D-dimer has very poor specificity. It is almost invariably elevated in patients with renal disease and can be falsely negative in cases where PE formed > 72 hours prior. #FoaM4Cook Cook County EM

80% of Stevens-Johnson Syndrome can present with mucous membrane involvement (first symptom in 30%); these include oropharyngeal, ocular (80%), anogenital, GU and endotracheal/bronchial involvement. All with potentially severe complications. #FoaM4Cook Cook County EM

HINTS (head impulse, nystagmus, test of skew) exam may be more sensitive for central causes of vertigo than MRI. Here is a great video showing how best to perform the exam. collections.lib.utah.edu/details?id=177… #FoaM4Cook Cook County EM

Fosphenytoin, while more expensive than phenytoin, is delivered 3 times faster due to different diluent, and should be considered in status epilepticus as longer seizures lead to worse outcomes. #FoaM4Cook Cook County EM

a RCT of patients with cannabis hyperemesis syndrome showed that the use of haloperidol was associated with improvement in the rates of acute nausea and abdominal pain, shorter EM LOS, and shorter time to discharge. pubmed.ncbi.nlm.nih.gov/33160719/ #FoaM4Cook Cook County EM

Anaphylaxis Definition: either of following, usually w/in min - hrs of allergen exposure •Hypotension after known allergen exposure •2+ symptoms: ◦Skin/mucosal involvement ◦Respiratory difficulties ◦GI symptoms ◦Hypotension #FoaM4Cook Cook County EM

SALT ED and SMART trials show normal saline may increase the occurrence of major kidney events in comparison to a balanced solution like LR. For large volume resuscitations, LR is a better choice. #FoaM4Cook Cook County EM

Some tips for altered mental status patients. 1.Investigate – reach out to family, bystanders, EMS, PMD, pharmacy 2.Never discharge if they are not back to their baseline #FoaM4Cook Cook County EM

“reliance only on pulse oximetry to triage patients…may place Black patients at increased risk for hypoxemia…the variation in risk according to race necessitates the integration of other clinical and patient-reported data” #FoaM4Cook Cook County EM nejm.org/doi/full/10.10…

I’m Ruthe Ali an #EMbound MS4 at RUSH Medical College in Chicago. Hoping to find a program that promotes justice, serves its local and global community and works to create a positive learning environment for residents. Nearby Ethiopian Restaurants are a plus🇪🇹✊🏽#MedTwitter

Let me reintroduce myself to #MedTwitter 🥳 my name is Angela and I’m an M4 in Chicago jazzed about Psychiatry. My interests include Black & LGBTQ+ mental health, cheffing in the kitchen, & a good sneaker. Can’t wait to connect with all of you! #psychtwitter #BlackExcellence

Emergency Medicine: What happens when the nerds from high school realize they are the coolest people in medical school…

I have PTSD looking at this 😂

Looking forward to this!

Check out this video from PBS: Chicago Tonight: Black Voices, Black Women Die of Breast Cancer at Much Higher Rate pbs.org/video/black-wo…

🎉Huge welcome to the newest members of our Cook County EM family, the class of 2027! We cannot wait for you all to join us! 🎉 #emergencymedicine #cookcountyem #match2023

Hi #MedTwitter! Time for an official #Match2024 intro: My name is Marissa Pharel, an MS4 at RUSH Medical College in Chicago. I’m applying #Psychiatry, & my interests include CAP, MedEd, health equity, & advocacy! Can’t wait to connect with mentors and peers ✨ #PsychTwitter