Grant Wei

Today, under the leadership of Paul Mikita, Asst. Director of the Office of Emergency Management @RWJUH we held a MCI training exercise. Kudos to the whole team for drilling together @A_Teich @RachelChoron @01grant_wei @lesbarta @rwjsurgery @RWJEM #preparation #teamwork @RWJMS

@Kenny_Spivey11 You’ll be fine….. but try to trim it. Thanks

My ERAS personal statement takes up a page and 2 lines on the next.. Is it dire to trim it to no more than one page or am I okay?😅

@DGlaucomflecken Can you personalize them for graduating residents?

New signed headshots are available! We added some more characters. They make great graduation gifts or if you just want one for your bedside table no judgment here, you do you. topatoco.com/collections/dr…

@ebukstel @vgargMD Because VC don’t care about financials and spend their time taking care of the homeless, the psychotic, the addicted and everyone else at the margins?

@vgargMD This has been going on for a longtime. When I introduced one of the first EMR systems, VCs told me doctors only care about financial systems that help them make a payment on a Mercedes.

Disturbing trend of VCs denigrating clinicians. “I hate working with doctors” “Clinicians are poor adopters of technology” The room nods or laughs. Where is the love for people who trained hard to care for you? Where is the accountability? We need to call it out.

Non-compete clauses

@olsonplanner I also suspect that it would be a match violation, as you matched a person not a corporation. And I’m pretty sure you can’t sign up for the match as a llc.

Program directors - Do you ever allow residents to use an LLC as the entity that you actually hire instead of them personally?

@SurgEdMD @rwjsurgery @EVMS @AmCollSurgeons @traumadoctors @RWJBarnabas @RutgersU Welcome! Looking forward to working and collaborating with you! @RWJEM

@rwjsurgery @EVMS @AmCollSurgeons @traumadoctors Dear all, Today, I begin a new journey as Professor of Surgery, Div. Chief of Acute Care Surgery & Chief of Trauma @rwjsurgery @RWJBarnabas @RutgersU! THANK YOU to all my mentors,teachers,colleagues,friends&family for helping me along the way! So humbled & honored to serve!! 🙏🏽

Rutgers Robert Wood Johnson Medical School is thrilled to welcome @SurgEdMD to lead the Division of Acute Care Surgery. He is a noted master educator, excellent clinician and mentor and we are excited to see his vision come to life. Welcome! @EVMS @AmCollSurgeons @traumadoctors

@AaronLacyMD It depends on your level of acuity and what the bottlenecks in your ER are. Doc in triage helps lwbs, door to doc. If your problem is boarding, lack of nurses, radiology, lab, higher acuity patients/not many low acuity walk ins, doc in triage does nothing or makes it worse.

Other than (potential, but unlikely, given increased throughout and reduced LWBS) cost/staffing issues are there cons to having an ED physician in triage at moderate to large ERs? Major one I can think of is “diagnostic momentum” after a doc eval. Otherwise all I see is upside.

1/2 For first time, the Am Coll of Cardiology recognizes Occlusion MI in clinical guidelines (and references our first of many OMI/NOMI studies: Meyers HP, ... Smith SW. Comparison of STEMI vs. NSTEMI & OMI vs. NOMI Paradigms of AMI. J Emerg Med 2020) jacc.org/doi/epdf/10.10…

@GoodishIntent Yet…..yet…

I see other HCWs trying their best to provide the care people deserve and expect during difficult times.

@HeyThereMare 🤔😒😑

Think @01grant_wei will let me leave conference early? 🤞🏻

@Eugene_T_Erlikh @ffmichelle Hey, I get that you don’t really get your choice of pressors in the back of a rig, the original post was in an ER. You use the tools you got and are allowed to use. But a lot of protocols need updating.

@Eugene_T_Erlikh @ffmichelle Except it’s not. It’s literally the first line pressor for many things, and has been for a while. Leave ‘em dead sounds cute but went out of vogue ~20 years ago.

A well-written case by Dr. Rometti, Dr. Patti and Dr. Bryczkowski with amazing annotated ultrasound images and videos demonstrating vitreous hemorrhage! @RWJEM buff.ly/3JgczlX

When people point to guideline I'm reminded of this study on the durability of Class I recommendations by the ACC/AHA. Remember: - Guidelines should guide not dictate care - Guidelines change over time ncbi.nlm.nih.gov/pmc/articles/P…

@DavidBassilyDO If you ask nicely your PD might extend your residency a year to make sure you get the full experience with the personalized, embroidered Patagonia. 🤣

@JakeHoyne @JenelleBadulak @reverendofdoubt @PulmCrit Do a bolus of fentanyl or versed while waiting for sedation gtt. Depending on the mental status and hemodynamics pre/post induction 1-2 mcg/kg of fentanyl and/or 2-5 mg of versed is typically easily done and will tide the patient through.

@JenelleBadulak @reverendofdoubt @PulmCrit One thing I've seen as a struggle in the ED setting is the delay from intubation to starting sedation. Unfortunately I've rarely had within 60 sec even when verbalizing this early as part of the plan. Anyone have any tricks?

🚀 ketamine should generally be preferred over etomidate for ICU intubation also, the combo of roc + etomidate is sketchy👿. etomidate lasts a few minutes. unless you’re SUPER fast with post-intubation sedation, patient will be paralyzed & inadequately sedated 5 min post-tube😤

Our 2018 interview with Jim Roberts, RIP Jim. What an extraordinary life you lived my friend, we are all the better for your work and your wonderful humanity! emrap.org/episode/emrapl…