My first shift with the new interns today @UMEmergencyMed. 10 bits of advice for our newbies #WhiteBoardTeaching #FOAMed
Amal Mattu
4,370 posts
Amal Mattu
@amalmattu
Univ of Maryland; creator of ECGWeekly.com videos, #WhiteBoardTeaching; love Princess Bride! tweets are opinions, not standard of care statements
- Favorite Peter Rosen quote: "Nobody woke up this AM and decided to ruin your day. Don't get angry at your patients. Don't get frustrated. Happiness is YOUR choice." RIP Dr. Rosen, the father of EM.
- Study hard, & you will know 50% of what you need to know in emergency medicine by the end of intern year; 75% by the end of 2nd year; & 90% by the end of residency. You will spend the rest of your career trying to learn the last 10%. Never stop studying hard! @UMEmergencyMed
- Anyone been watching The Pitt (hbo max)? IMO this is by far the most accurate Hollywood demonstration of what we do/see/deal with in the emergency dept...except that they don't spend time documenting.
- Saturday night shift is the last #WhiteBoardTeaching of our academic year, top 12 pearls for sick patients. Good luck to the grads, and welcome aboard new interns! @UMEmergencyMed #FOAMed
- Take note: pub'd online Oct 11 2022, ACC now is formally endorsing deWinter T waves, as well as modified Sgarbossa criteria for LBBB + pacemakers as "STEMI equivalents" and need for immediate angiography. At last! #foamed jacc.org/doi/epdf/10.10…
- Here's a chart worth remembering...authors looked at NEW ECG findings in PE (segmental up to saddle). Nice demonstration of the MYTH of sinus tach and S1Q3T3 in PE. Note-24% of patients had no new changes on the ECG
Replying to @EM_RESUSClassic. But anyone have better data on utility of S1Q3T3 in PE diagnosis? (these are small n) doi.org/10.1016/S0002-… ⬅️ no diff in the likelihood of PE vs not in those whom PE was suspected doi.org/10.1378/chest.… ⬅️ no difference in likelihood of massive vs non-massive PE 
- Getting ECGs on patients in cardiac arrest is not generally recommended...but this ECG computer interpretation blows my mind! 🤯
- The biggest reason we MISS a diagnosis is because we MAKE a diagnosis. i.e. the diagnosis of a benign condition does not rule out the presence of a deadly condition. Always rule out the worst diagnoses first. @UMEmergencyMed #EMConf #FOAMed
- My first shift with the new interns today @UMEmergencyMed. 10 bits of advice for our newbies #WhiteBoardTeaching #FOAMed
- For anyone that believes that you don't need to look at the ECG right away when the computer calls something normal... #FOAMed @UMEmergencyMed
