Fantastic EMRA foamer’s of year
RT @FOAMpodcast: Wednesday #ACEP14 recognition of the role #foamed plays @emresidents http://t.co/xYxJ0FpajM

WHERES MY CHECK? “@movinmeat @gruntdoc You've been quoted in my #Storify story "#ACEP14 - 29 October Compilation" http://sfy.co/cwxq”

Perron: always read your own images, even if you have good rads. You have advantage: know what the pt looks Iike, where they hurt. #ACEP14

Perron: plain AXR. Terrible for free air (duh) but also pretty bad for bowel obstruction. Sens/spec 70/55%. #ACEP14

Perron: HUGE study -300k pts getting contrast, 3% incidence of allergy to nonionic dye, 0.04% inc of severe allergic reaction. . #ACEP14

Perron: Jeebus. 1/3 radiologists won't give contrast or require pretreatment if Hx of shellfish allergy. SMH. #ACEP14

Perron: IV contrast, shellfish allergy! Oh noes! THIS DOES NOT MEAN YOU ARE ALLERGIC TO CONTRAST. #ACEP14

Perron: ped US - shitty decision rule - if male, vomiting, WBC>12k, migration to RLQ, NPV 88%. Meh. #ACEP14

Perron: peds appy - US often inaccurate or nondiagnostic. Sens/spec 88%/94% in some studies. Wide variation btw studies/sites. #ACEP14

Perron: DVT - if high prob pt by Wells, +dimer, neg US, recommend repeat US in 5-7 days. #ACEP14

Perron: DVT - LE US can miss 5%, esp obese, esp small distal clots also. #ACEP14

Perron: the larger the ovary, absent free fluid, the higher likelihood of torsion. Also consider consult. #ACEP14

Perron: ovarian torsion - can have nl US flow to ovary despite presence of torsion - up to 1/4. If severe pain, obs, repeat US. #ACEP14

Perron: CXR (esp supine) insensitive for PTX. If suspicious, US is good screening tool. Fast, easy, sensitive to >90% #ACEP14

Perron: c2 Odontoid fx in elderly can occur with very low impact energy. So have a low threshold to CT neck in elderly pt post fall. #ACEP14

Perron: C2 fx are very common -more than a third of cspine fx in eldery, missed on almost half of plain films. Nexus doesn't apply. #ACEP14

Perron: if you do your own sono on preg pts, be sure to look at ovaries, look for fluid, esp w severe unexplained abd pain. #ACEP14

Perron: pregnancy. IUP on sono? Done! Except don't forget heterotopic. 1:30,000 historically. Higher w infertility meds, Hx PID #ACEP14

Perron: TAD is the most humbling of diagnoses - Osler #ACEP14

Perron: fatal imaging myths. CXR normal in 12% of TAD. Nl aorta on CXR give LR of 0.3 but does not exclude. #ACEP14

DeBlieux: the hardest part of the surgical airway is the decision to do it. #ACEP14

DeBlieux: disrupted anatomy: GSW mandible. suture tip of tongue, pull forward, will pull glottis upwards and into view. #ACEP14

DeBlieux: self inflicted neck wound, bubbling air. #ACEP14 http://t.co/oJGKTVUWdn

DeBlieux: surgically inevitable airway. If this pt vomits, you're In a world of hurt. #ACEP14 http://t.co/oxCNHVDNSk

DeBlieux: haha. Make a lidocaine lollipop w tongue blade & lido cream, pt to suck on it, will drip down to piriform sinus. #ACEP14

DeBlieux: awake look - dry out with glycopyrrolate, zofran to prevent emesis (common!), Neb lidocaine, ketamine for dissociation. #ACEP14

DeBlieux: Bougie as perhaps the most valuable adjunct device. That, I agree with. #ACEP14

DeBlieux: a one slide "it's there maybe think about it" comment on video vs direct laryngoscopy. Disappointing. #ACEP14

DeBlieux: rescue devices such as combitube … really? Really? #ACEP14

DeBlieux on airway disasters. Nothing earth shattering so far. #ACEP14