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Danny Leiva, DO FAWM FACEP

@dannyleiva.com
439 followers 108 following 238 posts

Emergency Med doc interested in wilderness/marine and evidence based medicine. Second generation Cuban American. Director of Academic Affairs, Cedars-Sinai Emergency Dept #FOAMed #WildMed #MedEd #EMSky My views are my own.

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Danny Leiva, DO FAWM FACEP @dannyleiva.com · 09/02/2026
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Danny Leiva, DO FAWM FACEP @dannyleiva.com · 26/05/2025
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Danny Leiva, DO FAWM FACEP @dannyleiva.com · 14/05/2025
Battle sign! #EMsky #EMedSky
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Danny Leiva, DO FAWM FACEP @dannyleiva.com · 05/04/2025
Interesting idea, vaccination may have an effect on development of dementia. Another reason to keep up with vaccine promotion
nature.com
A natural experiment on the effect of herpes zoster vaccination on dementia - Nature
Using a natural experiment that avoids common bias concerns, this study finds that the live-attenuated shingles vaccine reduced the probability of a new dementia diagnosis within a follow-up period of...
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Danny Leiva, DO FAWM FACEP @dannyleiva.com · 18/02/2025
An interesting case report I published after a couple years of it having been lost including at the publisher 😂 #MedSky #EMSky #NeuroSky www.sciencedirect.com/science/arti...
sciencedirect.com
Moyamoya Disease- A Clinical Mimic for Psychiatric Disorders in the Emergency Setting: A Case Report
Patient presentations to the emergency department for mental health evaluations are common, with an estimated 1 in 4 adult visits made for this reason…
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Danny Leiva, DO FAWM FACEP @dannyleiva.com · 09/02/2025
@ericmigi.com facebook is reminding me of how excited I am for open source pebble
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Danny Leiva, DO FAWM FACEP @dannyleiva.com · 05/02/2025
Patella Alta physical exam finding #EMsky #EMedSky
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Danny Leiva, DO FAWM FACEP @dannyleiva.com · 03/02/2025
My series of tubes to help with paracentesis drainage. I was able to get 8L out of this patient with no intervention needed to change out bottles. I hope others are using this time saving trick! Don't worry, a tech was watching it the whole time to monitor for complications #EMsky #EMedSky
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Danny Leiva, DO FAWM FACEP @dannyleiva.com · 31/01/2025
Chylothorax from radical neck dissection. From rare process to bedside drainage. Interesting! #EMsky #EMedSky pubmed.ncbi.nlm.nih....
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Danny Leiva, DO FAWM FACEP @dannyleiva.com · 28/01/2025
"Our analysis, which included 2021 and 2022 data, showed a ... generalized increase. Possible explanations ... COVID-19 or other respiratory illnesses, maternal opioid use, and social media’s influence on infant sleeping practices." I hope we can better educate on safer sleep habits #Pedsky #Medsky
jamanetwork.com
Sudden Unexpected Infant Death and Disparities in Infant Mortality in the US, 1999-2022
This cross-sectional study examines temporal trends and disparities in specific causes of infant death in the US from 1999 to 2022.
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Danny Leiva, DO FAWM FACEP @dannyleiva.com · 27/01/2025
Just wanted to share with the bluesky community in case people haven't seen this yet. #MedSky #IDsky #InfectiousDisease
cjonline.com
Kansas tuberculosis outbreak is now America's largest in recorded history
Kansas public health officials say the state's ongoing tuberculosis outbreak is the largest since the CDC started reporting TB cases in the 1950s.
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Danny Leiva, DO FAWM FACEP @dannyleiva.com · 22/01/2025
#DuelingDragons
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Danny Leiva, DO FAWM FACEP @dannyleiva.com · 15/01/2025
Sauna as a means of heat stroke. Interesting, but not entirely unexpected. casereports.bmj.com/content/18/1...
casereports.bmj.com
Severe heat stroke with multiorgan failure following collapse in a sauna
Heat stroke is characterised by hyperthermia and acute encephalopathy. We describe a rare case of classical heat stroke secondary to prolonged sauna use with multiorgan sequelae including seizures, li...
