Amal Mattu @amalmattu Twitter profile

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Amal Mattu

@amalmattu

6 years

My first shift with the new interns today @UMEmergencyMed . 10 bits of advice for our newbies #WhiteBoardTeaching #FOAMed

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Amal Mattu

@amalmattu

5 years

Favorite Peter Rosen quote: "Nobody woke up this AM and decided to ruin your day. Don't get angry at your patients. Don't get frustrated. Happiness is YOUR choice." RIP Dr. Rosen, the father of EM.

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Amal Mattu

@amalmattu

6 years

Study hard, & you will know 50% of what you need to know in emergency medicine by the end of intern year; 75% by the end of 2nd year; & 90% by the end of residency. You will spend the rest of your career trying to learn the last 10%. Never stop studying hard! @UMEmergencyMed

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Amal Mattu

@amalmattu

6 years

Saturday night shift is the last #WhiteBoardTeaching of our academic year, top 12 pearls for sick patients. Good luck to the grads, and welcome aboard new interns! @UMEmergencyMed #FOAMed

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Amal Mattu

@amalmattu

2 years

Take note: pub'd online Oct 11 2022, ACC now is formally endorsing deWinter T waves, as well as modified Sgarbossa criteria for LBBB + pacemakers as "STEMI equivalents" and need for immediate angiography. At last! #foamed

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Amal Mattu

@amalmattu

3 years

Here's a chart worth remembering...authors looked at NEW ECG findings in PE (segmental up to saddle). Nice demonstration of the MYTH of sinus tach and S1Q3T3 in PE. Note-24% of patients had no new changes on the ECG

Brian Locke, MD MSCI

@doc_BLocke

3 years

@EM_RESUS Classic. But anyone have better data on utility of S1Q3T3 in PE diagnosis? (these are small n) ⬅️ no diff in the likelihood of PE vs not in those whom PE was suspected ⬅️ no difference in likelihood of massive vs non-massive PE

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Amal Mattu

@amalmattu

7 years

Top 10 things to NEVER say on twitter! with @EMNerd_ @S_P_MD @tomdelninno #FOAMed @UMEmergencyMed

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Amal Mattu

@amalmattu

7 years

2 codes today led to this #WhiteBoardTeaching @UMEmergencyMed #FOAMed (“T/C” = “to consider”)

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Amal Mattu

@amalmattu

4 years

Getting ECGs on patients in cardiac arrest is not generally recommended...but this ECG computer interpretation blows my mind! 🤯

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Amal Mattu

@amalmattu

7 years

The biggest reason we MISS a diagnosis is because we MAKE a diagnosis. i.e. the diagnosis of a benign condition does not rule out the presence of a deadly condition. Always rule out the worst diagnoses first. @UMEmergencyMed #EMConf #FOAMed

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Amal Mattu

@amalmattu

4 years

It’s that time of year again! Our new interns start this week. 10 pearls... @UMEmergencyMed #FOAMed

Amal Mattu

@amalmattu

6 years

My first shift with the new interns today @UMEmergencyMed . 10 bits of advice for our newbies #WhiteBoardTeaching #FOAMed

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Amal Mattu

@amalmattu

3 years

Christmas Eve shift ⁦ @UMEmergencyMed ⁩ #foamed #WhiteBoardTeaching

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Amal Mattu

@amalmattu

4 years

For anyone that believes that you don't need to look at the ECG right away when the computer calls something normal... #FOAMed @UMEmergencyMed

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Amal Mattu

@amalmattu

3 years

This was hyperK. Died after amio.

ECGWeekly

@ECGWeekly

3 years

A 79-year-old male is brought into the ED by EMS with palpitations and lightheadedness while doing light yardwork. The following prehospital ECG was obtained. How would you manage this rhythm?

