Joshua Kimbrell @joshkimbre
Paramedic passionate about Education, Improvement, and Research. Trying to make EMS a better place. Here mostly for #FOAMed. Brooklyn, NY Joined November 2011-
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❗️Published❗️ This paper gives some insight into the sh*t-- excuse me, vitriolic abuse - our @Peel_Paramedics experience while serving our communities "Our findings correspond to #paramedics experiencing potentially hate-motivated violence every 3 days" mdpi.com/1660-4601/21/4…
How can we reduce risk of violence against paramedics? Hazard flagging? Seems like a pretty obvious solution... But does it work? It identifies violent situations, but it didn't reduce reports of violence. Highly recommend reading the discussion section. Great work!
How can we reduce risk of violence against paramedics? Hazard flagging? Seems like a pretty obvious solution... But does it work? It identifies violent situations, but it didn't reduce reports of violence. Highly recommend reading the discussion section. Great work!
Hot off the Press: Emergency Medicine Postgraduate Year, Laryngoscopic View and Endotracheal Tube Placement Success annemergmed.com/article/S0196-… @AHNtoday
Chemical Sedation & Death in Custody In stories published today, @APNews has highlighted nearly 100 deaths over a decade involving EMS sedation of individuals in police custody. Video: youtube.com/watch?v=V4skOj… Main: apnews.com/article/invest… Texas: apnews.com/article/texas-…
Transcutaneous pacing (TCP) with false capture! Thanks to @christifulli88 for having @joshkimbre, @JMedic2JDoc, and me on the @FOAMfrat podcast to discuss this hot topic! 👇 foamfrat.com/post/podcast-1…
Is EMS antibiotic use safe and effective for open fractures? Yes! Fantastic work, folks. tandfonline.com/doi/full/10.10…
Is EMS antibiotic use safe and effective for open fractures? Yes! Fantastic work, folks. tandfonline.com/doi/full/10.10…
Chemical Restraint of the Agitated Patient Its potentially lifesaving but involves significant risks for pts & providers. It’s time to radically reframe our approach to significantly enhance safety. How? Approach it like RSI with built-in safeguards & backup plans ready to go.
Near Future directions resuscitation is going: - intra arrest monitoring (echo+IBP) to optimise resus - exploring tissue & cell targeted therapies (AMLS/SNAL) - early mechanical perfusion (ECLS/SAAP etc) - improving tissue perfusion (eg epi dosing) - optimising ⚡️ therapy (DSD)
Do I have any #MedTwitter peeps in Las Vegas and San Diego who would be willing to rent a spare room to me for a month while I audition? Please reach out! Thanks! 😊
A message from CHaMP's Dr Matt Hansen & a 🧵on his impressive prehospital research #PECARNPrehospitalPearls #ventilate #OHCA @ProdigyEMS @NREMT @jemsconnect @EMSWorldOFCL @EaglesGather @EMS1 @EMDAC911 @EMSCImprovement @PEMEMS @manishshahtx @jon_studnek @Susie_Burnett
BVMs and Nitroglycerin | Episode 109 Dr. Ken Milne | The Overrun youtu.be/KbeQfvQdIFg?si… via @YouTube
EMS Training Tuesday! Pittsburgh EMS began the process of credentialing paramedics to administer whole blood in the field. More paramedics will receive this course, and blood coolers will be installed on the EMS Heavy Rescues, which respond to all critical trauma incidents.
Some fine folks are doing research on EMS intimate partner violence experience. Please take the time to participate if able docs.google.com/forms/d/e/1FAI…
@joshkimbre we had a kid in our ICU for like a month...he's an EMT now. When he came in and gave me a hug, I almost cried.
My favorite part of working as a pediatric/neonatal crit care paramedic is not the physiology or pay or volume-- it's seeing how resilient kids are. Watching a kid who was vented / sedated / ecmo / cvvh months ago walk around and play games with you is incredible.
Great article here. Is your simulation "fear conditioning" your EMS clinicians? Are you accidentally training habits that aren't evidence based? Maybe a rapid decompensation after Nitro for IWMI or TCP with electrical capture at 70 mA and easy palpation of carotid pulses?
