The Official Twitter for the Brooklyn Hospital Emergency Medicine Program
Brooklyn, NY
Joined January 2016
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Trotman-Syncope 1.50% no etiology 2.No prodrome? Think cardiac 3.Admit >65 and/or risk fx 4.Post-exertion - mechanical
Shaikh-4.No magnet 5.Magnet turns pace into fixed mode, risk R on T 6. Magnet turns off AICD 7.Only if cutaneous pacing + pt. being shocked
Shaikh-Pacemakers 1.AICD > pacemaker (size+cost) 2.If 2 ventric. spikes ->posterior lead for contractility 3.AICD shocks at approx.60-80J
Shaikh-Pacemaker 4.Confirm CAPTURE with palpating pulse, pulse ox heart rate and monitor 5. Monitor will show LBBB
Shaikh-Pacemaker 1.Unstable dx is clinical: AMS/syncope 2. Mobitz II or 3rd degree +/- pacemaker 3. 3rd degree narrow more stable than wide
Danik-Tachy 1. Unstable->SHOCK! 2. Stable - Narrow i. Vagal ii. Adenosine iii. AV blocker 2. Wide - Treat like vtach ->Antirhymthic
Hug-CHF 1. BP classification i.HTN ii.Normtotensive iii.Hypotensive 2. BiPaP 3. High dose nitro 4. +/- ACE-I 5. Lasix? May cause harm
Viswanath-HEART 1. Patient population Netherlands different than BK 2. Pt's had good follow up 3. Unknown when troponin drawn
Terrin-HEART 1. Simple to calculate 2.Quickly risk stratifies 3.Can change management 4.First tool that incorporates low risk chest pain
Gowda-ACS 1. Recognize early 2. NSTEMI/STEMI - Dual anti-platelet therapy + anticoagulation 3. STEMI - TNK if no PCI in 60 minutes
Thandi-Presentations 3. EXCITATION! Be excited! Unique opportunity to teach your peers! Take pride! What you say will save lives!
Thandi-Presentations 2.Preparation-Organization, 3-4 take home points, slide design: Pic superiority, Empty Space, Signal to Noise Ratio
Thandi-Presentations 1. Inspiration - Learn from great speakers i.e. TED, youtube, TV and how ER speakers educate i.e. F.O.A.M.
Lappin 1.HTN emergency is catergorization, not dz process 2.Years to cause symptoms 3.Treat underlying dz not # 4.Don't use term "Urgency"
SIM-Peds1.FS is 6th vital sign! 2.Arrest Epi 0.01 mg/kg IV 3.Defib=2,4,10 J/kg 4.Atropine 0.02 mg/kg 5.Amiadorone 5mg/kg 6.Glucose 0.5-1g/kg
SIM -Asthma 1.Epi, epi, epi! O.5 mg IM q3-5 min (1:1,000) 2. Or 1-5 mcg/min IV (1:10,000) 3. Duonebs 4. Steriods 5. Mag 6. Bipap 7. Intubate
SIM - Eclampsia 3. Mag tox antidote=Calcium gluconate 1g IV 4. Mg decreases seizure risk flby 50% 5. BP control! Hydralazine or labetelol