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Alasdair Munro
apsmunro
There’s a lot of magical thinking about IV antibiotics The fact is, the bug doesn’t care how the drug got in. It only cares how much drug gets to
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M. Daniyal Hashmi, MD
MDaniyalHashmi1
Patient sent up to the MICU with presumed distributive shock from sepsisAlways remember to perform a quick POCUS to make sure you're not missing something1) IVC very plump with retrograde
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Tom Bouthillet 🇺🇸🇨🇦🇮🇪
tbouthillet
The 2020 AHA ECC Guidelines! #FOAMed #MedTwitterhttps://www.ahajournals.org/toc/circ/142/16_suppl_2 Glad to see a new link in the chain-of-survival for recovery! Epinephrine for non-shockable cardiac arrest Class IIa "reasonable to adm
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Dan Leisman
danleisman
(1/ )Summaries of the average high impact trial by field:#EBM #medtwitter #epitwitter #FOAMed#Cardiology:We enrolled the entire population of Europe in a trial to detect a composite endpoint occurring in 3%
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Skyler Lentz
SkylerLentz
Great video of breathing pattern in severe acidosis.Be worried if you have to intubate someone like this. Any apnea will make CO2 and pH Also, near impossible to match
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James Nicholson
jamesnchlsn
Thanks med school, for teaching me bugger-all about dressings, but making me learn every stage of the Krebs cycle (obviously critical for clinical practice).My dressing knowledge consists of:- big vs
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John Mandrola, MD
drjohnm
Well, after dismissing the observational trial of remdesivir for #COVID19 last evening. I wake to find a surprise that causes me to relook.@EricTopol, who is an experienced and thoughtful scientist
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Matt Mireles
mattmireles
COVID-19 is NOT ARDSEarly intubation + high PEEP to treat hypoxemia may hurt patients"It seems to be some kind of attack on the capillary-alveolar interface combined with some kind of
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M. Kit Delgado, MD, MS
kit_delgadoMD
#COVID19 is a humbling disease, we've learned a lot in 6 weeks, but there is so much we don't know. #Medtwitter #FOAMed, what clinical observations have surprised or humbled you
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Salim R. Rezaie, MD
srrezaie
Rapid IgM/IgG Testing for #COVID19https://www.ncbi.nlm.nih.gov/pubmed/32104917 Currently RT-PCR, CT imaging and blood work parameters (i.e. ferritin, d-dimer, lymphopenia, etc…) are used to diagnose infection BUT...there are major issues with RT
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Sophia K. McKinley
SophiaKMcKinley
One of the most important pieces of advice I have for applicants gearing up for #VirtualInterviews is to practice! Put on a suit & zoom with a friend. Here are
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Anand Senthi
DrSenthi
This excellent review of #PPE evidence supports the "3 tier" approach in our COVID PPE #guidelinesThe 3rd tier is NOT currently mentioned in Aus guidelines yet widely practiced. See continued
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Dr. Ken Milne - EBM and Rural
TheSGEM
Burnout is a big issue in medicine. How about Puppies PRN or Doggies on Demand to decrease stress of front line ED clinicians? #SGEMHOPhttps://onlinelibrary.wiley.com/doi/full/10.1111/acem.13939Review: http://thesgem.com/2020/02/sgem285-and-i-see-you
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WU in STL Nephrology
WUNephrology
1/7 Amazing image beautifully capturing PT leaving Bowman's capsule.https://twitter.com/browndennis14/status/1264300261347979264 2/7 Who is Bowman? Bowman was a 3/7 Sir William Bowman was an English ophthalmologist at Royal Ophthalmic H
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Ian Lewins
ianlewins
A thread - Starting today as SoMe Editor for @BMJ_PO is a great opportunity to introduce you to an overlooked gem of a journal. I ran a recent totally unscientific
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Skyler Lentz
SkylerLentz
Don't miss cardiogenic shock in the ED! High mortality that increases when diagnosis is delayedUse careful exam, labs, ECG and POCUS to dxA few tips from our recent paper Madison
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