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New guidelines from the @BritSocGastro on acute lower GI bleeding gut.bmj.com/content/early/… @ACPGBI @BDRF1 @NCEPOD
A professional bear guide demonstrates what to do if a bear charges at you.
I’ll save you the reading time : Hypotensive:: too unstable for scope Not hypotensive: outpatient scope “Establish peripheral access, transfuse pRBCs, don’t call after 9pm”
JAMA Clinical Guidelines Synopsis summarizes the 2023 @AmCollegeGastro guidelines on management of patients with acute lower gastrointestinal bleeding. ja.ma/3w9dMJW
Wow - this is a huge huge loss to UK medicine. Dr Wong and family choosing to go to Singapore 20 years of expertise gone just like that. We are losing 15-20k Doctors each year. Tell me how many PAs or even fresh doctors it would take to cover up the gap being left behind by
A #fish at an open air market is given such a shallow bit of water that they cannot even swim upright. This is how little we think about the welfare of animals raised for food. 💔
🧵regarding some of the more novel *non-urologic* uses of Foley catheters. It's been almost 2 years since I originally posted this, so many may not have seen this one (and I'll be doing reruns for a while...I need to spend April getting ready for #ASGBI2024 🧐. (1/ )
"the GCS was 8 so we had to intubate the patient"
Which vessel? --> pulmonary artery! This was a massive PE. Tough case, but 2 takehome pearls: (1) PE can produce STE, esp. V1, aVR, and III (right side leads), and (2) it is very uncommon for STEMIs/OMIs to produce new right axis; STE + new RAD=PE until proven otherwise #FOAMed
54 yo M w/CP + SOB. Thoughts on dx, plan, and which vessel? #FOAMed @UMEmergencyMed @UMEMresidency Prior ECG pretty much normal
"Do you want us to do everything?" This is the most stupid and meaningless question I can ever imagine in medicine.
One interesting thing about being an EM doc is constantly encountering how bad outpatient docs are at running an Emergency Department 😂
Hi, I’m an ICU doctor. I don’t know much about rashes but I’m sure I know more about rashes than you do about ventilators! When someone asks you a question, either be kind, or just don’t say anything
54 yo M w/CP + SOB. Thoughts on dx, plan, and which vessel? #FOAMed @UMEmergencyMed @UMEMresidency Prior ECG pretty much normal
PE risk stratification is all about hemodynamics, clot size doesn’t matte 😳
WOW: An annoying human harasses a #crab, only to have a different crab put themselves at risk to stick up for their friend. Animals are amazing. 🧡
I think this is my home country #Iran. Male babies are useless for #egg production and are transported to be buried alive. In this case the truck got into an accident. Here in the US we grind them up alive. In egg farms, small or large, male babies are useless and killed.
Thanks to master clinician, mentor, and prehospital guru Corey Slovis for providing much content for this week's video.
Important talk from Dr. Amal Mattu on repeating ECGs for STEMIs. 21% of prehospital STEMIs can resolve by ED arrival, but still need urgent cath. Repeat ECGs, as findings may come and go. Occlusion still present. ecgweekly.com/weekly-workout… #ECGWeekly #STEMI #RepeatECG
In the face of defeat, let perseverance be your guide.
This #crab eating a cherry might just change your mind about eating these little creatures. 🦀🍒❤️
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