Great article here. Is your simulation "fear conditioning" your EMS clinicians? Are you accidentally training habits that aren't evidence based? Maybe a rapid decompensation after Nitro for IWMI or TCP with electrical capture at 70 mA and easy palpation of carotid pulses?
Jace Mullen @_JaceMullen
1K Followers 648 Following Philosophy student turned flight paramedic | Raised by Denver Health| Resuscitation, Airway, Harm Reduction | Climb, MTB, Woodwork| New account (he/him)
Peter Antevy @HandtevyMD
15K Followers 6K Following EMS Medical Director, Peds EM Physician, Founder/CMO @Handtevy. Alum of @ChildrensLA and @ChildrensPgh
Eric Jaeger, JD, NRP,.. @EricJaegerTNG
1K Followers 489 Following EMS leadership, education & protocol development. Attorney & RSI Paramedic. Enhancing the safety of physical restraint & chemical sedation of agitated patients.
Tom Bouthillet 🇺�.. @tbouthillet
8K Followers 4K Following Co-Survivor • Business Development Manager • Battalion Chief of EMS (Retired) • Aspiring Screenwriter • Citizen of U.S., Canada, Ireland • ECGs • YouTube 👇🏻
ɐnɥsoɾ @jab_doc
3K Followers 5K Following just a paramedic, EMS & fire captain in DFW, past 68W now a current aficionado of halligan bars and trauma shears. Be Nice.
Kevin Collopy, MHL, F.. @ktcollopy
2K Followers 890 Following Progressive servant leader|award winning #CCT & #EMS educator & researcher|innovator|@Colgateuniv & @WGU alum|proud girl dad|comments=my own & not my employer
Jeff Jarvis @DrJeffJarvis
6K Followers 642 Following Emergency & EMS physician, and paramedic. CMO & Medical Director for MAEMSA Office of the Medical Director. Host of @EMSLightHouse podcast.
Ray Barishansky @rbarishansky
4K Followers 5K Following Doctor of Public Health (DrPH). EMS and Public Health professional. Autodidact. All views are my own.
Chris Wanka @fyreman2006
3K Followers 4K Following (he/him) PA-C in Trauma/ACS, FF/paramedic. views/opinions are my own & not my employers'. husband of @Rachel_barreRN . here for dogs & medicine. FL ➡️ MD ➡️ VA
Sahaj S. Khalsa @ssk040
840 Followers 1K Following Sikh, Paramedic, EMS educator and researcher, ski patroller. He/Him.
Nicole Trauma Llama A.. @TraumaSoapBoxes
21K Followers 1K Following (She/Her)Trauma Clinical Nurse Specialist♥️ETCO2🧠Acute SCI Care🩸BP≠Perfusion🩸RR is 👑🩸Whole Blood stan🩸🩸Tweets =my opinions not med advice 🏒🥃
NAEMSP @NAEMSP
9K Followers 223 Following NAEMSP® is EMS physicians & other professionals partnering to provide leadership and foster excellence in out of hospital emergency medical services.
Joseph Zalkin #🟦 �.. @jzalkin
2K Followers 5K Following BSHS, FAEMS, Affiliate Faculty UNC SOM EMS Fellowship, Sr Manager (retired) Wake Co EMS, NC, USA, #itsNotOk @JRZalkin@[email protected]
Natalie Zink @natalie_zink
3K Followers 5K Following UMich Alum | PGY-0 Emergency Medicine | Aspiring-Wonder Woman . Views are my own.
Shao Trommashere @MedicTrommasher
3K Followers 5K Following Diehard Steelers & Pirates Fan #HereWeGo, Child of #Pittsburgh, #GSD Fanatic. Aspiring PenTester/Hacker and Threat Analyst. Semi-Retired Paramedic/Firefighter.
kathryn chadason @le_chadd
1K Followers 857 Following art director turned paramedic. airway/sim nerd. first pass success is hot. 0pINiOnS mY OwN 🤡💅
Matthew Harris, ACP, .. @MedicMatt17512
2K Followers 1K Following Advanced Care Paramedic, RN, Dad, Husband to @michellekwilson, Nerd, ADHD, GBM widower, proud union member. @medicmatt17512.bsky.social
Matt Sztajnkrycer @NoobieMatt
7K Followers 5K Following Forged @tamingthesru | Professor & PD @MayoClinicEM EMS Fellowship | Toxicologist @MNpoisoncenter | CME Editor @AnnalsofEM | Officially not notable as of 42023
Chris Root @ChrisRootMD
3K Followers 1K Following EMS fellow and flight doc in New Mexico. Former NYC paramedic. Once described as “More upset by systemic dysfunction than his peers.”
