Michael Misch

Some inspiring words from the incomparable Dr. @amalmattu at last year's conference. Hope to see you all back in Toronto May 8-10 for #EMU2024! emupdate.ca

I don't understand why EmRap discusses replacement of STEMI/NSTEMI w OMI/NOMI w/o including the folks who invented it & have written countless peer-reviewed articles and 100s of blog posts on it, and continue to advance the paradigm (Smith and @PendellM). @EMSwami @MelHerbert

Canadian Emergency Medicine is in mourning tonight. Paul Hannam, Olympic sailor, marathon runner, family man, ED director ⁦at NYGH, a sweet, thoughtful, compassionate and gentle man died suddenly today on a run. The quintessential mensch. Hug someone you love.

Got a question about PE management? Post it here! @MischMic and @kerstindewit will tackle your clinical conundrums and more on Day 2 of our conference, May 5, 2022. Available live and virtually! emupdate.ca/agenda/

Not all face coverings are equal. Here's a good guide to how well your mask might be protecting you from Covid-19 and most appropriate settings for use. Don't forget you need ALL 3 Ws to stop #Covid19 #WearAMask #WatchYourDistance #WashYourHands

Note about covid test. You can get tested on Monday. Be exposed to covid on Tuesday. Get a negative result on Wednesday. Go out to meet people on Thursday. Be mildly symptomatic on Friday (“But I was negative”) . Then get tested on Saturday. Only to be positive on Monday.

Seeing a consult in the ED

Challenging blunt chest trauma case... Brochopleural Fistula Management With @MischMic #FOAMcc #FOAMed emergencymedicinecases.com/bronchopleural…

CritCases 13: Shock & Hypoxia in Blunt Chest Trauma by @MischMic ...with a surprising & challenging final dx... emergencymedicinecases.com/blunt-chest-tr… #FOAMed

Alright let’s go! Day 2 of the Hemodynamic Instability Course has brought participants from across the country and beyond to North York General for a day of interactive and hands on learning. Love working with and learning from ⁦@AKHallMD⁩ ⁦@MischMic⁩ and Tom Kaul.

.@EMSwami Ludwig's Management @AnnaMadoka Transient Monocular Vision Loss @MischMic D-dimer for PE workup in Pregnancy @DavidJuurlink Trimethoprim drug interactions @_NMay Pediatric nasal foreign bodies @First10EM LMA in cardiac arrest emergencymedicinecases.com/em-quick-hits-… #FOAMed

One of NYG’s finest speakers and greatest teachers, @arunsayal1 discussing the importance of using hands to evaluate compartments for acute compartment syndrome. History and PE are paramount. Not the 5 Ps- focus on the first one- Pain! #emu2019

Great talk @amalmattu. Look for reverse-Wellens or NikElaKam T waves that can herald severe HypoK @EMCases @EM_Update #EMU2019

Crochetage sign on ECG is sign of PFO/ASD that could be a cause of TIA. Look for it as well as Afib in your TIA patients. @davidcarr333 #EMU2019 ncbi.nlm.nih.gov/pmc/articles/P…

PE work up in pregnant patients: utility in risk stratification, dimer for rule out (YEARS trial maybe use cut off <1000), and radiation risk favours Q scan over CTPA (skip the V if normal CXR) if available #emu2019

Forgetting Inhaled corticosteroid at discharge in Pediatric asthma is the single most important predictor of bounce backs. Prescribe it for all PRAM who score moderate or severe. Sarah Reid #EMU2019

Thoughtful opening to Day 2 with ⁦@DrCarolynSnider⁩. Putting a human face on the impact of system/structural biases #EMU2019

In Emergency Medicine, get comfortable with saying I don’t know…it’s a sign of humility not a sign of stupidity… @davidcarr333 #EMU2019 @EM_Update

Awesome pearls from @EMCases and @HIMMELHIMMEL. Watching Walter Himmel demonstrate nystagmus: Amazing. @EM_Update #emu2019

Dr. Reid recommends look(ing) the parent in the eyeballs and saying “your child has asthma”- make the diagnosis! #EMU2019