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Amal Mattu

@amalmattu

6 years

When bystanders witness cardiac arrest, they are LESS likely to initiate CPR vs UNwitnessed arrest! because during first 1-2 min, CA pts have agonal respirations & so laypeople assume pt still has pulse (Brinkoff, Resus 2018); we need to do more to educate the public #FOAMed

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Amal Mattu

@amalmattu

6 years

Best pearl the residents taught me last night: Staph aureus UTI is due to endocarditis (bacteremia) until proven otherwise. Huh? I must have slept through that lecture! Thanks to residents Hannah Goldberg and Sarah Mahonski @UMEmergencyMed

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Amal Mattu

@amalmattu

5 years

Today is orientation day for our new interns so I am sending this out once again. @UMEmergencyMed # #WhiteBoardTeaching #FOAMed

Amal Mattu

@amalmattu

6 years

My first shift with the new interns today @UMEmergencyMed . 10 bits of advice for our newbies #WhiteBoardTeaching #FOAMed

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Amal Mattu

@amalmattu

4 years

Yet another STEMI with a "normal" computer read. 100% D2 occlusion. "Normal" triage computer interpretations cannot be used to eliminate immediate ECG review by physicians!

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Amal Mattu

@amalmattu

1 year

The triage ECG does not need immediate physician review if the machine calls it normal....RIGHT??? 😱 Cath showed 100% LAD. This life saved because Dr. Arjun J.V. doesn't rely on machine interpretations! #FOAMed @UMEmergencyMed @UMEMresidency

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Amal Mattu

@amalmattu

4 years

Here's to hoping for a better 2021... @UMEmergencyMed @UMMC @UMmedschool #FOAMed

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Amal Mattu

@amalmattu

4 years

Sunday night shift: just some of the things I hate about Covid ⁦ @UMEmergencyMed ⁩ #FOAMed #WhiteBoardTeaching

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Amal Mattu

@amalmattu

6 years

All lectures should be thought of as acts of persuasion, not simply conveyance of information. Raw information can be obtained from books. Your job is to tell the audience what’s important, tell them why, and CONVINCE them to DO something different with that information.

Russ

@RussBrown3

6 years

Ok, guys! Give me your best travel tips/pearls for speaking at conferences from traveling to presentations. And go! @EM_Educator @chitwngurl @akkalantari @DrJeffJarvis @srrezaie @CriticalCareNow @ashleyliebig @jducanto @tbouthillet @JoeLex5 @amalmattu

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Amal Mattu

@amalmattu

7 years

Saturday evening shift w/ resident @RaoTejus #WhiteBoardTeaching @UMEmergencyMed #FOAMed Back Pain Rules for EM; what else would you add?

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Amal Mattu

@amalmattu

4 years

Thursday shift with LOTS of Covid19 rule-out (no surprise) ⁦ @UMEmergencyMed ⁩ #FOAMed #WhiteBoardTeaching Please add your pearls #COVID19

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Amal Mattu

@amalmattu

4 years

And by the way...why would you say "lowly paramedic"?? You all seriously are the heroes of acute care. I do EM because EMS would be too difficult!! Seriously, thanks for all you folks do. You deserve far more credit.

Viv Forde

@VivForde

4 years

Even as a lowly paramedic, I love @amalmattu Whiteboard teaching notes. Everyone involved in EM, be that in-hospital or prehospital should check them out. #FOAMed #Foamems #IrishEMS

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Amal Mattu

@amalmattu

3 years

Thanksgiving shift pearls! ⁦ @UMEmergencyMed ⁩ #foamed #WhiteBoardTeaching

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Amal Mattu

@amalmattu

5 years

A med student I met this past week had never heard of Encyclopedia Britannica. 😱 I think I leaked some TN. Told him that when I was growing up, the internet was called "books" and Google was called "a library." Maybe time to retire soon...thankful the ECG hasn't changed much.

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Amal Mattu

@amalmattu

5 months

Thanks for the props🙏. 20th anniversary edition of volume 1 just published!

Richard Davis PA-C

@boggs328

5 months

@IhabFathiSulima Here are two of my favorite, and highly-recommended, ECG books co-authored by my favorite EKG guru, @amalmattu .

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Amal Mattu

@amalmattu

7 years

Christmas Eve shift: discussing holiday disorders #WhiteBoardTeaching #FOAMed @UMEmergencyMed

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Amal Mattu

@amalmattu

7 years

Kudos to ESC for finally incorporating ECG criteria for LBBB, pacers, and aVR into STEMI-cath criteria; hopefully AHA/ACC will follow; also finally got rid of "new LBBB = cath;" see attached #FOAMed @UMEmergencyMed

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Amal Mattu

@amalmattu

6 years

One of the coolest ECGs I've seen this year. 50yoM with palpitations. Dx Monday, full discussion on incl why antiarrhythmic tx will kill this patient.

