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You are here: Home / Critical care / Lessons from #ACEP13 Day 3 – October 16th, 2013

Lessons from #ACEP13 Day 3 – October 16th, 2013

October 17, 2013 By David Marcus Leave a Comment

ACEP3

(some of the many contributors to Wednesday’s #ACEP13 twitter feed – thank you!)

Day 3 by the Numbers

3,395 tweets

548 participants

3 million impressions


Categories (Storified tweets above – hover over photos to see text – at bottom of page, and here)

 

  • Critical care
  • Stroke
  • Ultrasound
  • Mechanical Ventilation
  • Giving a Good Talk
  • Policy and Practice
  • “Hofkata” (Jerry Hoffman + Rick Bukata)
  • Subarachnoid Hemorrhage
  • Pediatric EM/CC
  • Drugs of Abuse

Stuff I learned:

 

  • ACEP is reconsidering the tPA policy, there will be a comment period (see Angela Gardner’s tweets)
  • A ton of great stuff from the Hof-Kata session.
  • Must work to reduce the risk of post-ROSC hyperoxia.  In general, dial down FiO2 to 60% as soon as tolerated by pt. (keep pt sat around 94%, no need to get to 100%, may be harmful
  • Hold off on insulin in DKA until you check a K (and start fluid resuscitation)
  • There is now evidence for push dose pressors (citations on Storify)
  • Great review of IO’s (humeral allows for larger volumes, needs longer needle, etc)
  • MOPETT Trial discussion
  • How to make cornstarch based gel for US (thanks to APousson)
  • Review of mechanical ventilation settings
  • Benign coughs 2/2 URI’s may last around 18 days, back pain can linger 3 months…Must align patient expectations.
  • The huge of amount of $$$ journals make off of pharmaceutical industry requests for reprints.
  • Lack of evidence for Tamiflu
  • All sorts of SAH stuff…
  • And so much more…

A full transcript of yesterday’s tweets is available via Symplur at: http://bit.ly/19PkpJf Bodymender has also done it again. See his high-yield pearls at: http://storify.com/Bodymender_n_ED/acep13-day-3 One of the most important quotes:

Hoffman: “I do believe public health is part of our job, and advocacy part of our job” #acep13 — Policy Prescriptions (@PolicyRx) October 17, 2013

And, finally, an evidentiary moment : lytics  

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Filed Under: Critical care, Emergency medicine, FOAM, Ultrasound Tagged With: ACEP, ACEP13, blogging, Conferences, Critical Care, emergency medicine, EMTOT, FOAMed, Freeloading, Social Media, storify

About David Marcus

I'm an Emergency Physician and Internist at the LIJ Medical Center (Queens, NY) where I also serve as an attending physician in the Division of Medical Ethics. Obsessed with ED Critical Care, bedside sonography, medical ethics, and all kinds of outdoor stuff.

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