#bedsidepearls

Drainage Course at #EASClub with dr Allegri

Chest Drainage #bedsidepearls

🚫 Never close the drainage tube during pt transport

🩸Haemothorax ➡️ 28-32 Fr tube

#bedsidepearls in Chest trauma

🩻 Severity of chest wall injuries ➡️ RivScore

🫁 Severity of pulmonary contusion ⬆️ significantly when contusions are >20%

#bedsidepearls via #EASBergamo #whiteboard

Chest pain at triage #bedsidepearls from MEU School Unimi at Albino

🫀Do ECG, always

🧪 Do troponin, unless a specific diagnosis can be excluded at triage (eg: PTX via Echo)

Eating Disorders - Common, Commonly Missed, Misunderstood | EM Cases Recognition, management of eating disorders in emergency medicine; why eating disorders are missed, pitfalls in assessment and management on Emergency Medicine Cases podcast

Eating Disorders #bedsidepearls via @emcases.bsky.social

🧬 Genetic disorder, trigger by precipitating factor

⚖️ No weight threshold

➡️ Best follow ⬇️ over time

Adolescents:

🫀Bradycardia/ortho hypotension:

⚠️ severity signs ➡️ Admit 🏥

emergencymedicinecases.com/eating-disor...

Chest Trauma #bedsidepearls

1️⃣ Identify fatal lesions
ATOM-FC

2️⃣ Evaluate Severity
TTS & RibScore

3️⃣ Treat accordingly
🩸MTP
💉 Chest Tube
🔪 Emergency Thoracotomy

#bedsidepearls on Multiple Myeloma at #EASClubbergamo via Dr Alessio Marra

1️⃣ 🩺 Clinical

🩻 Thoracic vertebral lesions may manifest only with abdominal symptoms

🦴 Bone lesions may ensue when MM is otherwise asymptomatic

2️⃣ 🧠 Mental

⚠️ Don’t fix on 1st diagnosis

🎛️ Take control of your reactions

Violence pathway at our #EASClubBergamo via Antonella Mangili & Renata Colombi

⚡️ Rising tension

🧠 Deliberate violence

💧 Loving contrition

🔁 Ripetitive

#bedsidepearls

Blood from an MDMA intoxicated patient seen in our ER by IM PG 4 @giacomo de luca

☠️ Methylene blue in methemoglobinemia
From clinical pharmacologist Pharmacy Joe —> pharmacyjoe.com/episode1009/

💉 1–2 mg/kg IV over 5 minutes of methylene blue immediately if levels indicate administration

⏱️ After treatment, MetHb levels on blood gas (ABG) are no longer reliable

#bedsidepearls

Dyspnea #bedsidepearls

3️⃣ signs of respiratory distress:

# 1 tracheal tub, inspiratory

# 2 jugular retraction, inspiratory

# 3 supraclavicular retraction, inspiratory

Laterocervical phlegmon dislocating retro pharynx and upper airway

#bedsidepearls at #EASClubBergamo

Fever & sore throat:

🦻 Listen to voice & sounds

🥔 Hot potato voice or noisy inspiratory breathing ➡️ upper airway obstruction

#bedsidepearls via our Residents at #EASBergamo

Inspired by Amal Mattu’s #whiteboard

1/2

🥾 Mountain hiking + hypotension + nausea and vomiting

➡️ If symptoms persist, consider
snake bite or anaphylaxis

💊 Obtain cultures before first dose of antibiotics

#bedsidepearls at EAS Bergamo via our EM residents

Inspired by Amal Mattu and his weekly #whiteboard