Amir Yousefzad @amirysh
Emergency Physician | Educator, Clinician, Lifelong learner @UManitoba | Passionate about Resus, Trauma, and real-life EM cases | Based in Manitoba 🇨🇦 Joined April 2015-
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Hello #MedTwitter! I’m Negar (Nela), a US-IMG grad of @TehUofMed and current research fellow at @UWRadiology applying for Diagnostic Radiology for #Match2026. In my free time, I love cuddling with my cats or hiking in the beautiful scenery of Seattle🌲 Looking forward to…
Muscle relaxants in the elderly ⚠️ 2023 Cochrane review: ↑ risk of dizziness, sedation & anticholinergic effects. 2015 cohort: users were 2.25× more likely to visit ED & 1.5× more likely to be hospitalized for falls/fractures. 👉 In >65, risks often outweigh benefits. Refs:…
Endotracheal tube as chest tube: a back-up alternative in resource limited settings "Although certainly not advocated as standard, the use of endotracheal tubes as CTs may be a suitable alternative or back-up solution in settings where commercial CTs are not readily available."…
Here's a video I made breaking down this incredible case of a 25-year-old woman who suddenly collapsed to the ground in cardiac arrest #FOAMed
🚨 Intubating the Head-Injured Patient 🚨 Avoid secondary brain injury by mastering the basics: ✅ Preoxygenate – Hypoxia kills neurons. ✅ Prevent hypotension – Fluids, vasopressors, or blood when indicated. ✅ Choose hemodynamically neutral agents – Etomidate or ketamine are…
🚨 Troubleshooting Foley problems? Grab the POCUS. 🚨 Curvilinear probe, suprapubic: Marker → patient’s right (transverse) or head (sagittal) ✅ Foley working → decompressed bladder, balloon visible ⚠️ Distended bladder? – Locate balloon – If absent → deflate, advance…
🚨 Asthma attack in a kid? Don’t skip the inhaled steroids 🚨 Meta-analysis shows: 📉 83% fewer admits vs placebo 📉 27% fewer vs systemic alone (mild–mod) 📉 25% fewer when added to systemic (mod–severe) 💡 Bottom line: Inhaled corticosteroids work. Consider adding them in…
Stroke: clinical features by vascular territory
🧵 CRP vs Procalcitonin – Inflammation vs Infection? Both rise in systemic illness. But they don’t speak the same language. Let’s break down when to use CRP, when to trust Procalcitonin—and when both lie. 👇 @IhabFathiSulima @DrAkhilX @Janetbirdope @emcrit @andrewsuleh…
🚨 NIV vs HFNC in Multiple Rib Fracture🚨 New nationwide study compared outcomes & costs in adult trauma pts with ≥2 rib fractures, no prior intubation: 🔹 Mortality: NIV 11.4% vs HFNC 17.0% (p=0.007) 🔹 Tracheostomy: NIV 1.2% vs HFNC 3.1% (p=0.006) 🔹 Pulmonary complications:…
Avoiding unrecognised oesophageal intubation The @RCoA & @dasairway have agreed to drop ‘no trace wrong place’ The message now is that we need to exclude oesophageal intubation by identifying SUSTAINED EXHALED CO2 This requires 4 elements -CO2 rises & falls with respiration…
🚨 Avoid Excessive Steroid Dosing! 🚨 Guideline-Recommended ED Dosing •COPD: 40 mg prednisone × 5 days (GOLD 2025) •Asthma: 50 mg prednisone or 200 mg hydrocortisone (divided) × 5 days (GINA 2024) •Anaphylaxis: 80–125 mg methylprednisolone or 60 mg prednisone •Sepsis: 200 mg…
Predicting NIV Failure: In acute hypoxemic RF, re-evaluate NIV pts within 60 min. 📊 HACOR score = HR + Acidosis + Consciousness + Oxygenation + RR ➡️ Score >5 at 1–2 hrs? High risk → consider early intubation. 🔗 HACOR on MDCalc Ref: Frat JP et al. Intensive Care Med.…
Head CT in Older Patients on Antithrombotics — Are We Overdoing It? 📊 New study: 5,948 pts ≥65 with head trauma (53% on AC/AP): •13% had ICH •No AC/AP ↑ ICH risk •Risk ↑ with: high fall, GCS 14, scalp impact, vomiting, amnesia, skull/facial fracture 💡 Mechanism & exam…
Suction Catheter Assisted Tracheal Intubation (SCATI) #scati #airway 🎥 vimeo.com/1093393332?fl=…
Here's a video I made breaking down this incredible case of a 60-year-old man who presented to the ER with a muffled voice, difficulty breathing, and coughing up blood #FOAMed
This recent validation study from Dr. Ohle found the Sudbury Vertigo Risk Score effectively identifies the risk of a serious diagnosis in patients with dizziness and can guide further investigation, consultation, and treatment decisions.
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