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Amal Mattu

@amalmattu

6 years

In reality ALL of my ECG lectures can be distilled down to 2 takehome points: (1) You don't need to be a cardiologist to be GREAT at reading ECGs, (2) no matter how good you are, if you improve your ECG skills, you'll save more lives! Isn't that why we are in EM? #foamed

Annahieta Kalantari, DO, FACEP, FACOEP 🇺🇦

@akkalantari

6 years

Is it just me or does every talk given by @amalmattu make you freak out about every EKG you have ever looked at prior to his talk!! Great information at #EEM2018 . Look for new upright T waves in V1. May be herald sign for LAD disease. @EssentialsofEM

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Amal Mattu

@amalmattu

6 years

Saturday AM intubation pearls #WhiteBoardTeaching #FOAMed @UMEmergencyMed What else would you add?

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Amal Mattu

@amalmattu

5 months

Which vessel? --> pulmonary artery! This was a massive PE. Tough case, but 2 takehome pearls: (1) PE can produce STE, esp. V1, aVR, and III (right side leads), and (2) it is very uncommon for STEMIs/OMIs to produce new right axis; STE + new RAD=PE until proven otherwise #FOAMed

Amal Mattu

@amalmattu

6 months

54 yo M w/CP + SOB. Thoughts on dx, plan, and which vessel? #FOAMed @UMEmergencyMed @UMEMresidency Prior ECG pretty much normal

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Amal Mattu

@amalmattu

2 years

Thursday shift ⁦ @UMEmergencyMed ⁩ ⁦⁦ @UMEMresidency ⁩ #foamed #WhiteBoardTeaching

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Amal Mattu

@amalmattu

8 years

Peter Viccellio on hospital overcrowding (from ACEP Now): "You can't treat constipation by adding more colon." Awesome!

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Amal Mattu

@amalmattu

6 years

Heartfelt condolences to the EM community of Chicago on the loss of one of their emergency physicians as well as a pharmacist and police officer this afternoon to gun violence in ED shooting.

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Amal Mattu

@amalmattu

1 month

Monday shift #foamed #WhiteBoardTeaching ⁦ @UMEMresidency ⁩

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Amal Mattu

@amalmattu

4 years

Sunday overnight shift ⁦ @UMEmergencyMed ⁩ #FOAMed #WhiteBoardTeaching

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Amal Mattu

@amalmattu

5 years

Quick correction about the drawing: the T-wave has to be taller than the ENTIRE QRS complex, not just the R-wave; so I would actually not be worried about the T-wave in the drawing; if you can fit the ENTIRE QRS under the T-wave, that's when you worry about ischemia (or hyperK)

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Amal Mattu

@amalmattu

5 years

Friday shift airway pearls ⁦ @UMEmergencyMed ⁩ #FOAMed #WhiteBoardTeaching Any addl pearls you want to add?

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Amal Mattu

@amalmattu

4 years

Monday—final shift with star graduating resident ⁦ @sportsinjuryMD ⁩ ⁦ @UMEmergencyMed ⁩ #FOAMed #WhiteBoardTeaching

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Amal Mattu

@amalmattu

5 years

That's such an important point: NTG gtt in cardiogenic pulmonary edema shouldn't be focused on BP control. It's used for acute preload and afterload reduction. We should stop focusing on BP. Follow the patient's clinical status, and run that NTG up to 400mcg/min if possible

Tom Grawey

@EMtgDO

5 years

@elewMD @amalmattu Had this case last week. Nitro at 200 and didn’t touch the BP. The pulmonary edema and pts respiratory status got better though.

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Amal Mattu

@amalmattu

3 years

Monday shift ⁦ @UMEmergencyMed ⁩ #foamed #WhiteBoardTeaching

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Amal Mattu

@amalmattu

1 year

Friday night shift ⁦ @UMEmergencyMed ⁩ ⁦ @UMEMresidency ⁩ #foamed #WhiteBoardTeaching

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Amal Mattu

@amalmattu

2 years

Friday overnight shift ⁦ @UMEmergencyMed ⁩ #foamed #WhiteBoardTeaching

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Amal Mattu

@amalmattu

4 years

Friday night shift with 2 boards of pearls. ⁦ @UMEmergencyMed ⁩ #FOAMed #WhiteBoardTeaching

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Amal Mattu

@amalmattu

4 years

Saw this in grocery store, was the Hershey's Kisses cereal that caught my eye; is there any doubt why we are seeing younger and younger patients w/ acute atherosclerotic (heart & brain) disease than ever before? Will continue to get worse. What's the youngest STEMI you've seen?

