Ari Edelheit

@amalmattu was this you?

🔥CALLING RISING M4s!🔥 Interested in joining joining the Cook County family? Are you part of an underrepresented community? We are now accepting apps concurrently with VSLO! Submit additional scholarship materials to ebravo@cookcountyhhs.org

Hey rising MS4s who are #EMBound we are accepting applications for away rotations! Come work with us! We are exciting to keep meeting the future faces of emergency medicine! Always looking for great people to join the County Fam ✨ cookcountyem.com/students?fbcli…

Just try and relax with the sweet melodic gracefulness of Burt Bacharach

@folk_jessie No sane resident turns down a free meal

@EMHighAK @elewMD @TheShenger @drjgutt @SkylerLentz @rbyyny @sreeja_natesan @MprizzleER @alvarezzzy @PulmCrit @kaynani32 @MikePallaci @Chris_McStay @moyinscrubs @MRamzyDO @NotSoLilMD @ShehniNadeem @HeyDrNik @ResusOne @DaveLewMD - get CT surgery involved early - broad antibiotic coverage. Don’t be shy! - classic skin findings are mostly seen in subacute endocarditis. Don’t overly rely on these - TTE is always helpful but still misses a significant number of cases - 3 sets BCx better than 2

Sick endocarditis pearls? #FOAMed #foamcc #MedTwitter @elewMD @TheShenger @drjgutt @SkylerLentz @rbyyny @sreeja_natesan @MprizzleER @alvarezzzy @PulmCrit @kaynani32 @MikePallaci @Chris_McStay @moyinscrubs @MRamzyDO @NotSoLilMD @ShehniNadeem @HeyDrNik @ResusOne @DaveLewMD

The human cost of insulin in America bbc.in/2EZElT8

Search your name in GIFs and show me the one the best sums up your year so far. Here’s mine:

@elewMD @EMHighAK @TheShenger @drjgutt @SkylerLentz @rbyyny @sreeja_natesan @MprizzleER @alvarezzzy @PulmCrit @kaynani32 @MikePallaci @Chris_McStay @moyinscrubs @MRamzyDO @NotSoLilMD @ShehniNadeem @HeyDrNik @ResusOne @CCHTrauma would be proud

@EMHighAK @TheShenger @drjgutt @SkylerLentz @rbyyny @sreeja_natesan @MprizzleER @alvarezzzy @PulmCrit @kaynani32 @MikePallaci @Chris_McStay @moyinscrubs @MRamzyDO @NotSoLilMD @ShehniNadeem @EdelsMD @HeyDrNik @ResusOne The number of holes should be even. If it’s not, go looking. Think about trajectory, just because you find a hole in the groin, doesn’t mean that’s where all the damage is.

GSW to groin pearls? #FOAMed #foamcc #MedTwitter @elewMD @TheShenger @drjgutt @SkylerLentz @rbyyny @sreeja_natesan @MprizzleER @alvarezzzy @PulmCrit @kaynani32 @MikePallaci @Chris_McStay @moyinscrubs @MRamzyDO @NotSoLilMD @ShehniNadeem @EdelsMD @HeyDrNik @ResusOne

@EMHighAK @elewMD @TheShenger @drjgutt @SkylerLentz @rbyyny @sreeja_natesan @MprizzleER @alvarezzzy @PulmCrit @kaynani32 @MikePallaci @Chris_McStay @moyinscrubs @MRamzyDO @NotSoLilMD @ShehniNadeem @ZackRepEM @HeyDrNik @MJP_MD WBCs in UAx are not always infection. Can also be inflammation from rejection!

Renal transplant pearls? #FOAMed #foamcc #MedTwitter @elewMD @TheShenger @drjgutt @SkylerLentz @rbyyny @sreeja_natesan @MprizzleER @alvarezzzy @PulmCrit @kaynani32 @MikePallaci @Chris_McStay @moyinscrubs @MRamzyDO @NotSoLilMD @ShehniNadeem @ZackRepEM @EdelsMD @HeyDrNik @MJP_MD

@EMHighAK @elewMD @TheShenger @drjgutt @SkylerLentz @rbyyny @sreeja_natesan @MprizzleER @alvarezzzy @PulmCrit @kaynani32 @jmugele @Chris_McStay @moyinscrubs @MRamzyDO @NotSoLilMD @ShehniNadeem @ZackRepEM @HeyDrNik @MJP_MD - when stable, see if there was a cause of their jump in BP: pain from a fall? Did they have a CVA and corresponding elevated BP? Access to meds? Meth (ugh, always meth)? - ECHO (EF, gross valvular dysfxn, aortic root) - Endorse high dose NTGL and NIV

HTNive pulm edema pearls? #FOAMed #foamcc #MedTwitter @elewMD @TheShenger @drjgutt @SkylerLentz @rbyyny @sreeja_natesan @MprizzleER @alvarezzzy @PulmCrit @kaynani32 @jmugele @Chris_McStay @moyinscrubs @MRamzyDO @NotSoLilMD @ShehniNadeem @ZackRepEM @EdelsMD @HeyDrNik @MJP_MD

@NagdevArun This. Is. AWESOME.

