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@FlightBridgeED
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Where are all our usual Emergency Gen Surg patients with septic and ischaemic problems? Dying at home untreated? Too worried to come in? I fear a big influx soon of very sick patients with advanced disease. Why are we not talking about this?
Student loan email today: I’m accruing $25/day in interest; $750/mo, or $9000/yr. So w/o paying at least $750 a month (which many residents can’t), my loan balances will just continue to go up. I went to one of the least expensive schools in the country. #StudentLoanDebt
⚡️🧠⚡️status epilepticus ⚡️🧠⚡️ Why is your 80 kg pt still seizing after lorazepam 2 mg IV f/b Keppra 1g IV? Stop the subtherapeutic dosing with Yvonne’s @TILEDPharmD new #pharmacyeducationboard! #twitterx #medtwitter #nursingtwitter #emergency
I pulled into the hospital parking lot for night shift with an uneasy feeling in my stomach. I'd heard on the radio about a bad trauma when I was on my way in to work. Somehow I knew it was going to be a rough one...
Watch this incredible video of a patient with venous thoracic outlet syndrome. Provocative testing shows right subclavian compression and compromised venous return—you can even see flow reversal refluxing up the neck! Courtesy: @paulgamboad #FOAMed
All the high tech stuff -cath labs, 911 systems, helicopters, ECMO, everything modern medicine has to offer in cardiac arrest is essentially futile, unless these first link in the chain - bystander CPR- is solidly placed
Recently had a #paramedic student ask if I still provide patient care, or if “you’re just admin now?” Was able to say I proudly staff monthly & that it keeps me grounded as an administrator so that I always understand what my team experiences. #leadbyexample #EMSleadership
Took my 94 year old father-in-law to the doctors. Sat back and watched his eighty-year-old internist do a thorough physical and history. No labs or imaging this visit. Imagine.... medical care actually guided by just physical exam and history. A vanishing art.
A worthy rant... I can’t agree more. Treat every field intubation as a difficult one. If it turns out to be easy, it’s likely because you prepared.
I stayed for hours after my shift yesterday to be with a little girl whose daddy was dying. We coloured and sang and wandered the secret passageways of the hospital. She confided in me that she is in fact Hermione Granger, a good wizard. I made her a special wand...
Here is a comprehensive list of reasons to choose saline over blood products to resuscitate bleeding hemorrhage shock patients: - - - - -
I used to say I wish there were a vaccine for stupidity. It never occurred to me that the people who need it wouldn’t take it.
I just registered to save a life with @BeTheMatch You can too! join.bethematch.org/s/?ref=share #BeTheMatch #FAST19
Are you joining one of our co-hosted mental health #safety programs? “taking care of our own” is coming to a town near you & was co-developed with @ASTNA2 & @MedevacI, read a bout it here: emsworld.com/article/122263… #ems #hems @EMSWorldNews @AirMedToday @AAMS @airmedandrescue
Using tibial IO for pediatrics? Consider femur placement instead: larger, more stable @markpiehl #FAST19
kids that are big sick and need intubated to save them, in which intubation can also kill them, think deep sedation intubation (4mg/kg ketamine) + HFNC, without paralytic @markpiehl #FAST19
When you speak, you give life to words. THINK first. Is it True? Helpful? Inspiring? Necessary? Kind? Are you building your brand or destroying it? @FlightBridgeED #fast19
A powerful and personal keynote from @HandtevyMD today at #fast19 . Thanks for your contributions and passion
Minutes before my talk at #FAST19 on the Parkland shooting, I was on the phone with the South Metro EMS medical director as the active shooter call came in. We pray for him and all the first responders who risked their lives today to save others! #EMSStrong
@kriskaull encourages attendees to find your why in doing this job: Read a lot. Be quiet. Write regularly. Forgive frequently. Prioritize you. Show gratitude. #FAST19
Let’s not focus on induction agent, let’s focus on adequate resuscitation and optimization first @DaveOlvera1 #fast19
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