Trauma Goon @Rockurownium
2K Followers 2K Following Helicopter jockey who's past his prime. I teach medicine to the underpaid but idealistic. Generally done with your shit.
justin Mcgowan @emsbattlelion
1 Followers 57 Following
Bronte Schadle @scha_bron
65 Followers 5K Following
Kathleen @carneskathleen4
174 Followers 3K Following
Gerardo Gastélum �.. @DrSkawman
1K Followers 780 Following Anestesiólogo, apasionado de la #RCP y @LaViaAerea. Estudiante del culto #Intubati.
Dixie Savannah @DixieS84875
91 Followers 5K Following
Andy DeFrias @EMSeducation
136 Followers 204 Following
JEMS - EMS @jemsconnect
30K Followers 936 Following JEMS is the source for emergency medical services professionals. An official Clarion Events, Inc. publication.
Ashli Tilus @ashl_ti
77 Followers 5K Following
Anette Vitullo @VitullAnett
92 Followers 5K Following
Asma Shipman @AsmaS2500
52 Followers 5K Following
Neejad @NeejadLLC
160 Followers 434 Following Neejad LLC is a digital medical education platform that is committed to Empowering Excellence in Education and Health
Brad Gander @bradgander_
5K Followers 1K Following Dad. Husband. Critical Care Paramedic with @SECAmb_CCP | Firm believer in working hard & always learning. PEA resus nerd.
Andrew Merelman @amerelman
3K Followers 3K Following EM resident physician, paramedic. snowboarding, flying, mt biking. VT/NH native. crit care, EMS, airway, EKGs, ultrasound.
Arnita Hollis @HollArnit
79 Followers 5K Following
Peek-a-boo @0nTheLoose
96 Followers 316 Following ARMY RN 66E. Med Surg Tele, OR. “Do justice, love mercy and walk humbly with God."
Armida Opland @armi_oplan
59 Followers 5K Following
Pierre-Marc Dion @PierreMarc_Dion
317 Followers 610 Following MD student @uOttawaMed. Former emergency, critical care and flight RN. Research in prehospital, trauma and resuscitation @First60_resus. (he/him/il)
Clement Lee, MD, MSc @ClementLeeMD
13K Followers 3K Following Med-Peds Hospitalist 👶🏼👵🏽 @NewtonWellesley/@MassGenBrigham via @PennMedicine/@ChildrensPhila | ✍🏻@NEJM | Tweets my own/do not represent employers
Grizzly Joe 🇺🇸�.. @GrizzlyJoeShow
38K Followers 38K Following NYPD ret, J.D. fb @JessieJaneDuff @mschlapp @mercedesschlapp @DLoesch @JimGeraghty @JennaEllisEsq @JrzyJoePiscopo @deneenborelli @JaniceDean @SaraCarterDC
Ernestina @perry51ernestin
139 Followers 3K Following
Alessandra Bulat @alessandr_bu
82 Followers 5K Following
Simone Gherardi @simone_ghrd
126 Followers 329 Following Italian doctor. Mildly to highly interested in sports and almost every Emergency Medicine stuff except for climbing rocks. Opinions are...usually wrong
Nick Lowery @9_nick_
6 Followers 70 Following
Ariel Passarelli @ar_passare
43 Followers 4K Following
Anisa Budin @anis_bud
66 Followers 5K Following
Foul Ball Safety Now @FoulBallSafety
280 Followers 2K Following We are Foul Ball Safety Now and we are bringing light to the foul ball fan injury epidemic in baseball and demanding change
Adella Milkovich @milkovi_adel
49 Followers 5K Following
Amiyah Dahler @DahlAmiy
63 Followers 5K Following
SweetnSaltyRN @saltywidowrn
8K Followers 7K Following Mother, ER RN, Immigrant, American, Widow, Nasty Woman, who drinks + enjoys an occasional Xanax. Tweets are reflective of my warped self and not my employer.
