This week let's cover how frailty, hidden shock, and subtle presentations make geriatric trauma deadly. This is a rapid review of key management pearls for older trauma patients. https://t.co/XhpvItyRPT #medtwitter #FOAMed

🚫STRESS TESTS for biphasic T waves in V2/V3? 🛑Nope. That’s Wellen’s Syndrome 🩺Prox LAD lesion → Cath lab time #Cardiology #EKGBombs

🧠Aspirin OD = respiratory alkalosis + anion gap metabolic acidosis ⚠️Tinnitus, AMS, ↑RR 🚨Intubate? Only if you absolutely MUST. Set high RR to mimic their compensation #ToxTips #EMBoards

💣Pupils “down and out”? Ptosis? Diplopia? CN III palsy! Pupils are KEY Pupil-involved = mass Pupil-sparing = ischemia #NeuroPearls #BoardBombs

🧠Thalamic hemorrhage = hemiparesis + vertical gaze palsy + pinpoint pupils 🩻 CT noncon brain—don't delay 🎧 There's so many neuro pearls on EM Rapid Bombs https://t.co/rYuqSns3lQ #NeuroEM #StrokePearls

🧼Currant jelly sputum in an alcoholic? Klebsiella is the killer. Causes necrotizing lung infections. 🧪Cover with ceftriaxone #EMBoards #PulmPearls

👶Stridor + barky cough + steeple sign on X-ray? It’s a haunting by croup! 👻 💊Dexamethasone for all 🌬️Nebulized epi for severe cases #PedsEM #FOAMed

💡Rashes with vesicles or bullae? Think scary things 👹 💥Bullous pemphigoid 🦠Nec fasc 🎯Disseminated GC 🛑Pemphigus vulgaris #DermConf #BoardBombs

🔥Respiratory depression + miosis + BRADYCARDIA? Could be clonidine OD—not opioids. 🩺Treat with atropine + naloxone #ToxCheatSheet #EMPearls

You’re not you when you’re hypoglycemic 🩸🍫 — but do you know how to fix it fast? This week’s EM Board Bombs episode breaks down rapid recognition, D10 vs D50, and the must-not-miss causes of low blood sugar in the ED. #medtwitter #FOAMed https://t.co/NhkgzPXimR

Trauma is a big portion of the ITE & boards. In addition to tons of podcast episodes, we have 12 free dedicated trauma written guides that range from burns to spine fractures to a suturing guide https://t.co/EaILNoHWu2 <- check it out

🚨Pt w/ wide QRS & seizures + diphenhydramine use? 🧠Think sodium channel blocker tox Another time to give sodium bicarb 💉 #ToxPearls #EMTips

Myasthenia Gravis. You learned it in medical school, but forgot it after intern year (unless you happen to be a neurologist). Time to review this board-relevant condition as well as key life pearls for managing a Myasthenia Crisis:

🎯Painful, red, non-ulcerative nodules on the shin = Erythema Nodosum Common cause? Strep throat 👩⚕️6:1 female predominance #DermPearls #RapidFireEM

📊Tylenol overdose? 4 hours from ingestion: check level. If high: use NAC. 🧪Rumack-Matthew nomogram = for single acute ingestion ONLY #FOAMTox #EMBoardBombs

🥶Lead pipe rigidity, fever, AMS & antipsychotic use? You’re staring at NMS 😱 Start fluids + benzos. Maybe dantrolene if severe. #NeuroPearls #EMConf

🎯Target lesions = think: Lyme, SJS, or Erythema Multiforme SJS gets mucosal. Erythema Multiforme itches. #RashReview #BoardPearls

👃Cocaine chest pain? 💊Benzos + CCBs or Nitro. 🚫Avoid beta blockers (unopposed alpha = theoretical risk). 🎧 Hear the full tox breakdown on EM Rapid Bombs. #ToxTuesday #EMConf

🔍Golden crusted vesicles on a kid’s face? 🍯That’s impetigo! 💊Topical Mupirocin is appropriate if it is localized #DermTips #PedsEM

🧠Pinpoint pupils, low RR, and AMS? 👀Think opioid OD 🧪If it returns after naloxone → consider a drip 💣Sign up for EM Rapid Bombs for more life-saving tips https://t.co/xHpu26waSG #ToxPearl