful with the aorta and IVC. Check transverse view if uncertain or IVC is difficult to find.
Shaynna Mann retweeted
Keep the good EMRAP times a coming... that was fun. Multiple @utarlington alum in attendance #represent #JPSem xitter.cf/jps_emres/status/90561…