Co-hosts @blakebriggsMD & @iltifatMD (Academic Faculty). We drop multiple podcasts a week in our podcast: https://xitter.cf/t.co/jQU6EXg1TW
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Joined July 2018
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🧠💣 EM BOARD BOMBS TWEETORIAL: How old is that subdural hematoma?
Can you estimate the age of a subdural hematoma (SDH) based on its appearance on noncontrast head CT?
YES…sort of. Let's break it down. 🧵👇
🩸 Septic arthritis = treat the joint like an abscess.
Arthrocentesis is where the money is.
Negative ESR/CRP does NOT rule it out! Neither does lack of systemic symptoms.
#Ortho #EmergencyMedicine
🧠 Severe valproate toxicity? Look for:
⬆️ ammonia
⬆️ anion gap
⬇️ calcium
⬇️ platelets
CNS depression
#ToxTuesday #EMBoards
💣 Residents: the ITE is on your calendar in just a few months, make your commute count. EM Rapid Bombs gives you rapid-fire board questions built for spaced repetition between shifts. 🎧
#ITEPrep #EMResidency
😵💫 Peripheral vertigo tends to bring the drama: prominent nausea/vomiting and horizontal nystagmus.
But you can't miss central vertigo, so stay suspicious.
#NeuroPearls #EmergencyMedicine
💉 Dirty wound + last tetanus booster 7 years ago?
If previously fully vaccinated, give a Tdap booster.
#PreventiveMedicine #EMBoards
🩸 SAH pearl: decreasing RBCs from tube 1 → tube 4 does NOT automatically mean "traumatic tap."
Xanthochromia is much more helpful when looking for subarach.
#BoardPearls #EmergencyMedicine
8/8 💣 Board-friendly timeline:
🔴 Acute = BRIGHT
🟡 Subacute = SAME density as brain
🔵 Chronic = DARK
But remember:
CT density ≠ a reliable clock.
Anemia, recurrent hemorrhage, clot evolution, & individual variation can all alter the appearance.
Describe what you SEE on CT. Don't assign a precise age based on density alone.
#EMBoardBombs #EmergencyMedicine #FOAMed #NeuroEmergency #MedEd #Radiology
🚫 Kidney stone myth: "Give lots of IV fluids to flush it out."
Evidence shows forced IV hydration does NOT improve stone passage.
Treat the pain. Don't drown the patient. 💧
#EMPearls #Nephrolithiasis
👟 Nail through a sneaker, now infected?
Pseudomonas loves that warm, moist shoe environment (ew)
Another classic board stem you should recognize instantly! 👟🦠
#FOAMed #BoardReview