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Jacob Miller NP CNS NRP Profile
Jacob Miller NP CNS NRP

@JacobMillerACNP

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Paramedic πŸš‘| #EMS Nurse Practitioner & Clinical Nurse Specialist 🚁| #FOAMed | Opinions not employers' | Retweets not endorsements | Coffee not optional β˜•

Ohio, USA
Joined April 2017
Don't wanna be here? Send us removal request.
@JacobMillerACNP
Jacob Miller NP CNS NRP
8 months
As they say. new year, new social platform? . Catch me on #Bluesky: . #BlueskySocial.
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@JacobMillerACNP
Jacob Miller NP CNS NRP
1 year
Thank you to the @FlightBridgeED team for the opportunity to speak at #FAST24 today! An amazing conference packed with top-notch speakers and cutting-edge topics! . Looking forward to #FAST25!.
@FlightBridgeED
FlightBridgeED
1 year
Thanks, Jacob, for an excellent and educational talk this morning! The right ventricle has unique challenges that must be considered in patients with RV pathology; what's right for the left might be wrong for the right! #FAST24 #FlightBridgeED.πŸ“Έ: Mark Mennie
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@JacobMillerACNP
Jacob Miller NP CNS NRP
1 year
Trauma arrest β‰  medical arrest. Chest compressions won't fix hemorrhage, tension PTx, or tamponade. Fix those FIRST, then *maybe* compressions. ACLS meds probably unhelpful too, but DO consider vasopressin +/- calcium. @ResusOne #FAST24 @FlightBridgeED.
@ktcollopy
Kevin Collopy, MHL, FP-C, FAEMS
1 year
We know that in medical cardiac arrest, chest compressions are the cornerstone of care b/c the pump is failing. In traumatic arrest, the problem is most likely hemorrhage or obstruction. Compressions won’t fix those! -Dr. Zaffer Qasim #FAST24.
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@JacobMillerACNP
Jacob Miller NP CNS NRP
1 year
THIS is a great message from @REsusurrus - while we might get in to the business to save lives, more importantly, what we more commonly do is relieve suffering, enhance dignity, and provide comfort & warmth to our patients. Never forget that. #FAST24 @FlightBridgeED
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@JacobMillerACNP
Jacob Miller NP CNS NRP
1 year
RT @ktcollopy: Relentlessly pursue excellence. Seek out opportunities to improve every case, every patient encounter. Seek out new knowledg….
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@JacobMillerACNP
Jacob Miller NP CNS NRP
1 year
Premeditatio malorum: (a good) premeditation with failure; Seek not to simply succeed, but to predict and avoid failure. @REsusurrus @FlightBridgeED #FAST24.
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@JacobMillerACNP
Jacob Miller NP CNS NRP
1 year
Representing @SCCMohio on the @uc_health Mobile Intensive Care Unit during Blue ICU day to recognize #CritCareMonth! .@SCCMohio @SCCM_Nursing @SCCM_EM @AACNme @ASTNA2 #SCCMSoMe
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@JacobMillerACNP
Jacob Miller NP CNS NRP
1 year
.@MiscSusan dispelling the myths of "too sick to transport" at @CCTMC1 #CCTMC24
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@JacobMillerACNP
Jacob Miller NP CNS NRP
1 year
Discussing #hemorrhage (and other #obstetric emergencies) in early #pregnancy at @AAENP2 #EmergNP24. Great resources available from @cmqcc (in addition, of course, to @acog @ACOGPregnancy . #FOAMed
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@JacobMillerACNP
Jacob Miller NP CNS NRP
1 year
Hypertensive #emergencies in #pregnancy:.SBP β‰₯160 .**or** .DBP β‰₯110. Management per @acog @ACOGPregnancy guidelines: @AAENP2 #EmergNP24
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@JacobMillerACNP
Jacob Miller NP CNS NRP
1 year
>25% maternal deaths 2Β° CV disease. Consider ACS, Aortic Synd, Heart Failure in DDx, although mom may look otherwise "young & healthy," and CV sx may be attributed to "normal pregnancy sx". Resources from @acog @ACOGPregnancy:.. @AAENP2 #EmergNP24
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@JacobMillerACNP
Jacob Miller NP CNS NRP
1 year
US maternal death rate higher than gun violence or traffic accidents!. Anat/phys changes can last up to 1 YEAR post-partum; 65% of maternal deaths are post-partum. Ask: "Are you pregnant now or have you been in past 12 months?". @AAENP2 @acog #EmergNP24
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@JacobMillerACNP
Jacob Miller NP CNS NRP
1 year
#Coffee still flowing at 4pm at #EmergNP24. This should be standard of care for all medical and nursing conferences. Kudos to @AAENP2 β˜•
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@JacobMillerACNP
Jacob Miller NP CNS NRP
1 year
.@michaelsharmapa on ECGs: . In addition to Sgarbossa's criteria for LBBB (and other #OMI equivalents), don't sleep on concordant STE in RBBB either! . @AAENP2 #EmergNP24
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@JacobMillerACNP
Jacob Miller NP CNS NRP
1 year
Patient teaching points: . β†’ keep epi available, always.β†’ when in doubt, JUST. TAKE. THE. EPI. as first-line. @AAENP2 #EmergNP24
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@JacobMillerACNP
Jacob Miller NP CNS NRP
1 year
Anaphylaxis, at @AAENP2 #EmergNP24 conference:. * 2 or more systems (derm, CV, resp, GI) after known or suspected allergen exposure = anaphylaxis . *More deaths in males & adults. * Maybe anaphylaxis? Not sure? .β†’ JUST. GIVE. THE. EPI!.β†’ IM (not SQ).β†’ May need re-dosing
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@JacobMillerACNP
Jacob Miller NP CNS NRP
1 year
Learning Jedi mind tricks to optimize team dynamics during high-stress situations from @kmconnel78 at @uc_health Air Care conference
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@JacobMillerACNP
Jacob Miller NP CNS NRP
2 years
Happy #CriticalCareTransportNursesDay!. Check out the new @ASTNA2 podcast, Runways & Roadways - just dropped today! Bringing awesome #FOAMed from the world of air & surface transport to your favorite #podcast platform at least once a month. Details in the linked post.
@ASTNA2
ASTNA
2 years
πŸŽ™οΈASTNA #PODCAST LAUNCH!. ASTNA is announcing the launch of our brand-new Runways & Roadways Podcast! Tune in to hear cohosts Jason Herman & Ryan Roberts discuss all things transport with expert guests:.@Spotify: @ApplePodcasts:
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@JacobMillerACNP
Jacob Miller NP CNS NRP
2 years
RT @calldaburd: Kudos to @mr_astvad and the @scanfoam team for broadcasting a world class conference for free. This team dedicates weeks o….
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@JacobMillerACNP
Jacob Miller NP CNS NRP
2 years
This 🧡 on bicarb from @nickmmark popped up in my feed today. Recent Am J Emerg Med article looked at bicarb in humans:.↗️ avg 20 mmHg (2.6 kPa) rise in EtCO2.πŸ• onset within seconds (avg 17 sec).πŸ”οΈ peak 30-60 sec.βŒ› increase lasted 7-10 min.
@nickmmark
Nick Mark MD
2 years
You've probably heard that Bicarbonate has to turn into CO2 to raise the pH. β€œDon’t give bicarb if you can’t increase ventilation.”. But how much CO2 is there in an amp of sodium bicarbonate?. A bicarb 🧡.1/
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