https://first10em.com/balanced-transfusion-less-evidence-than-you-might-think/ Another example of “evidentiary amnesia” from one of the best ebm reviewed out here @first10em #FOAMed #emergencymedicine #EmergencyMed #FOAMresus

@auscandoc much esteem to such colleagues, who work massively to continue to ensure health service to the community. In Italy we’re facing an #emergencymedicine #crisis not too different: when they said “some physicians are working 14 ER shifts a month to try and keep the doors open”, this is the minimum number of shifts we’re requested to work now (some of us arrive to 18-20 shifts per month). 12 hours shifts, obviously. It’s clearly a safety issue for patients #EmergencyMed

Factors predictive of spontaneous reversion to sinus rhythm. #ED #AD #Cardiology #EmergencyMed #MedMastodon

50days free access: https://apc01.safelinks.protection.outlook.com/?url=https%3A%2F%2Fauthors.elsevier.com%2Fc%2F1gcWs5VtUySbxI&data=05%7C01%7Cjohn.pickering%40otago.ac.nz%7C2312528fa50f4290d18908db11786758%7C0225efc578fe4928b1579ef24809e9ba%7C0%7C0%7C638122982270340585%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=ep8ds2ocjno%2FR5Xk6Lfvo0Ef5PcOZZ3ar6svUrOgIaw%3D&reserved=0

Should we stop using ct head rule ? #FOAMed #emergencyphysicians #EmergencyMed #emergencymedicine https://first10em.com/canadian-ct-head-rule/

Liberal vs restrictive fluid strategy in sepsis
Via @first10em
#FOAMed #FoamEm #Sepsis #CriticalCareMedicine #EmergencyMed #EmergencyMed #emergencymedicine

https://first10em.com/the-clovers-trial/

Review croup after an interesting case as ems physician tonight.
#FOAMems #FoamEm #FOAMed #emergencyphysicians #EmergencyMed #emergencymedicine #resus

emDOCs.net – Emergency Medicine EducationCroup: ED-focused Highlights - emDOCs.net - Emergency Medicine Education
http://www.emdocs.net/croup-ed-focused-highlights/

Recurrent discussion in resus
#FoamEm #FOAMed #emergencyphysicians #emergencyroom #EmergencyMed
ABG vs. VBG
https://youtube.com/shorts/64ZQnS7yAfY?feature=share

Need more #EmergencyMed and #CriticalCareMedicine literature review post on my #MedMastodom ... please share suggestions and accounts!
#EMdoc #emergencyroom #EmergencyUltrasound #emergencyphysicians #EMCrit #criticalcareecho #CriticalCareAnywhere #intensive_care #intensivecare #POCUS #POCUSJournal #EDTwitter

shortages/illness, being underpaid/overworked, swamped A&Es with providers already burned out/suffering moral injury — one can only handle so much.🙏 https://bbc.in/3GBlJdk

#EmergencyMed #EmergencyPhysicain #uk #covidsars2 #medtwiiter #bbc END

Probably the best evidence review about #laceration management in #emergencyroom

The Laceration Repair Series - First10EM

#FoamEm #FOAMed #EmergencyMed #emergencymedicine #TraumaSurg #traumapearl

https://first10em.com/more-medical-dogma-the-golden-period-for-laceration-repair/

What's the downtime?

Language really matters in resuscitation

#FOAMres #FoamEm #FOAMed #EmergencyMed #cardiacarrest #resuscitation

https://www.stemlynsblog.org/whats-the-down-time-st-emlyns/

House fire:the patient was in the kitchen when the stove caught fire.Exposed for 30 minutes.She is alert with normal vital signs.There is some soot around her lips and her nasal hairs appear singed.No dysphonia, hoarseness or stridor.There are superficial partial thickness burns noted to the chin,upper chest and shoulders,for a total body surface area of approximately 15%.Does this patient need endotracheal intubation?
#FOAMres
#FOAMed
#EmergencyMed
#emergencymedicine
https://emergencymedicinecases.com/burn-inhalation-injuries/

A new report on diagnostic errors in the ER from AHRQ finds that 6% of emergency patients get an incorrect diagnosis. Top 5 misdiagnosed conditions are as follows:
1. Stroke
2. Myocardial infarction
3. Aortic aneurysm/dissection
4. Spinal cord compression/injury
5. Venous thromboembolism

These account for 39% of serious harms related to misdiagnosis. #emergencymed #radiology https://buff.ly/3WremtI

situations, when patient info. is incomplete and when patients presentwith atypical complaints. Agree that more effort/research needs to be undertaken to better understand how docs can avoid making costly diagnostic errors and do better. It's tricky! We do not want to overtest—that has it's own slew of problems/costs/harms to patients. #Emergency #MedicalDecisionMaking #EmergencyMed

Urine trouble: pearls and pitfalls in pediatric UTI
#FOAMed
#FOAMped
#FoamEm
#EmergencyMed
#emergencyroom

emDOCs.net – Emergency Medicine EducationPediatric Small Talk – Urine Trouble: An Approach to Pediatric UTIs - emDOCs.net - Emergency Medicine Education
http://www.emdocs.net/pediatric-small-talk-urine-trouble-an-approach-to-pediatric-utis/

Any Emergency Medicine folks up for helping me with an injury scenario in a new short story?

No money for helping, but I can offer you a cameo appearance in the story, and drop in any PSA you care to include

#MedTodon #EmergencyMed #writing
@RyanMarino @jtrebach

Question for #Prehospitalphysician
89 years, living alone, found on the ground prone,with facial trauma & bleeding (no more active).Last time seen normal several hours ago.Normal vitals.Primary A:at risk for GCS&facial trauma B/C: negative D:GCS 7,L>R pupil.Described as good functional status pre-event.Relevant drugs:ASA, BB.You are at first floor of a no elevator apartment.Tertiary care hospital 10 minutes away (by ground).Tube in the field? #EmergencyMed #emergencymedicine #emergencyphysician

Question for #Prehospitalphysician
89 years, living alone, found on the ground prone,with facial trauma & bleeding (no more active).Last time seen normal several hours ago.Normal vitals.Primary A:at risk for GCS&facial trauma B/C: negative D:GCS 7,L>R pupil.Described as good functional status pre-event.Relevant drugs:ASA, BB.You are at first floor of a no elevator apartment.Tertiary care hospital 10 minutes away (by ground).Tube in the field? #EmergencyMed #emergencymedicine #emergencyphysician

Question for #Prehospitalphysician
89 years, living alone, found by daughter prone,with facial trauma & bleeding. Last time seen normal several hours ago. Normal vitals.Primary A: positive, at risk for GCS&facial trauma,B/C: negative,D: GCS 7, L>R pupil.Described as good functional status.Only relevant drugs: ASA, BB.You are at first floor of a no elevator apartment.Tertiary care hospital 10 minutes away (by ground). Tube in the field? #EmergencyMed #emergencymedicine #emergencyphysician

@DrRitaMc
Just send out a few messages, and use hashtags with the things you like, such as #coffee or #emergencymed and you’ll see more messages form likeminded people.
Also boost messages on subjects you like.
Must be lots of other ways too, but many of us are a bit new here.