Andrei Axenov

On this day in 1986, Canadian author Robert Munsch released his book Love You Forever. One of the most successful children's books ever written, it is beloved by generations of Canadians and others worldwide. Let's learn more about it (and try not to cry)! 🧵1/10

Infographic - ‘How to Read a Head CT in the ED’ 🧠🏥 #Nurse #NurseCommunity #StudentNurse #NursingStudent

@AirwayMxAcademy Good beer choice!

DL is not dead

@TBayEDguy What a simple awesome product. Do you know how ridged these are? Can you shape them to get the bend you are after?

Like

@Robynleahmc @BCChildrensHosp Congrats! Thank you from the ITT group

Fellowship ✅ see ya later @BCChildrensHosp

@BLS_Specialist Not appropriate, but effective. The demand for service greatly exceeds our ability to provide it. People will act in their and their family members best interest.

@BLS_Specialist @LeonBaranowski @BC_EHS Think of all the people that would go Specialist, CCP/ITT, Education Position and Managment spots over the next few years. We are bleeding ACP all over the place and only now starting to catch up to the required recruitment.

Welcome to @BC_EHS Sam! Hope you enjoy your first week in NEO in your ACP role!!! good luck with the final bits of the move! #internationalparamedic

@BLS_Specialist @LeonBaranowski @BC_EHS I can’t speak to the mentoring/precepting bottleneck but I will tell you an organization can never have enough of high level people from other places. The ITT/CCP group can accommodate extra 30-50 people province wide. We are not capable of producing those numbers internally.

@jackjoseph94 @LinnellRoger @EMASNHSTrust @liveshq That’s a beautiful drug kit

@thomasabruder You should case review this for the next MoComp. Would love to hear your guys managment plan here.

@AndreiAxenov …but I think some chronicity to this? Despite 4+ edema up to neck, IVC still quite variable. Hopefully someone with expertise can chime in on this as my wresting volume assessment.

Critical care paramedic retrieval of 68f with cardiogenic shock in the setting of severe fluid overload and new AF RVR. 🎥 post-cardioversion. Hx tight MS and sev PHTN. Recent formal echo “LA size normal” 🫣 #echofirst #CardioTwitter @BCEHS_CPP @critcare_medics

@thomasabruder My condolences to the RV. Is that a VSD see?

#POCUS informed management of acutely worsening MR with afterload reduction for safe transport to cardiac centre.

@SamGoodhand Usually there is an MDI port somewhere in the circuit. But thats a pretty cool.

Surprised how few people know this little “hack” for giving salbutamol down your asthmatic or COPD patient’s ET tube… 🫁 All you need is a 50ml syringe & their inhaler (disclosure - not my idea!) #medtwitter

@BCEHSCCP @BCEHS_CPP @BC_EHS Holly Molly

@BCEHS_CPP @BC_EHS Here is the training programme to become a CCP in Wales.

@CasselmanRyan As Tom said, a lot of us are put into this position long before we had any formal education or orientation on how to be a mentor. All we can do is replicate behavior that we found beneficial when we were in the student role. Unfortunately this can be hit or miss.

Everyone can agree that being a preceptor or facilitator of practice education in healthcare is essential. How do you prepare for taking on students in the healthcare setting? Could you tell me what education you took to prepare for this role?

@iamkennethchan Can we please bring back plastic straws. I get it you want to save the turtles but the cardboard straws are so bad

Mayor Ken Sim says the $0.25 fee on single-use cups in Vancouver will be axed by this summer. It was approved by the previous City Council even though the City couldn't collect it as a tax, nor could it stipulate how businesses use the revenue. #vanpoli dailyhive.com/vancouver/city…

@EMIMDoc Methylene Blue?

There's a first time for everything

@EdwardP502790 @BCEHSCCP 1-2 page summary with clearly articulated goals of care. Maybe some pertinent labs. Bonus: dictated radiology report

@BCEHSCCP This would imply 60% of the information package is useful. Seems high.

Spot on…

@ryo_ip @georgebellstarr @Northernmedic @hines_stephen It’s only a safety issue if the organization and culture admit it’s a safety issue. Otherwise business as usual. My longest is 27 hours.

@georgebellstarr @Northernmedic @hines_stephen Due to many factors: weather, geography, airport services, pilot hours etc we frequently move only 1 patient per shift (12 hrs) or get our hours extended. 26 hrs is my record, a couple colleagues recently did 31 hrs….MAJOR patient and crew safety issues ⚠️

A friend of mine has spent the day working on an #ambulance in #Texas I wont say specifically where to avoid identifying the patient They drove said patient from the local hospital to the regional #burns unit A journey of three hours, 180 miles. Each way Anyone beat that?

@critconcepts Great topic. Paramedic here. I work for an organization that restricts paralytic use. Essentially we end up doing sadation facilitated intubation for intubations (not great, I know)

Are you a non-anesthesia person who regularly intubates using only fentanyl and/or midazolam (no paralysis or other sedation)? #medtwitter #FOAMed #FOAMcc #airway

@benajohnson2 @RBC They must have been experiencing higher than normal call volumes.

I waited on hold for almost two hours today to speak with @RBC customer service, only to be hung up on without anyone picking up. It's really disappointing customer service from a bank that's treated me so well in the past.