mike defilippo
@MDtheDOEM/EMS Doc, Physician-Scientist | EMS Fellow @nmemsfellowship | EM via @NYEmergency | Medical Director @OverrunEMS | Research, Resus, and EMS | 🏳️🌈
A beautiful (although slightly cloudy) day to be out here doing the thing. I have a great job ☺️✈️ #FlightDoc #EMSdoc #EmergencyMedicine
It's been one of those weeks in Emergency Medicine: life is short, hug your pups and your loved ones, you never know what could happen ❤️
How it feels when a patient sees you eating a patient meal tray
Donald Trump announces Baron Harkonnen will head spice production on the planet of Arrakis
I love research because it combines my two favorite things: sitting and anxiety
Student I was counting on to nod throughout the lecture stopped nodding
I would open up a paronychia / felon clinic. They’re my favorite procedures.
One of the nurses brought in a crockpot with egg, potato, chorizo, beans, and green chile for breakfast burritos. What an amazing win for a Sunday morning ED shift. Did I mention I love this job?
اسهل طريقة تحفظ فيها Cephalosporin generations
Seconds after you capture the D-dimer that was sent off by triage
I’m super excited to share that I’ll be joining Washington University in St. Louis as an Assistant Professor in Emergency Medicine and EMS faculty starting this July! Looking forward to being part of such an incredible team!
We are incredibly excited to welcome Dr. DeFilippo @MDtheDO to our Wash U EMS Family! 🚑 He is currently completing his EMS Fellowship at University of New Mexico. We can’t wait for Dr. DeFilippo to finish and join us in July!
Every time another state's polls close they should play a canon sound like the Hunger Games
Also agree with this. During a resuscitation of a sick patient, I prefer my first BP to be a manual. 1. NIBP machines determine a MAP, and through proprietary software generate a systolic and diastolic based off that 2. It allows me to know the accuracy of the NIBP
I would also suggest that your first BP be a manual one. The NIBP used in the field by #EMS can be inaccurate in pts with CVD/CAD, MI, DM, shock. Auscultate a BP 1st then use a NIBP.
Another pearl: if you're supervising a tube or running a resus & you're at the foot of the bed, put a hand on the patient during RSI/intubation. Skin temp & condition will be one of your earliest, fastest, & most easily-detectable signs of impending hemodynamic crash. #EM #EMS
During an intubation, especially medication-facilitated, I am cycling blood pressures q 2.5 minutes (or, ideally, will have an A-line). Given the high-risk nature, meticulous monitoring of vital signs is essential.
"Soccer is a simple game; 22 men chase a ball for 90 min & at the end, the Germans always win" "EMS is a simple field; we respond to emergencies, provide stabilizing care in low resource environments, & at the end say 'couple of bumps' as we pull the stretcher out"
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