Dan Mirsch

Well that clears a lot of things up. #LeftyforLife

US GEL PODCAST #165! Biplane Needle Guidance - RCT for Central Lines #POCUS #USGEL #FOAMed ultrasoundgel.org/165

@BlockHeads21G @DanMirsch @RobFarrow_2 @GoldyMD @Mindray_NA @PajunkUSA Best nerve block course for ED docs ever! Food, drink, blocks and more. Amazing team.

Lunch social with morning and afternoon crews

Round 2…SOLD OUT #BlockHeadsVEGAS

Kat Vlasica giving her billing and coding talk #BlockHeadsVEGAS @BlockHeads21G @NagdevArun @josephbrown152 @GoldyMD @RobFarrow_2 @DanMirsch

Another successful block course in the books! Should we go to #AAEM25?

I’m hearing so many people cite conflict of interest as the reason physicians shouldn’t own hospitals. This also happens to be the main strategy the American Hospital Association used to lobby Congress to ban POHs in the Affordable Care Act, paving the way for the consolidated corporate nightmare we enjoy today. The conflict of interest argument is absurd in a for profit healthcare system. Hospitals force their employed physicians to refer to other specialists within their own hospital system. Physicians recommend surgery then do the surgery themselves collecting both a clinic fee and a surgery fee. Optum forces patients to see their doctors, use their pharmacies, and be admitted to their own hospitals. If there is profit to be made in patient care, there will be a conflict of interest among the entities/people collecting that profit. The closest thing to a conflict of interest free system is one that is devoid of profit. Call me cynical, but that will not happen in the US. So we can wring our hands about the potential corruption and malfeasance evil greedy doctors will inflict upon our great country if physicians owned hospitals, while ignoring the actual corruption and malfeasance already displayed by hospital corporations. We can ignore data that shows POHs as a whole (~250 in the US, holdovers from pre-ACA times) have better outcomes at lower costs. Or we can introduce some actual competition in the healthcare marketplace to give patients a chance for better care from people who actually got into this business to treat patients, care that is not dictated by a private equity company or insurance company. Just give physicians a chance to show that we can do a better job. That’s all we’re asking. If we suck at it, we won’t get very far, right? Isn’t that what the free market is for? Repeal the ban on physician owned hospital.

Interestingly, the diagnostic accuracy of #POCUS for hydronephrosis was lower than expected. Not very surprising - can depend on clinical suspicion and the operator's experience with renal #ultrasound. #FOAMed #Nephpearls In all 15 false positives, parapelvic cysts without hydronephrosis were a confounding factor, while the 10 false negatives were mainly due to incomplete renal pelvic scans in recumbent or uncooperative patients, as well as the presence of parapelvic cysts.

This course takes a safety first approach and is from leaders in the field who have published on #pocus blocks in the ED. Our needling models have been iterated over years and are consistently the best available based on feedback. They are only available at our course.

Join us for the 2nd BlockHeads Nerve Block Workshop in Las Vegas, NV! @NagdevArun @GoldyMD @DanMirsch @josephbrown152 @Mindray_NA @PajunkUSA @bbraun_com

Scary #POCUS image of the day. Right neck scan in a patient presenting with stroke. #FOAMed #FOAMcc #CriticalCare *see thread for source article

Time is running out! Come and boost your ultrasound guided nerve block game with national experts in the space!

Come learn from the best! Push your regional anesthesia skills with national leaders in ultrasound guided nerve blocks. Hands on and small groups like it should be! Ask about group discounts! @emresidents @SCUFellowships @POCUS_Society

Want to learn more about Nerve Blocks? Enjoy drinks while learning a new skill! Ask about group discounts! @emresidents @SCUFellowships @BlockHeads21G @POCUS_Society

Going to ACEP? Need to get some Block Skills? Learn from the leaders in the field. @BlockHeads21G

This is the greatest explanation of the Epley maneuver I’ve ever seen 🤯 🎥 IG thedizzypt_amy #medtwitter

Last week at Grand Rounds @TeddyDanielz gave an amazing lecture by TEE and ultrasound in resuscitation science. Check out the video here. youtu.be/WyMcWk0QHM8 #MetroEUS #POCUS #Ultrasound #echofirst

#regionalanesthesia 💥Infectious complications following regional anesthesia: a narrative review & contemporary estimates of risk: 👉 rapm.bmj.com/content/early/… @rakesh6282 Dr Selvamani 🙏 @ASRA_Society @ESRA_Society @NarouzeMD @ThomasVolk16 @AoraIndia @MayoAnesthesia @RAPMOnline

Live on stage at #SOA24, ‘Blocks for ITU’! 💉 @RegionalAnaesUK @ICS_updates Wed Jun 19th 11:30-12:45 #FOAMed #POCUS #FOAMcc Programme: ics.ac.uk/soa/programme.… And the first taster infographic by myself and @amit_pawa 👇👇 Get it —> criticalcarenorthampton.com/blockographics/