Anup Shrestha

Nitrates administration in right ventricular MI - go or no-go? doi: 10.1136/emermed-2021-212294

@TravelingToads Hey guys, do you have recommendations for where to exchange for euro in Lisbon? at the airport? or If there is any preferred location in Baixa-Chiado area?

Check out our latest blog post… all about Faro 🇵🇹 🔗thetravelingtoads.com/post/48-hrs-in…

1/16 How does diabetes mellitus (DM) lead to an increased risk of infection? I'll often hear this referenced on rounds or in morning report, but I don't recall having heard the mechanism. As you might guess, there are many potential explanations; let's look at one of them...

How Panama canal works [🎞️ Joe LeMonnier] twitter.com/i/status/17588…

1/ 23 yo M in brought in after a car crash. He is hypotensive & comatose. He is intubated with in-line neck stabilization. CT spine demonstrates a C5-C7 fracture dislocation with associated cord compression. A #ContinuumCase about 🫀& 🫁complications in traumatic spine injuries

Great perspective piece from @NEJM that #IDTwitter will relate: "But my white count..." nejm.org/doi/full/10.10…

@joshparkpharmd Caffeine IV for post dural puncture HA??

Prepping a talk on common pharmacotherapy practices that we do for no reason in #Emergencymedicine. What are some practices you still see at your institution? Share below please! #Medtwitter #FOAMed #TwitteRx #EMRx

@jtrebach Severe colchicine poisoning treated successfully with kidney replacement therapy and plasmapheresis: a case report tandfonline.com/doi/full/10.10…

mysterious death + GI symptoms + multiorgan failure = sounds like a colchicine murder colchicine has a NARROW THERAPEUTIC WINDOW which means the line between treatment dose and toxic dose is very small also there's no antidote i hate colchicine kstp.com/kstp-news/loca…

poisoning with eyedrops??? BUT HOW?? a thread on tetrahydrozoline tox 🧵

🔥Recently published RCTs in Infectious Diseases 🔥 1️⃣@asap_trial @NEJM 2️⃣SOAB RCT @CMIJournal 3️⃣ACORN RCT @JAMA_current 4️⃣ACT HIV RCT @NEJM 5️⃣SAFO RCT @NatureMedicine 6️⃣ERADICATE RCT @NEJM #yournextJC #IDXposts Thread 🧵

@IM_Crit_ atenolol in elderly patients with CKD

6. Bradycardia is not only a side effect of beta- & calcium-channel blockers. If the patient is also on clonidine + tizanidine (muscle relaxant), we should try to get rid of them first before consulting EP (Electrophysiology)

10 in 10 (Random collection of) ICU Pharmacy Pearls (or: Pet Peeves): I witnessed all of them the last month & decided to write them down. You may disagree with many of them but there we go: 1. If the patient is on warfarin, presents to the ED w massive upper GI bleeding &

The following videos by doctor @amalmattu can help with proper understanding of this topic👇 youtu.be/M0VG7f3GZEY?si… youtu.be/UXh8PS9dtmo?si…

🆕 Episode of CCT: Vasopressors - Beyond the Basics! 🔴starting a 2nd pressor (& which one) 🔴adding steroids (& why include fludricortisone) 🔴3rd line pressors 🔴when pressors fail (LVOTO) 🔴vasodilator scavengers (methylene blue, hydroxycobalamin) 🔴weaning OFF pressors 1/

What John Mayer did on Althea last night was absolutely ridiculous. I’ve watched this like five times since last night and don’t plan on stopping anytime soon. cc: @willdefries @BarstoolBigCat

@tykiser @uchealth @CUAnschutz @CUPharmacy Congratulations 🎉🎊Dr Kiser !!

Celebrating 2 decades at UCHEALTH @uchealth @CUAnschutz @CUPharmacy

Excited to announce that our winners are @EMPharmD_Rob @PharmacyToDose @HawkeyePharmD @SielPharmD and @rx_mamajama !!! Our sale is over on July 4th so make sure to spread the discount to those you know taking the BCPS, BCCCP, and BCEMP. #BCEMP #BCCCP #BCPS #TwitteRx

🚨🚨#PROCBLEED is out! doi.org/10.1053/j.gast… ➡️>1,000 pts w/#cirrhosis undergoing non-surgical procedures ➡️Risk of bleeding is low (3%) ➡️Plt/INR not predictive of risk ➡️Transfusion not protective ➡️Bleeding associated w/BMI, MELD, & mortality #livertwitter #gitwitter

The day has come, if you need a breakdown of this important new antimicrobial agent, check out our review of SUL-DUR #CRAB #Acinetobacter #Sulbactam-durlobactam accpjournals.onlinelibrary.wiley.com/doi/full/10.10…

@DrCanuckMD Give him all the attention he is begging for 🤨

@PharmWyze Syndrome of Irreversible Lithium-Effectuated Neurotoxicity (SILENT). Persistently elevated levels despite days of intermittent HD. Case of intentional Li overdose

Did you come across any good learning cases recently? I'd love to read up on it. 😄

Attention📢📢 : New aneurysmal subarachnoid hemorrhage guidelines just dropped! Lots of new updates to the last guidelines published in 2012, lets check them out below 👇 link.springer.com/article/10.100…