Geoff

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Geoff

Geoff

@ED_Doc_G

Newly minted EM Doc; Daddy, Cancer survivor x2; Former First Responder, EMT, ED Tech; FOAMed | Emergency Medicine | EMS | Resuscitation | ECMO

Brooklyn, NY Katılım Mart 2020
176 Takip Edilen83 Takipçiler
Geoff retweetledi
the EMCrit Crew
the EMCrit Crew@emcrit·
EMCrit Wee - An Airway Discussion with Jonathan St George of the Protected Airway Collaborative Informal chat on the DAS guidelines and a bunch of other airway stuff. emcrit.org/y6ud
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Amal Mattu
Amal Mattu@amalmattu·
33yo M w/2 hrs of CP; computer and AI called it normal. But good old-fashioned HI (human intelligence) called it positive. Kudos to Dr. Mohammad Assiri, dx'd South African Flag sign, 100% D1 blockage, life saved! #foamed
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𝙟𝙤𝙨𝙝 𝙛𝙖𝙧𝙠𝙖𝙨 💊
𝙟𝙤𝙨𝙝 𝙛𝙖𝙧𝙠𝙖𝙨 💊@PulmCrit·
recent encounter: patient family: “Your team reminds us of the Pitt… We know you’re doing everything you can and we trust you.” the Pitt explains how medicine works to the public (eg interns and students are an integral component of care) congrats to Wyle N et al 🐐
Noah Wyle Updates@NoahWyleUpdates

Noah Wyle has made history tonight! He has won ALL FIVE major actor awards for a male performance in one season of a television show!✨ These include the Critics Choice Award, Emmy, Golden Globe, Actor Award, and the Television Critics Association Award (not pictured).

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𝙟𝙤𝙨𝙝 𝙛𝙖𝙧𝙠𝙖𝙨 💊
𝙟𝙤𝙨𝙝 𝙛𝙖𝙧𝙠𝙖𝙨 💊@PulmCrit·
medicine is great at creating unnecessary problems to subsequently solve. medicine: we gonna force you to renew your zoloft script every month for the rest of your life also medicine: WOW we can get a robot to sign the refill requests, THIS IS AMAZING
Andrew Curran@AndrewCurran_

Utah has become the first state to allow AI to renew medical prescriptions with no doctor involved. The company, Doctronic, also secured a malpractice insurance policy for their AI. Their data also shows that their system matches doctors treatment plans 99.2% of the time.

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𝙟𝙤𝙨𝙝 𝙛𝙖𝙧𝙠𝙖𝙨 💊
𝙟𝙤𝙨𝙝 𝙛𝙖𝙧𝙠𝙖𝙨 💊@PulmCrit·
antiseizure meds has a PK/PD profile similar to beta-lactam antibiotics: -efficacy relates to the trough -toxicity relates to the peak so benefit/risk ratio is maximized with smaller, frequent dosing hard to do outside the hospital re: adherence but easy for inpatients
GIF
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𝙟𝙤𝙨𝙝 𝙛𝙖𝙧𝙠𝙖𝙨 💊
𝙟𝙤𝙨𝙝 𝙛𝙖𝙧𝙠𝙖𝙨 💊@PulmCrit·
serious question: has there ever been a high-quality RCT that demonstrated clinically meaningful benefits from pulse-dose steroid (e.g., 500-1000 mg/day methylprednisolone) as compared to a moderate dose of steroid (e.g., 1-2 mg/kg/day prednisone)? for *any* disease?
GIF
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𝙟𝙤𝙨𝙝 𝙛𝙖𝙧𝙠𝙖𝙨 💊
𝙟𝙤𝙨𝙝 𝙛𝙖𝙧𝙠𝙖𝙨 💊@PulmCrit·
amp-gent-clinda? the 1990s are calling and they want their antibiotics back yes it will work, but we have simpler & less toxic options now you could get the same coverage from a single agent (eg piptazo) with far fewer side effects
caldas92@jpcaldas92

What do you think about the typical combination of ampicillin + gentamycin + clindamycin for G&O infections? I’m not sure about gentamycin as monotherapy for gram negative outside the urinary tract and clindamycin seems unreliable for anaerobes. @BradSpellberg @DrToddLee

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Cliff Reid
Cliff Reid@cliffreid·
In DKA don’t chase the pH /bicarb You need to know when ketones have cleared (via direct measurement or anion gap) Otherwise may end up treating an iatrogenic hyperchloremic acidosis with iv insulin delaying transition to subcut This is why we go on about balanced crystalloid
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Mohammed Mar'ae Asiri🇸🇦
Mohammed Mar'ae Asiri🇸🇦@Asiritrauma1·
@abdulhamid_199 I am a trauma surgeon.. Doing almost daily Trauma Resuscitation for >25 yrs.. We don't use Trendelenburg position in Trauma Resuscitation ( even if in hemorrhagic/hypovolemic shock)🟥
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Cliff Reid
Cliff Reid@cliffreid·
There's more to shock management than fluids and vasopressors For every type of shock there are important surgical causes to consider which can kill the patient if missed Primary and secondary surveys don't just apply to trauma!
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Geoff retweetledi
𝙟𝙤𝙨𝙝 𝙛𝙖𝙧𝙠𝙖𝙨 💊
𝙟𝙤𝙨𝙝 𝙛𝙖𝙧𝙠𝙖𝙨 💊@PulmCrit·
🔥Fresh blog🔥 Hot take on RSI trial of ketamine vs etomidate RSI & EvK trials both show *more* BP instability with ketamine *but* lower mortality with ketamine BP drops with ketamine may relate to less pressor before intubation and/or superior analgesia... #1/2
𝙟𝙤𝙨𝙝 𝙛𝙖𝙧𝙠𝙖𝙨 💊 tweet media𝙟𝙤𝙨𝙝 𝙛𝙖𝙧𝙠𝙖𝙨 💊 tweet media𝙟𝙤𝙨𝙝 𝙛𝙖𝙧𝙠𝙖𝙨 💊 tweet media𝙟𝙤𝙨𝙝 𝙛𝙖𝙧𝙠𝙖𝙨 💊 tweet media
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Geoff retweetledi
𝙟𝙤𝙨𝙝 𝙛𝙖𝙧𝙠𝙖𝙨 💊
𝙟𝙤𝙨𝙝 𝙛𝙖𝙧𝙠𝙖𝙨 💊@PulmCrit·
updating the IBCC chapter on ECMO any recent advances or important articles I should include? please share any recent practice-changing insights you’ve had about ECMO 🙏 (it’s one of the harder chapters to update due to high volume of new research)
𝙟𝙤𝙨𝙝 𝙛𝙖𝙧𝙠𝙖𝙨 💊 tweet media
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Keşfet

@marco_propersi @MRamzyDO @EMSwami @srrezaie @UMEmergencyMed @abdulhamid_199 @elonmusk @BarackObama