EM/IM doc, actor, teacher. Team doc Mercer Athletics, Macon Mayhem. #FOAMed Associate editor https://nitter.cf/t.co/aLkTfJ4EvI Opinions are my own.
Macon, Ga
Joined June 2011
- Tweets7.7K
- Following407
- Followers1.2K
- Likes1.8K
The time to suspect shock is not when the MAP drops below 65 mmHg. Look for the markers. #ACEP25
NEWS-2 screening tool is the best tool for sepsis screening. Better than qSOFA. #ACEP25
Troponin negative ACS does exist! Even high-sensitivity troponin! @amalmattu #ACEP25
Any blockage on heart cath (20%, 40%, luminal irregularities) is not “negative”. Do not rule out ACS based on this in the history. @amalmattu #ACEP25
Chest pain is still common in women, but painless presentation of acute coronary syndrome is much more common in women compared to men. @amalmattu #ACEP25
Don’t discount the potential of acute coronary syndrome in any age if there is a concerning HPI. At least get the ECG. @amalmattu #ACEP25
In the proper patient, SAH can be ruled out with non-contrast CT within 6 hours. #ACEP25
DWI-FLAIR mismatch on MRI? Stroke likely <4.5 hours. Likely candidate for thrombolytics. #ACEP25
