ER Doctor | Resuscitation | Airway | Critical Care | Cardiovascular Emergencies | ECGs | Emergency Radiology | Trauma | #FOAMed | Patient Advocate
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Here’s a message that was sent to me by an ER resident physician in training who saved a patient’s life half way across the country from me.
When people ask “why teach on social media?”
This is why.
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Hi, ER Doc here.
If you think wearing a piece of cloth makes it “hard to breathe”, then trust me you do NOT want COVID-19.
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If you think wearing a mask “cuts off your oxygen", just wait until you find out what COVID does.
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I just left the ER.
We are officially back to getting crushed by COVID-19.
Delta Variant is running rampant and it’s MUCH more transmissible than the original virus.
99% of our ICU admits did NOT receive a vaccine.
Virtually ALL of them wish they had.
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Serious question: If masks and social distancing don’t work, then what the hell happened to the flu?
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Hi, ER Doc here.
If your nose is bleeding, DO NOT TILT YOUR HEAD BACK. This just makes the blood drip down the back of your throat and you will then swallow and/or choke on it. Pinch the soft part of your nose and TILT YOUR HEAD FORWARD. Please tell your friends about this.
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BREAKING: A novel treatment has been discovered that can reduce COVID-19 transmission by up to 75%. It’s called wear a fucking mask.
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Hi ER Doc here,
This is called FLAIL CHEST. It’s where you break consecutive ribs in multiple places as a result of severe BLUNT FORCE TRAUMA.
THIS HAS NOTHING TO DO WITH MARIJUANA. RT so people don’t actually believe this BS.
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Here’s the Chest X-Ray of a young girl suffering from a condition that is now the #1 cause of death in children and adolescents in the U.S.
What’s the diagnosis?
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Just to be crystal clear, “I feel fine but my wife made me come in” has a positive predictive value for something being *really* fucking wrong that approaches 100%
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Hi, ER Doc here.
Do NOT inject or consume ANY disinfectants in an attempt to kill COVID19.
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This amazing. Everyone should know the Heimlich Maneuver.
RT to save a life!
lovelydarshan
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When an ER patient says “I would’ve come in sooner but I didn’t wanna bother you guys”, something is really fucking wrong until proven otherwise. Trust me on this one.
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When a patient says “I feel like I’m gonna die”, they are about to code until proven otherwise. Trust me on this one.
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I’ve said it before and I’ll say it again, when a critical patient suddenly develops an intense and desperate thirst for water, they are about to code until proven otherwise.
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Hi ER Doc here,
@Twitter needs to flag this tweet as medical misinformation. There is NO scientific evidence that face masks cause pneumonia or any other type of lung infections. They prevent them from spreading and SAVE LIVES.
RT so people don’t actually believe this BS.
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I don’t care what anyone says, “I feel fine but my wife made me come in” has a positive predictive value for something being really fucking wrong that approaches 100%
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“If we ban AR-15s they’ll just find other ways.”
I’m an ER Doctor. I’ve seen every way there is. Nothing comes close to empowering murderers with the ability to destroy as many human bodies as quickly and effortlessly. So let them find other fucking ways. It’s not that complex.
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Hi, ER Doc here.
Just to be crystal clear we still do NOT have enough COVID tests for our symptomatic patients let alone to test everyone who wants one.
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Hi, ER Doc here.
We STILL do NOT have enough COVID tests for our symptomatic patients let alone to test everyone who wants one.
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Doctors be like: Don’t confuse your Google search with my 4 years of Medical School
Patients be like: Don’t confuse your 4 years of Medical School with my 20 years of living with the fucking disease
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Hi, ER Doc here.
I can’t believe I have to say this but please do NOT perform mouth-to mouth on dead wild animals.
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Just left ER and reflecting back on my shift. I just wanna send a special shoutout to respiratory therapists. We’re seeing so much COVID and they’re always having to put themselves directly in harms way. You guys don’t get enough credit. Thank you for everything you do.
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Just a reminder that when a patient says “I feel like I’m gonna die”, they are about to code until proven otherwise. Trust me on this one.
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When an ER patient says “my wife made me come in”, something is really fucking wrong until proven otherwise. Trust me on this one.
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Hi, ER Doc here.
I don’t know who needs to hear this but going outside in the cold with your hair wet does NOT cause pneumonia. Please tell your friends and grandmothers about this.
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Leave Twitter just because it’s losing its entire infrastructure and is terribly understaffed?
