🧪Can you have a metabolic acidosis with a normal plasma bicarbonate? Lessons learned from a case 👇 #FOAMed #foamcc 1/

Important: Large n=5929 meta-analysis of 17 RCTs shows that hydrocortisone alone does NOT reduce mortality in septic shock: RR 0.96 (CI 0.82-1.12) The survival benefit is *only* realized if fludricortisone added: RR 0.86 (CI 0.79-0.92) Be sure to add fludricort in septic shock!

Finally, a randomized trial (in New Engl J) showing that videolaryngoscopic intubation has higher success rate than direct. This is by my great colleagues at Hennepin. Matt Prekker, Brian Driver Hennepin Healthcare Hennepin County EM Hennepin Healthcare GME Christine Hill nejm.org/doi/full/10.10…

We’re so proud of our seniors graduating this week and can’t wait to see what they do in the future! #classof2023 #emergencymedicine

Congratulations to the class of 2023! We are very proud of you all!

“They want more autonomy” Timeless feedback given to every clinician educator in the first 5-10 years of their career. Why is it so hard? Any solutions? Read this 🧵 to learn how to let go without putting patients at risk. #MedEd #ClinicianEducator #Autonomy #Kolbs #ZPD 1/

Nail injury with nail avulsion? Significant nailbed laceration requiring repair? Unlikely any advantage to trying to wedge anything back into the nail fold. #FOAMed academic.oup.com/bjs/article/11…

We are so pleased to welcome Dr. Christopher Carpenter SAEM EBM IG for Grand Rounds this morning talking about Geriatrics in Emergency Medicine

If you manage airways you should know what VAFI is Video Assisted Flexible-optic Intubation Needs two airway clinicians, two devices and two images Rarely used at the moment in EM / retrieval but not a crazy option if practiced (1 min 25 secs video) youtu.be/ntDnFoTKo6I?si…

“You can intubate anyone with a Mac 4. I can also eat my breakfast with a spade, doesn’t mean I should.” - Simon Carley Superior FPS and glottis view with Mac 3 in this study of 979 ICU and ED. #TBS24 pubmed.ncbi.nlm.nih.gov/36895888/

Huge congratulations to our rising chief residents for AY 2024-2025: Dr. Amanda Scudder, Dr. Laura Wylie, Dr. Jessica Ward, and Dr. Lincoln Zernicke!

We're so excited to announce our class of 2027! Happy #MatchDay and we can't wait for you all to join the team! 🎉

When using a bougie to facilitate intubation it’s important to know how to direct it Here’s a two minute video demonstrating two microskills that are worth knowing about Essential Bougie Microskills You Need To Know youtu.be/aMd8zeMnRSk

Chief resident Natalie Jansen giving an amazing talk on #HealthLiteracy at CORD #CORDAA24

Our Program Director and rising chiefs at #CORDAA24

Critical Care (and others): "It gets easier, but it never gets easy"...

☎️ A frame for residents calling the on call attending:☎️ #TipsForNewDocs “I have a patient with ____ who I think needs ____”… …and then comes the story. 👊 PUNCHLINE FIRST 👊 Why? This changes how the recipient listens, and the old med school model of unfolding a

Here’s how I think we often fail our patients when treating ’sepsis’ a 🧵 1/11

🧵 EM In-Service Exam: Departing thoughts—Top Tips for Residents 🚨 1/ This is my last year as an academic attending, so here’s a thread on how to crush the EM In-Service Exam and, more importantly, how to actually learn EM for real-world practice. Let’s go:

We are SO excited to announce our incoming intern class! 🎉 We’re so happy to welcome you to the BIDMC family! #happymatchday #emergencymedicine