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Amal Mattu

@amalmattu

1 year

Yet another example of computer trying to mislead you..."early repolarization" turns out to be 100% LAD occlusion #FOAMed @UMEmergencyMed @UMEMresidency

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Amal Mattu

@amalmattu

6 years

Christmas Eve syncope pearls @UMEmergencyMed #FOAMED #WhiteBoardTeaching everyone today seems to have syncope or near-syncope!

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Amal Mattu

@amalmattu

3 years

Saturday shift ⁦ @UMEmergencyMed ⁩ #foamed #WhiteBoardTeaching

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Amal Mattu

@amalmattu

4 years

Thanksgiving night shift with colleague ⁦ @DocWillisMD ⁩ ⁦ @UMEmergencyMed ⁩ #FOAMed #WhiteBoardTeaching

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Amal Mattu

@amalmattu

2 months

Sunday shift with a good cardiogenic pulmonary edema ⁦ @UMEMresidency ⁩ ⁦ @UMEmergencyMed ⁩ #foamed #WhiteBoardTeaching

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Amal Mattu

@amalmattu

3 months

Apparently there are two types of torsade. I learn something new every day!

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Amal Mattu

@amalmattu

4 years

HyperK until proven otherwise. Massive PE can also produce large S in Lead I + STE in V1-2 & aVR (with CP) but Ts look too peaked and QRS too wide. This is a bizarre. “Bizarre” in emergency med = HyperK until proven otherwise.

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Amal Mattu

@amalmattu

4 months

Thursday night shift ⁦ @UMEMresidency ⁩ ⁦ @UMEmergencyMed ⁩ #foamed #WhiteBoardTeaching

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Amal Mattu

@amalmattu

1 year

Friday overnight shift…April Fools pearls! ⁦ @UMEmergencyMed ⁩ ⁦ @UMEMresidency ⁩ #WhiteBoardTeaching #foamed

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Amal Mattu

@amalmattu

2 years

Friday night shift ⁦ @UMEmergencyMed ⁩ ⁦ @UMEMresidency ⁩ #foamed #WhiteBoardTeaching

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Amal Mattu

@amalmattu

1 year

Full set of lectures from our Univ of Maryland Emerg Med Cardiology Symposium focused on cardiac arrest are now #foamed on YouTube at ; feel free to share with anyone you think would be interested in cardiac arrest care

Emergency Cardiology Symposium 2023

Managing Cardiac Arrest: Cutting Edge Care

www.youtube.com

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Amal Mattu

@amalmattu

2 months

Tuesday shift ⁦ @UMEmergencyMed ⁩ ⁦ @UMEMresidency ⁩ #foamed #WhiteBoardTeaching

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Amal Mattu

@amalmattu

4 years

Friday night shift with star resident ⁦ @haveyoumetdom ⁩ ⁦ @UMEmergencyMed ⁩ #foamed #WhiteBoardTeaching

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Amal Mattu

@amalmattu

6 years

Friday night shift alongside super colleague @critcareguys #WhiteBoardTeaching #FOAMed @UMEmergencyMed

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Amal Mattu

@amalmattu

6 years

Many got this correct: Brugada syndrome with non-sustained VT; sodium channel blocking drugs (e.g. amio, procainamide) can be dangerous here!

Amal Mattu

@amalmattu

6 years

One of the coolest ECGs I've seen this year. 50yoM with palpitations. Dx Monday, full discussion on incl why antiarrhythmic tx will kill this patient.