Lilith Lauw @lilith20268
88 Followers 5K Following
Darla Fullilove @DaFullil
46 Followers 5K Following
Callan Fockele @callan_fockele
172 Followers 204 Following Emergency Addiction Medicine Physician @UWashEM. Yes, there’s a med school in Berkeley @JointMedPrgrm. Always a great day to be a wildcat @DavidsonCollege.
Ella-may Lanzarin @LanzarinMa71108
102 Followers 5K Following
Charlotte @Charlot87966
3 Followers 196 Following I love and enjoyed everything concerning swimming dancing cooking hiking and going camping
burnt out FF medic @medicburner305
65 Followers 611 Following if nurses can be leaving healthcare for only fans, time for this medic to do the same
Laine Faragoza @FaragozaLa93772
78 Followers 5K Following
LisaLisa @LisaLis53485512
8 Followers 386 Following Hobbies: Golf, diving, badminton, tennis, skiing, surfing, food. Reason for coming to the UK: Parents are in the UK and visit them often
Chandra Pacific @ChanPacif
59 Followers 5K Following
Jorik Sweenen @JSweenen
573 Followers 1K Following ambulance verpleegkundige, instructor, icu nurse (former), dad of 3 🧍🏼♀️,alpinism, running, training, ECG‘s ,neurology, fan of FOAM, life long learning,
eidiidham @eidiidham
1 Followers 1K Following
IamJayTulk @IamJayTulk
85 Followers 144 Following Critical Care Paramedic • Educator • Read Books • Ride Bikes • Build Resilience • Basketball
Raymond Proa @rproa211
105 Followers 411 Following Division Chief of EMS Fort Mojave Mesa Fire Dept.
Dr. Glaucomflecken @DGlaucomflecken
710K Followers 438 Following Ophthalmologist. Comedian. Speaker. Tiktok. Contact: [email protected] *Personal views only* https://t.co/GMXSgqZUvF
Jace Mullen @_JaceMullen
1K Followers 648 Following Philosophy student turned flight paramedic | Raised by Denver Health| Resuscitation, Airway, Harm Reduction | Climb, MTB, Woodwork| New account (he/him)
Peter Antevy @HandtevyMD
15K Followers 6K Following EMS Medical Director, Peds EM Physician, Founder/CMO @Handtevy. Alum of @ChildrensLA and @ChildrensPgh
Dr Aidan Baron @Aidan_Baron
17K Followers 3K Following Paramedic | Researcher | Doctor | POCUS Educator | Digital Medical Ethics | LGBTQIA+ health🏳️⚧️ | Patient Advocacy | He/Him | @ThePoCUSCourse | Views my Own
Eric Jaeger, JD, NRP,.. @EricJaegerTNG
1K Followers 489 Following EMS leadership, education & protocol development. Attorney & RSI Paramedic. Enhancing the safety of physical restraint & chemical sedation of agitated patients.
Sam Ghali, M.D. @EM_RESUS
564K Followers 274 Following ER Doctor | Resuscitation | Airway | Cardiovascular Emergencies | ECGs | Emergency Radiology | Trauma | Critical Care | #FOAMed | Patient Advocate
Josh Trebach, MD @jtrebach
111K Followers 772 Following ER doc. Toxicologist. I talk about poisons. Show me ur cat. Posts/opinions/DMs = my own (not employer’s) & not medical advice. Contact: [email protected] ☠️
Tom Bouthillet 🇺�.. @tbouthillet
8K Followers 4K Following Co-Survivor • Business Development Manager • Battalion Chief of EMS (Retired) • Aspiring Screenwriter • Citizen of U.S., Canada, Ireland • ECGs • YouTube 👇🏻
ɐnɥsoɾ @jab_doc
3K Followers 5K Following just a paramedic, EMS & fire captain in DFW, past 68W now a current aficionado of halligan bars and trauma shears. Be Nice.
