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Welcome, Dr. Glaucomflecken and Lady Glaucomflecken (she/her) to #ACEP22!

A meeting of the minds and VCU EM/IM reunion with current chief residents Joe and Sober and VCU grads Alan You, MD (2020) and James Humble (2021) at ACEP22 in San Francisco! Love to see the big things our alumni are doing and national leadership roles they are taking!

Would you give ANY ceph to ANY pen allergic pt? 5⃣ years ago, Kaiser Perm South removed ALL EHR WARNINGS to avoid cephs in pen allergic pts. - ⬆️ cephalosporins prescribed - 🟰 reactions reported BAM! doi:10.1001/jamanetworkopen.2021.8367

Preliminary data for this year’s residency application cycle are now available. These figures won’t surprise anyone familiar with the contemporary application process… but if you’ve been out of the game for a while, some of the numbers will be eye-popping. #ApplicationFever

When I was a first year medical resident, I became a mother. Right before I delivered, I was the star intern. But when I came back 4 weeks after giving birth, the Attendings were asking: "What happened to Jia?"

Is there an emergency for emergency medicine? thesheriffofsodium.com/2022/10/24/is-…

Quinolones - love 'em or hate 'em? SO useful (great spectrum of activity, only oral option for PsA, atypical coverage), BUT lots of side effects (tendinopathy, aortic rupture 😱). Well, we still use them -- so which to choose? h/t Paul Sax for this pocket guide

A case everyone needs to know: A man admitted for CHF exacerbation is normoxic on ambient air. POCUS shows bilateral pleural effusions. He develops Afib w/ RVR (HR 150s). A med is given. Suddenly he develops hypoxemia (SpO2 84% on NC, 94% on NRB). What med & what happened? 1/

This morning, we sounded the alarm on the patient boarding crisis that has brought ERs across our country to a breaking point. In our joint letter to President Donald J. Trump, we shared real-life stories showing the threat to our health care safety net. [1/4] Full letter: acep.org/globalassets/n…

Pro tips for early trainees for HPI writing and oral presentations: - Go in forward chronological time (start from when pt was last well up until the present) - OK to include previous objective data, such as labs + imaging, if avail from before the current presentation 1/

Searching for a #hospitalist Job? I have made it easy for you. Too many options to choose from. Top Factors to look for in the job. #MedTwitter, Becker's Hospital Review NY Hospitalist Jobs Today's Hospitalist ACP Hospitalist American Hospital Association

#POCUS puzzle time again: What's the large circular anechoic structure seen here? Probe is placed on the patient's abdomen in the epigastric region. Patient was in the ICU in profound shock NYD.

We are beyond excited to announce our #PCCM Fellows and #Interventional #Pulmonary Fellow starting in July 2023. Congratulations! Welcome to the family!

CONGRATULATIONS to our residents and recent graduates for an outstanding fellowship match! We can't wait to see what amazing things you will continue to do in the next phase of your careers! #match2023 #internalmedicine #nrmp #Fellowship

1/10 Many labs can be abnormally high OR low. Others appear to have just one direction of abnormality. But some diagnoses may be suggested by the "reverse abnormality." For example, a... ↓aPTT ↓Alk phos ↓ALT ↑B12 ↓HDL ...may mean something. Let's have a look.

You may have heard the shocking headline that 250,000 people die every year in the US due to misdiagnosis in the ER. You may be even more shocked to know that this statistic is extrapolated from the death of... just one man. in a Canadian ER. over a decade ago.

Great emDOCs Team paper on unexpected post-ED visit deaths 1. Tachycardia on discharge 2. Mechanical falls in age >65 Don’t discharge old people who are tachycardia. Falls usually means deconditioned and underlying poor health -> death risk. #medtwitter #MedEd

Excited to announce this year's residency fair for combined EM training residency programs. If you're interested in pursuing a career combining multiple specialties, scan the QR code on the attached flyer to register. Can't wait to see you there! #combinedlife #emim @ACEPNow

Just a reminder for anyone interested to register and join us for the Combined Emergency Medicine residency fair tomorrow! There will be a great Q&A session and opportunity to chat with each of the individual programs. #emim #acep #emra