2minuteEM

1. TTP and Reynold have the monopoly on pentads 2. FATRN full house only seen 7% of the time (remember SATURN V, sort of) 3. PLASMIC risk score

Do you think EM physicians can properly apply, perform and interpret the HINTS exam? onlinelibrary.wiley.com/doi/ftr/10.111… @EdlowJonathan @Hamishmcmack @PeterJohns84 @reverendofdoubt @emlitofnote @mfbellolio #SGEMHOP

Fantastic example of Kerley B lines. Sensitivity 25%, Specificity 95% for LVF. Good at ruling in if present, not so good at ruling out if absent. Peter Kerley was a 20th century Irish radiologist.

@BrownJHM 💠Schmorl’s node: It is a type of spinal disc herniation, involving the protrusion of the soft tissue of the intervertebral disc into the adjacent vertebrae. 💠common in the general population, affecting both young and older individuals.

How I remember IO needle lengths...

And a calloused posterolateral 5th rib fracture 😅 Really useful breakdown of hila on chest radiographs. Good skills

Useful thread with infographic. Remember Heyde’s (not Hades💀) syndrome = triad aortic stenosis, GI bleeding and acquired vWD from shear stress). #FOAMed

Short snappy thread. “Immature platelets express more adhesion proteins”

Has anyone ever told you that you have a big heart?😍 Not too big, let's hope! Tune in this week for our episode on dilated cardiomyopathy! Written by Dr. Jasper Ho (IM resident), reviewed by @katerade88 and @jddneary! Infographic by @shannonygui!

The ICU team is starting to use ‘The Pause’ following the death of a patient @MountSinai. To honour a person and recognize their life. The pause can be led by any member of the interdisciplinary ICU team. When possible, in the presence of the patient’s loved ones.

Photo-Quiz! I'm not even going to give you the patient history. What is it? bit.ly/3kLlX9r @ASMicrobiology

Endoscopic view of the stomach in a patient with cirrhosis and upper GI bleeding. What’s the diagnosis?

Should you WORRY about a WELL looking patient with mild hypotension? Three minutes on When Not to Worry using the 'Four Ws' youtube.com/watch?v=_FU463…

#FOAMed #MedTwitter Useful videos: emin5.com/2016/02/01/hip… dislocation.com.au/hip (for “zero position” extension technique)

Chilaiditi syndrome

“Increasing frailty is associated with higher prevalence and reduced recognition of delirium in older hospitalised inpatients.” Screen for delirium early in frail older patients using the quick and easy bedside 4AT

ED handover: name a plant that atropine comes from. #FOAMed #MedTwitter

New paper published in Emergency Medicine Journal @EmergencyMedBMJ with @andrewdstreet, Christopher Burton, Suzanne Mason, Tony Stone, @Graham_P_Martin, @J_vanOppen, @GERED_DOC. 1/5 emj.bmj.com/content/early/…

🚑 #Delirium prevention in the #ED is potentially effective. ⭐ Interesting qualitative study exploring what actually gets done. ➡️ Commonly performed activities: provide hearing aids & glasses, water, food. 🔗 deliriumcommunicationsjournal.com/article/55690-… @MauraKennedyMD @DeliriumCommsJ

Do you look after older patients who have sustained major trauma? Want more training on this? HECTOR the #SilverTrauma course is coming to Scotland @scotsimcentre on the 20/21 March 2023. #HectorOverTheWall scottishtraumanetwork.com/hector-in-scot…