Sara U, MD

@MikePallaci @EMHighAK @emcrit @embouncebacks @HeySteveMD Push the nitro in 1-2 mg aliquots, like how you push Epi. Depending how your RN's set up the drip, the patient may not have gotten what you thought they were getting for up to 5 or 10 minutes.

SCAPE pt today, 3 NTG under the tongue while setting up drip, start drip at 400 mcg/min. No change in BP/SOB. BiPAP 12/6-> 16/12->20/16. NTG up to 500 mcg/min, no change after 15 add'l minutes, BP 250s/140s. What's next? #MedTwitter @EMHighAK @emcrit @embouncebacks @HeySteveMD

🥹🥳😎

@reverendofdoubt Use a neck collar or gentle leader. No harness. And watch Cesar Milan videos about how to walk your dog on YouTube. youtu.be/uU82vpIFbMg

Any recommendations on how to train our 3mo old welsh terrier how to walk on a leash without just sprinting in every direction?

@pediadatrician Maybe KevinMD or Doximity. I can offer any assistance! Love the topic

Q: Why are waits at emergency rooms so long? A: Because the rest of the healthcare system is failing. The patient did everything right, but the healthcare system did them so so so wrong. 🧵… They call their PCP, but can’t get an appointment. So they turn to the ER. They call their specialist, but the call line (automated, no human to respond) says go to the ER. They try to pick up their new medicine, but it’s 3x their monthly rent $ and they already work 3 minimum wage jobs…so they turn to the ER to get a dose of medicine. They try to get their imaging done, but can’t get the prior auth approved. So they come to the ER to get it. Their employer won’t let them take a sick day without a work note (and the ER is the only thing open they can get into TODAY). They need to see their doctor in the clinic, but can’t afford to take time off work to go, much less arrange childcare, and the ER is the only thing open when all those conditions sync up. They lost their job and now have no insurance and can’t see their doctors anyways. So they come to the ER. The list goes on and on and on… Healthcare reform is not about healthcare — it’s about economics, corporate greed, lobby dollars, transportation, housing, politics/policy, culture, and more…

The Doctrine of Charity asks us to assume virtuous intent. To assume the best of others. When someone says something, what is the best they could have meant (instead of assuming the worst)? When someone is failing to deliver is there something else going on? 4/

Omg. Elementary school graduation in the AM and residency graduation in the PM got me 🥺🥺! What a day!!!! Congratulations to all the #EMBound residency grads on #MedTwitter

🚨Reversal agents for current & forthcoming direct oral anticoagulants. Excellent review by Dr. Jeffrey Weitz &colleagues. As novel agents are being trialed, we need to consider how we will manage associated bleeding events or need for emergent procedures. academic.oup.com/eurheartj/arti…

DRH Team 2, station 9 #Sonowar

DRH Team 2, Station #10

My hot take: I love residency and being a doctor. Sure, complaints are ripe for picking, but the truth is, I am living out my dream of being an ER doctor and absolutely loving it 🥰

@wein_rachel @spencergraczyk She is amazing 🤩

@spencergraczyk presenting her superb research project on buprenorphine induction in the ED and its impact on ED visits! Spencer crushed her research this year! I'm so proud watching her present her results at our regional residency conference.

@kim_p_flores HBO: white lotus, hacks, mare of Easttown Netflix: Emily in Paris, Anatomy of a scandal, Queens Gambit, The Crown. (Movies: I care a lot, The Swimmers) Hulu: Dopesick, Only Murders in the Building Apple: 5 Days in Memorial, Ted Lasso, The Morning Show Prime: Mrs Maisel

I need show recommendations. I want to binge watch shows before my life is consumed by intern year.

Our newest post is up! Linton, Minnesota, and Blakemore Tubes Demystified learn the basic anatomy of these tubes. They're not as hard as you think! simkit.co/podcast/linton… @SimKitCo #MedEd #FOAMed

@SarahMiterMD19 @BIDMCSurgery @SidhuGang @SurgeryInova Yassssssss girl get it!!!!!!!!! 🩷🩷🩷 soooo proud #RNtoMD

If you would’ve told younger me that I would be heading to Harvard and train as a cardiac surgeon, I wouldn’t believe you. I am so excited to train @BIDMCSurgery with @SidhuGang et al. Cannot wait! July 2024, here I come! @SurgeryInova

@GamerEMDoc This is amazing! What grade??

My daughter had to reconstruct a skeleton from rat bones found in owl vomit. I told her I was impressed. She said she had to “snap apart some femurs to make a fake spine” bc she “coudnt find enough vertebrae but luckily no one noticed”. 😂

@HeyDrNik @DescallarEd

Gonna need an opinion from #Nightshift gang.

@NICUintheD @DetroitNeurons @WayneStateNeuro @DMC_Heals @aksherma @MariaMuzammil5 Congratulations 🎉

Just in: ACGME accredited Neurocritical care fellowship program at Wayne State University/Detroit Medical Center! @DetroitNeurons @WayneStateNeuro @DMC_Heals @aksherma @MariaMuzammil5

By nature of being an ER doc, I think about the end of life a lot. But the conclusion of the story says a lot about the chapters before it. Write your chapters knowing how you want the conclusion to look, and do it now.

@CorydonWW Isn’t that cause you want to find the barber first and then make sure you live close by? 😉

I’ve spent more time looking for a new barber in LA than I have looking for a new apartment in LA