Ryan Marino, MD @RyanMarino
102K Followers 3K Following Human Doctor • Toxicology • Addiction • Emergency • #WTFentanyl & more often just WTF • drugs are misunderstood but people are misunderstood more • he/him
Kevin Collopy, MHL, F.. @ktcollopy
2K Followers 890 Following Progressive servant leader|award winning #CCT & #EMS educator & researcher|innovator|@Colgateuniv & @WGU alum|proud girl dad|comments=my own & not my employer
Jeff Jarvis @DrJeffJarvis
6K Followers 642 Following Emergency & EMS physician, and paramedic. CMO & Medical Director for MAEMSA Office of the Medical Director. Host of @EMSLightHouse podcast.
Ray Barishansky @rbarishansky
4K Followers 5K Following Doctor of Public Health (DrPH). EMS and Public Health professional. Autodidact. All views are my own.
Ashley Winter MD || U.. @AshleyGWinter
155K Followers 3K Following Urologist + sex med doc. Views my own. She/Her. IG/threads: @ashleygwinter
Chris Wanka @fyreman2006
3K Followers 4K Following (he/him) PA-C in Trauma/ACS, FF/paramedic. views/opinions are my own & not my employers'. husband of @Rachel_barreRN . here for dogs & medicine. FL ➡️ MD ➡️ VA
NYC EMS Watch @NYCEMSwatch
18K Followers 217 Following A unique look at FDNY EMS EMTs & Paramedics, NYC EMS life in general, First Responder life everywhere & NYC politics. As always, unofficial, satirical and wry.
Sahaj S. Khalsa @ssk040
840 Followers 1K Following Sikh, Paramedic, EMS educator and researcher, ski patroller. He/Him.
gamerEMdoc @GamerEMDoc
19K Followers 2K Following EM program director. PGY18. Pittsburgh Steelers, SF Giants, #Medtwitter, Golf, Video Games. GNR fan. Opinions are my own and do not reflect those of my employer
Brick EMS @brick_ems
990 Followers 110 Following It's the adventures of Mitch-Murphy, Bubbles and David the Medics at Brick EMS!
Nicole Trauma Llama A.. @TraumaSoapBoxes
21K Followers 1K Following (She/Her)Trauma Clinical Nurse Specialist♥️ETCO2🧠Acute SCI Care🩸BP≠Perfusion🩸RR is 👑🩸Whole Blood stan🩸🩸Tweets =my opinions not med advice 🏒🥃
Andy DeFrias @EMSeducation
136 Followers 204 Following
Gerardo Gastélum �.. @DrSkawman
1K Followers 780 Following Anestesiólogo, apasionado de la #RCP y @LaViaAerea. Estudiante del culto #Intubati.
JEMS - EMS @jemsconnect
30K Followers 936 Following JEMS is the source for emergency medical services professionals. An official Clarion Events, Inc. publication.
Critical Care Time @CritCareTime
6K Followers 4 Following The podcast for everyone who cares for the critically ill
Neejad @NeejadLLC
160 Followers 434 Following Neejad LLC is a digital medical education platform that is committed to Empowering Excellence in Education and Health
Brad Gander @bradgander_
5K Followers 1K Following Dad. Husband. Critical Care Paramedic with @SECAmb_CCP | Firm believer in working hard & always learning. PEA resus nerd.
CanROC @CanROCResearch
482 Followers 48 Following A consortium of Canadian Researchers, Survivors, Revivors, Families, Paramedic Services and Funding Agencies dedicated to advancement of resuscitation science.
FOAMfrat @FOAMfrat
4K Followers 95 Following Cutting down the knowledge-translation window in prehospital, emergency medicine and critical care education. Art + Education
Janis P. Tupesis @janistupesis
1K Followers 286 Following Emergency Physician focused on the intersection of emergency care, education and health systems globally. IFEM Board of Directors. ACEP GH. Views are my own.
Ryan Wubben @MedFlightDoc
4K Followers 1K Following Flight Physician with University of Wisconsin Med Flight. Clinical Professor of Emergency Medicine. HEMS. Private Pilot. Archaeology/History.
