Unfortunately a pretty well known, but thankfully uncommon, problem to the area.

If you’re like me an unfamiliar with this device (and most neurosurgical techniques), the manufacturer has a few nice videos on their website about it. youtu.be/P_OHr5hrzeE?si…

Implications of this trial for neuroradiology reporting:
1) clearly distinguish lobar intracerebral hemorrhage (ICH) from deep location
2) estimate the volume of hematoma

Lobar spontaneous ICH of 30-80 mL may benefit from early (<24h) evacuation.

In the ENRICH trial of minimally invasive cerebral hematoma removal within 24 hours after onset of hemorrhage, functional outcomes were better with surgery than with medical treatment, particularly among patients with lobar hemorrhages. Full trial results: nej.md/3VPYggf

Honestly don't know how to earn that 5th star

“International Club of Ascites (ICA)” is my new favorite name for an organization!

Too much PEEP is deleterious.

#idboardreview unimmunized child w/fever, cough, nasal inflammation followed 2 days later by diffuse nonpruritic maculopapular rash on face then chest then arms/legs. Exam: red conjuctiva, cbc, chem normal, chest clear, cxr b/l interstitial infiltrates #idtwitter #idxposts #meded

Med Twitter’s fuel for the week:

WELCOME ‼️‼️‼️ TO OUR NEW TEMPLE EM CLASS OF 2027!!!!!!!!!!! WE ARE SO BEYOND EXCITED TO HAVE YOU JOIN THE FAMILY 😭😭🎉🎉🎉💃💃🥰😁🥹😭😭🎉🎉🎉🥰😁🥹😭💃

#match2024 #emergencymedicine #emmatch #templeem

Send medical supplies to Tanzibar by motorcar?

Tragic. The toxin seems to be poorly characterized, and most published case reports of chelonitoxism are light on clinical details.

Scary!

Can high PEEP worse oxygenation?

Yes!

A recent case to illustrate

#foamed #foamCC

A person has a witnessed aspiration event after a procedure and is severely hypoxemic requiring intubation

radiopaedia.org/articles/12302 (image)

I mean, yeah, I like pushing the boundaries of EM and trying to be a good citizen in the House of Medicine and helping out other specialties and pts when we can. But this seems a bridge too far. Screening for primary aldosteronism in the ER?