armyemdoc @armyemdoc
Steve Schauer, DO, MS 👨🏻⚕️🚑 🪖| PGY13 | Emergency Medicine | Critical Care | US Army | ALERT Lab Director | Instagram @armyemdoc | (my opinions only) Joined January 2021-
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In their new Forefront article, @vbebarta, Robert Mabry, + Arthur Kellermann from @CUCombatCenter, @CUAnschutz, + @CUMedicalSchool discuss how ketamine’s analgesic properties + safety profile make it a non-opioid alternative for treating severe pain. bit.ly/4di89tq
Do you work at a designated trauma center? In 2022, 26% of trauma patients seen at designated trauma centers were transferred in from outside hospitals. That 26% only encompasses those who survived the test of time. The true denominator is much larger since many die…
A must read on low-dose ketamine for the US military!
A must read on low-dose ketamine for the US military!
Early blood products after trauma are lifesaving, yet the downstream risks are poorly understood. Are they associated with risk of developing sepsis downstream? @ltgallag presents our data assessing sepsis TQIP. Every way we sliced and diced it, every unit of whole blood was…
Nearly 1/3 of the casualties we see are humanitarian cases. If you aren't planning for the humanitarian mission, you are going to be unprepared. -A substantial number are pediatric (make sure you have the right size equipment) -Humanitarian patients required almost exactly the…
When I run into my favorite trauma surgeon on another continent at #ECTES #emergency #emergencymedicine #trauma #blood #criticalcare #icu #erlife #iculife #science #army #armymedicine #armyemdoc #resuscitation #shock #military #combat #medx #medtwitter #lisbon #portugal
Are early blood products associated with the development of significant AKI? @BenWStocker presents data at @estesonline from the ACS TQIP registry answering that exact question. We found that whole blood and platelets were associated with AKI even after adjusting for…
Me: I only practice evidence-based medicine. Also, me: Let's put a c-collar on that patient. Likely of no surprise, this systematic review published this month found that evidence on the use of c-collars was of limited quality and demonstrates questionable/no benefit, and…
Who's attending ResusX with @CriticalCareNow? Come join me for a rapid fire review of ED management of explosive trauma and military lessons learned! #emergency #emergencymedicine #trauma #blood #criticalcare #icu #erlife #iculife #science #army #armymedicine #armyemdoc…
On the list of "things that should be illegal in medicine but aren't," starting any sentence with "remember that patient you saw last week..." is definitely in the top 10. Thanks to @DGlaucomflecken for hitting the nail on the head with this one. #emergency #emergencymedicine…
A recent SR-MA found that remifentanil at 2-4ug/kg produced similar intubating conditions to standard paralytics. They also found similar risk of: -Bradycardia (RR 0.44, 0.01-13.90) -Hypotension (RR 1.05, 0.44-2.49) However, there was significant heterogeneity between the…
Pentagon Vows to Press On with Counterterror Mission as Negotiations to Depart Niger Begin buff.ly/3JPWepv
CPG UPDATE The Joint Trauma System has published updates to the Clinical Practice Guideline: Prevention of Venous Thromboembolism. Link: jts.health.mil/assets/docs/cp…
Does whole blood and platelets save lives? Yes. Does whole blood and platelets increase your risk of PE and DVT compared to the other products? Also, yes. @fisherad1 presents our analysis from TQIP data evaluating these associations at @SWSCongress. More details coming with…
How wide spread is #ED #REBOA use? Is everyone doing it? @HamzaHanifMD presents data from our analysis of TQIP data. In 2022, only 195 of the ~800 participating facilities had documented use with the vast majority at level 1 centers, a limited number at level 2 centers, and…
@HamzaHanifMD from @UNM_Surgery presenting TQIP #REBOA at @SWSCongress @armyemdoc
Bronchoscopy is often performed for prognostication after smoke inhalation injuries. However, it remains unclear whether serial bronchoscopy adds to the prognostication accuracy. Conversely, bronchoscopy is not a benign procedure. Previous studies report a pneumothorax risk as…
Matt Sztajnkrycer @NoobieMatt
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42K Followers 3K Following EM/ICM/PHEM doc. LOVE learning + teaching. I work in the sky above Sydney, have the attention span of a bullet, + often have days that are like cartoons #FOAMedDr. Glaucomflecken @DGlaucomflecken
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5K Followers 2K Following Symposium, precourse & ”think tank” on all things Tactical Medicine w. PHEM, PHCC, Performance, Stress, Mental Health. #TacT17 #TacT19 #TacMini21 #TacTrauma24Peter Antevy @HandtevyMD
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26K Followers 1K Following #JOTACS focuses on trauma, critical care, and emergency general surgery, providing top science and content for the fast-growing specialty of Acute Care SurgeryEric Elster, MD, FACS.. @DrElsterUSUSoM
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551 Followers 862 Following Saving and improving lives on the battlefield and at home.Cristin Mount, MD @mount_md
2K Followers 1K Following CritCare (Ret Army), POCUS 🤓, All Levels Leadership - mom to 3 boys, wife to a physician, PNW gardening in my free time - Opinions/Tweets are my ownEric Jaeger, JD, NRP,.. @EricJaegerTNG
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652 Followers 1K Following Military surgeon.. Trauma & Surgical Critical Care fellow , University of Cape Town. Agile mindset, servant leader. Professional diver🤿𝙰 𝙿𝙰-𝙲 �.. @BuckeyeGrad1999
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98 Followers 88 Following Clinical Consultant, Retired Army Emergency/Trauma Nurse, Scientific Advisor, Civ Prehospital Advocate so we don’t forget what we learned on the battlefield.In their new Forefront article, @vbebarta, Robert Mabry, + Arthur Kellermann from @CUCombatCenter, @CUAnschutz, + @CUMedicalSchool discuss how ketamine’s analgesic properties + safety profile make it a non-opioid alternative for treating severe pain. bit.ly/4di89tq
@armyemdoc This along with long periods before spinal injury could be appropriately ruled out is why we saw pressure ulceration and increased spinal movement with rigid backboarding. Is this a tools and methodology issue, or is it a fundamental issue with the procedure?
