Marshall Howell

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@drjgutt Especially for how many medical device ventures seem to be devoted to it…

Surprised that ring removal has no CPT code so you can’t bill for it. I wonder why.

Go to the hospital cafeteria for breakfast. Use a tray. Ask for the powdered eggs. Get two scoops. Slather with ketchup. Don’t use packets. The dispenser is better. Eat a day old donut. Buy whole milk. Talk to the cashier. Learn their secrets.

Excited to announce our 2024-2025 Chief Residents!!!!!! @UTSW_EM #DallasEM

@JustFreshKicks Size 11 sold out in <1min

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@reverendofdoubt @DrCasteelEM @PhysicianDoodle I’ve resorted to writing my attestations in a pended progress note while on shift. I copy/paste it later. Less uncompensated time. Admitting teams can see my thoughts even when the resident note is incomplete.

@DrCasteelEM @PhysicianDoodle Also unless someone is getting all their notes done on shift, which means they probably aren’t seeing enough patients, you can’t arrest anything until your time “off” as an attending

I’m convinced that every ED attending that complains about how much charting and “social work” we have to do these days has just straight up forgot what their inpatient medicine/ICU rotations were like lol.

@armyemdoc Have a hard time memorizing the list without this mnemonic: Av dissociation Brugada Congenital long QTc Delta wave Epsilon wave L(EFT)VH - with dagger q waves RIGHT axis deviation and strain for PE or other acute PH

Med student audition tip #6... You are seeing someone who had a syncopal event and is completely back to normal on your evaluation. In addition to a thorough history, you need to look for these 5 things on the ECG (and no, the machine will not interpret them all for you): -HOCM -Prolonged QT (>500 is the magic number) -WPW -Brugada syndrome -Arrhythmogenic RV dysplasia #emergency #emergencymedicine #criticalcare #medicalstudent #medicalschool #residency #foam #foamed #foamcc #meded #army #armymedicine #armyemdoc #medx #medtwitter

@reverendofdoubt I just want to know how much she’ll be compensated by X based on the interactions with her tweet..

So before y’all start dumping on her valid point, what’s the evidence-base argument that this makes better doctors? We did pro-sections 2hr/week only in medical school. Who’s to say virtual reality anatomy isn’t better? Y’all need to think more critically as doctors tbh

@drjgutt @AlykaGlor I think you both would’ve placed him in an equinas splint instead of a neutral 3D boot as well..

@AlykaGlor The Jets need me.

If they just did a #POCUS they would already know. No waiting for the MRI!

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👾 Status epilepticus (SE) is associated with significant morbidity and mortality, especially when considering how ineffective our secondary anticonvulsants are in seizure termination.(~50%) . #pharmfax #meded #foamed #emrx #foamcc

Celebrating #EmoryEM's Class of 2023 Residency Awards👏 @EM_mnr, Clinical Excellence; Reena Underiner, Medical Student Resident Teacher of the Year; Kimberly Herard: Ultrasound Award, Grady Mindset & Emory Excellence Awards; @MHowellIV & Prem Menon, Emory Excellence Awards

Successful @EmoryMedicine, @MSMEDU, and @GradyHealth Resident Research Day! @EmoryatGrady Chief Resident Girgis Fahmy, Chief Resident @MHowellIV, @emily_geyer, Gabrielle Ragazzo, and @Mehrsamaei presented their research. Congrats Girgis Fahmy, 1st place Oral Presentation👏

@AaronLacyMD Sadly, it wasn’t at my school. Many invaluable skills and perspectives to be gained, regardless of eventual specialty.

Emergency medicine should be a required rotation for medical students

@drjgutt giving a lecture to @EmoryEM not about POCUS *gasp*

@EM_mnr KULTS! It allows us to quickly assess AG sources that are most readily available from ED labs. Helps with common things being common. If unrevealing, expand to MUDPILES for zebras.

Are you using MUDPILES or KULTS for your anion gap work up? @MHowellIV

Yale group shows ED-initiated nicotine replacement effective in smoking cessation. Patients won't remember your expert management of low-risk chest pain, but if you set them down the path to quitting, that ED visit was the best thing they've ever done. annemergmed.com/article/S0196-…

Effective on 1/1/2023, any DEA licensed provider (including residents) can prescribe buprenorphine Please consider this when treating patients with opioid use disorder. Thank you to @RepPaulTonko for the success of the MAT Act. @matters_network @darakass

1/ Accidental hypothermia, it's here. As we reach winter, we begin seeing accidental hypothermia. In Atlanta, I had 2 cases during a cold snap last month.