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wildmeded.com
Emergency Med doc interested in wilderness/marine and evidence based medicine. Second generation Cuban American. Director of Academic Affairs, Cedars-Sinai Emergency Dept #FOAMed #WildMed #MedEd #EMSky My views are my own.
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An interesting case report I published after a couple years of it having been lost including at the publisher 😂 #MedSky #EMSky #NeuroSky www.sciencedirect.com/science/arti...

@ericmigi.com facebook is reminding me of how excited I am for open source pebble

Patella Alta physical exam finding #EMsky #EMedSky

My series of tubes to help with paracentesis drainage. I was able to get 8L out of this patient with no intervention needed to change out bottles. I hope others are using this time saving trick! Don't worry, a tech was watching it the whole time to monitor for complications #EMsky #EMedSky

Chylothorax from radical neck dissection. From rare process to bedside drainage. Interesting! #EMsky #EMedSky pubmed.ncbi.nlm.nih....

"Our analysis, which included 2021 and 2022 data, showed a ... generalized increase. Possible explanations ... COVID-19 or other respiratory illnesses, maternal opioid use, and social media’s influence on infant sleeping practices." I hope we can better educate on safer sleep habits #Pedsky #Medsky

Just wanted to share with the bluesky community in case people haven't seen this yet. #MedSky #IDsky #InfectiousDisease

#DuelingDragons

Sauna as a means of heat stroke. Interesting, but not entirely unexpected. casereports.bmj.com/content/18/1...

I thought this was an interesting endeavor. Something to do with time downtime: apple.news/A51AaXZQZTXK...

#LosAngeles #Runyon

The canyon leading to our front door just caught on fire. Why is this not a national emergency? Why can’t we request help from other states. This situation has gotten completely out of hand. #LosAngeles

#LosAngeles on fire. Pray for #LA

"Cold-Related Deaths in the US" jamanetwork.com/journals/jam... #WildSky #MedSky

Elsevier is gross. This type of mistreatment of academia will spread to all subjects if it hasn’t already #MedSky arstechnica.com/science/2024...

Bucky lounging with the family at the breakfast table. He wants to know why I’m taking photos of him #dog #dogs #corgi #corgilover #corgis

www.psypost.org/caffeine-can...

A personalized pup cup for Bucky! Happy Saturday! #dog #dogs #corgi #corgilover #corgis

Bucky requesting his morning stomach rubs 👋🏼 #dog #dogs #corgi #corgilover #corgis

The sentence commutations of Conahan, Crundwell, and Carlson are pretty gross. Did this really fly under the radar for everyone? Kids for cash scheme? Municipal fraud? Drug lord of synthetics drugs? Oof

For my providers in #LosAngeles #LA be on the lookout for resistant shigella. I try to send stool samples on pts coming in with significant diarrhea and have definitely had a good number of salmonella and shigella in the past year. #MedSky #IDSky #EMSky

Sleepy Bucky before he migrates to the floor #dog #dogs #corgi #corgilover #corgis

Christmas Lights and a beautiful moon from the Grove #LA #LosAngeles

A sad state of affairs to have needed therapy withdrawn because a company with 22 billion in net profits needed a bit more in their pockets #MedSky #PedsSky #Autism #AutismAwareness

arstechnica.com/science/2024...

A story in three pictures. My wife felt bad, so she put the leg back up using some of the tape. #LA #losangeles

Our #koi #fish and #turtle friends next to our house in #LA

Hypothermia occurs when body temperature drops below 35C/95F. It can result from prolonged exposure to cold, wet conditions or immersion in cold water. Symptoms include shivering, confusion, slurred speech, and drowsiness. Severe cases may lead to progressive morbidity/mortality #WildMedSky #EMSky

Subtle, but a good example of NIH #4: Minor paralysis (flat nasolabial fold, smile asymmetry), +1 point. Posted with permission #EMSky #MedSky #FOAMed #NeuroSky

Aurlumyn for #frostbite, FDA approved earlier this year. Active ingredient: Iloprost. Mechanism attached to post. #EMSky #FOAMed #MedSky #WildMedSky www.fda.gov/news-events/...

Things seen visiting friends in #Georgia that I don’t see in my #LA backyard #deer #wildlife #wildsky

Humeral IO great flow rate 5L/hr, fluid reaches heart in 3 seconds, ⬇️ insertion/infusion pain. Use yellow 45mm needle as blue can be short in 50% of patients https://buff.ly/2JNUmh7 Obese patient and shooting for tibia? Again consider yellow https://buff.ly/2JOaxLl #medsky #emsky #foamed #meded

For interpretation help of LFTs, I like referencing this and using it as a quick primer for #MedEd. Helps learners understand the various enzymes and ranges associated with the different conditions. "Elevated Liver Enzymes: Emergency Department–Focused Management" www.jem-journal.com/...

Good morning and stop taking pictures from Bucky #dog #dogs #corgi #corgilover #corgis

I was going to post a Chest XR Review pneumonic I had saved but I like the radiopaedia one better (ABCDEF): A airways (intraluminal mass, narrowing, carina) B breathing (lungs, pulmonary vessels, pleural spaces) C circulation (cardiomediastinal contour, great vessels) #medsky #foamed #emsky #radsky

Venting as an urgent care NP after a crazy shift today: Patient satisfaction as a primary quality metric ⬇️ abx stewardship, ⬇️ applicability of EBP guidelines, & ⬆️ provider burnout…especially when misinformation is rampant. That is all. #medsky #nursesky #emsky

Sad case and highlights the importance of our EM board question that even if you simply wake up with a bat in the same room, you should seek immunoglobulin and vaccination. I also bring up in my envenomations lecture, rabies is the deadliest virus known to man. #EMSky#FOAMed #MedEd #MedSky #IDsky

Nonopioid pharmacologic treatment options for symptomatic treatment of opioid withdrawal. Great to consider when patients are coming in to the dept in withdrawal. Also consider giving buprenorphine, but only if in mild withdrawl. #EMSky #FOAMed #medsky #ansky #painsky #meded