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Amal Mattu

@amalmattu

3 years

Saturday overnight shift with colleague ⁦ @EMTerp2 ⁩ ⁦ @UMEmergencyMed ⁩ #foamed #WhiteBoardTeaching

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Amal Mattu

@amalmattu

3 years

Monday shift ⁦ @UMEmergencyMed ⁩ #foamed #WhiteBoardTeaching

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Amal Mattu

@amalmattu

6 years

Saturday night shift #WhiteBoardTeaching #FOAMed ⁦ @UMEmergencyMed ⁩

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Amal Mattu

@amalmattu

5 years

Another reminder that ECG computer interpretations cannot be trusted and should not be used at triage to decide how quickly the ECG should be viewed by the physician. Unbelievable miss by the computer! This patient had 100% LAD & 90% RCA. #FOAMed @UMEmergencyMed

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Amal Mattu

@amalmattu

6 years

Nice work! Reciprocal ST depression (here in aVL and V2) often precedes the STE, but is frequently ignored by the computer. Never rely on the computer!

Matthew Neth

@RoseCityResus

6 years

Another example of the importance of not trusting the computer’s interpretation. Patients with “nonspecific changes” decompensate in a matter of minutes. (EKGs recorded 15 min apart) @UCEmergencyEMS @TamingtheSRU @smithECGBlog @amalmattu @EMS12Lead @EM_RESUS @kurzmc

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Amal Mattu

@amalmattu

2 years

Checking our droperidol supply before the weekend shifts ⁦ @UMEmergencyMed ⁩ ⁦ @ColwellMD ⁩ #foamed

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Amal Mattu

@amalmattu

5 years

Monday shift: final shift with superstar Shannon Petukhov after working with her the past 6 years (as student and resident); passed her “final exam” for me (but still needs to work on her drawing skills); good luck in practice! ⁦ @UMEmergencyMed ⁩ #WhiteBoardTeaching #FOAMed

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Amal Mattu

@amalmattu

2 months

Saturday overnight shift ⁦ @UMEmergencyMed ⁩ #foamed #WhiteBoardTeaching

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Amal Mattu

@amalmattu

4 years

Saturday night shift with some cardio-Covid ⁦ @UMEmergencyMed ⁩ #foamed #WhiteBoardTeaching

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Amal Mattu

@amalmattu

2 years

Saturday night shift ⁦ @UMEmergencyMed ⁩ ⁦ @UMEMresidency ⁩ #foamed #WhiteBoardTeaching

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Amal Mattu

@amalmattu

8 years

going to give twitter one more shot, starting from scratch with 0 followers!...hopefully won't get hacked again #foamed

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Amal Mattu

@amalmattu

11 years

Maybe there's nothing in medicine worth knowing...except the ECG. Some thoughts about what I used to know... http://t.co/RZs1U4MGwf

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Amal Mattu

@amalmattu

4 years

Sunday evening shift ⁦ @UMEmergencyMed ⁩ #WhiteBoardTeaching #FOAMed

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Amal Mattu

@amalmattu

4 years

Friday shift with rockstar colleague ⁦ @critcareguys ⁩ ⁦ @UMEmergencyMed ⁩ #FOAMed #WhiteBoardTeaching

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Amal Mattu

@amalmattu

6 years

Spanish version of Errors book finally published! Congrats to Drs. Chanmugam, Swadron, Woolridge & Winters @critcareguys

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Amal Mattu

@amalmattu

4 years

Saturday night shift with colleague ⁦ @DocWillisMD ⁩ and residents ⁦ @tomdelninno ⁩ and ⁦ @DrNaillidFelipe ⁩

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Amal Mattu

@amalmattu

1 month

Saturday shift with colleague ⁦ @sbuidubbs ⁩ @UMEmergencyMed ⁩ #foamed #WhiteBoardTeaching

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Amal Mattu

@amalmattu

7 months

Sunday shift with star resident Charmie Mehta ⁦ @macurcheese ⁩ ⁦ @UMEmergencyMed ⁩ ⁦ @UMEMresidency ⁩ #foamed #WhiteBoardTeaching

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Amal Mattu

@amalmattu

7 years

Another use for the white board: each student/resident must write 3 things they learned on shift #WhiteBoardTeaching #FOAMed @UMEmergencyMed

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Amal Mattu

@amalmattu

2 years

Saturday night shift ⁦ @UMEmergencyMed ⁩ ⁦ @UMEMresidency ⁩ #foamed #WhiteBoardTeaching

