Read the latest Educational Pearl on CO Pulse Oximetry in CO Poisoning at https://umem.org/educational_pearls/4888/

Read the latest Educational Pearl on Megadose of omeprazole as anti-inflammatory agent in sepsis at https://umem.org/educational_pearls/4890/

This conference has a ton of great speakers and topics. Check out cms.umem.org/index.php/tc... The Crashing Patient Conference 2025 | UMEM Events. #medsky #emedsky #emsky #ccsky

Where the separate divisions of ANTIFA landed on the beaches of Normandy on June 6, 1944:

Really nice pearl on screening for child abuse in the ED.

Read the latest Educational Pearl on 2025 HTN guidelines at https://umem.org/educational_pearls/4872/

Today’s @umemergencymed.bsky.social #pearl looks at aggressive lowering of blood pressure in post thrombolysis #CVA pts. More data to sat it doesn’t provide a benefit. #medsky #emedsky #emsky em.umaryland.edu/educational_... UMEM Educational Pearls - University of Maryland School of Medicine

Read the latest Educational Pearl on More data on intensive blood pressure control in post-thrombolysis CVA patients at https://umem.org/educational_pearls/4864/

How much blood in the chest requires a tube after trauma? How do you calculate how much is there? Answers here. #medsky #trauma #emedsky

Read the latest Educational Pearl on Pneumothorax reminders at https://umem.org/educational_pearls/4858/

When does a #traumatic #pneumothorax require tube thoracotomy? Answer here em.umaryland.edu/educational_... #trauma #medsky #emedsky

Surviving a firearm injury can lead to chronic ongoing issues such as PTSD, pain, nerve injuries and increased risk of reinjury. #trauma #medsky #emedsky #pearl

Rewarm your hypothermic #trauma patients to improve #mortality. #emedsky #medsky #emsky

Anxiety in older patients can lead to worse health outcomes and poorer quality of life. There are certain risk factors for anxiety to be aware of. #gerisky #medsky #emedsky em.umaryland.edu/educational_...

Read the latest Educational Pearl on Antibiotics for abdominal gunshot wounds associated with fractures at https://umem.org/educational_pearls/4845/

Have you ever wondered about #antibiotics for abdominal #gunshot #wounds with associated #fractures? Here you go! #trauma #emedsky #medsky #emsky @umemergencymed.bsky.social

Undertriage of geriatric trauma patients is common due to perceived less severe mechanism, different physiologic normals, lack of using frailty in trusted decision algorithms. Systolic blood pressure <110 should be used instead of <90. #gerisky #medsky #emsky #emedsky

Read the latest Educational Pearl on Inpatient stroke risk with blunt cerebral vascular injury at https://umem.org/educational_pearls/4842/

#emedsky #emsky #medsky Blunt Cerebral Vascular Injury and inpatient stroke risk:

A recent study in Injury assessed factors in missed injuries in #trauma patients: complexity, mental status, age, substance use, physician fatigue, lack of humility, and not double checking work were all important factors. em.umaryland.edu/educational_... #medsky #emsky #emedsky

Read the latest Educational Pearl on Traumatic Brain Injury Management Reminders at https://umem.org/educational_pearls/4836/

This @umemergencymed.bsky.social #pearl is a reminder of the targets for physiologic homeostasis in #traumatic #brain #injury. Early intervention to achieve these goals along with seizure prophylaxis lead to better outcomes. #medsky #emedsky #emsky

Read the latest Educational Pearl on Age friendly hospital quality measure at https://umem.org/educational_pearls/4827/

Info on the US CMS health measure looking at Age Friendly Healthcare. #gerisky #medsky #emsky em.umaryland.edu/educational_... UMEM Educational Pearls - University of Maryland School of Medicine, Department of Emergency Medicine

Read the latest Educational Pearl on Use of shock index in compensated shock state to predict transfusion at https://umem.org/educational_pearls/4826/

Shock index can be used in compensated shock #trauma pts. to predict blood transfusion need within one hour of arrival at a trauma center. #medsky #emedsky #emsky em.umaryland.edu/educational_... UMEM Educational Pearls - University of Maryland School of Medicine, Department of Emergency Medicine

