Akash Ray (@_kashray) profile picture

EM Resident | Here for the #FOAMed

Philadelphia, PA
Joined September 2020
Check out my post with the REBELEM team on the use of haldol for CHS
The HaVOC Trial: IV Haldol vs Zofran for Cannabis Hyperemesis Syndrome via @IbbyDurrani -Haloperidol... -Improved rates of nausea/abd pain -Shorter ED LOS -Less rescue meds -Inadequate sample size -Haloperidol 0.05mg/kg promising adjunct rebelem.com/the-havoc-trial-… #FOAMed
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REBEL Cast Ep90: Ultrasound vs Landmark-Guided Palpation for Radial Arterial Line Placement with @MRamzyDO -RCT of 40pts -1st pass success & overall success higher w/US -Faster Time (264s vs 524s) -US Superior to Landmark rebelem.com/rebel-cast-ep90-… #FOAMed #FOAMcc
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Part 5/5 - Babesiosis!
Tick-Borne Illnesses: Part 5 Babesiosis via @IbbyDurrani @_kashray -Fever+Flu-Like Illness -Hemolytic Anemia+Low plts -Tetrads(Maltese Cross) -Atovaquone+Azithro -Severe Dz:Clincamycin+Quinine -Exchange Transfusion if Parasitemia>10% rebelem.com/emerging-tick-bo… #FOAMed #babesiosis
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Emerging Tick-Borne Illnesses: Not Just Lyme Disease Part 4 RMSF via @IbbyDurrani @_kashray -Look for Classic Triad: Tick Bite, Rash, Fever -Rash Typically Appears 2-4d After Fever -1st Line: Doxy -2nd Line: Chloramphenicol rebelem.com/emerging-tick-bo… #FOAMed #RMSF
Part 3- Ehrlichiosis!
Emerging Tick-Borne Illnesses: Not Just Lyme Disease Part 3 Ehrlichiosis via @IbbyDurrani @_kashray -Sxs 5-14d after tick bite -Rash in 1/3rd of pts -Fever + Flu-Like Illness -1st Line: Doxy -2nd Line: Rifampin rebelem.com/emerging-tick-bo… #FOAMed #ehrlichiosis
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Emerging Tick-Borne Illnesses Part 2 Anaplasmosis Flu like illness, often self resolving, but occasional severe inflammatory response Distribution looks like it could include Ontario. How often am I missing this diagnosis? Is anyone here testing for it? rebelem.com/emerging-tick-bo…
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Tick Week Part 2, all about Anaplasmosis @InspiraEM @_kashray @srrezaie
Emerging Tick-Borne Illnesses: Not Just Lyme Disease Part 2 Anaplasmosis via @IbbyDurrani @_kashray -Sxs 5-14d after tick bite -Rash present <10% -Fever+Flu-Like Sxs -Low Plts+Elevated LFTs -1st Line Tx: Doxy -2nd Line Tx: Rifampin rebelem.com/emerging-tick-bo… #FOAMed #anaplasmosis
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Akash Ray retweeted
Halloween might be over but check out this “Tick-or-Treat” by our own @IbbyDurrani and PGY-2 @_kashray
Emerging Tick-Borne Illnesses: Not Just Lyme Disease - An Overview via @IbbyDurrani & Akash Ray, DO -Increasing incidence in US -Presentation: Fever + Flu-Like Illness -Labs: Thrombocytopenia + Transaminitis -Tx: Doxy (DOES NOT cover Babesiosis) rebelem.com/emerging-tick-bo… #FOAMed
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Emerging Tick-Borne Illnesses: Not Just Lyme Disease - An Overview via @IbbyDurrani & Akash Ray, DO -Increasing incidence in US -Presentation: Fever + Flu-Like Illness -Labs: Thrombocytopenia + Transaminitis -Tx: Doxy (DOES NOT cover Babesiosis) rebelem.com/emerging-tick-bo… #FOAMed
Check out the start of tick week with our overview post on emerging tick-borne illnesses. More to come in the upcoming days! @_kashray @srrezaie
Emerging Tick-Borne Illnesses: Not Just Lyme Disease - An Overview via @IbbyDurrani & Akash Ray, DO -Increasing incidence in US -Presentation: Fever + Flu-Like Illness -Labs: Thrombocytopenia + Transaminitis -Tx: Doxy (DOES NOT cover Babesiosis) rebelem.com/emerging-tick-bo… #FOAMed
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