Discover and read the best of Twitter Threads about #wokemedpearls

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New ACLS protocols courtesy of #wokemedpearls. We have been doing ACLS all wrong forever. As an example, just a few years ago this was typical…

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2/ EMS Unit on radio: Unit 23 to General... Coming in lights & sirens with a 45 year old male in cardiac arrest, V-fib shocked twice at 360, two IV lines, Epi 1mg in, intubated and bagging, and STEMI on our quick 12 lead, compressions ongoing, arrival 10 minutes, STEMI ALERT!
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3/ UNIVERSITY ER: Copy 23. Transmit 12-lead asap. Cath team will be ready. Update us if changes to the positive or negative.
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Read 9 tweets
How do you perform a testicular exam on a birthing-person? #wokemedpearls. Daunting right? The lack of a scrotum and testes, however, should not dissuade you from performing this exam. Testicular cancer is devastating if the diagnosis is missed. Here's how I perform this exam =>
2/ Expect some puzzled looks at first. Many birthing-persons are expecting a speculum exam of the so-called 'vagina'. Explain the necessity of a testicular exam and the consequences missing the diagnosis of testicular cancer. "But, Doctor, I don't have testicles!" =>
3/ This is a common reaction. My answer goes like this… “Person, you THINK you don’t have testicles, but it’s entirely possible that you are a trans-male and simply have not discovered this yet. Check your cis-privilege please and let me proceed.” This sometimes works. =>
Read 10 tweets

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