When I say “heart failure” you say “BNP”…right? Actually, it turns out clinical judgement outperforms BNP in those with low and high suspicion for HF. Best to use it in intermediate risk patients in whom a low BNP can rule out acute HF as the cause of their dyspnea! #CincyAI

If you are like me, ocular US was not something on you had on your EM bingo card. Turns out it can be used to assess a number of 👁 emergencies like foreign body, retinal detachment, vitreous hemorrhage,even increased ICP! Note that it’s contraindicated in globe rupture #CincyAI

As flu season approaches, be sure to keep some of these “can’t miss” diagnoses that can mimic influenza infection on your radar #CincyAI Photo from emDocs.net

There are several 💊💉 options and combos for procedural sedation & analgesia, each with pros/cons. Be sure to think about the procedure’s requirements (e.g. muscle relaxation for joint reduction), duration, and the patient’s co-morbidities when choosing an agent! #CincyAI

#CincyAI If a patient has any signs of new nasal fracture on exam or imaging, don’t forget to look for nasal septal hematoma! If present & not drained, infection can develop within 3 days and ultimately cartilage necrosis leads to structural collapse

Tracheo-inominate fistula is a rare but feared complication of tracheostomy and usually occurs in the weeks following placement. Important to know that 30-50% of cases occurred after a “herald bleed” (small self-resolving bleed). Call ENT for immediate eval! #CincyAI

You may have heard (lol) that you should drain an auricular hematoma, but then what? Suturing down dental rolls to prevent🩸re-accumulation or placing some mattress sutures may ➡️ better outcomes and speedier return to sports than traditional compressive dressings #CincyAI

#CincyAI Brugada syndrome is a genetic disease affecting Na+ channels. Fever can elicit the classic EKG changes (below) and may also precipitate lethal ventricular arrhythmias. Make sure these pts have close cardiology follow up!

Can’t wait to start my EM career training with the best at the University of Cincinnati! 🚁🩺🥼 #Match2023

#InternIntros 2027 Dr. Vaughan & her twin grew up in Denver before undergrad at @vanderbiltu & med school at @gumedicine At her #CincyEM away she was blown away by the skill, knowledge & kindness in the ED. Her interests in #MedEd & #CritCare are well suited here Erin Vaughan