Gregory Wu

248 posts

Gregory Wu

Gregory Wu

@MICUNerd

ER Doc. Intensivist. A 21st Century Generalist. My opinions are purely my own, and do not represent medical advice or endorsement of my employer(s).

Katılım Nisan 2020
136 Takip Edilen217 Takipçiler
Gregory Wu
Gregory Wu@MICUNerd·
@JamesJae5 @pulmtoilet @emily_fri This is the answer. Before we go back to checking CRP/pre-albumin ratios, let's remember we already did these studies. Hypoalbuminemia is associated with poor outcomes but is non specific in its etiology.
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James Jae
James Jae@JamesJae5·
@pulmtoilet @emily_fri I was under the impression that albumin is a poor marker of nutritional reserve, but remains a good marker for severity of inflammation/illness.
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Emily Fridenmaker
Emily Fridenmaker@emily_fri·
Maybe we should think of serum albumin as a marker and not a metric to target.
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Gregory Wu retweetledi
SLU Emergency Medicine Residency
.@sluemres: “Not another difficult airway!” @micunerd: “Come be a ‘Bronchosaurus’ ”!!! @MICUNerd from @AMCResus leads the very popular workshop on ‘Awake Fiberoptic Intubation’ at #AAEM24… with @GlideScopeVL… One more session this morning! @aaeminfo @AAEMRSA #AAEM24
SLU Emergency Medicine Residency tweet mediaSLU Emergency Medicine Residency tweet media
Gregory Wu@MICUNerd

Interested in becoming a true #emergencymedicine airway master? Come get some practice with the awake fiberoptic intubation clinics at #AAEM24! We have two sessions this year with expert #criticalcare faculty! 4/30 at 2:45pm CDT and 5/1 at 9:00am CDT. @aaeminfo

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Gregory Wu retweetledi
Gregory Wu
Gregory Wu@MICUNerd·
@PulmCrit Definitely agree that amnestic effects of midazolam are generally sufficient for cardioversion. Never made a lot of sense to give an opioid as well given the risks. That said I like 0.15mg/kg etomidate; more reliably accomplishes the desired effect and wears off very quickly.
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𝙟𝙤𝙨𝙝 𝙛𝙖𝙧𝙠𝙖𝙨 💊
midazolam sedation for cardioversion: lotta ways to do this, but midaz is a safe & simple strategy that is well validated (>15 publications including >~1000 pts) and hard to mess up. I like this because, frankly, it's relatively hard to kill people with midazolam monotherapy.
𝙟𝙤𝙨𝙝 𝙛𝙖𝙧𝙠𝙖𝙨 💊 tweet media
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Gregory Wu
Gregory Wu@MICUNerd·
Interested in becoming a true #emergencymedicine airway master? Come get some practice with the awake fiberoptic intubation clinics at #AAEM24! We have two sessions this year with expert #criticalcare faculty! 4/30 at 2:45pm CDT and 5/1 at 9:00am CDT. @aaeminfo
Gregory Wu tweet media
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Gregory Wu
Gregory Wu@MICUNerd·
@emily_fri @nksefa Fair point. I'm curious, did all the ports draw back blood? Was agitated saline seen in the RV after injecting the distal port? I've definitely seen very badly placed CVCs that would have caused issues if we used them, but testing the line saved the day everytime.
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Gregory Wu
Gregory Wu@MICUNerd·
Clearly the CVC is superior in septic shock! annemergmed.com/article/S0196-… When was the last time a CVC extravasated? How about a PIV or midline? (Me: never & yesterday) They're easier for nurses to prevent incompatibilities. PIV and midline BSI are real! #emergencymedicine @nksefa
Albany Med Resuscitation Fellowship@AMCResus

3-way Clinical Controversies @AnnalsofEM: What vascular access do you use to manage septic shock in the ED? CVCs can't be supplanted: annemergmed.com/article/S0196-… Midlines are optimal: annemergmed.com/article/S0196-… Peripheral IVs are preferable: annemergmed.com/article/S0196-…

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