Hans

@ermd2000

ER doc. Basketball fan. Lacrosse coach. Seahawks, Timbers and Ducks football season ticket holder. Sports rumor collector. Dutch all the way.

ÜT: 44.09005,-123.072543
Joined May 2009

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  1. Retweeted
    Jan 31

    High risk BRUE - infants <2mos, premature born <32wks, CPR by trained MEDICAL provider, high risk historical findings

  2. Retweeted
    Jan 31

    BRUE-Unexplained based on the doctor’s interpretation. Excludes fever, respiratory distress, bilious vomiting or repeat episode.

  3. Retweeted
    Jan 31

    BRUE - Less than 1 yo. <60 seconds. Resolved (altered level of responsiveness, breathing pattern, central color, tone).

  4. Retweeted
    Jan 31

    BRUE - Brief Resolved Unexplained Events. Algorithm for treatment now.

  5. Retweeted
    Jan 31

    BRUE: The new ALTE with Jeff Disney, M.D on deck at

  6. Retweeted
    Jan 31

    Usual seizure durations.

  7. Retweeted
    Jan 31

    2-5% of kids in N. America and Europe will have febrile seizure. 30% will have a second.

  8. Retweeted
    Jan 31

    Focal seizures most commonly between 30 seconds to 3 minutes.

  9. Retweeted
    Jan 31

    Most common seizures in adults are partial complex seizures that can generalize. Febrile most common age 1-5.

  10. Retweeted
    Jan 31

    Ketamine 20mg over 20 minutes can help for withdrawal symptoms of pain.

  11. Retweeted
    Jan 31

    Lots of advantages to doing blocks. Becoming more common. Block GuRU app is a simple reference app.

  12. Retweeted
    Jan 31

    In peds, US is as good or better than CT for appendicitis outcomes. US and serial exams are the way to go.

  13. Retweeted
    Jan 31

    CRP in neonates increases testing without improving outcomes.

  14. Retweeted
    Jan 31

    Children with isolated linear skull fx and normal neurological exams do not require admission or repeat imaging.

  15. Retweeted
    Jan 31

    In pediatric bronchiolitis, 90% O2 sats is a safe threshold for discharge.

  16. Retweeted
    Jan 31

    No difference in rates of complication in giving IM epi for anaphylaxis in pts over 50. Complications come in IV epi.

  17. Retweeted
    Jan 31
  18. Retweeted
    Jan 31

    Kornegay-“POGO” percent of glottic opening viewed in video assisted laryngoscopy-More fails with 100% visualized. Easier with 50%

  19. Retweeted
    Jan 31

    Fever not necessarily a predictor of bad outcome in pediatric pneumonia, but T<35 might be. -

  20. Retweeted
    Jan 30

    characteristics for T wave inversion in ACS.

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