https://emergencymedicinecases.com/anaphylaxis-anaphylactic-shock/#

Kounis syndrome and more about #anaphylaxis

#FOAMed #FOAMcc #emergencymedicine #emergencydepartment #emergencyphysician

https://first10em.com/research-roundup-for-april-2025/

#CriticalCare done well
#FOAMed #FOAMcc #emergencydepartment #emergencyphysician

https://first10em.com/pediatric-front-of-neck-access/

One of the scariest situations and probably the less evidence-based procedure in #emergencydepartment and #CriticalCare

The Pediatric FONA

#FOAMcc #FOAMed #FoamEm #emergencymedicine

https://first10em.com/the-first10em-monthly-wrap-up-for-winter-2025/

#FOAMed community should quit twitter
#FOAMcc #emergencydepartment #emergencydoctors #emergencymedicine

https://first10em.com/i-have-been-doing-this-for-10-years/

"Emergency Medicine is incredibly hard I think it is a reflection of that difficulty that we seem to spend so much of our personal time learning; way more, as far as I can tell, than other professions"

#FOAMed #FOAMcc #emergencymedicine #emergencydoctors

https://youtube.com/watch?v=jFz1WN8LY9A&si=L0ay3YoGmzoi8rTA

Good #personal definition of #status epilepticus #FOAMed #FoamEm #emergencymedicine #emergencydepartment #FOAMcc

https://first10em.com/big-practice-change-coming-how-fast-do-you-correct-hyponatremia/

#FOAMed #FOAMEDcc #FOAMcc #emergencydepartment #emergencymedicine

Pt admitted with sups sepsis from infected diabetic foot ulcer. Increasingly hypotensive and hypoxic through night. Put on NA, HFNC. SA in blood culture and systolic heart murmur, routinely performed TEE #Echofirst #FOAMed #FOAMcc #FOAMus

Important point: don’t be fooled by a hyperdynamic ventricle, could be due to valvular or mechanical complication. #EuroEcho #foamcc

RE: https://bsky.app/profile/did:plc:wl5zwdwkg4kqg25gtxbepfh4/post/3lb2upkv7of22

TEE showes papillary muscle rupture with torrential eccentric mitral regurgitation. Single lobe/lung pulmonary oedema can mimic pneumonia! #FOAMed #FOAMcc

TTE in the ICU gave a clue #FOAMcc #FOAMed, TEE to follow

McConnell's sign is not specific for PE, nor for acute pressure overload. This patient had a persistent McConnell's sign secondary to extensive perimyocarditis. Estimated SPAP 25mmHg, collapsing IVC. #FOAMed #FOAMcc #FOAMed #FOAMus #Echo

Here's a little visual #POCUS trick: When the mitral valve is opening a lot (low EPSS) and the LV is hyperdynamic, but the aortic valve is not opening that much, something is wrong (loop at 50% speed). #FOAMus #FOAMed #FOAMcc

A wee bit of circulation simulation with #Circadapt (http://circadapt.org/) of severe acute AR. Purple: aortic root, red LV, green aortic valve. Reference: no AR, HR 70, MAP 92. Snapshot: 25% area AV deficit (1cm2 "ROA"), HR70. Current: HR increased to 120 #FOAMed #FOAMcc 1/7

A tiny tip: you can measure RR with M-mode if breathing is regular! #foamus #FOAMed https://cloud.butterflynetwork.com/-/shared/3B4gR72yQTCTNdmxlN9Kvg?utm_source=image_share_sheet #FOAMcc

https://thesgem.com/2024/10/sgem455-harmony-5000-prehospital-detection-of-large-vessel-occlusion-strokes/

"SGEM Bottom Line: Early stroke identification is important but can be difficult in the pre-hospital setting even with the existing tools"
Via @thesgem

As ED doc involved also in pre-hospital emergency shifts, I totally agree.
Still searching for a reliable "EKG of the brain".

#FOAMed #emergencydepartment #PrehospitalCare #FOAMcc #FOAMresus #stroke #emergencydocs

https://first10em.com/gestalt-is-better-than-decision-tools-for-identifying-sepsis/

Gestalt is better than decision tools for sepsis... like to say that tools are just tools, not thinking brain?

#FOAMed #FOAMcc #FOAMresus #CriticalCare #emergencymedicine #emergencydocs

#echofirst views of the right ventricle.
#POCUS #FOAMcc #Nephpearls
Courtesy: Bulwer, B.E. (2022) doi 10.1007/978-3-030-83864-5_21

🕊️ PEACE Pediatric Extracorporeal Membrane Oxygenation Anticoagulation CollaborativE Consensus Conference
⚙️ influence of #ECLS circuit & components
💉 anticoagulant medications
🎯 monitoring & targets
🧪 monitoring & replacement of AT, fibrinogen, vWF
💉 antifibrinolytic & adjunct hemostatic agents
🔪 perioperative period
🩸 bleeding & thrombotic complications
🔍 priorities for clinical Research
#FOAMcc #FOAMecmo #PedsICU
Summary 🔓 https://bit.ly/3RU7l5c
& special issue 🔓 https://bit.ly/3XVOqL7

https://emcrit.org/pulmcrit/bsi/

#EMCrit #PulmCrit #FOAMed #FOAMcc #FOAMresus #FOAMresp #FOAMEDcc #emergencymedicine #emergencydepartment