SSCOR @SSCORsuction
1K Followers 4K Following Manufacturer of emergency portable suction for hospital & pre-hospital settings. Clearing the airway is our #1 priority. Shop SSCOR products at https://t.co/DZXCIExdVG
brisho.eth @brisho_eth
2K Followers 1K Following Advancing understanding of crypto and NFT technologies! Join the journey of digital transformation. 🛤️🚀
Clement Lee, MD, MSc @ClementLeeMD
13K Followers 3K Following Med-Peds Hospitalist 👶🏼👵🏽 @NewtonWellesley/@MassGenBrigham via @PennMedicine/@ChildrensPhila | ✍🏻@NEJM | Tweets my own/do not represent employers
Nick Lowery @9_nick_
6 Followers 70 Following
Simone Gherardi @simone_ghrd
126 Followers 329 Following Italian doctor. Mildly to highly interested in sports and almost every Emergency Medicine stuff except for climbing rocks. Opinions are...usually wrong
Pierre-Marc Dion @PierreMarc_Dion
317 Followers 610 Following MD student @uOttawaMed. Former emergency, critical care and flight RN. Research in prehospital, trauma and resuscitation @First60_resus. (he/him/il)
SC Resus Academy @SCResusAcademy
962 Followers 402 Following Improving survival and quality of life for cardiac arrest victims in South Carolina!
Young ERC @young_erc
2K Followers 1K Following Supporting committee of the ERC connecting the next generation of the resuscitation community.
Richard Webb @DrRJWebb
3K Followers 2K Following Paediatric Intensive Care Registrar. Ex-RN(Child). Interested in paediatric major trauma & illness from roadside to rehab. Aspirations of dual PICM/PEM career.
Arron GC @GlenwrightCook
1K Followers 2K Following 💍 + 👦👦👧👱 | Ambulance & Crowd Paramedic | I believe in ✝️ & 🌅| Sometimes Country Music🤠🎶🪕
burnt out FF medic @medicburner305
65 Followers 611 Following if nurses can be leaving healthcare for only fans, time for this medic to do the same
PHTSociety @PHTSociety
483 Followers 52 Following Dedicated to advancing the science and treatment of children during listing for and following heart transplantation. https://t.co/87RsoVFUmH
Scott Auerbach, MD @ScottAuerbachMD
870 Followers 666 Following Peds HF, VAD, and transplant cardiologist. Vaccine advocate. Opinions are my own. #Aztec4Life. Scott_Auerbach_MD on that thing Twitter is suing
Ali N Zaidi, MD @AliZaidiMD
3K Followers 448 Following Section Head, Mount Sinai Adult Congenital Heart Disease Center
Callan Fockele @callan_fockele
172 Followers 204 Following Emergency Addiction Medicine Physician @UWashEM. Yes, there’s a med school in Berkeley @JointMedPrgrm. Always a great day to be a wildcat @DavidsonCollege.
Alin Gragossian, DO, .. @AG_EM33
22K Followers 5K Following EM-ICU physician 🚑 w/ a heart transplant | assoc med director | likes: health education, writing, photog, forensic files | co-host @bsotstethoscope 🩺
uché blackstock, md @uche_blackstock
140K Followers 5K Following mama, physician, founder & @nytimes best-selling author, LEGACY: A Black Physician Reckons with Racism in Medicine 👩🏾⚕️🩺 @vikingbooks 🔗 in bio👇🏿!
Lady Glaucomflecken (.. @LGlaucomflecken
70K Followers 672 Following Speaker. Podcaster. Writer. SCA lay responder. Co-survivor of cancer/SCA/med school/marriage to @DGlaucomflecken. https://t.co/6O5U57OkTg
Deepika Sivakumar @thatEMpharmgirl
1K Followers 454 Following Emergency Medicine Pharmacist @MassGeneralEM| @fishernews @northeasternsop @dmc_receiving alumna | Views mine💭| she/her💁🏽♀️
Annals of Internal Me.. @AnnalsofIMCC
2K Followers 28 Following A partnership between @ACPIMPhysicians and @American_Heart, AIMCC is a peer-reviewed open access journal publishing case reports across the spectrum of medicine
UW EM Population Heal.. @UWashEM_PH
312 Followers 210 Following Standing with underserved populations locally and globally. Emergency Medicine education, research, policy and advocacy.
