We are thrilled to announce our new Class of 2027 residents! We can't wait to welcome each and every one of you to The Farm in person! #Match2023 #EMBound #StanfordEMresidents SAEM #MatchDay2023

Can’t believe I’m heading to my dream program Stanford Pathology for the next big adventure! #Match2023 #PathMatch2023

New ARDS definition🫁 What's new👇 1⃣HFNO ≥30 L/m 2⃣SpO2/FiO2 ≤315 & SpO2 ≤97 3⃣Ultrasound diagnosis of bilateral opacities 4⃣Consideration for resource-limited settings But it's hard to know the consensus process from one-page abstract🤔 🔗atsjournals.org/doi/abs/10.116… #FOAMcc

The results from our DEVICE trial are out in the NEJM . In this RCT, direct laryngoscopy was inferior to video laryngoscopy for first-pass success. In fact, it was so inferior that we had to stop the trial early after DSMB review due to the clear benefit of VL. This is the 🔨

Curious about the practice of exchanging central lines. Can it really be done in a sterile fashion? If so, how do you do it? 𝙟𝙤𝙨𝙝 𝙛𝙖𝙧𝙠𝙖𝙨 💊 Emily Fridenmaker IMCrit @cjosephy Alex Estrella

Inpatient Teaching Tip #467: If your patient is >90 years old, your primary goal should be to get them out of the hospital as fast as possible

Congratulations to Katie Lebold, MD, PhD, Stanford University, who was selected as the Annals Resident Fellow for 2023-2024. Katie Lebold, MD PhD, THE EM's, OHSU School of Medicine

Excited to see my first ever narrative piece about trauma activations and potential patient harm published this month in @ACEPNow! Tell me what you think: acepnow.com/article/trauma… Amazing artwork by my co-resident Dr. Eagle! StanfordEM

When you get a consult for a sick patient from the amazing Sophie Gough, MD on MICU at 6:45am and walk over from CCU to be greeted by about 5-6 spectacular MICU fellows who aren't primary but want to think through a complex patient together...you know you're living the dream <3

Stanford Health Care will have an ED Pharmacist position opening soon! Please alert anyone that might be interested and message me directly for more info. Thanks. 🙏

Does VL improve first-pass success over DL in the operating room? In this well designed RCT, they found similar findings as our #DEVICE trial with superiority of VL. This trial also stopped early due to efficacy. In particular, they specified hyperangulated blades. FPS was

🔓Comparison of the success rate of tracheal intubation between stylet and bougie with a hyperangulated videolaryngoscope: a randomised controlled trial 🔗…-publications.onlinelibrary.wiley.com/doi/10.1111/an…

Did we do the right thing? Who knows? We still struggle every time to figure out what to do with these patients and many times we are more aggressive from what the guidelines recommend for the management of intermediate high-risk PE:

🔓Hyperangulated vs. Macintosh videolaryngoscopy in adults with anticipated difficult airway management: a randomised controlled trial UKE Hamburg 🔗…-publications.onlinelibrary.wiley.com/doi/10.1111/an…

Femoral lines (clinical practice) paradox: ICU/ED world: Oh no, we shouldn't do it, femorals are SO dirty. If we place them, we remove them 3 ds later because we feel guilty & administrators yell ECMO world: let's put 2 huge cannulas in the groin & leave them there for 3 weeks

From ST Elevation MI to Occlusion MI: the new paradigm shift in Acute Myocardial Infarction. New JACC Journals #JACCAdvances state-of-the-art review with Jose Nunes de Alencar, Emre Aslanger, Pendell Meyers and Stephen W. Smith sciencedirect.com/science/articl…

Critical Care medicine clinical practice updates 1. Insufficient evidence to recommend benzos for anxiety 2. Use dexmedetomidine over propofol for light sedation 3. Unable to recommend antipsychotics for delirium 4. Suggest enhanced mobilization over usual care 5. Use

Do you have fond memories of the first central line you placed? Or were you quite nervous? Here's a review to help out our future colleagues with their first central line. 🎩 tip to the authors. eddyjoemd.com/foamed/