Had a great time presenting for @SHM_AZ! Grateful for the opportunity and inspired by the energy and passion in the room to learn more about #POCUS. Thank you to the SHM AZ chapter for hosting and supporting this important conversation! #MedTwitter #HospitalMedicine

🚀 Excited to bring the power of #POCUS to the @SHM_AZ Chapter! 🎉 Join me as we dive into real-world bedside ultrasound tips, uncover hidden diagnoses in minutes, and revolutionize patient care together. Don’t miss out—see you there, POCUS lovers! 🔍💓 #SHMAZ #Ultrasound

A simple #POCUS exam could have spared this patient unnecessary delays, tests, and prolonged suffering. Sometimes, all it takes is a probe at the bedside to bring clarity and comfort.

Honored and excited to deliver today’s #POCUS Grand Rounds at Northern AZ healthcare. Grateful for the opportunity to share how bedside ultrasound continues to redefine clinical excellence and elevate patient care. #MedTwitter #InternalMedicine

Few moments in medicine compare to the joy of hearing a trainee say, ‘I matched!’ It’s a privilege to witness their hard work pay off and to know I played a small part in their journey. Congratulations to all stepping into the next chapter of their careers! #MatchDay #Mentorship

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Currently at the mind-blowing Advanced POCUS Workshop at UT Austin! 🔥 POCUS skills are getting a major upgrade with the incredible faculty and hands-on sessions. #POCUS #UTAustin #MedicalEducation

Medical LLM revolutionizing healthcare! From rare diseases to real-world cases, it’s redefining diagnostic accuracy with advanced reasoning and clinical alignment. A game-changer in AI-assisted medicine! #AI #Healthcare #Innovation

Excited to share our recent study! 🚨 We developed a POCUS bootcamp for IM residents, showing a significant improvement in ultrasound knowledge post-training. Trainees gained confidence & are more likely to use #POCUS in clinical practice. Read more:

Article of the day: #POCUS Spotlight: Venous Excess Ultrasound Score (#VExUS) from #ASRA series. 🔗 https://t.co/y1fRex3qj5 - @ArgaizR @curromir @NephroP

The birth of the hospitalist-proceduralist Point‐counterpoint: Should hospitalists perform their own bedside procedures? - Cool - Journal of Hospital Medicine - Wiley Online Library

Look at this full house for an excellent talk by our very own Dr. Nehan Sher @nehasher at #CHEST2024! So many great learning points about Critical Care of the Dying Patient! @CHESTCritCare @CHESTCritCare @kenknoxaz @UAzMedPhxChair @NSDeenMD

8/ Always individualize the phenobarbital protocol for each patient, prioritizing safety & efficacy. #MedTwitter

7/ Special Considerations: •Adjust dosing for patients with severe hepatic impairment or those on interacting meds. •Alternative therapies may be needed based on patient-specific factors.

6/ Safety Considerations: •Toxic doses >40 mg/kg result in serum levels >65 μg/mL, risking stupor or coma. •Always be mindful of cumulative dosing.

5/ Monitoring & Adjustment: •Use clinical response, often guided by the Richmond Agitation and Sedation Scale (RASS). •Titrate doses until symptoms are controlled & mental status stabilizes.

4/ Cumulative Dose Target: •Aim for a total of 5-25 mg/kg body weight. •This yields serum levels of 10-40 μg/mL, effective for symptom control without toxicity.

3/ Titration & Bolus Doses: •For mild symptoms: 130 mg IV over 3 min. •For moderate-to-severe symptoms: 260 mg IV over 5 min. •Repeat every 30 min as needed, up to a max of 1040 mg in 24 hrs.

2/ Initial Loading Dose: •Start with a loading dose of 10-15 mg/kg IV over 30 min. •This dose is generally safe and unlikely to cause respiratory depression.

1/ When treating alcohol withdrawal with phenobarbital, the dosing strategy is crucial for effective & safe management. Let’s break down key points on dosage and safety: