It took 15 years, but the dirty epi drip is finally evidence-based. Aussies come through again. https://t.co/XGHXrLPrEi

Honored to have @calldaburd Vahe Ender join us as our @UWMedFlight invited guest speaker at our 2024 Safey Day. @bostonmedflight @AMPAdocs @CAMTS1 @ATACCFaculty @DipRTM @TBS_Zermatt @NAEMSP

These events also result in the use of critical care transport/retrieval services to assist, as we noticed over the last year. Facilities subject to attack lose the ability to care for the sickest patients.

Periodic reminder that setting the Alaris pump at 999/hr is not a fluid bolus. At that rate, it takes 30 mins to give 500 mL. (This is not about whose fault it is, just about what a bolus actually means & need for clarification).

Brain Injury Associated Shock (aka BIAS) - Haemodynamic compromise from isolated severe TBI is rare & in our services experience, indistinguishable from haemorrhagic shock in sick multi-trauma patients. https://t.co/jH1We45C3Q

Wondering what the diagnostic accuracy is of pre-hosp assessment of major trauma hemorrhage? Paper @TSACO_AAST https://t.co/u4otX99rn2 Sens 70% Spec 94% Missed hemorrhage assoc w penetrating (OR 2.4) & abdominal (OR 4.0) injury Mortality 3x higher if hemorrhage is missed! 1/2

And, I should add, that it’s not the intubation that you generally have to fear but all that potentially follows.

@GaseousDoc @nathan_warner @AirwayMxAcademy @cliffreid @airwayGladiator @dastrainees @jducanto There are scenarios where it’s ‘you’ that has save your patient No one is coming to help and the patients about to die These are the situations that my colleagues & I sometimes find ourselves in. This includes our residents Know your options & train If it ain’t you, then who?

Also features @suturesntacos who will definitely murder me for this😂

A fantastic review of metabolic acidosis from the @CritCareTime team. Highly recommend their podcast, though I may be biased as I have known @nickmmark since 2006 when we worked on an ambulance together. Please don’t kill me for posting this Nick 🤣

Outstanding.

Kudos to @mr_astvad and the @scanfoam team for broadcasting a world class conference for free. This team dedicates weeks of prep to provide high quality broadcasts of @TBS_Zermatt because of their commitment to sharing knowledge regardless of ability to pay.

- It’s not the citrate - Hypocalcaemia Upon Arrival to ED in Major Trauma Patients varies little between those who do and don’t get prehospital blood Challenging Dogma Honoured to work with my mate Dr Tim Rushton + @HawkmoonHEMS & David Tian on this https://t.co/a0OOoiIlSn

It was great day spent teaching ultrasound guided peripheral venous access to nurses and doctors A small🧵about tips & tricks for USG IV access

Don’t let time get in your way. Reperfusion in STEMI with cardiogenic shock and prolonged inter-hospital transport times @BaineyKevin @DrRobertWelshIM @thiele_holger @HenrytTimothy @seanvandiepen @janeksenaratne @debrajdasMD #cardiotwitter #AHAJournals https://t.co/e1b4kRbfIs

Happy to see our paper now published in the latest edition of @ESC_Journals ACVC. If you are interested in Impella we offer a practical approach to positional problems. Thanks to all co-authors @drnvanmieghem @FH_Verbrugge @RaesMatthias @EHJACVCEiC

Hey @toxicologist12 @ToxAndHound @ToxNow putting together a iOS clinical bundle for our teams. What’s your favorite one-stop toxicology app? Cheers!

This important publication demonstrates why we need to look skeptically at single center RCTs; few are ultimately replicated.

Lecture by Smith: Selected Cases of Occlusion MI (OMI), or not, on the ECG https://t.co/uX9dEZyoGQ

https://t.co/ZGRSF9bfc2