Brian Gilberti, MD

@EMBoardBombs CXR has poor sensitivity for PNA, detecting pulmonary opacities only 43.5% of the time (pubmed.ncbi.nlm.nih.gov/23083885/). A normal CXR doesn’t rule out CAP. Clinical judgment should drive diagnosis and treatment—relying on imaging alone risks missed cases and delays in care.

Diagnostic criteria for CAP: fever, respiratory symptoms & imaging evidence of an infiltrate. If you don't have these, don't prescribe antibiotics for the indication of pneumonia.

Imagine being an ER doctor in 2025 and not knowing how to do a Fascia Iliaca nerve block (here’s how👇) youtu.be/TN-jyaNuESc?si…

From Strike Comes Strength -- Keep Going

"More Than Enough" For all of the providers toiling away.

the seizure risk of flumazenil across 13 placebo-controlled RCTs in benzodiazepine overdose is 0.5% (3/579 pts) in contrast, naloxone provokes seizures in 4% of treated pts following suspected opioid overdose

🌟ANTIBIOTICS - Spectrum of activity

Ankle Sprains — From the unforgiving sidewalks of urban life to the high-stakes pivots on the sports field, we encounter ankle sprains commonly in Emergency Medicine. Dive into our video to enhance your understanding of ankle anatomy, injury grading, and management strategies.

pheochromocytoma is ridiculed as a zebra dx with an incidence of 0.8/100,000 pt years withholding ondansetron d/t risk of TdP is considered reasonable care when the incidence of drug-induced TdP is 0.4/100,000 pt years

🌟 VASOACTIVE DRUGS - Mechanism of action

Phenobarbital is my new favorite drug for alcohol withdrawal. Where has it been all this time!?! #MedTwitter

a terminally flawed review of neuroleptic malignant syndrome was published in the NEJM yesterday: nejm.org/doi/full/10.10… - no mention of ice-water immersion for hyperthermia - patient in fig. 1 is being cooled with an arctic sun - acetaminophen recommended for hyperthermia

@gordogesic burger

We’ve seen a spike in usage since Covid due to its easy access, take a second to refresh your knowledge of this popular street drug.. Don’t forget to bookmark 🔖 🧵 1

1/ Today's 🧵is about "VT" versus "SVT with aberrancy". The aim of this thread is to provide basic tips on how to apply some of the most used criteria that might be helpful in diagnosing VT. #CardioTwitter Note that the following features are suggestive of VT, but their absence does not exclude VT. @ekgdx

Let’s start this new year out by talking about an important topic of sexual health that emergency providers are uniquely positioned to educate underserved patients on 👇 #MedEd

@ROKeefeMD @LITFLblog @Core_EM Thanks for the mention, Dr. O’Keefe. We also did an episode on hyperkalemia a couple months ago - podcasts.apple.com/us/podcast/cor…

These @LITFLblog and @Core_EM blogs are excellent, and are the source of the images included in this thread. litfl.com/hyperkalaemia-… coreem.net/core/managemen… 15/15

VFib and Arrythmias In zones of differential excitability, some areas may respond quickly to an electrical impulse, while others respond more slowly or not at all. This can lead to uncoordinated contraction of the venticular muscle (resulting in VFib or PEA). 14/15

“Inspiration is perishable and life goes by fast. Inaction is a particularly insidious type of risk.”

Have you listened to our podcast on VTach Storm? This is a phenomenon you want as much knowledge of as possible PRIOR to having to treat it. Here’s a brief summary ⬇️🧵1/5 #MedEd

Let’s sharpen your approach to performing the primary survey in traumas with this quick video by our very own #MedEd youtu.be/aJKt5o5szVU?si…

Today we review our podcast on vasopressors with Dr. Catherine Jamin, Vice Chair of Operations and associate professor of emergency medicine at NYU, along with being triple boarded in emergency medicine, internal medicine, and critical care medicine. Listen in on our discussion of this essential yet nuanced topic. 🧵 1/9 #MedTwitter @BrianGilberti