A Diary Of an ER Doc

@DiaryDoc

I’m an ER doc. I think fast and act now. I specialize in saving life

Israel

facebook.com/A-Diary-of-an-…

Joined November 2019

101Posts 19Followers 27Following

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A Diary Of an ER Doc

@DiaryDoc

Sep 5

#14 – [B] Check blood glucose in every altered patient Hypoglycemia is a quick, reversible killer. Symptoms can mimic stroke, intoxication, or seizure. Always get a bedside glucose early. Treat immediately if low; don’t wait for labs. Reassess after correction.

DiaryDoc's tweet image. #14 – [B] Check blood glucose in every altered patient
Hypoglycemia is a quick, reversible killer.
Symptoms can mimic stroke, intoxication, or seizure.
Always get a bedside glucose early. Treat immediately if low; don’t wait for labs. Reassess after correction.

A Diary Of an ER Doc

@DiaryDoc

Sep 5

#13 – [A] Burns & airway Facial burns, singed nasal hairs, hoarseness, stridor = airway edema. ⚠️ Intubate early. Wait too long → impossible airway. #EmergencyMedicine #FOAMed #Airway

DiaryDoc's tweet image. #13 – [A] Burns &amp; airway
Facial burns, singed nasal hairs, hoarseness, stridor = airway edema.
⚠️ Intubate early.
Wait too long → impossible airway.

#EmergencyMedicine #FOAMed #Airway

A Diary Of an ER Doc

@DiaryDoc

Sep 5

#12 – [P] Don’t anchor on the first diagnosis ED patients fool you. Chest pain ≠ always ACS. Could be PE, dissection, pneumonia, pericarditis. Keep a differential. Reassess when things don’t fit. #EmergencyMedicine #FOAMed #CognitiveErrors

DiaryDoc's tweet image. #12 – [P] Don’t anchor on the first diagnosis
ED patients fool you.
Chest pain ≠ always ACS. Could be PE, dissection, pneumonia, pericarditis.
Keep a differential. Reassess when things don’t fit.

#EmergencyMedicine #FOAMed #CognitiveErrors

A Diary Of an ER Doc

@DiaryDoc

Aug 24

#11 – [B] Silent hypoxia Patients can look comfortable but be 80% SpO₂. Seen in COVID, pneumonia, PE. Trust the monitor, confirm with ABG, escalate O₂ early. #EmergencyMedicine #FOAMed #Hypoxia

DiaryDoc's tweet image. #11 – [B] Silent hypoxia
Patients can look comfortable but be 80% SpO₂.
Seen in COVID, pneumonia, PE.
Trust the monitor, confirm with ABG, escalate O₂ early.

#EmergencyMedicine #FOAMed #Hypoxia

A Diary Of an ER Doc

@DiaryDoc

Aug 22

#8 – [P] Don’t ignore abnormal vitals If they’re tachycardic, hypoxic, or hypotensive — do something. Compensation doesn’t mean stability. Recheck, investigate, act. #EmergencyMedicine #FOAMed

DiaryDoc's tweet image. #8 – [P] Don’t ignore abnormal vitals
If they’re tachycardic, hypoxic, or hypotensive — do something.
Compensation doesn’t mean stability.
Recheck, investigate, act.

#EmergencyMedicine #FOAMed

A Diary Of an ER Doc

@DiaryDoc

Aug 18

#7 – [C] Bradycardia can be a sign of shock In trauma, sepsis, or kids — a slow HR might mean collapse. Check perfusion. Support circulation. Don’t ignore it. #EmergencyMedicine #FOAMed #Shock

DiaryDoc's tweet image. #7 – [C] Bradycardia can be a sign of shock
In trauma, sepsis, or kids — a slow HR might mean collapse.
Check perfusion.
Support circulation.
Don’t ignore it.

#EmergencyMedicine #FOAMed #Shock

A Diary Of an ER Doc

@DiaryDoc

Aug 16

#9 – [A] Gastric insufflation during BVM Over-bagging inflates stomach → aspiration risk + poor ventilation. Gentle squeezes, chest rise only. Decompress if needed. #EmergencyMedicine #Airway #FOAMed

DiaryDoc's tweet image. #9 – [A] Gastric insufflation during BVM
Over-bagging inflates stomach → aspiration risk + poor ventilation.
Gentle squeezes, chest rise only.
Decompress if needed.

#EmergencyMedicine #Airway #FOAMed

A Diary Of an ER Doc

@DiaryDoc

Aug 15

#6 – [B] Oxygen isn’t always harmless COPD/chronic CO₂ retainers: target SpO₂ 88–92%. High O₂ → CO₂ retention. Use controlled delivery + monitor ABGs. #EmergencyMedicine #FOAMed #RespiratoryCare

DiaryDoc's tweet image. #6 – [B] Oxygen isn’t always harmless
COPD/chronic CO₂ retainers: target SpO₂ 88–92%.
High O₂ → CO₂ retention.
Use controlled delivery + monitor ABGs.