@armyemdoc Now that I’ve ruminated on it a bit. I wonder how much of the harm of C-Collar placement is related to cervical movement of the patient during the application process. Patients rarely have C-Spine trauma in a wide open space and require manipulation to extricate.
Point of injury till Rehab Since Jan 2022 We established a comprehensive Trauma Service level 1 Adult & Pediatric Trauma Center AlAhsa Inclusive Trauma System (6 hospitals) Major Trauma Centre I KFHH +Trauma System Pop 2 million #E2_Trauma_Pathway R to R Roadside to Rehab👍
Do you work at a designated trauma center? In 2022, 26% of trauma patients seen at designated trauma centers were transferred in from outside hospitals. That 26% only encompasses those who survived the test of time. The true denominator is much larger since many die…
Would add that this extends one step further....what is happening to trauma patients who never make it to us? @abdelbarrspine exactly our hypothesis on missed opportunities to facilitate early intervention.
Do you work at a designated trauma center? In 2022, 26% of trauma patients seen at designated trauma centers were transferred in from outside hospitals. That 26% only encompasses those who survived the test of time. The true denominator is much larger since many die…
Trauma care should be started from the point of injury not from the victim arrival to the hospital
Do you work at a designated trauma center? In 2022, 26% of trauma patients seen at designated trauma centers were transferred in from outside hospitals. That 26% only encompasses those who survived the test of time. The true denominator is much larger since many die…
Insightful comment and clearly applies to the UK What more could be done for the patients who die in the prehospital setting and at a trauma unit? My experiences at TU vs MTC are very different TUs need to be prepared with systems in place for sick trauma. Risk deskilling
Do you work at a designated trauma center? In 2022, 26% of trauma patients seen at designated trauma centers were transferred in from outside hospitals. That 26% only encompasses those who survived the test of time. The true denominator is much larger since many die…
Does obesity really increase your risk of dementia? theconversation.com/does-obesity-r… via @ChiesaScott @ProfRobHoward @LonSchneiderMD @seb_walsh @MadhavThambiset @ajlees @AlbertoEspay @nvillain_alz
Maybe they can afford to open up that 2nd check-out lane now.
JUST IN - Walmart plans to close all of its health care clinics. The US retailer also announced it will end virtual care services. — CNN
@armyemdoc @ltgallag @mitchelljayc @CUAnschutz @CUDeptSurg @fisherad1 @estesonline Prophylactic ancef?
My last day before I return full time to the Army, so thought I’d chuck on the other shade of green for a day of CPD covering obstetric and neonatal emergencies. Have a fabulous day!
Can a medical resident's publication record predict fellowship publications? drive.google.com/file/d/1ZINGal… via @VPrasadMDMPH et al
Got shoulder pain? Then get it moving, and dont worry about other silly stuff! All types of shoulder exercise are effective for shoulder pain, and the addition of other therapies such as manual therapy, dry needling, taping add little further value! 😎 pubmed.ncbi.nlm.nih.gov/38683828/
@armyemdoc @ltgallag @mitchelljayc @CUAnschutz @CUDeptSurg @fisherad1 @estesonline Immortal time bias, perhaps?
@GeraldCreager @armyemdoc @CommitteeonTCCC @JointTraumaSyst I don’t think it falls to DHA. They’re really about the provision of healthcare to the SM, family/depemdents, and retirees. that supports operations because they’re a force provider but their mandate ends there. The rest falls on the GCCs, service components, SGs etc.
@nelson_rosen @armyemdoc @CommitteeonTCCC @JointTraumaSyst I'm interested in this and more analysis. I would want to look at correlation between the CENTCOM data set against either Europe or IP. Both in scale and geography the contexts are radically different even before we get to the sophistication of the host nation systems.
@armyemdoc @ltgallag @mitchelljayc @CUAnschutz @CUDeptSurg @fisherad1 @estesonline So all of those EMS services saying how forward thinking they are giving blood, might not actually be doing the best for their patients? I would love to read the paper