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Chris Reilly, MD, MHPE

@docreilles

10.6K

followers

2016

following

⚡️ER Doc & Educator⚡️
💉| Med Ed & Med Life Advice
💉| Founder @rs_radiology 🩻 ⬇️
💉| @emrapshow @invictus_em 🎧🎙️
💉| 🥼@figsambassador
❌ Medical Advice

POSTS STORIES REELS TAGGED

These people made me feel so alive!

ACEP brought together some really awesome people!

@seethemedlife @lizziilemed @racheltravels @a.youngdoctors.journey @docreilles

After all these years this was so special to meet every single one of you today and learn so much from each one of you.

You’re all amazing amazing people!

#doctor #residency #emergencymedicine #healthcare #healthcareworkers #medicine #physician

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When it comes to conducting research and finding study materials, librarians are absolute lifesavers. They are the unsung heroes of academia, guiding us through the vast sea of knowledge and helping us unlock our full potential.

My MCAT journey wouldn’t have been possible without the incredible support of these knowledge navigators. From literature searches to accessing valuable resources, librarians have been there every step of the way.

Let’s take a moment to appreciate the extraordinary contributions librarians make in our educational pursuits. They possess the skills to dig deep and unearth hidden gems, ensuring we have access to the most relevant and up-to-date information.

So, if you’re in need of study materials, literature reviews, or scholarly articles, remember to tap into the vast expertise of librarians. Let them guide you on your quest for knowledge and success.

Share your own experiences with librarians and spread the word about their invaluable assistance. Together, let’s celebrate the incredible work they do!

#LibrariansRock #librarian #MCAT #medicallibrary #emergencymedicine #medicalstudent #medicalschool #usmlestep1 #usmle #medicine

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SAVE THE DATE, because the most sensational, awe-inspiring live resuscitation conference is set to make a triumphant return to Philadelphia! Circle your calendars for October 5 & 6, 2023 because you won't want to miss this live experience!

www.ResusX.com

After being virtual for three-years, we're excited to reignite your passion for live resuscitation education with our stellar line-up of faculty that you love to see. Immerse yourself in the electrifying atmosphere of our hands-on workshops, and enjoy unparalleled opportunities to mingle, interact, and build connections with our esteemed faculty at our post-conference socials.
Get ready for an event that will be bigger and bolder than anything we've ever done before. The anticipation is building, and we are bursting at the seams to share more details with you!
If you haven't yet subscribed to our updates, there's no time to waste. Fill out the form below, and we'll promptly deliver all the exciting updates directly to your inbox - including the much-awaited announcement of when registration opens.
Be aware, though, that tickets to this live extravaganza are limited, so seize your chance to register and attend. Don't let this exceptional opportunity slip through your fingers! Sign up now for updates and stay tuned for the grand reveal of what promises to be the most unforgettable conference experience!

Are you thinking about coming the ResusX:Live?

#EmergencyMedicine #CriticalCare #Resuscitation #CriticalCareNurse #EmergencyNurse #Shock #Hypotension #vasopressors

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Schistocytes are fragments of red blood cells that can be found in a peripheral blood smear . When detected, it is important to promptly review and investigate for thrombotic microangiopathy (TMA) according to laboratory policies, as it is considered a hematological emergency. However, it’s worth noting that schistocytes are not exclusive to TMA and can be observed in other conditions as well. The fragmentation of RBCs can occur due to mechanical damage in the circulation and may be seen in patients with mechanical heart valves or those undergoing dialysis. Furthermore, schistocytes can also be present in acquired and inherited RBC disorders with significant anisopoikilocytosis, which affects the cytoskeletal structure of RBCs.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5451690/

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Reposting with captions.
BASIC REVIEW OF ACID BASE.
First, look at the pH. Below 7.35 is ACIDOTIC. Above 7.45 is ALKALOTIC. Then look at the CO2. CO2 is an acid, so as CO2 levels go up, pH goes down. Normal CO2 is 35-45. If the CO2 is driving the change in pH, we call it a respiratory issue. For example, if the pH is 7.25 and the CO2 if 55, we state that we have a RESPIRATORY ACIDOSIS. Next, look at the Bicarbonate level (HCO3). HCO3 is a base so as the HCO3 levels go down the pH levels also go down. If the HCO3 levels are driving the change in pH we call it a metabolic issue. For example, if the pH is 7.25 and the HCO3 is 15, we state that there is a METABOLIC ACIDOSIS.
The next video will cover metabolic acidosis. We will review anion gap and the Winter’s formula to determine if we have appropriate respiratory compensation.

