Navdeep Sekhon
407 posts

Navdeep Sekhon
@NavdeepSekhon2
ER Physician- Prolonging suffering everyday
Houston, TX Katılım Ağustos 2013
185 Takip Edilen140 Takipçiler
Navdeep Sekhon retweetledi

Hot off the Press: Association Between Neuromuscular Blocking Agents and Outcomes of Emergency Tracheal Intubation: A Secondary Analysis of Randomized Trials annemergmed.com/article/S0196-…




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Navdeep Sekhon retweetledi

The Andexxa Showpiece
A beautiful example of a trial designed and conducted to ensure a drug was able to clear the lowest possible bar to deliver the press releases its manufacturer required.
emlitofnote.com/?p=4710

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Navdeep Sekhon retweetledi

Original Article: Tenecteplase for Stroke at 4.5 to 24 Hours with Perfusion-Imaging Selection (TIMELESS) nej.md/3wa2tAR
Editorial: Tenecteplase for Stroke — Opening the Window? nej.md/3OC0FXE
#ISC24 @AHAScience

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Navdeep Sekhon retweetledi

Timely antibiotics and source control are important – but dramatically less critically important unless critically unwell.
Observational studies finding associations with time-to-antibiotics and mortality are frequently systematically biased:
academic.oup.com/cid/article-ab…

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Navdeep Sekhon retweetledi

You are in a busy community ED, getting your 🍑 kicked trying to drink from a firehose. You have a patient in septic shock. In addition to fluids, you are giving peripheral vasopressors.
Do you *actually* need to start an arterial line, or can you get by with cuff measurements?
A prospective observational study published last week of 1852 critically ill adults says yes. There was a mean difference of 6mmHg between the cuff estimated MAP and the A-line. Things that threw off the measurements:
-Very low MAPs
-Higher BMI
-Advanced age
journals.sagepub.com/doi/10.1177/08…
#emergency #emergencymedicine #foam #foamed #foamcc #army #armymedicine #armyemdoc #meded #icu #criticalcare #shock #resuscitation #research #data #medx #medtwitter

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Dr. Moises Gallegos has been recognized with the 2023 ACEP Junior Faculty Teaching Award!
You can read more about Dr. @moyinscrubs teaching tips and philosophy at ow.ly/XBiw50Pr3a8.
#EMontheFarm #StanfordEMresidency

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Return Encounters in ED Patients Treated with Phenobarbital Versus Benzodiazepines for Alcohol Withdrawal via Mary Hamblen, DO Brook Danboise, MD & J.D. Cambron, DO
rebelem.com/return-encount…
#FOAMed #Phenobarbital #Alcohol #AlcoholWithdrawal

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Navdeep Sekhon retweetledi

Drs. @SayreMR, @NickJohnsonMD, @CatherineCounts, and Medley Gatewood are co-authors on a study titled, "Diagnostic yield, safety, and outcomes of Head-to-pelvis sudden death CT imaging in post arrest care: The CT FIRST cohort study."
Full text⤵️
pubmed.ncbi.nlm.nih.gov/37019352/
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Navdeep Sekhon retweetledi

Inspired by @TheSGEM and his "10 papers in 10 minutes" for @EMCases, my "20 papers in 20 minutes" for @acemonline in November! 🧵

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Navdeep Sekhon retweetledi

.@Rick_Pescatore in his first-ever InFocus column: An indispensable analysis of the @ACCinTouch’s new decision pathway for #chestpain in the #ED. This consensus, he says, will guide disposition & be the standard to which management may be compared. #FOAMed bit.ly/InFocus-EMN

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My patio. With accoutrements from travel.
#PGY17

Dr. Mac MD, MBA@Dr_mac2
TBH I would rather spend time talking about the food scene, traveling as a resident, and where I was when the astros won the World Series… But that’s just me 🤷🏾♂️ 4/
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Navdeep Sekhon retweetledi

Take note: pub'd online Oct 11 2022, ACC now is formally endorsing deWinter T waves, as well as modified Sgarbossa criteria for LBBB + pacemakers as "STEMI equivalents" and need for immediate angiography. At last! #foamed jacc.org/doi/epdf/10.10…

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Navdeep Sekhon retweetledi

I am an emergency physician at Parkland Hospital, the busiest emergency department in the country. I have had ZERO physical assaults by patients on any ED healthcare workers in SEVEN YEARS while I was working. It CAN be done and is NOT part of the job. onlinelibrary.wiley.com/doi/full/10.10…
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I have been promoted to Associate Professor with tenure @bcmhouston
GIF
Cedric Dark, MD, MPH, FACEP@RealCedricDark
Announcements Forthcoming
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Navdeep Sekhon retweetledi

Neurologist @ravigarg415 provides his thoughts on tPA for #stroke in this @EMNews article & discusses his recent analysis of the NINDS study. journals.lww.com/em-news/Fullte…
@UofTNeurology @UCLAStrokeNeuro @First10EM @KirstyChallen @emlitofnote @DrHowieMell @TheStrokeAssoc @ZoiNetou
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💥My top 10 learning points from the #ESCCongress 2022💥
A thread for cardiologists/general physicians
1) Addition of IV acetazolamide to IV furosemide in AHF results in 46% higher incidence of successful decongestion after 3 days
EVIDENCE: ADVOR nejm.org/doi/full/10.10…




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