Babe, I’m an ER Doctor in the U.S. Healthcare System
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Hi, ER Doc here.
I can’t believe I actually have to say this but please do NOT insert frozen potatoes into your anus in an attempt to cure hemorrhoids.
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I’m sorry but this is the most ADORABLE cardiac thrombus I’ve ever seen
theEMfellow
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When a critical patient suddenly starts talking to long deceased family members, they are soon going to code until proven otherwise. Trust me on this one.
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Here's a video I made breaking down one of the most insane X-Rays I've ever seen
#FOAMed
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Hi, ER Doc here.
I can’t believe I have to say this but do NOT consume your own urine in an attempt to treat COVID19.
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Here’s a message that was sent to me by an ER resident physician in training who saved a patient’s life half way across the country from me.
When people ask “why teach on social media?”
This is why.
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This is a fascinating phenomenon known as terminal lucidity. In the medical field we refer to it as “rallying” or “the surge”. If it’s any consolation, doctors can’t really explain it either. I personally think it’s our body’s way of giving us an opportunity to say goodbye.
That sudden surge of energy right before a sick person passes away is very confusing. Can’t explain it.
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When a critical patient suddenly develops an intense and desperate thirst for water, they are about to crash until proven otherwise. Trust me on this one.
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29-year-old Christian Eriksen went into Sudden Cardiac Arrest on the soccer field in front of the entire world today.
His life was saved because he got immediate CPR and defibrillation.
This can happen to literally anyone, anytime, anywhere.
Life is precious. Learn CPR.
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“What’s the craziest thing you’ve seen in the ER?”
The daily consequences of a completely broken healthcare system.
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Hi, ER Doc here.
Everyone should know that pepper spray is LITERALLY a chemical irritant.
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This is the best video of flail chest I’ve ever seen
nitter.app/OR_ECMO/status/1703145…
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A 17-year-old boy was rushed to the ER by his brothers struggling to breathe...
[thread]
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When an elderly person says “I just don’t feel right”, they are having a medical emergency until proven otherwise. Trust me on this one.
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Here’s a video I made breaking down this important case of a young man in his early 20’s who presented to the ER with cough for 1 month
#FOAMed
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If I’m ever on an airplane and the flight attendant asks “is there a doctor on board?” of course I’ll help. I’m an ER doctor. But the first thing I’ll be doing is looking for a paramedic or a nurse.
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Hi, ER Doc here.
If that’s the case then you are EXTREMELY high risk of dying from COVID and I would strongly recommend that you do NOT go out in public.
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Here’s the Chest X-Ray of a young boy suffering from a condition that is now the #1 cause of death in children and adolescents in the U.S.
What’s the diagnosis?
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Feeding a newborn baby water can cause low sodium levels leading to seizures and death.
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Hi, ER Doc here.
I can’t believe I have to say this but do NOT insert Ivermectin into ANY of your orifices in an attempt to treat COVID19.
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Here’s a message that was sent to me by an ER resident physician in training who saved a patient’s life half way across the country from me.
When people ask “why teach on Twitter?”
This is why.
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If a pregnant patient presents to the ER with trauma and the story just doesn’t seem to make sense, you must find a way to interview her without her partner present. Pregnant women in the U.S. are more likely to be murdered than to die from an obstetric cause. Read that again.
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When a patient tells you “I feel like I’m gonna die”, believe them until proven otherwise. Trust me on this one.
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Hi, ER Doc here.
Every time I see somebody with a nosebleed doing this wrong I feel the need to get this message out:
If your nose is bleeding, DO NOT TILT YOUR HEAD BACK. This just makes the blood drip down the back of your throat and you will then swallow and/or choke on it. Pinch the soft part of your nose and TILT YOUR HEAD FORWARD. Please tell all your friends about this.
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Watch Trevor Lawrence immediately after this horrific hit. His right arm suddenly flexes as his left arm simultaneously extends. This is known as the “fencing posture”—an involuntary reflex that occurs after impact in blunt head trauma. It signifies a traumatic brain injury with loss of consciousness and represents a severe concussion. Prayers up for Trevor.
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Triage Nurse: “Hi Sir, what brings you to the ER?”
Patient: “Ahh I feel fine, but my wife made me come in…”
Triage Nurse: *immediately places defibrillator pads and rushes him to critical area*
Just to be crystal clear, “I feel fine but my wife made me come in” has a positive predictive value for something being *really* fucking wrong that approaches 100%
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Watch this great video showing the Modified Valsalva Maneuver converting a patient in SVT to Normal Sinus Rhythm
If you’re not doing this, you’re not doing SVT right!
