@GoyalEM

ED/ICU/Vent management; practical Med Ed; tweets are my own

 Washington, DC
Joined August 2011
  • Tweets146
  • Following149
  • Followers240
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Munish Goyal retweeted
Rory Spiegel@TheEMNerdJan 10
The Things We Carry nejm.org/doi/full/10.1056/NE…

The Things We Carry | NEJM

The ID, the pen, the epinephrine, the scalpel are the nonnegotiables, the necessities for any hospital shift. But they are not the only things a physician carries, and certainly not the most burden...

nejm.org
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Every Emergency Physician should watch this talk which is about much more than efficiency: youtu.be/Hqlc0K1inno?si=BxsE… @emresidents @acep @joelleborhart @MedStarHealth @AAEMRSA

MEP 2025 Fall Symposium

Individual lectures:00:10 Matt Mueller, Aaron Resnick, Matt Sasse...

youtube.com
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Excited to share our take -- ED-ICU Time: The EF of the ED? : Critical Care Medicine journals.lww.com/ccmjournal/…
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Great work @lmuellermd and @bv_vid - One of our best procedural videos! @GtownEM @SiTELMedstar youtu.be/esQ4m2ZkdUI

How to perform an ultrasound guided fascia iliaca nerve block

Dr. Landon Mueller, EM and Sports Medicine Physician at MedStar Hea...

youtube.com
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Flexible bronchoscope-guided endotracheal intubation is an advanced technique that you need in your difficult airway toolbox, say @GoyalEM & Alex Koo, MD, only in their latest video blog Procedural Lifelines. #FOAMed tinyurl.com/ProceduralLifeli…
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We were #MedStarHealthProud to host @georgetown’s Dr. Anthony Fauci and more than 1,000 attendees at this year’s @MedStarResearch & Education Symposium. Learn more about this year’s event ➡️ bit.ly/4a27FVD @gumedcenter
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🚨Acute hyperoxia remains inconsistently defined in the literature. ⚕️We need more actionable data for managing mechanically ventilated patients in the acute phase. @GoyalEM @jem_journal #FOAMed #Trauma #MedTwitter authors.elsevier.com/a/1hyNx…
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Year after painful year, the #1 cause of bankruptcy in the US is massive, unpayable medical bills.
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Our @AnnalsofEM article shows ED visit volumes, severity, and crowding from 2019-22 pubmed.ncbi.nlm.nih.gov/3765… @DhimitriNikolla @USACSolutions @ACEPNow @MDaware @AliRaja_MD @choo_ek @meganranney

Emergency Department Volume, Severity, and Crowding Since the Onset of the Coronavirus Disease 2019...

ED visit volumes fell early in the pandemic and have only partly recovered. Despite lower volumes, ED crowding has increased. This issue is magnified in psychiatric patients.

pubmed.ncbi.nlm.nih.gov
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Study findings do not support the treatment of elevated inpatient blood pressures in hospitalized older adults without evidence of end organ damage and highlight the need for randomized clinical trials of inpatient blood pressure treatment targets. ja.ma/3NXGLWV
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Congrats @mpottash. Important work highlighting unintended consequences @MedStarResearch @MedStarWHC
Bridget I. Hiller MD, HMDC,FAAHPM@01Bridget15 Jul 2023
Replying to @mpottash @GUMedicine
Congrats! 👏
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We’re uniting with your favorite teams to make a difference and save lives with CPR and AEDs! We teamed up with the @Capitals, @WashWizards, @WashMystics, and @GeorgetownHoyas to demonstrate CPR and how to use an Automated External Defibrillator (AED) ➡️ bit.ly/43hj4ON
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Thanks to the @Capitals and former Caps player and analyst, Alan May, for teaming up with us to save lives during #CPR and #AED Awareness Week! Watch Alan and Emergency Physician Dr. Jennifer Thompson demonstrate. #CPRSavesLives #BystanderCPR youtu.be/i_sa1o1GtAc
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Learn CPR with the @MedStarWHC @WashWizards youtu.be/LRXiprqaj0o via @YouTube. Everyone can do it! #teaminguptosavelives
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Very proud of @RabbleRouseED teaming up with @MedStarHealth @GtownEM and the @WashMystics @HoyasWSoc @WashWizards @WashMystics to promote AED and CPR week! @MedStarWHC #CPRAEDAwarenessWeek #CPRsaveslives #emergencymedicine
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Munish Goyal retweeted
Sam Ghali, M.D.
@EM_RESUS1 May 2023
Hi, ER Doc here. If your nose is bleeding, DO NOT TILT YOUR HEAD BACK. This just makes the blood drip down the back of your throat and you will then swallow and/or choke on it. Pinch the soft part of your nose and TILT YOUR HEAD FORWARD. Please tell your friends about this.
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Cigna uses an automated system that allows “medical directors” (doctors employed by @Cigna) to deny a claim in 1.2 seconds without opening the patient’s file. Please read this, share it, and help us (metaphorically) burn these companies to the ground.
ProPublica
@propublica25 Mar 2023
Doctors at a major US insurance company deny tens of thousands of claims a month without even looking at patients’ files. “We literally click & submit,” a former Cigna doctor told @ProPublica & @Capitol_Forum. “It takes all of 10 seconds to do 50 at a time.” The inside story 🧵
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Emergency medicine is still cool! washingtonpost.com/opinions/… @GtownEM @ERDocJV

Opinion | Emergency medicine is still ‘cool’

We have no doubt that emergency medicine will further adapt to the challenges faced by our health-care system today.

washingtonpost.com
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Great collaboration with @MedicalHFE, @TheOfficialBonk, @EMNerd_, and several others creating this visually simple unanticipated difficult airway algorithm that incorporates several important nudges - shorturl.at/qzGM9 . Open to suggestions on how to improve
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Matt Johnson sharing his data about dedicated ED Intensivist shift. 25% reduction in ICU admits; time to Abx dropped by 3hrs ⁦@EMNerd_⁩ ⁦@MaxHockstein⁩ ⁦@GtownEM⁩
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