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Danny Leiva, DO FAWM FACEP @dannyleiva.com · 14/01/2025
I thought this was an interesting endeavor. Something to do with time downtime: apple.news/A51AaXZQZTXK...
apple.news
Can you read cursive? It's a superpower the National Archives is looking for. — USA TODAY
The National Archives is looking for volunteers with an increasingly rare skill: Reading cursive.
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Danny Leiva, DO FAWM FACEP @dannyleiva.com · 09/01/2025
#LosAngeles #Runyon
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Danny Leiva, DO FAWM FACEP @dannyleiva.com · 09/01/2025
The canyon leading to our front door just caught on fire. Why is this not a national emergency? Why can’t we request help from other states. This situation has gotten completely out of hand. #LosAngeles
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Danny Leiva, DO FAWM FACEP @dannyleiva.com · 08/01/2025
#LosAngeles on fire. Pray for #LA
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Danny Leiva, DO FAWM FACEP @dannyleiva.com · 02/01/2025
"Cold-Related Deaths in the US" jamanetwork.com/journals/jam... #WildSky #MedSky
jamanetwork.com
Cold-Related Deaths in the US, 1999-2022
This study examines trends in cold-related mortality overall and by demographic characteristics between 1999 and 2022 in the US.
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Danny Leiva, DO FAWM FACEP @dannyleiva.com · 30/12/2024
Elsevier is gross. This type of mistreatment of academia will spread to all subjects if it hasn’t already #MedSky arstechnica.com/science/2024...
arstechnica.com
Evolution journal editors resign en masse
Board members expressed concerns over high fees, editorial independence, and use of AI in editorial processes.
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Danny Leiva, DO FAWM FACEP @dannyleiva.com · 27/12/2024
Bucky lounging with the family at the breakfast table. He wants to know why I’m taking photos of him #dog #dogs #corgi #corgilover #corgis
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Danny Leiva, DO FAWM FACEP @dannyleiva.com · 22/12/2024
www.psypost.org/caffeine-can...
psypost.org
Caffeine can disrupt your sleep — even when consumed 12 hours before bed
A new study has found that a 400 mg caffeine dose disrupts sleep up to 12 hours before bedtime, yet many people fail to notice these disruptions, especially when consumed earlier in the day.
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Danny Leiva, DO FAWM FACEP @dannyleiva.com · 21/12/2024
A personalized pup cup for Bucky! Happy Saturday! #dog #dogs #corgi #corgilover #corgis
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Danny Leiva, DO FAWM FACEP @dannyleiva.com · 18/12/2024
Bucky requesting his morning stomach rubs 👋🏼 #dog #dogs #corgi #corgilover #corgis
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Danny Leiva, DO FAWM FACEP @dannyleiva.com · 17/12/2024
The sentence commutations of Conahan, Crundwell, and Carlson are pretty gross. Did this really fly under the radar for everyone? Kids for cash scheme? Municipal fraud? Drug lord of synthetics drugs? Oof
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Danny Leiva, DO FAWM FACEP @dannyleiva.com · 16/12/2024
For my providers in #LosAngeles #LA be on the lookout for resistant shigella. I try to send stool samples on pts coming in with significant diarrhea and have definitely had a good number of salmonella and shigella in the past year. #MedSky #IDSky #EMSky
ajicjournal.org
Cluster of Extensively Drug-Resistant Shigella sonnei Carrying blaCTX-M-15 in Los Angeles, California, 2023-2024
We describe 3 cases of extensively drug-resistant (XDR) Shigella sonnei infections among men who have sex with men (MSM) in Los Angeles, CA. Using whole-genome sequencing, we determined that they are highly genetically related, exhibit similar antimicrobial resistomes, and appear to be distinct from other circulating strains. These cases highlight the rapid expansion of XDR Shigella in the U.S. and urgent need for appropriate detection and management.
