Gary Berkowitz
@FatamboGary
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likes long walks on the heli deck to a turning & burning HEMS machine. Likes pre-hospital POCUS. Opinions are my own, not my employers.
Gold Coast, Australia
Joined December 2013
REBOA = higher mortality (47% vs 36%), more transfusions, longer time to OR. No survival benefit. Check the new study by Hatchimonji et al. https://t.co/RnQGoCdJXI and Jansen's commentary https://t.co/s3qqRcWi6C.
@jhatchmd @dianehaddadmd @pdowzicky @markseamonmd
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Thanks @TeslaAUNZ @Tesla your tyre sealer and mini compressor saved the day after a big nail completely deflated this tyre. It allowed me to safely drive the car to a tyre shop this morning avoiding a tow!
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How do you become a world-class ECPR cannulator? Listen to Charles Bruen of the Minnesota Mobile Resuscitation Consortium tell us how he gained the skills to be a cannulator in arguably the best ECPR program in the world. https://t.co/FBohSiEUbD
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Dr Miranda is showing great success in HEMS response for ECPR in the Netherlands. A pioneering clinician-researcher. Follow his work. Waiting the publication on the results of the ON-SCENE Trial. #MNECMOSymposium @MMRCbeat @UCardUMN @LionelLamhaut @DYannopoulos @FOAMecmo
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@PictonChris @Mark_Butler_MP @RyanPark_Keira @Mon4Kooyong @DavidPocock @rosaliewoodruff @tmakrides @MelissaSweetDr @rbarishansky @Aidan_Baron @NRHAlliance @RuralDoctorsAus @ACRRM @NYCEMSwatch @OcoRory @CumminsNM @DanielRGerard @ShannonFentiman @DelportShannon @LeonBaranowski @Ldn_Ambulance @DrLouReynolds @gphec @NAEMT_ @RosalieBoyce @RuthForrestMLC @GuyBarnett @MaryAnneThomas @mbismark @DuncanMcConnel1 @Bruce_ @jeremyrockliff @RunMedic @PAC_Paramedic @CdnParamedicine @McNallyProject @tracyniks @cmdrbob558 David Ferris highlights the trials, tribulations and treats from the best bad decision you’ll ever make: In defence of working in #EMS as a career #health #EMT #paramedicine
jems.com
Emergency medical services personnel face low pay and long hours but find fulfillment in helping others during crises. Their impact is often unrecognized, yet they remain essential in emergencies.
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Another awesome debate from my favorite conference @TCCACS! Is DIRECT TO OR RESUSCITATION worth it? 👇🏼
Let's get ready to rumble🥊 Round 2. We've got another special episode today! @KennethMattox4 @TCCACS MATTOX Conference Pro-Con debate: DIRECT TO OR RESUSCITATION. Don't miss this rowdy head-to-head throw down! 🎧 https://t.co/sc0OsaBuDr 📺 https://t.co/og3uHm9oXi ➡️Every
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🧵 Want to MASTER hyperangulated videolaryngoscopy? This 3-step process will transform your (and your team's) first-pass success rate ⬇️ 1/5
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More lessons by @cliffreid at IncrEMentuM 2025: ➡️ Can't intubate, can't oxygenate When seconds matter and the airway fights back.
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The decision as to whether we should provide bicarb to our critically ill patient takes places every single day. This paper breaks things down amazingly well. Don’t forget to pay attention to the serum CO2. 🎩 tip to the authors. https://t.co/wtiQFg1wGN
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🚑 Stroke care matters. So does how we deliver it. A new study shows that patients transported by the Melbourne Mobile Stroke Unit (MSU) had: ✅ 2x better odds of full recovery ✅ ½ the mortality rate at 90–180 days ✅ Higher thrombectomy rates (40% vs. 23%) But better
ahajournals.org
BACKGROUND: Evidence of the cost implications and health outcomes associated with the use of mobile stroke units (MSU) is required to support their utilization. We aimed to evaluate the causal effect...
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🚨 New Podcast Episode! 🚨 If you’re uncomfortable talking about death, this podcast is for you. @expensivecare 🔊 https://t.co/j9JcIAW8Mj
open.spotify.com
Clinical Conversations · Episode
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We are delighted to announce that the next intake of CARES [Competency Advancement and Refresher Education for Skilled Paramedics] will be MARCH 17TH 2025. For more information, contact Course Facilitator Amanda Taylor-Hall via email or visit the link in bio. 🚑
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Co-Chief Investigators Mark Dennis and Brian Burns share the findings from the #EVIDENCEtrial at #CCRdownunder
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Major prehospital OHCA research results! 🚨 The EVIDENCE Trial randomized expedited transport vs. on-scene resuscitation, finding no difference in survival b/w groups (16v16% w/ ⬆️ CIs). Sust. ROSC higher in the on-scene group (34%) than the expedited transport group (24%).
Co-Chief Investigators Mark Dennis and Brian Burns share the findings from the #EVIDENCEtrial at #CCRdownunder
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When we are talking about mobile ECMO we really talking about Mobile ECMO ! No messing around !
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1/ I love love LOVE scanning the heart 😍, but when it comes to bang for your buck for ultrasound novices, lung ultrasound is such a winner 🏆 It's time for another #POCUS basics #tweetorial 🧵 Let's talk about common pitfalls in #LungUltrasound and how to correct these ✔️
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For those following the use of Prehospital Whole Blood, here's a study to be aware of: The TOWAR study will evaluate prehospital #LTWOB vs. usual care across 10 sites. T - ype O+ W - hole blood and assessment of A - ge during prehospital R - esuscitation The "age" part will
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🚨🚨 18 year review of #FONA in Victorian #EMS: "Cardiac arrest and needle techniques were associated with lower odds of procedural success, while male sex was associated with higher odds." @MatthewHumar @ben_meadley @emandrew1 @expensivecare @Ziad_Nehme1
https://t.co/m7ZcUbDh94
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Everyone in EMS should take the time to read this… Then go do it. Every day you wait, people in your community are missing out on a lifesaving resource.
Our data suggest that prioritization of prehospital transfusion improves survivability in patients with severe hemorrhage despite a modest increase in transport time. @Tulane_Surgery @MarkPiehl @JakeBroome
https://t.co/7UZpIElL1J
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