Neil Dasgupta MD

341 posts

Neil Dasgupta MD

Neil Dasgupta MD

@CodeNeil

ED intensivist, resus/critical care med ed, wannabe everything enthusiast

Long Island, NY Katılım Eylül 2013
251 Takip Edilen226 Takipçiler
Neil Dasgupta MD
Neil Dasgupta MD@CodeNeil·
Hey @Delta, hoping your online team can help where filing reports and calling have utterly failed. Left two boxes on DL 0951 LAX —> JFK on 8/31 in the overhead by mistake, with Star Wars droids my kids built at Disney. Would love some help trying to get them back!!
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Neil Dasgupta MD
Neil Dasgupta MD@CodeNeil·
@armyemdoc Oh man, you got me good! I read this on the 2nd, and my thumbs were trembling in anger, preparing to throw down…
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armyemdoc
armyemdoc@armyemdoc·
Video laryngoscopy is for amateurs. If you are an experienced intubator, your first attempt should always be with direct laryngoscopy.
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Ken Milne MD
Ken Milne MD@TheSGEM·
BIG NEWS! @EM_Owl has joined the #SGEMHOP Faculty She is an Assistant Prof & Director of Research in the Department of Emergency Medicine at the NYU Grossman Long Island Hospital Campus. Suchi is very interested in gender equity in medicine. thesgem.com/faculty/justin…
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Alexander Bracey
Alexander Bracey@BraceyA·
@AMCResus is recruiting fellows for the 2024-2025 class of Resuscitation and Emergency Critical Care (RECC) Fellowship! Please don’t hesitate to contact us at amcresus@amc.edu for more information or to apply!
Alexander Bracey tweet media
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Neil Dasgupta MD
Neil Dasgupta MD@CodeNeil·
@4mmk36 @DanClintonRN @medmalreviewer I find it sad because the therapeutic benefit of tPA is questionable at best, and we’ve built a “standard of care” that has minimal benefit and real harm. Failure to treat stroke with tPA in most cases is probably preferable
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Michal Krawczyk
Michal Krawczyk@4mmk36·
@CodeNeil @DanClintonRN @medmalreviewer Why is that sad, it makes logical sense. Why should you get sued for complications from appropriate administration of tPA? Do surgeons get sued for DVTs after surgical operations? If you administer a drug, and a pt has anaphylaxis, should you get sued for it?
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medmalreviewer
medmalreviewer@medmalreviewer·
Found a malpractice lawsuit stating that it was negligent to admit a TIA patient (symptoms resolved), and that he should have been discharged. Why? Patient has a stroke overnight in the hospital. Neurologist didn't trust the nurse's neuro assessments, so they said no last known normal = no tPA. Patient suffers permanent left side paralysis. Plaintiff attorney says if you weren't going to trust the nurse's assessment, then he should have been discharged home. If he was discharged home, he would have returned to the hospital, and the neurologist would have trusted the patient's self-reported last known normal. Not really the TIA/stroke lawsuit I was expecting, but will certainly raise the issue of if we should even be admitting TIAs (apparently in Canada they do not), and if admitting people to the hospital actually prevents bad outcomes (a narrative that we love to tell ourselves that may not be based in reality).
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Neil Dasgupta MD
Neil Dasgupta MD@CodeNeil·
@MicieliA_MD @medmalreviewer Good lord I would hope so. I do think there is small vessel disease that may benefit from aggressive medical management. There is also large vessel stenosis that causes a perfusion deficit warranting intervention. As @TheSGEM said, it all depends!
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Neil Dasgupta MD
Neil Dasgupta MD@CodeNeil·
@joshmcgoo All the side effects of SNRIs and opiates with no appreciable analgesia? Sign me up!!
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