O2 delivery devices .. how much 02 you hook them to ... they FIO2 they deliver

Corneal Abrasions & Short-Term Topical Tetracaine -RCT 111 uncomplicated corneal abrasions -Tetracaine reduced pain & opioid sparing vs placebo (artificial tears) -Trial too small to rule out rare adverse events -24 to 48hr follow up is KEY rebelem.com/corneal-abrasi… #FOAMed

REBEL REVIEW 97: Sedation and Analgesia Alternative Medications During Drug Shortages rebelem.com/rebel-review/r… #FOAMed #FOAMcc

Critical COVID Observation: Hypoxia + intact mental status ➡️ HFNC/CPAP + Proning w/ good outcomes Hypoxia + AMS ➡️ CPAP for pre-ox ➡️ Mech Vent COVID encephalopathy doesn't improve w/ fixing O2 + almost never does well on NIV

🙌 especially when ICU beds are tight, uncomplicated alcohol withdrawal can be treated with phenobarbital loading in the ED and transfer to the ward (or perhaps even home or a detox center). emcrit.org/ibcc/etoh/

Powerful data CDC demonstrating reduction in hospitalization rates tied to state-wide mask mandates bit.ly/3aHVTTK Tens of thousands of lives can still be saved by implementing nationwide, universal masking

Sniffing position... look how it opens the airway! #MedTwitter

Can we use LR for HyperK+? via Clay Smith journalfeed.org/article-a-day/… #FOAMed HAVE BEEN SAYING THIS FOR YEARS --> "LR did not increase the risk of severe hyperkalemia, even when given to patients with a K of 6.5 mmol/L" #dogmalysis

Not sure what further evidence is needed to convince more people of the efficacy of #COVID19 vaccines...NOT ONE DEATH in those vaccinated!!!

💥☄️

Revamping our ortho cart... holy hand drill 😱. Might be time to let you go

Pancake bar for the staff at work today. How did your shop recognize Certified nurses day?

approach by specialty: neuro: tPA cards: PCI GI: golytely pulm: bronch neph: furosemide hospitalist: IV fluid ID: rec consult surg surg: rec consult IR IR: inari flowtriever urology: tamsulosin neurosurg: mannitol anes: mcgill forcepts EM: ketamine derm: steroid obgyn: c-section

coagulation labs- new chapter! 🩸INR only correlates w/ clinical bleeding in a few situations (eg warfarin) 🩸TEG might more accurately reflect cell-based clotting in vivo? 🩸we order coags on nearly every patient, without fully understanding their meaning emcrit.org/ibcc/coag/

this is better than Bee Movie

Droperidol: Making a Comeback!!! -Onset of Action: 5 – 10min -Peak Effect: 20 – 30min -Duration of Action: 2 – 4hrs -Droperidol not associated with increased incidence of Torsades des Pointes rebelem.com/droperidol-mak… #FOAMed

This is good stuff. I feel like it has been afib summer in my ER