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Danny Leiva, DO FAWM FACEP @dannyleiva.com · 16/12/2024
Sleepy Bucky before he migrates to the floor #dog #dogs #corgi #corgilover #corgis
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Danny Leiva, DO FAWM FACEP @dannyleiva.com · 16/12/2024
Christmas Lights and a beautiful moon from the Grove #LA #LosAngeles
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Danny Leiva, DO FAWM FACEP @dannyleiva.com · 15/12/2024
A sad state of affairs to have needed therapy withdrawn because a company with 22 billion in net profits needed a bit more in their pockets #MedSky #PedsSky #Autism #AutismAwareness
gizmodo.com
UnitedHealth Is Strategically Limiting Access to Critical Treatment for Kids With Autism
Advocates told ProPublica the insurer’s strategy may be violating federal law.
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Danny Leiva, DO FAWM FACEP @dannyleiva.com · 15/12/2024
arstechnica.com/science/2024...
arstechnica.com
Why Aztec “death whistles” sound like human screams
The basic mechanism relies on the Venturi effect, producing a unique rough and piercing sound.
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Danny Leiva, DO FAWM FACEP @dannyleiva.com · 12/12/2024
A story in three pictures. My wife felt bad, so she put the leg back up using some of the tape. #LA #losangeles
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Danny Leiva, DO FAWM FACEP @dannyleiva.com · 11/12/2024
Our #koi #fish and #turtle friends next to our house in #LA
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Danny Leiva, DO FAWM FACEP @dannyleiva.com · 11/12/2024
Hypothermia occurs when body temperature drops below 35C/95F. It can result from prolonged exposure to cold, wet conditions or immersion in cold water. Symptoms include shivering, confusion, slurred speech, and drowsiness. Severe cases may lead to progressive morbidity/mortality #WildMedSky #EMSky
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Danny Leiva, DO FAWM FACEP @dannyleiva.com · 10/12/2024
Subtle, but a good example of NIH #4: Minor paralysis (flat nasolabial fold, smile asymmetry), +1 point. Posted with permission #EMSky #MedSky #FOAMed #NeuroSky
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Danny Leiva, DO FAWM FACEP @dannyleiva.com · 09/12/2024
Aurlumyn for #frostbite, FDA approved earlier this year. Active ingredient: Iloprost. Mechanism attached to post. #EMSky #FOAMed #MedSky #WildMedSky www.fda.gov/news-events/...
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Danny Leiva, DO FAWM FACEP @dannyleiva.com · 06/12/2024
Things seen visiting friends in #Georgia that I don’t see in my #LA backyard #deer #wildlife #wildsky
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Danny Leiva, DO FAWM FACEP @dannyleiva.com · 06/12/2024
Humeral IO great flow rate 5L/hr, fluid reaches heart in 3 seconds, ⬇️ insertion/infusion pain. Use yellow 45mm needle as blue can be short in 50% of patients buff.ly/2JNUmh7 Obese patient and shooting for tibia? Again consider yellow buff.ly/2JOaxLl #medsky #emsky #foamed #meded
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Danny Leiva, DO FAWM FACEP @dannyleiva.com · 05/12/2024
For interpretation help of LFTs, I like referencing this and using it as a quick primer for #MedEd. Helps learners understand the various enzymes and ranges associated with the different conditions. "Elevated Liver Enzymes: Emergency Department–Focused Management" www.jem-journal.com/...
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Danny Leiva, DO FAWM FACEP @dannyleiva.com · 04/12/2024
Good morning and stop taking pictures from Bucky #dog #dogs #corgi #corgilover #corgis
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Danny Leiva, DO FAWM FACEP @dannyleiva.com · 04/12/2024
I was going to post a Chest XR Review pneumonic I had saved but I like the radiopaedia one better (ABCDEF): A airways (intraluminal mass, narrowing, carina) B breathing (lungs, pulmonary vessels, pleural spaces) C circulation (cardiomediastinal contour, great vessels) #medsky #foamed #emsky #radsky
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Reposted by Danny Leiva, DO FAWM FACEP
Justin Gill @justin-gill.bsky.social · 03/12/2024
Venting as an urgent care NP after a crazy shift today: Patient satisfaction as a primary quality metric ⬇️ abx stewardship, ⬇️ applicability of EBP guidelines, & ⬆️ provider burnout…especially when misinformation is rampant. That is all. #medsky #nursesky #emsky
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Danny Leiva, DO FAWM FACEP @dannyleiva.com · 03/12/2024
Sad case and highlights the importance of our EM board question that even if you simply wake up with a bat in the same room, you should seek immunoglobulin and vaccination. I also bring up in my envenomations lecture, rabies is the deadliest virus known to man. #EMSky#FOAMed #MedEd #MedSky #IDsky
gizmodo.com
California Teacher Dies From Rare Rabies Infection After Bat Encounter in Classroom
60-year-old Fresno resident Leah Seneng was reportedly killed by a rabies infection that she likely caught from a bat that had wandered into her classroom.