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Amal Mattu

@amalmattu

3 years

Friday shift ⁦ @UMEmergencyMed ⁩ #foamed #WhiteBoardTeaching

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Amal Mattu

@amalmattu

2 months

Saturday shift ⁦ @UMEmergencyMed ⁩ ⁦ @UMEMresidency ⁩ #foamed #WhiteBoardTeaching

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Amal Mattu

@amalmattu

2 years

Friday shift ⁦ @UMEmergencyMed ⁩ ⁦ @UMEMresidency ⁩ #foamed #WhiteBoardTeaching

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Amal Mattu

@amalmattu

1 year

Friday shift ⁦ @UMEmergencyMed ⁩ ⁦ @UMEMresidency ⁩ #foamed #WhiteBoardTeaching

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Amal Mattu

@amalmattu

5 years

Friday night shift with superstar senior resident ⁦ @CheyenneFalatMD ⁩ and colleague ⁦ @critcareguys ⁩ ⁦ @UMEmergencyMed ⁩ #FOAMed #WhiteBoardTeaching

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Amal Mattu

@amalmattu

4 years

Thursday night shift ⁦ @UMEmergencyMed ⁩ #foamed #WhiteBoardTeaching

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Amal Mattu

@amalmattu

3 years

Sunday shift ⁦ @UMEmergencyMed ⁩ #foamed #WhiteBoardTeaching

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Amal Mattu

@amalmattu

7 years

Thursday shift alongside @critcareguys (his pearls on left with the legible handwriting) #WhiteBoardTeaching #FOAMed @UMEmergencyMed

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Amal Mattu

@amalmattu

9 months

True, amiodarone has a lot of problems, but it is possible that THIS is the WORST drawback of all! #FOAMed

Dr. Akhil 🇮🇳

@DrAkhilX

1 year

@amalmattu #MedTwitter #MedEd #IMGs #medicaleducation #CardioTwitter #medicalinternship #medicineresidency #internalmedicine #doctors #madaktari #Medicos #medicina #врачи #m édecins #Likitoci #medicine #medical #FOAMed #FOAMim #FOAM4GP #FOAMcc Repost & ❤️ 👇

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Amal Mattu

@amalmattu

3 years

What's your opinion: 60 yo W w/DM, htn presents with 2 hours of facial droop, slurring speech, and hemiparesis; mild CP also, ECG shows anterior STEMI with reciprocal changes; dry CT head neg; HR 80, BP 150/90; what would you do first? no contraindications to tPA; #FOAMed

tPA for stroke

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send for cardiac cath

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get CT angio of aorta

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another idea?

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Amal Mattu

@amalmattu

4 years

This week a fun case on sent from Tasmania by Dr. Darren Briggs: 72yo M presenting with near-syncope, had a 30-second run of this while on monitor, how would you treat? Answer tomorrow.

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Amal Mattu

@amalmattu

5 years

Jessica, don't over-blow this! Here's my response based on what I said: 1. Kids unlikely to have ACS, but young people CAN have ACS; 2. unexplained fatigue--check an ECG; 3. negative biomarkers don't obviate the importance of doing hx and scrutinizing ECG; 4. scrutinize the ECG!

Jessica K. Willett, MD

@jkwillettmd

5 years

Sitting here in @amalmattu atypical ACS lecture having chest pain myself thinking about all the ACS I may have missed.... Kids can have ACS. Unexplained fatigue in women? Possible ACS. Biomarker negative ACS exists. 50% of missed ACS = EKG misreads 😱 #ACEP19

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Amal Mattu

@amalmattu

1 month

Friday shift with Colleague/program director ⁦ @sbuidubbs ⁩ ⁦ @UMEmergencyMed ⁩ #foamed #WhiteBoardTeaching

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Amal Mattu

@amalmattu

5 years

50's-ish yo M hemodynamically unstable with this ECG...what's the dx? Answer tomorrow night, discussion on this week's @UMEmergencyMed

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Amal Mattu

@amalmattu

5 years

Current issue of Emergency Med Clinics focused on Crit Care in the ED. Awesome issue by EM-CC experts John Greenwood (UPenn) and Tsuyoshi Mitarai (Stanford). Must read...this will save lives! Authors include ⁦ @critcareguys ⁩ ⁦⁦ @CriticalCareNow ⁩ ⁦ @MiscSusan ⁩