On Tuesday, I focused in on tweets coming from smaller sessions and some of the outstanding niches within emergency medicine. From Rajesh Geria, MD, FACEP (@GeriaSonoMD), past chair of the ACEP Ultrasound Section: “ACEP policy statement: Ultrasound is NOT an extension of the physical exam. It is a diagnostic test.” This is an important point from the perspective of billing, as well as the development of core skills that can help our patients.
Social media team member Dr. Westafer reported from the end-of-life talk by James Adams, MD, FACEP, “Words matter. Palliative medicine=intensive [medicine]. Doesn’t have to take much time.”
And the always pearl-packed @LasVegasEM sent out this nifty tidbit that may come in handy on an upcoming shift: “Tooth avulsion and don’t know where it went? Rule out aspiration and consider a chest x-ray.”
But any ACEP conference would feel incomplete without a hearty dose of research reviews from the past year courtesy of the dynamic duo of Jerry Hoffman, MD, and Rick Bukata, MD. This year, someone finally gave them a much-deserved celebrity-mashup name, which in hindsight seems long overdue. Ladies and gentlemen: #Hofkata. While it hasn’t picked up like #Rosenalli just yet (that’s the amalgam Rosen and Tintinalli that we use on FOAMcast), it looks to be on its way. In the meantime, for my money, the #Hofkata tweet of the week came on Wednesday from EM physician assistant Patrick Bafuma (@EMinFocus) who relayed a nice editorial on “guideline fatigue” from the British Medical Journal in 2012: “Guidelines harm patients too. BMJ. April 2012 [http://www.bmj.com/content/344/bmj.e2685]. Yep, sums it up well. #HofKata #ACEP14.” But they also hit on some bread-and-butter studies including support for tranexamic acid for anterior epistaxis, the uselessness of cough medicines, and the importance of not over-testing in the emergency department. In other words, vintage #HofKata.
In case you missed any or all of what happened at ACEP14 in Chicago, many of the tweets are still searchable on Twitter under the #ACEP14 hashtag, and an even more exhaustive compendium can be found by searching the hashtag on symplur.com. Thanks to my #ACEP14 official social media teammates Salim Rezaie, MD, FACEP (@srrezaie), Ryan Radecki, MD (@emlitofnote), Jason Nomura, MD, FACEP (@Takeokun), Lauren Westafer, DO (@LWestafer), Seth Trueger, MD (@MDAware), and Allen Roberts, MD, FACEP (@GruntDoc) for great coverage. We’ll see you next year in Boston. Or in about two minutes online.
Dr. Faust is an emergency-medicine resident at Mount Sinai Hospital in New York and Elmhurst Hospital Center in Queens. He tweets about #FOAMed and classical music @jeremyfaust.
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