iiinova — where your digital self keeps evolving

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

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 · 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 · 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 · 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 · 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 · 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 · 02/12/2024

I do like these points that were previously raised for EM providers

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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 · 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

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

I see your Manhattan and raised you in Negroni, whose ingredients are never far for me

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Danny Leiva, DO FAWM FACEP @dannyleiva.com · 22/11/2024

I was reading that quickly with “don’t dead” vibes at first

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Danny Leiva, DO FAWM FACEP @dannyleiva.com · 21/11/2024

Weird in the streets of #LA Release all negative timelines / get out into #nature! #LosAngeles

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Danny Leiva, DO FAWM FACEP @dannyleiva.com · 21/11/2024

Wife and I got to see 1989 Batman in the theatres Monday. It was great sharing that experience with her as she has never seen it! She also agrees Jack was the best joker.

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Danny Leiva, DO FAWM FACEP @dannyleiva.com · 19/11/2024

#Batman 1989 screening compliments of Kith. Excited to share this gem with my wife. You wanna get nuts? Let’s get nuts. #movies #film

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Danny Leiva, DO FAWM FACEP @dannyleiva.com · 18/11/2024

40-year-old female with no past medical history presented with recurrent mild headaches, dizziness over the past couple of days. Had a Teladoc visit who recommended she come in to be evaluated for ?brain bleed. Needless to say, she coded in the bathroom... #EMSky #EPeeps #ECG #EKG #CardioSky #FOAMed

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Danny Leiva, DO FAWM FACEP @dannyleiva.com · 18/11/2024

A personal project of mine I'd like to hopefully continue developing in the future, making wilderness medicine education more wildly available!

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Danny Leiva, DO FAWM FACEP @dannyleiva.com · 16/11/2024

New submission in medical education in wilderness medicine! Using EPAs to develop a wilderness medicine curriculum for medical students. Excited to keep working in #meded for #wildmed #wildernessmedicine #emsky

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Danny Leiva, DO FAWM FACEP @dannyleiva.com · 16/11/2024

Figured this was a nice addition to share. Coordinates of a special place we visited in the polar regions, deception island 🐧

Coordinated displayed on watch of deception island

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Danny Leiva, DO FAWM FACEP @dannyleiva.com · 10/07/2023

Hyper dense MCA sign of ischemic stroke. High risk of hemorrhagic conversion, do not tPA without consultation

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Danny Leiva, DO FAWM FACEP @dannyleiva.com · 05/07/2023

Elderly female with syncope and hypotension on arrival. Bilateral pulmonary embolism

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