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Danny Leiva, DO FAWM FACEP @dannyleiva.com · 02/12/2024
Nonopioid pharmacologic treatment options for symptomatic treatment of opioid withdrawal. Great to consider when patients are coming in to the dept in withdrawal. Also consider giving buprenorphine, but only if in mild withdrawl. #EMSky #FOAMed #medsky #ansky #painsky #meded
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Danny Leiva, DO FAWM FACEP @dannyleiva.com · 01/12/2024
1-24% of acute pancreatitis can have splanchnic vein thrombosis (splenic, portal, and/or superior mesenteric veins). Treat the pancreatitis. Portal/SMV involvement (hepatic decompensation or bowel perfusion prob)? Consider anticoagulation Here is splenic vein thrombosis #emsky #medsky #foamed #meded
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Danny Leiva, DO FAWM FACEP @dannyleiva.com · 01/12/2024
Jaundice and icteric gentleman came in with INR of 1.7. Kidney injury noted on blood test testing today, don’t forget hepatorenal syndrome and administer albumin. pmc.ncbi.nlm.nih.gov/articles/PMC... #emsky #gastrosky #foamed #medsky #meded
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Danny Leiva, DO FAWM FACEP @dannyleiva.com · 30/11/2024
Methanol poisoning, sad story. Found in antifreeze/windshield washer fluid. Sx in 12-24 hrs or later is coingested with ETOH with AMS, visual disturbances. Anion-gap acidosis. Tx fomepizole (or IV ethanol), NaHCO3 for severe acidemia, dialysis #Medsky #EMSky #ToxSky www.bbc.com/news/art...
bbc.com
Briton Simone White dies after suspected mass poisoning in Laos
The 28-year-old lawyer becomes the fifth person to die from suspected methanol poisoning.
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Danny Leiva, DO FAWM FACEP @dannyleiva.com · 29/11/2024
Super interesting tool my #pedsky sister showed me yesterday to help determine proper neonatal hyperbilirubinemia treatment: bilitool.org #gastrosky #emsky #medsky
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Danny Leiva, DO FAWM FACEP @dannyleiva.com · 29/11/2024
I used this in the ED for renal colic with great success in pain control. See: pubmed.ncbi.nlm.nih.gov/35481607/ #EMsky
pubmed.ncbi.nlm.nih.gov
The Erector Spinae Plane Block as Novel Therapy for Renal Colic: A Case Series - PubMed
We present a 10-patient case series supporting the use of the erector spinae plane block (ESPB) as a novel approach for the treatment of acute pain from renal colic. An in-plane needle approach was us...
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Danny Leiva, DO FAWM FACEP @dannyleiva.com · 29/11/2024
Bucky looking fresh after getting his hair brushed #corgis #corgi #dogs #dog
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Danny Leiva, DO FAWM FACEP @dannyleiva.com · 26/11/2024
Time to Pay the Piper
arstechnica.com
Things aren’t looking good for infamous CEO of “health care terrorists”
Former Steward CEO Ralph de la Torre faces wide-ranging fraud and corruption probes.
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Reposted by Danny Leiva, DO FAWM FACEP
Justin Hensley @ebmgonewild.bsky.social · 26/11/2024
Here's one to mess with your head. This snake is poisonous due to eating poisonous toads. It is also venomous. So it is one of the few snakes that is always right regardless of whether people use the right descriptor. Tiger keelback or Rhabdophis Tigrinus
Tiger keelback or Rhabdophis Tigrinus snake. Green and red with black stripes and a white belly
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