UW Emergency Medicine.. @uwemcc
216 Followers 53 Following Official Twitter for the University of Washington's Department of Emergency Medicine (@UWashEM) Section of Critical Care.
UW Emergency Medicine @UWashEM
3K Followers 925 Following High-quality patient care, medical education, and research. #EMResidenSEA | #UWashEMS | #UWashEM_US | @UWashEM_PH | @UWEMCC Instagram @ uwashem
Chemist @VT_Chemist
98 Followers 170 Following Full-time: Polymer/materials/organic chemist. Part-time paramedic. Better living through chemistry and medicine. All opinions are mine alone.
Raymond Proa @rproa211
105 Followers 411 Following Division Chief of EMS Fort Mojave Mesa Fire Dept.
IamJayTulk @IamJayTulk
85 Followers 144 Following Critical Care Paramedic • Educator • Read Books • Ride Bikes • Build Resilience • Basketball
Mark Forrest @Obidoc
12K Followers 7K Following Cons Anaes, ICU & Pre-hospital Care, NHS Assoc Med Director, Med Director Cheshire Fire & Rescue, MD HFRS, MD NW Police, MD of ATACC/TAG
Olayemi Olurin @msolurin
161K Followers 4K Following 🇧🇸🇳🇬Movement Lawyer + Political Commentator. subscribe to Olurinatti on YouTube and substack
Craig Spencer MD MPH @Craig_A_Spencer
244K Followers 749 Following ER doctor | Ebola Survivor | Public Health & Humanitarian Response | Historical Foundations of Public Health Policy & Practice @Brown_SPH | Emmy Award Winner 🏆
The Patient Revolutio.. @patientrev
3K Followers 382 Following An action and advocacy movement for careful and kind patient care.
Kailey Goebel @kailey_goebel
112 Followers 89 Following UNECOM ‘24 | OMS IV | Aspiring Emergency Medicine Physician #Match2024 |
Amber Hossick @haydonsmom
313 Followers 1K Following I'm a mother first and an EMS Consultant second. I am passionate about bringing the newest science and best practices to EMS.
Airway Triage App @AirwayTriageApp
2K Followers 1K Following Airway Triage App for airway assessment & risk stratification. In 16 languages. Non-profit patient safety project of @AirwayMxAcademy & MASH Foundation
Keith @keithdunn
89K Followers 997 Following
Michael Powell @powellAtlantic
24K Followers 5K Following Staff writer, The Atlantic Magazine. Former cabbie, tenant organizer & doorman. Brooklyn w 2 boyz. Author of "Canyon Dreams" https://t.co/NRl2OE52h5
Luigi Di Biase @LuigiDiBiaseMD
8K Followers 410 Following Section Head Electrophysiology, Director of Arrhythmia Services, Professor of Medicine, Albert Einstein College of Medicine at Montefiore Hospital. Views my own
@NAEMT_ The silliest part of ET3, other than ending it, was requiring a complex process for enrolling in something that just makes common sense. CMS should encourage the entire continuum of healthcare to come up with reasonable and thoughtful solutions to our current boarding crisis.
EMS would have been there, but the EMTs and paramedics are all on calls.
We would like to give a special thank you to @NYPDHighway, @NYPDSpecialops ESU and Mounted Unit, and @FDNY Engine 307 for being a part of the 115th Precinct “Bring your child to work day”!
got a whole 5 minutes into our FT date before he got a call, a tale as old as time🫠🙃love this man and v proud of him #twitterlessnathan
One of my tumors was used in the original research and development that led to this vaccine, I wasn't able to be vaccinated because I had 3 more recurrences and that was outside the parameters for the study. this is HUGE. I'm so so happy to read this. theguardian.com/society/2024/a…
Pulse ox's are crucial for OD intervention. BUT, ppl who use Xylazine have constricted blood vessels (A2 agonists inherently vasoconstrict). Perfusion, O2 delivery to tissue becomes inadequate, esp. to fingers (a problem for taking SpO2%). We can't rely too much on tech/tools.
Florida EMS Webinar: The Contaminated Airway with Chris Root, MD Date/Time: Today at 11 AM EST Zoom Link: us06web.zoom.us/meeting/regist… Dr. Root will present his study on "Modified Cadaver Technique to Simulate Contaminated Airway Scenarios to Train Medical Providers in SALAD."
