Shaynna Mann

#POCUS #MedTwitter ❇️ 3 easy steps for evaluating shock using IVC ‼️ 1/ ♦️If IVC is small from reduced mean systemic venous pressure (Pms) ⬇️ ♦️Hepatic venous flow 🟰 normal (S>D)

@SLUgrounds Anyone have any knowledge of when the dog park will reopen?

Unfortunately the Ellen Clark Sculpture park will be closed until further notice.

Routine Laboratory Testing is not Required Prior to Admission of Psychiatric Patients via @First10EM first10em.com/routine-labora… #FOAMed Although I agree with this...it's not ED docs that need to be convinced, it's the psychiatrists

Peripheral Pressors for All? Peripheral Norepinephrine Infusion via @spoonfedEM journalfeed.org/article-a-day/… #FOAMed 14k pts got PIV norepi infusion Median size of IV 18g 60% of IVs in antecubital fossa 5pts (0.035%) had extrav No serious complications or skin necrosis reported

Inspiring lecture by Dr. Peter DeBlieux at #ACEP19: Therapeutic momentum Choices we make in the ED with sedation, vent settings (FiO2!), vasopressors, and antibiotics often continue in the ICU, and may have profound downstream effects for our patients. #upstairscaredownstairs

How to hook up a needle cric @FortWorthEM

@FortWorthEM @MelHerbert @JessMasonMD Savage garden? @MelHerbert @JessMasonMD 🌱🍃🌺

Congrats @anantpatels! Well deserved twitter.com/FortWorthEM/st…

Contrast absolutely safe to be given through IO for radiology studies. @vbebarta #rebellion18

Incl. contrast and blood ... #FOAMems twitter.com/srrezaie/statu…

Massive PE. Give thrombolytic. Full dose vs half dose? Unsure. Start with lower dose, can always give more. @CriticalCareNow #rebellion18

TXA isn’t a procoagulant it’s an anti-fibrinolytic. Consider TXA outside of trauma as an adjunct to stop severe bleeding in epistaxis, post-tonsillectomies, GI bleeds, hemoptysis, and ICH. @FortWorthEM #rebellion18

.@CriticalCareNow: “If you don’t treat the RV right, it will screw you.” #rebellion18

The rebel himself, @srrezaie, kicking of #Rebellion18.

Checking pulses? Your fingers are really unreliable. Use ultrasound during rhythm checks to see under the skin. @CriticalCareNow #Rebellion18

Survival to discharge based on initial intra-arrest cardiac US: -Standstill: 0.6% -Pseudo pea: 4% @FortWorthEM #rebellion18 @SonoShedd @canuck4199

The chaos continues! ... with some "dirty dancing!" #EMRAatCORD18 #CORDAA18 @CORD_EM

Chaos in the ED bar is open for business! Bloody Mary or Mimosa? You choose! #EMRAatCORD18 #CORDAA18 @CORD_EM

Wanna test pupillary light reflex but eye swollen shut? Ultrasound swollen eye Shine light in opposite eye Watch pupil!