Today, we continue the conversation about facial fractures and who needs to be transferred to a higher level of care. #medsky #trauma #emedsky #emsky em.umaryland.edu/educational_... UMEM Educational Pearls - University of Maryland School of Medicine, Department of Emergency Medicine

Today’s Pearl reviewed basic #facial #fractures and anatomy for those interested. #emedsky #emsky #medsky em.umaryland.edu/educational_... UMEM Educational Pearls - University of Maryland School of Medicine, Department of Emergency Medicine

Congrats to all especially Dr. Mattu for all he has done for emergency medicine and our department.

Brain Injury Guidlines for kids? A small start to answering yes. BIG is used in adults to get patients the correct level of care after head injury. Without unnecessary transfers or consultation. Now we are getting closer for kids too #emedsky #trauma #pedsky #medsky #emsky

Read the latest Educational Pearl on BIG for kids at https://umem.org/educational_pearls/4819/

www.asahi.com/ajw/articles... If only there was a vaccine. Wait there is!

Read the latest Educational Pearl on Call Neurosurgery for that abscess! at https://umem.org/educational_pearls/4818/

Brain abscess patients do better with drainage according to this study. #medsky #idsky #emedsky #emsky #neurosurgery

A NY health system is restructuring due to financial pressures created by federal cuts including moving from a level 2 to 3 #trauma center. I believe we will see more of this as #Medicaid payments are cut. Trauma leaders need to evaluate referral patterns, EMS protocols, etc in this new environment.

I would argue it’s not the location, it’s injury severity, resuscitation progress and underlying disease state that predicts in hospital mortality for intubated trauma patients. #medsky #trauma #emedsky #emsky @umemergencymed.bsky.social

Read the latest Educational Pearl on Four Legs Better Than Two? - All-Fours Position for Breech Deliveries at https://umem.org/educational_pearls/4807/

Today’s pearl looks at the mechanics of performing a resuscitative hysterotomy. It also includes data from a recent @emajournal.bsky.social article. em.umaryland.edu/educational_... #medsky #emedsky #trauma

@tshanahan0584.bsky.social et al also published a few days ago a Case Series of Resuscitative Hysterotomy in Pregnant Trauma Patients Performed in the Emergency Department of a Level One Major Trauma Service doi.org/10.1111/1742...

Read the latest Educational Pearl on Out of hospital cardiac arrest and resuscitative hysterotomy at https://umem.org/educational_pearls/4805/

What’s the data on resuscitative hysterotomy? #medsky #trauma #gyn #ob #emedsky @umemergencymed.bsky.social

Read the latest Educational Pearl on Go Big or Go Home -- an Escalating Energy Strategy for OHCA VF Requiring Repeated Defibrillation at https://umem.org/educational_pearls/4802/

Today’s #pearl from @umemergencymed.bsky.social tells us antibiotics alone or surgical debridement did no better than no intervention for nail gun injuries in a retrospective study. #medsky #emedsky #emsky #trauma

Read the latest Educational Pearl on Pediatric Status Epilepticus: Is Ketamine the Answer, or Another Question? at https://umem.org/educational_pearls/4800/

Today’s #pearl from @umemergencymed.bsky.social looking at ketamine along with midazolam for pediatric seizure cessation. #emedsky #Medsky

Read the latest Educational Pearl on Do whole body Ct scans lead to better outcomes in geriatric trauma? at https://umem.org/educational_pearls/4799/

This study says there is no advantage to whole body Ct scan vs selective CT scan in geriatric trauma pts. I feel like we need more robust literature in this area. In general, my bias is toward selective scanning but I would like more data. thoughts? #gerisky #trauma #emedsky #medsky #emsky #radsky

UMEM Blog: Dr. Mattu Recognized as 2025 Distinguished University Professor Congrats to my colleague on a much deserved recognition! All of @umemergencymed.bsky.social is incredibly lucky to have you with us.

Read the latest Educational Pearl on Climate change and Coccidioidomycosis at https://umem.org/educational_pearls/4796/