My partner and I decided we were not going to be posting baby’s face on the internet which is good bc otherwise I would be spamming all of my accounts with his adorable face but he’s just so dang cute and all I want to do is show him off because I worked real hard to make him
I’ll be talking about the work we’ve done at @ProtectedAirway cadaver lab to enhance the fidelity of airway simulation. Check it out. Video on the Florida NAEMSP YouTube channel if you can’t make it live. @le_chadd @jstgeorgemd @ResusOnTheRoad @jducanto
Florida EMS Webinar: The Contaminated Airway with Chris Root, MD Date/Time: Today at 11 AM EST Zoom Link: us06web.zoom.us/meeting/regist… Dr. Root will present his study on "Modified Cadaver Technique to Simulate Contaminated Airway Scenarios to Train Medical Providers in SALAD."
Join us at the top of the hour to hear from the authors of a recent paper on use of a modified cadaver technique to train clinicians in the SALAD technique. @ChrisRootMD | @jducanto Registration link below.
Florida EMS Webinar: The Contaminated Airway with Chris Root, MD Date/Time: Today at 11 AM EST Zoom Link: us06web.zoom.us/meeting/regist… Dr. Root will present his study on "Modified Cadaver Technique to Simulate Contaminated Airway Scenarios to Train Medical Providers in SALAD."
@joshkimbre @FOAMfrat @tbouthillet @JMedic2JDoc Nice job!!
went to a brewery tonight and the bartender was debating on if she had to card us bc we looked so young. I turn 30 in less than a month, and y’all that was so validating hahah
Guess I’m gay then…
Andrew Tate says men who engage in sexual activity with women because it feels good are gay
In a recent study we conducted looking at ambulance dispatch and overdose prevention services in BC, we located approximately 5,000 calls to OPS over almost 4 years. For context, there were over 66,000 visits to OPS over that time.
Richmond inj room has safely dealt with 6000 OD's that otherwise would have happened in the street. Thats 6000 less callouts for 1-2 ambulance crews for at least an hour. In resource hours, its the equivalent of another amb station in R'mond. CBD missing out on same. #springst
👏👏👏 Procedural sedation and ‘ABD’ need the same mentality, approach and skills as doing an intubation. This is a high risk event Every eventuality (eg apnoea) needs to be expected, with a prepped plan A,B,C. Each intervention should be timely with a goal for control and safety
Chemical Restraint of the Agitated Patient Its potentially lifesaving but involves significant risks for pts & providers. It’s time to radically reframe our approach to significantly enhance safety. How? Approach it like RSI with built-in safeguards & backup plans ready to go.
Plan a chemical restraint like a patient RSI...
Chemical Restraint of the Agitated Patient Its potentially lifesaving but involves significant risks for pts & providers. It’s time to radically reframe our approach to significantly enhance safety. How? Approach it like RSI with built-in safeguards & backup plans ready to go.
Chemical Restraint of the Agitated Patient Its potentially lifesaving but involves significant risks for pts & providers. It’s time to radically reframe our approach to significantly enhance safety. How? Approach it like RSI with built-in safeguards & backup plans ready to go.
Chemical sedation of the agitated pt is usually safe & effective. But multiple deaths have been reported following chemical sedation. (The AP has recently published a database tracking 94 deaths in custody that involved chemical sedation by EMS!!) apnews.com/projects/inves…
Let’s discuss RSI. Every pt we intubate is actively trying to die. Yet we don’t act precipitously. We approach it deliberately. -clinical/procedural safeguards implemented -a shared mental model with the team -plans B, C & D ready to go in case plan A doesn't go well
Key clinical/procedural safeguards when performing RSI include: - preoxygenation - resuscitate before we intubate - reposition/ramp the pt - prep push dose epi - monitoring ready to go - back-up airway prepped - etc.
Approach chemical restraint exactly the same way as RSI. It’s a deliberate procedure, not a med administration. Don't act precipitously. - implement clinical/procedural safeguards - brief the team (shared mental model) - prep plans B, C & D in case plan A goes awry (eg apnea)
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