#EmergencyMedicine #criticalcare #icu #rrt #respiratoryTherapist #paramedic #emt #ems #foamed #usmle #medicalstudent #acls #bls #medicaleducation #pulmonology #ventilator #ventilators

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ACADEMIC EMERGENCY MEDICINE
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One of the best parts of being an academic emergency physician is teaching residents and medical students. It was only 2 years ago I was in their shoes and I remember how daunting it was juggling a million things - research, clinical shifts, leadership activities - and also preparing for the CCFP-EM exam and staff life.
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As the Co-director of Postgrad Education at UHN I already get to work with residents, helping with the schedule, organizing teaching opportunities, providing support to struggling learners and sitting on various committees. Some of the other teaching roles - lectures on exam topics, oral exam prep, OSCE examiner, airway day (my first time and SO fun), simulation training and 1-1 teaching on relevant topics.
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This job isn’t for everyone but I love how all the educational opportunities help keep things fresh, between reading around interesting cases, engaging in dialogue with learners and preparing for teaching sessions, I’m able to review topics and stay up to date!
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Do you work with learners in your practice? What kind of practice do you have (academic, community, rural or a mix)?
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#docsofinsta #womeninmedicine #livingwhilelearning #medstudent #residentlife #residentphysician #emergencymedicine #awesomehumans #womeninem #scrublife

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I’m grateful to have met everyone at the conferences this week. #ResusX #ResusEM #UltraRounds #EmergeMEDICINE #CriticalCare #Resuscitation

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Sharpen your resuscitation skills!

On September 18-20 we are hosting our 6th annual ResusX conference and this will be our biggest event to date. Fast paced education, hands on procedural workshops, debates, live demos, giveaways, outings with faculty, and so much more. This is for physicians, nurses, APPS, pre-hospitalists and anyone who manages critically ill or crashing patients.

Ultrasound, Airway, Neuro and Procedural Pre-conference workshops also available on September 16 & 17.

DO NOT miss this annual event in Philly! Virtual option available also.

Register now at www.ResusX.com/reunion

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On this week’s show, Dr. Chris Reilly and Dr. Reuben Strayer advocate for a change in NPO policy (link in bio). We’d like to know how your practice works, comment below!

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67 year old male comes in for left low back/flank pain, radiating into the groin and down the left leg . No trauma. No back pain red flags. No IV drug use. No other complaints. BP 179/106 otherwise stable. CT shows this…what’s your diagnosis and treatment?

#emergencyroom #emergencia #vascular #icu #doctor #ernurse #medschool #paramedic #nursepractitioner #physicianassistant #savinglives #diagnosis #treatment #medlife

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Last Hammer time! This is my baby, the rose gold MDF trömner hammer. I acknowledge my bias about this hammer up front. I've had two of these hammers & that's because of my clumsiness of dropping my last one. However, I've had to replace the smaller rubber part as well but thankfully MDF has a lifetime replacement of parts for their products. These hammers are more expensive but not unreasonable.

Of all the hammers I've used I feel the most accurate with this one. Even if you're not going into neurology I think learning with good tools is important. Reflexes really are a simple exam skill, but I remember in med school saying I felt a reflex when I didn't. It wasn't until someone took the time to teach me how to test reflexes & what to look for that I actually understood importance of a good neuro exam. Knowing what Diminished, absent, & brisk reflexes look like can change a diagnosis & a work up significantly.

Still working on a discount code yall.

#neurology #reflexhammer #mdftromner #neuroexam #neurologyconsult #pagingneuro #reflexes #deeptendonreflexes #localizethelesion #braindoc #purplehairedneurologist

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ANSWER: De Winter T Waves!

Findings on EKG:
- tall prominent symmetric t waves in precordial leads
- upsloping st segment depression > 1mm at the J-point precordial leads
- absence of st elevations precordial leads
- reciprocal st elevation aVR

Seen in 2% of LAD occlusions
Represents an acute proximal occlusion
STEMI-equivalent -> activate cath lab!
Often under recognized

#ekg #electrocardiogram #cardio #cardiology #cardiologist #doctor #emergencyroom #emergencia #nurse #ernurse #paramedic #emt #firerescue #rescue #medicine #cathlab #cardiac

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