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iMED
@iMedEducation
Reimagining educational experiences with new mediums || Co-directors @ShreyaTrivediMD @AdamRodmanMD || @BIDMC_IM @BIDMC_Education|| Clear 👁s full ❤️ can’t lose
Sep 30, 2021 • 17 tweets • 5 min read
It's time for another Tweetorial from @JennyShihMD !

How do you escalate oxygen methods of delivery after nasal cannula? Do you use Oxymizer? Or non-rebreather?

How do you choose which one?

Let’s take a quick dive into oxygen delivery methods. A thread🧵 Let’s take a step back to oxygen delivery from the lungs to the tissues and oxygen consumption.

Remember that most of the oxygen delivered is bound to hemoglobin and a smaller proportion is dissolved in plasma.
Feb 17, 2021 • 11 tweets • 5 min read
Why is fever considered to be ≥ 100.4 F?

A wonderful Tweetorial by @JennyShihMD, reviewed by @AvrahamCooperMD and @AdamRodmanMD. 100.4 comes from a single study in 1868 (archive.org/details/dasver…). Since then, multiple studies have refuted this, showing that fever on average can be as low as 99.5F (99th percentile of normal).

But the old definition has stuck. Let’s learn more about fevers in this 🧵.
Aug 28, 2020 • 15 tweets • 6 min read
A new Tweetorial from @LorinskyMD!

After taking a deep dive into AKI management last week, I was left wondering, what is the deal with the FENa?

Despite urine lytes being sent often, I haven’t found it very useful clinically.

But what does the evidence show?