1/ Why can furosemide improve dyspnea/pulmonary edema from acute congestive heart failure within minutes of administration? The answer does not involve diuresis. #medtwitter #tweetorial

Day 1 of my Internal Medicine block and respectfully….No.

whoever came up with this shot needs a raise x.com/thexjoc/status…

My favorite thing is that ortho fellowships are just named after the body part. Ppl like I matched hand! I matched elbow! I matched knee!

In emergency medicine we don’t say “I love you” we say “why are you still here go home” and to me that’s beautiful

Bringing this back for the new interns because this tweet completely shifted my perspective when I started last year. Good luck and enjoy!

🧵regarding the useful technique of 'straightening the wire' during central line placement when the plastic guide is no longer within reach. If you do a lot of central lines (or a lot of percutaneous procedures), this technique will come in handy over and over again. (1/ )

ICU (Central Venous/Arterial) Line Secrets - Part 1: An ICU where the patients have no central lines & are not connected to ventilators is not a real ICU. This may be a controversial statement but in my humble opinion not far from truth

today I apologized for asking a nurse a question and she responded with “in the clerb, we all fam”

1/Do radiologists sound like they are speaking a different language when they talk about MRI? T1 shortening what? T2 prolongation who? Here’s a translation w/an introductory thread to MRI.

Student I was counting on to nod throughout the lecture stopped nodding

“Ventilator Modes Overview 🫁: 1️⃣ VC (Volume Control): Fixed volume; good for LPV but risk of barotrauma. 2️⃣ PC (Pressure Control): Set pressure; prevents barotrauma but may cause hypoventilation. 3️⃣ PRVC: Adaptive mode; ensures tidal volume but increases work of breathing. 4️⃣

There is no better feeling than walking into a shift and finding out the best nurses in your department are on your team for the day

(1/x) Intubating a critically ill patients is the most dangerous procedure we do in the ICU (3.1% cardiac arrest rate) not because of hypoxia or tube placement, but hemodynamic collapse 🫀 (Russotto et al. JAMA 2021) A 🧵on making high risk hemodynamic intubations as safe as

Every week, I see a new study talking about this or that effect of GLP-1 receptor agonists like #ozempic. FINALLY, we have a study evaluating all the outcomes (good and bad) in one dataset. There are some... surprises. 🧵

Confession: I LOVE hyponatremia 🤓 (I know, I know. What can I say, I'm a true internist!) HypoNa is often feared, maligned, and misunderstood - but I promise it doesn't have to be scary! Here are my top 10 hyponatremia tips and tricks - a 🧵

Starting residency can be challenging—presenting 10 patients daily on floors is no joke! Here’s my approach to staying efficient: -Arrive early. -Review age, PMH, and chief complaint. -Check ED vitals, labs, imaging, and where the patient came from. -Review overnight events

Saturday overnight shift ⁦U of Maryland Emergency Med⁩ #foamed #WhiteBoardTeaching