Adrian Haimovich, MD PhD

@TheEMFoundation @ACEPNow @EverydayMed @drjeffgoodloe Thanks, @EverydayMed and @drjeffgoodloe for the great conversation and @TheEMFoundation for giving us a chance to do the work! I hear that people tend to not like their voices when recorded... looking forward to that experience.

Tune in for an upcoming @ACEPNow Frontline Podcast episode, featuring two of our grantees, Drs. Haimovich and Canellas. Special thanks @EverydayMed and @drjeffgoodloe! #ACEP22

Can someone explain to me how my ER visit copay was $100, but my insured pediatrician urgent visit cost over $300?

You remember that amiodarone is a QTc prolonger... are you giving any other meds for the VT? @PharmERToxGuy @emcrit @PulmCrit

A great case from @BIDMCEM and @BidmcCvi: Your ED patient is post-VT arrest in complete heart block, HR in 40s, QTc in 700s. BPs are stable. External pacing fails and you are setting up your transvenous pacer. Mag is running.

@jbmortazavi @uwanesthesia He’s a star. Congrats @jbmortazavi

Proud advisor moment - first phd student graduating - congrats to Dr Nate Hurley, MD PhD - and best wishes at @uwanesthesia

When you are working on a paper with new collaborators and don't want to assume anything about their statistical environment... @BIDMCEM

THIS from @Ted_Melnick and co. Have to acknowledge that the learning health system takes time, money, and dedication. Beyond federal funders, it’s incumbent on institutions to support this work because it supports their workforce.

What ED chief complaints necessitate a pelvic exam in your practice?

@RachelSolnickMD Google docs + paperpile = majestic

The number of Microsoft Word has crashed with "If you were in the middle of something, your recent work might be lost" recently is doing wonders for that Sisyphean doom of a manuscript revision.....

What percent of ED admissions are unambiguous? There is such a fine line for so many patients we admit. End of shift, out of energy to hustle a safe discharge, taxed by other sick patients… it’s a probability distribution. Except the patient experience is binary. Admit or no.

@AlexJankeMD I had this convo w ortho… they said bind and ask questions later

In @NatureComms, led by @Veer_Sangha_ @cards_lab is our deep learning approach to layout-free automated clinical diagnosis & hidden label detection from ECG images With broad global access to ECG images, this represents an advance for AI in ECG inference nature.com/articles/s4146…

@MaxJordan_N Creatinine bumped with a p <0.05

What if daily lab values like creatinine were reported with a confidence interval, such that we have to think twice about the delta between two values? Every time I see change in lab values I find myself questioning whether the delta is clinically significant but w/o enough tools

As requested, the pre and post-PCI Is it fair to say that, even for you pros, OMI can be hard to diagnosis? I think that the patient's appearance, symptoms, and vital signs clinched the story... @smithECGBlog @BrooksWalsh @adribaran @Vadeboncoeur_Al

Love this case: STEMI? OMI? Young, active chest pain, new bradycardia in the house of @BrooksWalsh @smithECGBlog

@The_Nanashi_O @BrooksWalsh @smithECGBlog Cath shows 100% proximal diagonal lesion off LAD!

@ADHaimo @BrooksWalsh @smithECGBlog Oooof. Tricky. A part of me thinks this is lateral OMI. Reminds me of this: hqmeded-ecg.blogspot.com/2016/02/appare… And this: hqmeded-ecg.blogspot.com/2019/05/lvh-wi…

Code status = useful Fall risk = irrelevant if you won’t help anyone walk anyway Memory = a blank slate? Meds = everyone has polypharmacy Rothman index = you can just stop right there

In what ways does this “geriatric” electronic health record view help in the care of older adults in the ED? #softwaregore

@BrooksWalsh @EcgsOnly Get me the rest of the way to your diagnosis, man!

Palpitations, chest pain , SOB DX ?

@AlexJankeMD Also… not all fevers are made equal. Even in the elderly or comorbid.