Video courtesy: @julesantosER
#FOAMed
Jule R O G Santos
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Just a reminder that when an ER patient says “my wife made me come in”, something is really fucking wrong until proven otherwise.
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Hi, ER Doc here.
RT if you’ve ever done CPR on someone and they survived.
Trying to prove something.
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Here’s the Chest X-Ray of a young boy with a condition that is now the leading cause of death in children and adolescents in the U.S.
What’s the diagnosis?
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Hi, ER Doc here.
If you witness someone pass out on to the ground, DO NOT RUSH THEM BACK UP TO A STANDING POSITION. This just decreases blood flow to their brain and can only make things worse. Please tell your friends about this.
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Hi, ER Doc here.
I can’t believe I actually have to say this but do NOT perform mouth-to-mouth CPR on awake people who are literally talking to you.
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I don’t know who needs to hear this but please stop cutting clothes and underwear off totally stable trauma patients
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Me: “Hi Sir, what brings you to the ER?”
Patient: “I feel fine, but my wife made me come in.”
Me: …
Patient: …
Me: *places defibrillator pads on his chest*
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I admitted an elderly lung cancer patient with COVID19 for slightly low oxygen levels.
Him: “I guess the vaccine didn’t work for me huh doc?”
Unvaccinated, I almost certainly would have been sending him to ICU with a breathing tube.
I said: “Sir, the vaccine saved your life.”
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I don’t care what anyone says, family members should NOT have the power to overturn a patient’s DNR wishes.
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Hi, ER Doc here.
Just a friendly reminder if your nose is bleeding, DO NOT TILT YOUR HEAD BACK. This just makes the blood drip down the back of your throat and you will then swallow and/or choke on it. Pinch the soft part of your nose and TILT YOUR HEAD FORWARD. Please tell all your friends about this.
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Here’s a video I made breaking down a harsh medical reality truth for you
Tell all your friends about this
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Unless the patient is a farmer, in which case the positive predictive value approaches 1,000%
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Here’s the CT Scan of a patient with a history of schizophrenia who presented to the ER with abdominal pain
What’s the diagnosis?
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Hi ER Doc here,
Just to be crystal clear ectopic pregnancies are ones that have implanted in the WRONG anatomical location. They are NOT viable pregnancies. They rupture, bleed, and KILL women. This is one of the most ignorant and insane things I have ever heard.
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If your nose is bleeding, DO NOT TILT YOUR HEAD BACK. This just makes the blood drip down the back of your throat and you will swallow and/or choke on it. Pinch your nose and TILT YOUR HEAD FORWARD. Please tell all your friends about this.
♥️ Your friendly neighborhood ER Doc
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Dr.fahad
When a critical patient asks “Am I gonna die?”, they are about to code until proven otherwise. Trust me on this one.
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Watch this video showing how smooth reducing a dislocated shoulder is after an Interscalene Nerve Block.
Keep an eye on the shoulder and look how easy it pops back into place while he feels no pain.
This is why I haven’t had to do a sedation for shoulder dislocation in years.
(With consent)
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Hi, ER Doc here.
Everyone needs to know that taking too much Tylenol can cause liver failure and DEATH. I have seen too many people unintentionally overdose. Do NOT take more than 4 grams in one day. That’s only 8 extra strength pills! Please tell all your friends about this.
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Hi, ER Doc here.
Did you know that bystander CPR can double or triple the chances of survival from cardiac arrest? This is how it works.
Life is precious. Learn CPR.
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Just a friendly reminder that what has become routine to you, may be one of the scariest times in your patient’s life.
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Hi ER Doc here,
This is called FLAIL CHEST. It’s where you break consecutive ribs in multiple places as a result of severe BLUNT FORCE TRAUMA.
THIS HAS NOTHING TO DO WITH MARIJUANA. RT so people don’t actually believe this BS.
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Unless the patient is a farmer, in which case they are knocking on death’s door until proven otherwise
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Here’s the most adorable yet scariest Echo I’ve ever seen
What’s the diagnosis?
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I’m an ER Doctor and I use this account to teach people about medical emergencies—follow me if you’re interested in learning about them
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Here’s an impressive Chest X-Ray of a 50 year old man who presented to the ER with shortness of breath
What’s the diagnosis?
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