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I worked an unexpected overnight last night This 🧵 is an exhausted, muddy-headed takedown of the historic but continued saddling of medical trainees with ridiculous work hours There will be no data and I will appeal to emotion a lot Here we go! #MedTwitter 1/

Here's a physiology case that *everyone* who touches a ventilator needs to understand: A 60 yo woman is intubated for hypoxemia from multifocal pneumonia. She has a SpO2 of 89% on PEEP +12 and 100% FiO2. PEEP is increased to +16 & her SpO2 drops to 80%! What happened? 1/

1/Correlate clinically! It’s harder than you think in the THALAMUS—where its size is small & but the clinical symptoms are large. Here’s a #tweetorial to help you remember the main thalamic syndromes & their locations! #meded #medtwitter #neurotwitter #stroke #radres #FOAMed

A 22 year old G1P1 woman develops headache and confusion 1 week after an uneventful delivery. En route to the ED she has a generalized seizure. On exam she is somnolent. BP 200/99 mmHg. MRI below (FLAIR⬆️ DWI⬇️). What’s your next step in this #ContinuumCase???🧵

The City of Columbus is excited to announce Bike Plus! We want to know more about your experience biking, scooting and skating – however you choose to roll – in the city. Learn more and take the survey at tinyurl.com/BikePlus614

Monday night shift with super colleague ⁦@sbuidubbs⁩ ⁦U of Maryland Emergency Med⁩ ⁦UMEM Residency⁩ #foamed #WhiteBoardTeaching

4 generations of #EMIM classes at one incredible conference CHEST spanning attending, fellow, and residents of Ohio State Emergency Medicine Residency Ohio State Internal Medicine Residency The Ohio State University Wexner Medical Center 🩻💉🩺🌺🌊🏄🏻 #Chest2023 #criticalcare

SAEM Clinical Images Series: More than Skin Deep The combination of skin rash and shortness of breath may not be as random as first glance would suggest... Check out this case from New York Presbyterian Queens, Emergency Medicine. aliem.com/saem-clinical-… SAEM

Case 35-2023: A 38-Year-Old Woman with Waxing and Waning Pulmonary Nodules | NEJM nejm.org/doi/full/10.10…

Why domperidone doesn’t cause neurological side effects 😅

🧵for the new residents and students on the meaning of 'French' and 'Gauge'. We've covered this on here in the past, but a lot of new people are starting on surgical rotations, so let's look at them again. As usual, we'll cover their history and what they mean. (1/ )

Doctors getting dubs! This team of radiology, family med, EM/IM, and Med/Peds docs bringing home the championship in our competitive sand volleyball league 💪🏼🏐 Ohio State Med-Peds Residency Jonathan Henricks #champs #MedPeds4life

Sepsis is a leading cause of ICU mortality but remember... not all that glitters is gold... Here are 5 life threatening classes of sepsis mimics you can't afford to miss ☠️ A 🧵 Credit to @pulmcrit for his thoughtful approach 👇 #medtwitter #foamed #meded

Jonathan Henricks FUJIFILM Sonosite Fresh out of the oven: theultrasoundjournal.springeropen.com/articles/10.11…

The eagerly awaited 2025 ACC/AHA ACS guidelines were released yesterday! Congrats to Sunil V. Rao Michelle O'Donoghue and all the co-authors 1/ Here are some of my takeways

New TAPSE thresholds based on mortality data of 25k patients finds excess mortality starts at a TAPSE of <20.9 mm not at current cutoff of <17 mm Pts with significant TR had excess mortality at lower TAPSE <18 mm threshold c/w pts w/o significant TR bit.ly/3FjgoZF

ICU #POCUS: This is a recently published, information-dense document. It may be a bit technical for the average POCUS user but if you manage patients who harbor a right heart, consider reading it:

Congratulations again to incoming F1 Dr Jonathan Henricks and current F1 Dr Alex Wong on being recognized for their commitment to teaching!

Proud but not surprised! 😊 Dr. Jon Henricks (EM/IM PGY-5) is a superb medical educator and servant leader! We’re excited to see all his does as a pulm/cc fellow! Ohio State Pulmonary Critical Care Fellowship The Ohio State University Wexner Medical Center