#EmergencyMedicine #FOAMed #RespiratoryCare

A Diary Of an ER Doc

@DiaryDoc

Aug 15

#5 – [A] Pre-oxygenate like a pro 3–5 min high-flow O₂ before intubation. Mask, HFNC, or NIV. Better pre-oxygenation = more safe apnea time. #EmergencyMedicine #FOAMed #Airway

DiaryDoc's tweet image. #5 – [A] Pre-oxygenate like a pro
3–5 min high-flow O₂ before intubation.
Mask, HFNC, or NIV.
Better pre-oxygenation = more safe apnea time.

#EmergencyMedicine #FOAMed #Airway

A Diary Of an ER Doc

@DiaryDoc

Aug 12

#4 – [C] Reassess after every intervention Fluids, meds, procedures — always check if the patient improved. Vitals, mental status, clinical signs. No change? Rethink your plan. #EmergencyMedicine #FOAMed #CriticalCare

DiaryDoc's tweet image. #4 – [C] Reassess after every intervention
Fluids, meds, procedures — always check if the patient improved.
Vitals, mental status, clinical signs.
No change? Rethink your plan.

#EmergencyMedicine #FOAMed #CriticalCare

A Diary Of an ER Doc

@DiaryDoc

Aug 11

#3 – [B] Don’t miss tension pneumothorax Severe dyspnea + hypotension + distended neck veins + tracheal deviation = act NOW. No X-ray. Needle decompress → chest tube. Delay = death. #EmergencyMedicine #FOAMed #Trauma

DiaryDoc's tweet image. #3 – [B] Don’t miss tension pneumothorax
Severe dyspnea + hypotension + distended neck veins + tracheal deviation = act NOW.
No X-ray. Needle decompress → chest tube. Delay = death.

#EmergencyMedicine #FOAMed #Trauma

A Diary Of an ER Doc

@DiaryDoc

Aug 10

#2 – [A] Most common airway assessment mistake Don’t skip a difficult airway check. Look for trauma, neck swelling, obesity, small mouth, limited neck movement. If difficult → have a plan B ready. #EmergencyMedicine #FOAMed #Airway

DiaryDoc's tweet image. #2 – [A] Most common airway assessment mistake
Don’t skip a difficult airway check. Look for trauma, neck swelling, obesity, small mouth, limited neck movement.
If difficult → have a plan B ready.

#EmergencyMedicine #FOAMed #Airway

A Diary Of an ER Doc

@DiaryDoc

Aug 9

#1 – [C] Shock can be present even with normal BP Hypotension = late sign. Look for: tachycardia, altered mental status, cool skin, delayed cap refill. Start fluids/blood early + reassess often. #EmergencyMedicine #ERtips #FOAMed

DiaryDoc's tweet image. #1 – [C] Shock can be present even with normal BP
Hypotension = late sign.
Look for: tachycardia, altered mental status, cool skin, delayed cap refill.
Start fluids/blood early + reassess often.

#EmergencyMedicine #ERtips #FOAMed

A Diary Of an ER Doc reposted

EMWOW

@orthoEMpearls

Mar 21, 2022

Don’t miss this week’s case on Wednesday presented by @DocTomesch and @LegendaryMhops What MOI do think think caused this injury? #FOAMed #FOAMrad #MatchDay2022 #EMmatch #EmergencyMedicine #orthomatch2022

orthoEMpearls's tweet image. Don’t miss this week’s case on Wednesday presented by @DocTomesch and @LegendaryMhops

What MOI do think think caused this injury? #FOAMed #FOAMrad #MatchDay2022 #EMmatch #EmergencyMedicine #orthomatch2022

A Diary Of an ER Doc reposted

Dr. Glaucomflecken

@DGlaucomflecken

Feb 5, 2022

The neurologist goes to therapy

A Diary Of an ER Doc reposted

Josh Trebach, MD

@jtrebach

Feb 4, 2022

A 28-year-old scientist comes to the ER with difficulty walking. She says she spilled a few drops of a liquid on her gloved hand 4 months ago. She is admitted to the hospital and ultimately dies. ☠️☠️ What do you think happened?

A Diary Of an ER Doc

@DiaryDoc

Jan 23, 2022

כרגע זמן המתנה לעליה למחלקה במלרד אסותא אשדוד עומד על 64 שעות חולים שוהים במיון כל כך הרבה זמן לא מקבלים טיפול תרופתי קבוע לא מקבלים טיפול למחלה נוכחית זה המלרד הכי חדש בארץ @YediotAhronot @ynetnews @NitzanHorowitz @IsraelMOH @AssutaAshdod