As they say... new year, new social platform?
Catch me on #Bluesky:
bsky.app/profile/jacobmiller…
#BlueskySocial
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! – at North Carolina, USA
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
📸: Mark Mennie
Trauma arrest ≠ 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 – at North Carolina, USA
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
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 – at North Carolina, USA
Jacob Miller NP CNS NRP retweeted
Relentlessly pursue excellence. Seek out opportunities to improve every case, every patient encounter. Seek out new knowledge & skills. Push yourself to grow every day as a clinician- @REsusurrus #FAST24
Premeditatio malorum: (a good) premeditation with failure; Seek not to simply succeed, but to predict and avoid failure. @REsusurrus @FlightBridgeED #FAST24 – at North Carolina, USA
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 – at Cincinnati, OH
.@MiscSusan dispelling the myths of "too sick to transport" at @CCTMC1 #CCTMC24 – at Orange Beach, AL
Discussing #hemorrhage (and other #obstetric emergencies) in early #pregnancy at @AAENP2 #EmergNP24
Great resources available from @cmqcc cmqcc.org/ (in addition, of course, to @acog @ACOGPregnancy acog.org/obemergencies)
#FOAMed – at Salt Lake City, UT
Hypertensive #emergencies in #pregnancy:
SBP ≥160
**or**
DBP ≥110
Management per @acog @ACOGPregnancy guidelines: acog.org/obemergencies
@AAENP2 #EmergNP24 – at Salt Lake City, UT
>25% maternal deaths 2° 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:
acog.org/obemergencies
@AAENP2 #EmergNP24 – at Salt Lake City, UT
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?"
CDC.gov/hearher
@AAENP2 @acog #EmergNP24 – at Salt Lake City, UT
#Coffee still flowing at 4pm at #EmergNP24
This should be standard of care for all medical and nursing conferences
Kudos to @AAENP2 ☕ – at Salt Lake City, UT
.@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 – at Salt Lake City, UT
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?
→ JUST. GIVE. THE. EPI!
→ IM (not SQ)
→ May need re-dosing – at Salt Lake City, UT
Patient teaching points:
→ keep epi available, always
→ when in doubt, JUST. TAKE. THE. EPI. as first-line
@AAENP2 #EmergNP24 – at Salt Lake City, UT
Learning Jedi mind tricks to optimize team dynamics during high-stress situations from @kmconnel78 at @uc_health Air Care conference – at Erlanger, KY
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.
🎙️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: open.spotify.com/show/08vnEg…
@ApplePodcasts: podcasts.apple.com/.../runwa…
Jacob Miller NP CNS NRP retweeted
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.
Don't miss out on cutting edge talks on critical care, emergency medicine, resuscitation, prehospital medicine and physiology from world experts.
#FOAMed at its best
LIVE from Zermat Wed-Fri
Programme and stream:
scanfoam.org/tbs24
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
🕐 onset within seconds (avg 17 sec)
🏔️ peak 30-60 sec
⌛ increase lasted 7-10 min
doi.org/10.1016/j.ajem.2023.…