COVID Rule Out - 45 ym with fever, hypoxia and dyspnea. Placed in an isolation room from triage. Our amazing resident remembered to #echofirst and made the diagnosis of aortic valve endocarditis (slowed video for clarity). Abx & proper dispo. Reduce anchoring bias with POCUS

@MabinsSanche Great to hear! Feeling slightly overwhelmed as a resident means that you are pushing yourself. Don’t stop! It’s normal and also how you get better every shift. Glad to hear all the county folks allowing you to do you #CountyStrong @CookCountyEM

My first shift as an EM Resident I felt like my head was barely above water. Aimed to provide the best care to my patients while still figuring out logistics of a new system. It was great to know my senior and attending had my back while still allowing me to spread my wings.

@EMHighAK @elewMD @TheShenger @drjgutt @SkylerLentz @rbyyny @sreeja_natesan @MprizzleER @alvarezzzy @PulmCrit @kaynani32 @jmugele @Chris_McStay @moyinscrubs @MRamzyDO @NotSoLilMD @ShehniNadeem @ZackRepEM @HeyDrNik @MJP_MD - Check your biases at the door: this condition is excruciating. Never assume they are pain seeking - normal retic count and Hb do not rule out “real” pain - do a thorough extremity and joint exam. They are high risk for septic arthritis and osteo

Sickle cell pearls? #FOAMed #foamcc #MedTwitter @elewMD @TheShenger @drjgutt @SkylerLentz @rbyyny @sreeja_natesan @MprizzleER @alvarezzzy @PulmCrit @kaynani32 @jmugele @Chris_McStay @moyinscrubs @MRamzyDO @NotSoLilMD @ShehniNadeem @ZackRepEM @EdelsMD @HeyDrNik @MJP_MD

@EMHighAK @elewMD @TheShenger @drjgutt @SkylerLentz @rbyyny @sreeja_natesan @MprizzleER @alvarezzzy @PulmCrit @kaynani32 @jmugele @Chris_McStay @moyinscrubs @MRamzyDO @NotSoLilMD @ShehniNadeem @SpyderEM @ZackRepEM @emily_fri Don’t forget a thorough HEENT exam to assess for other obvious causes before assuming pulmonary. Many times this has saved the patient (and me) a long, unnecessary workup

Hemoptysis fave pearls? #FOAMed #foamcc #MedTwitter @elewMD @TheShenger @drjgutt @SkylerLentz @rbyyny @sreeja_natesan @MprizzleER @alvarezzzy @PulmCrit @kaynani32 @jmugele @Chris_McStay @moyinscrubs @MRamzyDO @NotSoLilMD @ShehniNadeem @SpyderEM @ZackRepEM @emily_fri

@EMHighAK @elewMD @TheShenger @drjgutt @SkylerLentz @rbyyny @sreeja_natesan @MprizzleER @alvarezzzy @PulmCrit @kaynani32 @jmugele @Chris_McStay @moyinscrubs @MRamzyDO @NotSoLilMD @ShehniNadeem @SpyderEM @ZackRepEM @emily_fri - New severe AR think aortic aneurysm - Bicuspid AV is risk factor for dissection - phenyleph for critical AS, levophed and/or dobutamine for AR/MR - involve CT surgery early with sick pts - prosthetic valve dysfunction is thrombosis until proven otherwise

Valvular diseases fave pearls? #FOAMed #foamcc #MedTwitter @elewMD @TheShenger @drjgutt @SkylerLentz @rbyyny @sreeja_natesan @MprizzleER @alvarezzzy @PulmCrit @kaynani32 @jmugele @Chris_McStay @moyinscrubs @MRamzyDO @NotSoLilMD @ShehniNadeem @SpyderEM @ZackRepEM @emily_fri

@EMHighAK @elewMD @TheShenger @drjgutt @SkylerLentz @rbyyny @sreeja_natesan @MprizzleER @alvarezzzy @PulmCrit @kaynani32 @jmugele @Chris_McStay @moyinscrubs @Megsahokie @MRamzyDO @NotSoLilMD @ShehniNadeem @SpyderEM @ZackRepEM Most common cause is ischemic Discuss with interventional early Don’t forget valvular causes! If comfortable with echo and there is critical AS —> phenyl is pressor of choice - severe MR —> CT surgery or interventional - severe AR —> try and visualize aortic root for dilation

Cardiogenic shock fave pearls? #FOAMed #foamcc #MedTwitter @elewMD @TheShenger @drjgutt @SkylerLentz @rbyyny @sreeja_natesan @MprizzleER @alvarezzzy @PulmCrit @kaynani32 @jmugele @Chris_McStay @moyinscrubs @Megsahokie @MRamzyDO @NotSoLilMD @ShehniNadeem @SpyderEM @ZackRepEM

Finally some good news! Love this! @CptnWinkee is the best of the best

Just absolute gold from two of the best @EMCases and @kovacsgj Worth every minute of listening Stay safe. Take care of each other. emergencymedicinecases.com/covid-19-prote…

@EMED1776 Literally doing the dirty work to allow hospitals to function and treat patients. Unsung heroes!